Policy and Procedure Library


Please note: This Policy and Procedure Library is now based on the Platform Website.

Please visit




The Library's purpose is to provide a simple way for NGO mental health and addiction providers to access best practice quality improvement templates.  Providers can download policy and procedure templates and associated documents, and store them on their own servers.  Once downloaded, providers can then modify the templates and develop them further to best fit their own organisational needs.

By using the best practice policy and procedure templates providers will be able to focus on ensuring the principles and procedures outlined within the templates are implemented rather than each organisation utilising their scarce resources to develop their own set of policy and procedure documents. It is also anticipated that having a set of easily accessible policy and procedure templates will also help raise quality standards across the sector, resulting in less issues at audit time.

All templates have been developed to comply with legislative requirements, and relevant quality improvement guidelines and standards.  All templates within the Policy and Procedure Template On-line Library will be monitored, and updated as required so they continue to meet legislative requirements, relevant standards and best practice guidelines. Please note: While every effort is made to keep the policy and procedure templates and related information on this website up to date, organisations themselves must ensure all policies and procedures implemented within their respective organisation comply with all legislative and contract requirements.

You can scroll down or click below for a better understanding of how to use this on-line resource.


Content of Template Library

Use of Colour Coding and Hyperlinks

Updating Documents

Policy and Procedure Template Development

Document Control and Monitoring

Obtaining the Entire Suite of Policy and Procedure Templates

Further Information and Questions



The Templates held on this website have been developed based on Te Pou’s Let’s Get Real Framework.  This framework has seven Real Skills which are underpinned by essential values and attitudes.

Content of Template Library

Please click on this Table of Contents to see the policy and procedure templates and related documented listed within each of the folders listed below. The site has been structured by dividing the policy and procedure templates into the following key folders:

Consumer Rights

Continuum of Service Delivery

Infection Prevention and Control

Organisational Management

Restraint Minimisation and Safe Practice

Safe and Appropriate Environments

Use of Colour-Coding and Hyperlinks

As you view the templates and associated documents you will see that there is a colour coding system to help you use the documents to your best advantage.  Please click on the document below for further instructions:

The Use of Colour-Coding and Hyperlinks

Once a policy and procedure template has been downloaded, it will need to be modified to meet the specific needs of your service and to include service specific information like designations and titles.  Once amended, you can also link your modified policy and procedure document to other relevant documents by using hyperlinks.  To find out how to hyperlink click through here.

You will note that there are a number of hyperlinks already 'live' within the Template documents that link to external websites/resources.  If the hyperlinks do not work, please try viewing the orginal website or document address by putting your cursor over the hyperlink.  When you do this a hyperlink address will appear, and you can click on this or copy it into your browser to connect to a particular site or resource.

Updating Documents

Sometimes the policy and procedure templates held on the Policy and Procedure Template Library website will need to be updated to meet changes in legislation or other requirements.  To find out about these changes you will need to register with the site to receive ALERTS.  It is recommended that two people at the most from each organisation register to receive these ALERTS.  It may also be a good idea to use a generic email address to register so the registration is linked to a title rather than a specific person. This means ALERTS won't be missed when a specific person leaves your organisation.  To register to receive ALERTS please click here.

Please note you may need to wait 24 hours before recieving an email confirmation that your registration has been successful. Please do not re-register during this period.

Once a policy and procedure template has been updated, the previous template will be held on the site in the relevant Archives folder with tracked changes activated so people will be able to follow exactly what changes have been made. These highlighted tracked changes can then be used to identify the changes required in your own modified policy and procedure documents rather than having to download the revised policy and procedure template, and then modify it all over again.

 Policy and Procedure Template Development

The policy and procedure templates on this website were written by Gisela-Sarah Harnisch who has provided auditing compliance advice and support to the sector over the last twenty years.  To find out more about Gisela-Sarah please click here. A Working Group was also convened to review the draft policy and procedure templates, provide feedback and approve the final versions of the templates. A Governance Group was also formed to provide strategic oversight for the project.  To find out who was on the Working Group and/or Governance Group please click here. To view the template sign-off document please click here.

Document Control and Monitoring

The documents and hyperlinks referred to within the policy and procedure templates have been captured in this document control spreadsheet.  You will need to download this spreadsheet, and save it on your own server. It will need to be modified and updated as per the review dates on the sheet.  This process is necessary to meet document control requirements.