Louise had worked for over 15 years as an academic at Charles Sturt University, leaving in 2003 to take up the position of Program Director at the NSW Central West Division of General Practice. This position developed her interest in the delivery of mental health services in regional, rural and remote (RRR) regions, which continued as senior consultant for an independent consulting group (2007-2012) undertaking a range of service planning and program evaluations in RRR regions across Australia.