Supporting your recovery—every step of the way.
We understand that recovery from mental health challenges doesn’t end at discharge—it’s a journey that unfolds over time. That’s why our care coordination service is here to support you from your first day with us, through to your return home, and beyond.
Your care coordinator will work alongside you to ensure your experience is connected, consistent, and centred around what matters most to you. Whether you’re transitioning between an inpatient stay and our day programs, returning to your local care providers, or navigating life back at home, we’re here to walk with you through each stage.
What does care coordination look like?
From the moment you arrive at Aegis Health Clinic, our team conducts a holistic assessment to understand not just your mental health needs, but also the social, environmental, and practical factors that might influence your wellbeing. You’ll then be matched with a dedicated care coordinator—someone from your interdisciplinary team who is best suited to support your unique needs.
For example, a social worker may assist you with housing or financial stress, while an occupational therapist may guide NDIS access or community reintegration.
Together, we’ll:
- Develop a personalised discharge plan with you, your care team, and your family or supporters (if appropriate)
- Coordinate ongoing supports in the community, such as GPs, psychiatrists, counselling, financial or legal services, and other psychosocial providers
- Ensure a seamless transition between different levels of care, including into the Aegis Health Day Clinic to engage in individual therapy and/or our group programs
Support that continues beyond our walls
Our support doesn’t stop when you leave Aegis Health Clinic. For four weeks after discharge from your inpatient stay, your care coordinator will check in with you weekly — monitoring how you’re feeling, helping you stay on track, and offering extra support if things become overwhelming.
Early intervention is key — and our goal is to respond quickly to any changes so you feel safe, supported, and confident in your recovery.
Why we believe in connected care
The time after leaving hospital can be one of the most vulnerable periods in a person’s recovery. Our care coordination service is designed to:
- Reduce your risk of or need for returning to us as an inpatient
- Shorten unnecessary time you spend in hospital
- Keep you connected to your community
- Maintain your continuity of care when change is happening
- Enhance your connection to meaningful life activities
- Foster your long-term independence and wellbeing
