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Aboriginal and Torres Strait Islander Health Services

Aboriginal and Torres Strait Islanders (Indigenous) are Australia’s First nations peoples, whom are the bearers of Australia’s traditional culture and heritage.

Indigenous Australians commonly experience poorer health, live shorter lives and have twice the number of death rates than compared to non-Indigenous Australians. Many social and genetic factors contribute to a health disadvantage that affect Indigenous peoples more so than their non-Indigenous Australian counterparts. Approximately 2 in 3 Indigenous Australians report that they experience at least one long term condition. The most common conditions include mental health issues, heart disease and circulation problems, diabetes, cancer, respiratory (asthma) conditions, eye and hearing problems.

In order to address the large difference of health problems between Indigenous and non-Indigenous Australians, the following healthcare pathways have been developed. These pathways and services are designed to assist Aboriginal & Torres Strait Islander community members to access health care, more easily and to address their concerns and conditions more appropriately and effectively.

A wide range of other non-Indigenous specific, Mental Health services are also available to Aboriginal and Torres Strait Islander peoples within the Northern Sydney region and can be accessed with a GP referral. For guidance or more information please speak to your GP or a Health Professional.

See Northern Sydney Aboriginal & Torres Strait Islander Services & Resources listed below:

Program Objectives

Name: Gaimaragal Group
Website: http://www.gaimaragal.com/
Description: The “Çaber-ra nanga” (Gaimaragal word meaning, ‘Peace of mind’) ENGAGE project, in collaboration with Relationships Australia is a service that specifically provides culturally safe Aboriginal and Torres Strait Mental Health services. Indigenous staff will assist in service coordination, establishing community based programs and client advocacy. Culturally appropriate information, education, support and referral processes that promote improved mental health & well-being.
Referral Required: No
Name: Integrated Team Care (ITC)/ Aboriginal Health Service
Location: Grand Pacific Health
Website: https://www.gph.org.au
Description: The ITC program contributes to the improving health outcomes for Aboriginal and Torres Strait Islander people with chronic health conditions through better access to coordinated and multidisciplinary care. This program is delivered via Grand Pacific Health. Effective November 1, 2025, all existing and new referrals can be directed to the ITC Care Coordinators and Care management team using the following contact numbers: Intake Line: 1800 879 096, ITC Care Coordinator: 0439208370, Aboriginal Outreach Worker: 0483048163. A GP referral is required for ITC program registration.
Referral Required: Yes
Name: Odyssey House
Location: 24 Olga Street, Chatswood NSW
Phone: 1800 397 739
Email: cssn@odysseyhouse.com.au
Website: http://www.odysseyhouse.com.au/
Description: Odyssey House provides non-residential rehabilitation services to clients who are adults with alcohol and other drug dependencies and co-morbid conditions including chronic health, behavioural and psychological issues. Services include individual and group counselling, care coordination and aftercare support. Direct referral – (02) 9281 5144, GP Referral- SNPHN Mental Health Triage Ph: 1300 782 391
Referral Required: No
Name: Primary and Community Care Services Ltd - Psychological Access+
Email: intake@pccs.org.au
Website: http://www.pccs.org.au/
Description: “Psychological Access+” provides mental health support including psychologists, social workers, mental health nurses, occupational therapists, and Aboriginal & Torres Strait Islander health workers (with specific mental health qualifications) throughout NSW.
Referral Required: Yes
Name: Relationships Australia
Phone: 1300 364 277
Website: www.relationships.org.au
Description: Relationships Australia is a leading provider of relationship support services for individuals, families and communities. Their aim is to support all people in Australia to achieve positive and respectful relationships. Relationships Australia is a community-based, not-for-profit Australian organisation with no religious affiliations. Services are for all members of the community, regardless of religious belief, age, gender, sexual orientation, lifestyle choice, cultural background or economic circumstances.
Referral Required: No
Name: SNPHN Mental Health Triage
Phone: 1300 782 391
Website: https://sydneynorthhealthnetwork.org.au/mentalhealthtriage/
Description: The Sydney North Health Network (SNHN) has commissioned a range of flexible mental health, drug and alcohol, and suicide prevention services to meet the needs of the community. The aim is to provide streamlined access to the most appropriate level and type of care, whilst also supporting general practice and the wider mental health sector
Referral Required: No

The Program’s scope is to coordinate care, fund activities, services, and aids where appropriate, which support the treatment and management of Aboriginal and Torres Strait Islander people with chronic conditions. There should be improved access to primary care, and the promotion of continuity of care where patients need ancillary care, specialised care, or other follow up activities. This is facilitated through better access to the required services in a range of disciplines and allied health services, and better care coordination and provision of supplementary services.

Eligibility

The following general eligibility criterion is mandated by the Department for entry to the ITC program.

That a person:

    1. Identifies as Aboriginal and/or Torres Strait Islander
    2. Is diagnosed with at least one of the following chronic diseases:
      • Diabetes
      • Cancer
      • Cardiovascular Disease
      • Chronic Respiratory
      • Disease
      • Chronic kidney disease
      • Mental illness
    3. Has a completed GP Management Plan and/or completed Team Care arrangement (optional)
    4. Resides or attends a General Practice within the Sydney North Health Network boundary

Highlights

The Integrated Team Care (ITC) program is a chronic disease management program designed to support and improve health outcomes for Aboriginal and Torres Strait Islander People in the region. The service provides culturally appropriate care coordination to Aboriginal and Torres Strait Islander people with long-term, complex conditions. The ITC team at the Sydney North Health Network works closely with clients, general practitioners, and other medical and allied health providers involved in client care.

Working with individual clients often highlights needs in other members of the family, and the ITC program has been instrumental in referring these family members on to a range of services.

I think the Women’s Gathering is helping me come out of my depression.

The Yarning Circle at the Riverview Eye Clinic provided a young Aboriginal man with 6 months’ worth of therapy.

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Jacqui Emery

Jacqui is a passionate advocate for equity in healthcare and an accomplished leader with over 20 years of experience across the not-for-profit, corporate, and media sectors.

Most recently, she served as CEO of Royal Far West, where she championed access to developmental, mental health, and allied health services for children in rural and remote communities. Her work has driven early intervention, education, and advocacy initiatives that have influenced policy and funding outcomes nationwide.

Jacqui’s deep commitment to creating opportunities for those who need them most aligns perfectly with SNHN’s vision:continuing to work collaboratively to help our community live their best health.

Ramon del Carmen

Ramon is a senior organisational leader with extensive experience in highly competitive and heavily regulated environments including banking and telecommunications as well as the not-for-profit health sector with over 12 years of CEO experience and 9 years of CFO experience. He combines innovation and strategic thinking with strong leadership to deliver results in challenging environments that are undergoing significant and time-critical change.

Ramon is currently a non-executive director and Treasurer of Bobby Goldsmith Foundation and held previous non-executive director positions with Your Side Australia and Primary and Community Care Services (PCCS).

Ramon has a Bachelor of Economics from The University of Sydney, an MBA and MA (Business Research) from Macquarie Graduate School of Management. He is a Fellow of Chartered Accountant Australia and New Zealand, and a Graduate of the Australian Institute of Company Directors.

Eugene McGarrell

Eugene has more than 45 years of experience in the health, social and wellbeing sectors across the UK and Australia, with roles in clinical, community development, management, and executive leadership. As CEO of Healthy Australia, he led initiatives like Safe, feedAustralia, and Thriving Together, which promoted children’s health and learning. He introduced innovative approaches in workers’ compensation, such as social prescribing, to prevent injuries and aid recovery.

A systems thinker, Eugene advocates for challenging convention and disrupting the status quo to address complex social problems. His career began as a mental health nurse, and he has worked across government and social services to tackle issues facing vulnerable communities. Notably, in 1998, he co-led a project in Kingston that reduced suicide rates by 40%.

Eugene co-designed The Collective NSW in 2013, bringing together community, government, and business to break the cycle of disadvantage, leading to successful initiatives like the Greenway Wellbeing Centre and SILC. He is dedicated to empowering communities to design their own solutions and improve health, social, and economic outcomes.

He holds a PG Dip in Care Policy and Management from London Guildhall University and is a graduate of the Australian Institute of Company Directors.

Sara Warburton

Sara is a skilled strategic leader with a wealth of experience in customer-centric leadership roles within the health and care sector. Her extensive career spans senior positions in business development, strategy, marketing communications, service innovation, and operational excellence across both the UK and Australia.

Sara has demonstrated her expertise in both for-profit and non-profit sectors, as well as within government contracts, where she has successfully driven organisational transformation programs and enhanced access and experience for patients and communities. Her dedication to excellence is further demonstrated by her volunteer roles, including serving as a Strategic Advisor to Frontline Yoga and most recently as Chief-of-Staff for a mental health startup.

Sara holds a Bachelor’s degree (Hons) in Business Management from Oxford Brookes University and has completed the MBA Essentials Course at the London School of Economics and Political Science. Additionally, she participated in the development of the McKinsey Not-For-Profit Executive Leadership Program and has informally studied behavioural economics and technology in healthcare.

Deb Pallavicini

Deborah’s general management responsibilities include teams working with and supporting primary healthcare providers across our region, including General Practitioners and Allied Health Professionals. Her strategic approach to role responsibilities provides solid direction for those teams engaged in quality improvement, chronic disease management, digital health, emergency response, improved service integration, corporate communications, and marketing. Deborah is also responsible for directing the Clinical Engagement team, ensuring our professional members’ capabilities are continually enhanced for delivering the right care to our local community at the right time and place.

With over 12 years of experience working as a Practice Manager in medium to large General Practices, Deborah has also worked with the Improvement Foundation (IF), taking part in the Australian Primary Care Collaboratives on two occasions. The experience she gained over this period has translated into a strong and practical understanding of the Primary Care environment and the importance of Quality Improvement for enhancing patient outcomes.

Deborah’s experience at SNHN is inclusive of involvement in the development and rollout of quality improvement programs inclusive of dementia management in general practice and broader chronic disease management programs; the COVID-19 response across the region’s primary care providers inclusive of RACFs, coupled with the later rollout of COVID-19 vaccinations.

Deborah holds a Master’s in Health Management focusing on Quality and Safety in Healthcare and a Graduate Certificate in Health Science.