Let's talk about stepped care approaches to alcohol and other drug and mental health problems

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“Stepped care has two fundamental principles. Firstly, treatments delivered should always be the ‘least restrictive’, in that the burden on patients should be as low as possible whilst achieving a positive clinical outcome …. Secondly, stepped care should be self-correcting (Newman, 2000). This refers to the systematic scheduled review of patient outcomes to assist in clinical decision-making using validated outcome tools”

Richards, DA., & Suckling, R (2008) Clinical Psychology Forum



WA Primary Health Alliance (WAPHA) has a vision of health equity for all Western Australians, resulting in people being able to access the right care in the right place at


“Stepped care has two fundamental principles. Firstly, treatments delivered should always be the ‘least restrictive’, in that the burden on patients should be as low as possible whilst achieving a positive clinical outcome …. Secondly, stepped care should be self-correcting (Newman, 2000). This refers to the systematic scheduled review of patient outcomes to assist in clinical decision-making using validated outcome tools”

Richards, DA., & Suckling, R (2008) Clinical Psychology Forum



WA Primary Health Alliance (WAPHA) has a vision of health equity for all Western Australians, resulting in people being able to access the right care in the right place at the right time. CEO Learne Durrington recently set out the Primary Health Networks intentions regarding primary care mental health and this vision is presented in the video to the right of this page.

The document, also to the right of screen, titled 'Stepped Care: The WAPHA Way' sets out WAPHA's vision and model for the delivery of stepped care services in WA. We invite your feedback through the survey and guestbook, and your ideas for how Stepped Care could be delivered in your community or agency via the 'Brainstormer' tab.

WAPHA will work with clinicians and service providers to build a sustainable service sector that supports the needs of the community. Through this page the conversation is opened to stakeholders as part of a collaborative approach to primary care mental health in WA.

Consultation has concluded
  • Mental Health Portal

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    by David Wray, about 3 years ago

    Check out this new webpage with referral forms to the new Mental Health Portal, a nifty animation about WAPHA's mental health stepped care reform, information on Integrated Care, FAQs and more.

    Check out this new webpage with referral forms to the new Mental Health Portal, a nifty animation about WAPHA's mental health stepped care reform, information on Integrated Care, FAQs and more.

  • Minimum Data Sets

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    by David Wray, about 3 years ago

    WAPHA is supporting contracted services to prepare for National MinimumData Set collection and reporting requirements. Check out this new page which has all the info your service will need.

    WAPHA is supporting contracted services to prepare for National MinimumData Set collection and reporting requirements. Check out this new page which has all the info your service will need.

  • Joining up the pieces

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    by David Wray, over 3 years ago

    Check out this new PHEx page for further discussion of integrated care concepts in the context of metro procurement.

    Check out this new PHEx page for further discussion of integrated care concepts in the context of metro procurement.

  • 17/01/2017: WAPHA releases EOIs for integrated mental health and AOD services

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    by David Wray, over 3 years ago

    Visit the WAPHA website to view details of three linked EOIs released today:

    1. Integrated System of Care to address problematic alcohol and drug use and mental illness (various metropolitan regions)
    2. Integrated System of Care to support Aboriginal people with problematic alcohol and drug use and mental illness (various metropolitan regions)
    3. Improving access to primary health care for vulnerable people who currently engaged with community and social service organisations

    Visit the WAPHA website to view details of three linked EOIs released today:

    1. Integrated System of Care to address problematic alcohol and drug use and mental illness (various metropolitan regions)
    2. Integrated System of Care to support Aboriginal people with problematic alcohol and drug use and mental illness (various metropolitan regions)
    3. Improving access to primary health care for vulnerable people who currently engaged with community and social service organisations