What is Partners In Recovery (PIR)?

The aim of the Goldfields Midwest Partners In Recovery program is to:

  • Assist people with severe and persistent mental illness who have complex needs.
  • Assist the coordination and delivery of the programs to better meet the persons needs.
  • Promote a community based recovery model to empower the person to take charge of their own recovery journey.


What is the Recovery Model?

Community based recovery is an approach in which services work alongside the individual to understand what recovery means to the person and create a recovery plan that is unique to them and looks holistically at their needs. This approach invites collaboration from all services working with the individual as well as family and carers. Taking this approach to recovery means that recovery may take many forms; it may mean the complete remission of symptoms, return to employment, participation in further education, securing long-term housing, participation in sport and recreational activities or re-engaging with family and friends. The community based recovery model is also strengths-based and it seeks to empower the person with mental illness to take control of thier recovery and make decisions about the direction of their life.


How does PIR work in conjunction with other services?

Partners In Recovery works community organisations and services providers in the following ways:

  • Strengthen referral pathways between services and supports
  • Assist PIR clients to meet their needs and goals
  • Promote the community based recovery model
  • Identify and respond to gaps in service provision
  • Provide advice and support regarding services available in your region

Community organisations and service providers can also become involved in the PIR program through the PIR Networking Group in your local region.


What is the role of Support Facilitators?

A Support Facilitator will assist to link and coordinate the services and supports involved in the clients’ mental health care.

Working with the clients to determine what services and supports could be involved in their care.

Assisting with the clients to determine what services that they may have lost contact with.

Assist the clients to access services including:

  • Community services
  • Sporting groups/programs
  • Housing
  • Employment services
  • Case management
  • Counselling
  • Medical / psychological reviews


What is the PIR Networking Group?

The PIR Networking Group is an opportunity for organisations and individuals who have contact with clients with severe and persistent mental illness and complex needs, their carers and families to come together and:

  • Network with other services and supports
  • Maintain and establish referral pathways between services
  • Assist PIR to identify the needs of the community and gaps in service provision
  • Be part of exciting opportunities to collaborate on new projects to address gaps in service provision


How to refer

Referrals can be made using the PIR referral form for your region below. If you have any queries, please contact your local Support Facilitators and discuss.

PIR referral form for Midwest

PIR referral form for Goldfields

PIR referral form for Esperance Region

PIR referral form for Carnarvon


Eligibility criteria

The Goldfields Midwest PIR Eligibility Assessment

As detailed in the flowchart , the referred client will be assessed by the Support Facilitator (and then reviewed by the PIR Team Leader) to determine if they meet the inclusion criteria for the PIR Program. This assessment is recorded with the Goldfields Midwest PIR Eligibility Assessment.

The Goldfields Midwest PIR Eligibility Assessment has been created in accordance with the eligibility criteria in the Operational Guidelines for PIR Organisations issued by the Department of Health.

Eligibility Criteria for the PIR Program

The Operational Gudelines for PIR Organisations (issued by Department of Health) indicates that a client needs to meet all of the following five criteria to be considered eligible for the PIR program:

1.   The person appears to have a severe and persistent mental illness.

Evidence of severity can include:

  • A reported diagnosis of psychotic illness; or
  • A reported diagnosis of another mental illness with associated impairment across a range of functioning domains; or
  • The person has experienced multiple hospitalisations for treatment of mental illness over the past 3 years; or
  • The person is a recipient of the Disability Support Pension where mental illness is the principle condition.

Evidence of persistent mental illness can include:

  • The person is a recipient of a Disability Pension where mental illness is the principle condition; or
  • The person has experienced mental illness over many years, or is likely to do so; or
  • The person has recently experienced the onset of a mental illness that is expected to be of a prolonged nature (lasting years not months).

2.   The person has complex needs that require services from multiple agencies.

3.   The person requires substantial support and assistance to engage with the various services to meet their needs.

4.   There are no existing coordination arrangements in place to assist the person in accessing the necessary services, or where they are in

place, those arrangements have failed, have conrtributed to the problems experienced by the client, and are likely to be addressed by

acceptance into PIR.

 5.   The person or their legal guardian has indicated their willingness to participate in PIR. This will be later confirmed at the Needs

Assessment stage where the formal consent of the person or their legal guardian should  be sought in writing.


Tell us what you think

As stakeholders we are interested in your feedback when you use our service. Please print the feedback form from the link below and return to:

Allied Health Service

360 Health + Community

PO Box 111


PIR Stakeholder Feedback Form


Helpline Numbers

Rural Link 1800 552 002

Beyond Blue 1300 224 636

Life Line 131114



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