Shared Care - Working Together for a Healthier Australia
Health Professional


Click on to a profession in one of the segments in the schematic below to see the services which may be provided by the selected health care professional to assist patients undergoing stroke recovery.

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Trigger points for a GP referral to a mental health social worker


  • New or recent diagnosis of patient
  • Difficulty in adjusting to diagnosis, particularly with regard to changes in physical condition
  • Low mood, elevated levels of anxiety, stress and/or previous history of mental health condition
  • Changes in social and occupational functioning
  • Poor adherence to self-management strategies

Trigger points for a mental health social worker referral to a GP

  • Worsening of physical health and functioning
  • Increasing symptom severity including comorbid conditions
  • Ongoing poor chronic self-management which could have adverse consequences for health
  • Regular medical review

Potential treatment by a mental health social worker

  • Provide a biopsychosocial assessment that would assist the referring  GP to identify all the factors affecting the patient
  • Provide education to ensure understanding of short/long term consequences of a stroke
  • Support individuals and their families to establish and maintain goals to improve functioning and to be realistic in their goals for recovery
  • Evidence-based treatment for psychological disorders, including motivational interviewing, cognitive behaviour therapy, interpersonal therapy and relaxation strategies
  • Provide support, education and/or identification of other appopriate resources to assist the patient and their families