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Hawke's Bay DHB - Intensive Mental Health Services

Mental Health & Addictions Service


Our ward provides a comprehensive range of specialist staff working in the mental health environments. The staff are made up of a variety of different disciplines and roles, we currently have working in Nga Rau Rakau:

  • Psychiatrists: A medically trained specialist in mental health who, as a doctor, focuses on the definite signs and symptoms of mental illness to formulate a diagnosis and treatment. Psychiatrists are able to prescribe medication.
  • Psychologist: Assess the current emotional and lifestyle problems of clients, their social and family histories, and examine how feelings, actions, beliefs and culture interact to shape the person's experience and difficulties.
  • Social Worker: Look after social and practical needs such as family assistance, welfare benefits, housing, jobs etc.
  • Occupational Therapist: Use activities and occupations to enable people to recover from mental illness. Occupational therapists work with people to regain lost abilities, or to develop new skills and interests.
  • Registered Nurses: Is a registered nurse who provides specialist treatment, care and support for people with emotional, mental and behavioural problems. They are skilled in the specialised use of communication, counselling, psychopharmacology, applying specialty knowledge in the provision of clinical assessment, monitoring, therapeutic interventions, treatment, and referral to other health professionals.
  • Care Associates: Non-clinicians who work with people with mental illness to provide support and practical assistance on the ward.
  • Cleaning staff: Make sure that the ward is clean and hygienic.
  • Programmes

    Ngā Rau Rākau

    Programme Areas

    Crisis / acute, Mental health

    Programme Type

    Acute services


    Hawkes Bay

    Age Groups

    Adult / Pakeke

    Referral Types

    DHB clinical services


    Ngā Rau Rākau opened on the 19 January 2016 and is a specialised intensive mental health service to treat people during acute episodes of their mental illness. It is a 23 bed ward that is divided into 3 wings:

    • Kahikatea (sub-acute wing):  This is a 6 to 8 bed wing depending on the need and is for peole who need a less acute environment prior to their discharge.
    • Kowhai (open wing):  This is a 10 to 14 bed wing depending on the need and is for people requiring acute admission to hospital. This is separated into 2 wings that can be split by gender.
    • Pukatea (secure wing):  This is a 3 to 5 bed wing depending on the need and is for people who require a secure environment while they are acutely unwell. People should only require this environment for a short period of time to stabilise before transfer to Kowhai. All patients admitted to Pukatea must be under the Mental Health (Compulsory Assessment and Treatment) Act 1992 as they are unable to leave the wing.

    We also provide an Intensive Day Programme (Harekeke)

    Public Transport

    Hawke's Bay DHB offers free bus free bus transport for outpatients and their caregiver/support person to and from scheduled appointments at Hawke’s Bay Hospital and at Napier Health.

    Click here for more information, including bus timetables.


    Paid parking is available at Hawke's Bay Hospital. Click here for parking map and prices.

    Contact Details

    Nga Rau Rakau Building
    Gate 8, Orchard Road
    Hastings Memorial Hospital
    Hawke's Bay 4120

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    Street Address

    Nga Rau Rakau Building
    Gate 8, Orchard Road
    Hastings Memorial Hospital
    Hawke's Bay 4120

    This page was last updated at 1:48PM on October 13, 2021. This information is reviewed and edited by Hawke's Bay DHB - Intensive Mental Health Services.