Integrated Team Care (ITC) Program

Ungooroo manages the Integrated Team Care (ITC) Program on behalf of the Primary Health Network (PHN). The service provides clinical and nonclinical support for local Aboriginal and Torres Strait Islander people with Chronic health conditions to improve their use of health services and promote the importance of improving health outcomes. Ungooroo’s ITC team supports people in the Singleton, Muswellbrook & the Upper Hunter areas

What We Offer

The Integrated Team Care (ITC) Program provides an Aboriginal Care Coordinator and Aboriginal Outreach Worker that can help Aboriginal clients/patients by providing practical clinical/non-clinical support and assistance in:
– Support attending appointments with local General Practitioners and other specialised professionals
– Follow-up care
– Assisting with completing forms (if needed)
– Communicate instructions given by Primary Health Care providers
– Accompany clients/patients to Allied Health specialists including: Physiotherapist, Dietician, Podiatrist, Psychologist, Occupational Therapist
– Outreach (if/when required)Collection of prescribed medication from Pharmacies

Client eligibility and Referral Criteria

To be eligible for care coordination and Outreach Worker under the ITC Program Aboriginal and Torres Strait Islander people must:
– Identify as Aboriginal and/or TSI
– Children are eligible with a current Chronic Illness Management plan
– Have a care plan
– Have a current Chronic Disease Management plan by a local GP or Aboriginal Medical Service
– Be referred by a mainstream GP and/or Aboriginal Medical Service

Once clients/patients are enrolled in the ITC Program they can seek treatment across the Primary Health Network region.

Find out more about the Ungooroo ITC program by clicking on the image below

Download the Ungooroo ITC program Referral Form by clicking on the image below