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Mental health and psychosocial support
Mental Health Services
Mental Health Reform
Over the past year, CESPHN has progressed a significant program of mental health reform, implementing service, system and digital changes that are strengthening integration, improving access, and building a more coordinated and responsive mental health system for local communities.
Transition of Your Coach Plus to Medicare Mental Health Check In
As part of broader national mental health reform, CESPHN concluded commissioning the Your Coach Plus (YCP) low-intensity telehealth service in June 2026, transitioning eligible consumers to the Medicare Mental Health Check In initiative. Since 1 July 2024, Primary and Community Care Services (PCCS)delivered YCP to 318 consumers, providing 3,576 hours of support and achieving improved outcomes in 88% of consumers. To support continuity of care, consumers were assisted to either conclude care or access a warm referral to Check In. The transition aligned CESPHN’s service model with national reform priorities while maintaining access to timely, appropriate support.
Establishment of Help aHead Integrated Mental Health Hubs
CESPHN progressed a major regional mental health reform initiative through the commissioning of Help aHead, two integrated mental health hubs in the Sutherland Shire and Inner South Sydney, operated by Grand Pacific Health and One Door Mental Health. Informed by extensive co-design and consultation with more than 200 stakeholders, Help aHead responds to calls for a more connected and navigable mental health system. The hubs will provide integrated psychological care, care coordination, psychosocial support, physical health care, alcohol and other drug services, and service navigation through a multidisciplinary model, helping reduce fragmentation and improve access to person-centred care.
Transition of Primary Integrated Care Supports (PICS)
A further milestone in CESPHN’s mental health reform initiatives is the transition of Primary Integrated Care Supports (PICS) into the Help aHead integrated mental health hubs from 1 July 2026. This change builds on the strengths of PICS by embedding its core elements of clinical care, care coordination and peer support within a more integrated, multidisciplinary model, supporting improved access to coordinated, wraparound care and more connected pathways across primary care and community services.
Since 2017, PICS has delivered recovery-oriented support for people experiencing severe mental illness within primary care settings. Through evidence-based clinical interventions, coordinated care and connections to psychosocial supports, the program has improved mental health and wellbeing, social connection and recovery outcomes for consumers, while strengthening integration across health and community services through collaborative, person-centred approaches.
PICS also achieved strong outcomes in access and effectiveness, consistently exceeding annual targets of supporting 900 consumers and delivering 20,000 occasions of service. The program’s strong performance and demonstrated outcomes have helped shape the next phase of mental health reform in the region, demonstrating the value of integrated care and providing a foundation for more connected and responsive service delivery.
Transition to a Single Provider Model for Psychological Support Services
As part of ongoing service reform, CESPHN transitioned its Psychological Support Services (PSS) program to a single lead provider model, appointing APMHA HealthCare Ltd to deliver services across the region, with Lilly Pilly Counselling continuing targeted service delivery through a subcontracting arrangement. The model strengthens consistency, streamlines referral pathways, and improves coordination across the service system. It also supports more equitable access, enhanced oversight, and greater flexibility to respond to community needs while maintaining a focus on quality and outcomes.
Implementation of the Medicare Mental Health eReferral Form
CESPHN implemented the National Medicare Mental Health eReferral Form across its commissioned mental health services, creating a single referral pathway and supporting a more integrated approach to care. The initiative simplifies access for referrers, reduces duplication, and improves consumer matching to appropriate services. Supported by regional change management and education activities, the reform is strengthening service coordination and improving access through a more connected mental health system.
Transition to the Fixus Platform
CESPHN commenced implementation of the Fixus platform across commissioned mental health and psychosocial services, establishing a shared digital infrastructure to support system-wide reform. The staged transition includes data migration, provider training, and change management, with a focus on maintaining service continuity. By supporting intake, care coordination, case management, and outcomes reporting on a single platform, Fixus will enhance collaboration, improve data quality, and strengthen planning across a more connected and responsive mental health system.
Youth Mental Health
Youth enhanced services
CESPHN commissions two youth enhanced services to support the five headspace centers in our region. The services provide multi disciplinary support to young people who have more complex needs than headspace centers could normally support, and whose needs cannot be supported by the local public health service.
headspace
headspace centres provide face-to-face and telehealth services to young people aged 12-25 years, and their families and friends. The support provided is holistic, including general health care, mental healthcare, alcohol and other drug support and study and employment support. There are five headspace centres in the central and eastern Sydney region – Ashfield, Bondi Junction, Camperdown, Hurstville and Miranda.
2025/26 service highlights
- In 2025, headspace National piloted the headspace Model Integrity Framework (hMIF) v3 and assessment approach. headspace Hurstville was selected to participate in the pilot and successfully passed the assessment process. The centre was also able to provide feedback on their experiences to headspace National to help improve the process for future participants.
- In April 2026, headspace Ashfield welcomed Assistant Minister for MentalHealth, the Hon. Emma McBride, along with Sally Sitou, Member for Reid, and Jason Trethowan, CEO, headspace National, to the official re-launch at their new purpose-built centre. The launch was presided over by the Youth Advisory Group, who invited guests to tour the new facilities, take photos with “headspace green” props in the photo booth room, participate in some mindful arts activities, and connect with each other over morning tea.
- In June 2026, representatives from CESPHN and the five headspace centres in our region attended Forum 2026: Growing Together. Hosted in Meanjin/Brisbane, the forum brought together representatives from across the headspace Network with the aim of strengthening how we can all work to support youth mental health.
According to the most recently available data, there were 258,766 international students enrolled across NSW with 76% studying in the CESPHN region (Department of Education SaE. International student enrolments by ASGS SA4 region 2021). It is therefore important for services in our region to promote good health and wellbeing for international students and help young people navigate the Australian health care system. In April 2026, headspace Hurstville hosted a free “Chautari”- style workshop focused on enhancing well-being for international students, particularly Nepali students. Activities helped bridge mental health and culture while providing opportunities to foster social connections and meet local service providers. One participant provided the following feedback: “This is the best place to be. Do something for yourself, participate in events like this.”
Youth Mental Health
Young people seeking support from headspace reflect the diversity in the CESPHN region:
- 35% of young people seeking support at headspace in the CESPHN region identified as LGBTIQA+
- 52.4% of young people seeking support at headspace in the CESPHN region identified as multicultural
- 4% of young people seeking support at headspace in the CESPHN region identified as Aboriginal and Torres Strait Islander
Youth Enhanced Services
Psychosocial supports are non-clinical, community-based services that assist people experiencing severe or complex mental health challenges to build functional capacity, enhance wellbeing, and participate meaningfully in their communities. Aligned with a stepped care approach, these recovery-oriented supports complement clinical services by promoting independence, social connection, and holistic wellbeing. Over the past year, CESPHN funded five psychosocial programs delivering targeted support across areas including physical health, employment, NDIS access, service navigation, social participation, and hoarding disorder, improving access and integration across the primary care and community sector.
Humans before homes: The Making Space Hoarding Program
From March 2024, Making Space supported people experiencing hoarding disorder or compulsive acquiring to achieve safer living environments, strengthen housing stability, and improve overall wellbeing. Through an integrated model of practical in-home support, informal therapeutic interventions, and structured group programs, Making Space supported participants to reduce hoarding behaviours, restore access to essential areas of their homes, and build the skills and confidence needed for independent living.
Key achievements over the past year include:
Average of
Enhanced housing stability, supported through assertive tenancy advocacy, coordination with housing providers, and multidisciplinary collaboration
Increased engagement and social connection, including strong uptake of the Buried in Treasures group program, with regular weekly participation and repeat attendance
As the program reached conclusion in June 2026, it continued to strengthen partnerships across primary care, housing, and community services, contributing to a more coordinated response to hoarding support. Its legacy provides a strong example of how integrated, recovery-oriented support can assist people with complex needs to improve safety, stability, and connection within their communities.
Making Space: