Multidisciplinary Care Team (MDCT)

About the MDCT:

The Multidisciplinary Care Team (MDCT) is made up of child/maternal health and adult healthcare workers. Supported by a Registered Nurse, health workers case manage clients with multiple chronic diseases,

offering support, advocacy, education, and transport in addition to the external services required by the client.

The ongoing support, education and follow-up is tailored according to the client’s needs and includes, but not limited to, attending appointments with the client both at IWC and within the community. 


The healthcare worker ensures a smooth delivery of MDCT services to the client.  This holistic delivery of healthcare supports the region’s diverse needs in contrast to a "one size fits all”.  

Child and Maternal:

Provides a range of primary and early intervention initiatives aimed at Aboriginal and Torres Strait Islander children (0-18) and their families.  Child health workers undertake health assessments, hearing and health check screenings (with IWC's registered nurses) and also promote nutrition and physical activity, injury prevention, immunisation, antenatal/postnatal support and social/emotional development.  Health workers also partner with the region’s schools to identify child health needs.  

Dental and Oral:

The IWC difference is that "we provide a holistic service whereby the client leaves being dentally fit, with no further treatment required for some time”.  A full range of services is available including HICAPS Health Fund Connect, EFTPOS facilities and after-hours emergency contact.  

Medical Services:

IWC Medical Centre provides the community with  access to GPs, nurses and health workers, Specialists and Allied Health Professionals.

Case Management:

Key strategies are based around a holistic model of care, starting with the client and case management by the health workers, directly supported by the nurses for access to a range of other health professionals. This model is successful in driving client empowerment through self-education, prevention, management support and trust built through the health workers.

Who can access MDCT services:

IWC’s dental and medical services are accessible by all - with the IWC team working to reduce the barriers of access, fear and cost of services for Indigenous and low socio-economic communities.  


Referrals to specialists, allied health, medical, community and other professionals are provided through the IWC program/services.  Referrals to IWC GP’s and dental service are accepted by any service/professional apart from access to specialists where the client would need to first see a GP.

Services provided include:

The services IWC makes available to support the client’s continuum of care, enabling them to self-manage their conditions, include:

  • GP services and Allied Health

  • Nutrition and dietary support

  • Drug and Alcohol program

  • Child and maternal health

  • Diabetes Education 

  • Social and emotional wellbeing

  • Family support

  • Chronic disease management

  • Access to visiting specialist services

  • Clinical and frontline health services include: Assessments; Case Management, Advocacy, Referral; Education/self-management initiatives.

Medical and Health Booklet cover