Initial Assessment and Referral Decision Support Tool (IAR-DST)

, Western NSW Primary Health Network
, Western NSW Primary Health Network

Supporting clinicians with effective mental health referrals

, Western NSW Primary Health Network

The IAR-DST is a national initiative developed by the Department of Health, Disability and Ageing, designed to establish effective systems for assessing and referring individuals presenting with mental health concerns in primary health care settings.

, Western NSW Primary Health Network

How does the Initial Assessment and Referral Decision Support Tool work?

, Western NSW Primary Health Network

Guided by clinicians’ own assessment and clinical judgement, the IAR-DST provides a consistent framework to deliberate decisions when matching a person’s mental health needs with the right level of service intensity, at the right time. National widespread use of the IAR-DST aims to build a common language across the mental health sector about treatment needs based on the person-centred stepped care approach.

The IAR-DST assessment is undertaken using eight initial assessment domains that are used to match clients to one of five appropriate levels of care. The eight domains help to distil essential assessment information and identify key signals (i.e. red flags) that are critical for decision making.

, Western NSW Primary Health Network
The eight initial assessment domains that are used to match clients to one of five appropriate levels of care
, Western NSW Primary Health Network

Benefits and uses of the IAR-DST

, Western NSW Primary Health Network

The IAR-DST helps clinicians:

  • Simplify the process of determining the appropriate care for patients with mental health concerns.
  • Avoid overburdening patients with unnecessary services or under-servicing them.
  • Improve transparency regarding decisions related to referrals.
  • Standardise the language used across the mental health sector, facilitating clearer communication and enabling you to articulate treatment needs that will be understood across the sector.
, Western NSW Primary Health Network

How to access IAR-DST training

WNSW PHN offers online training to help GPs and clinicians effectively implement the IAR-DST in your practice. 

Find upcoming training below.

Alternatively, if you have 5 or more clinicians and would like to schedule a session, please contact our team.

This training is accredited with RACGP and ACRRM.

Useful resources

Find below some other useful resources on the Initial Assessment and Referral Decision Support Tool below.

Upcoming events

26 Feb

WNSW PHN: IAR-DST Training (Online)

26 February 2025 6:30PM

24 Feb

WNSW PHN: IAR-DST Training (Online)

24 February 2025 1:30PM

3 Mar

WNSW PHN: IAR-DST Training (Online)

3 March 2025 10:00AM

Get more support

For more information or support related to IAR-DST, please reach out to our team at iar.dst@wnswphn.org.au.