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Counties Manukau Health Tiaho Mai (Mental Health - Inpatient Unit)

Public Service, Mental Health


Update: Our community told us we need to make some changes. In response, we are improving the way mental health services work with you. We want to assure you we will talk with all service users and their whaanau about how changes might affect their care. If you have any questions please talk to your mental health clinician.

Tiaho Mai is a residential unit, supporting people with mental health problems during a crisis. We provide care for people from Ōtāhuhu to Mercer, coast to coast including Kaiaua and Port Waikato.

Tiaho Mai means “the light that comes from the moon and the stars - shine here" in Te Reo Maaori.

We are part of the services provided by Counties Manukau Health Adult Mental Health.

Who Are We?

At Tiaho Mai we provide 24 hour mental health treatment services for people with serious or complicated mental health concerns. We provide a safe environment where people can stay for short periods of time. Our goal is to help people reach a point where they can safely access other mental health services.

Tiaho Mai offers different types of support depending on your needs. These services are provided by three wards; Kimi Whanaungatanga, Ki Te Whai Ao and Tui.

  1. Ward 40/Manaaki Tangata - intensive nursing care for those with the highest needs
  2. Ward 41/ Whai Oranga and Ward 42/Ki Te Whai Ao - open wards for people with moderate needs

While you are staying at Tiaho Mai you may experience all of our wards or just one, depending on your needs.

Our Team

While staying at Tiaho Mai you may see a number of different staff members who will support you in your recovery. Our team all work together to decide what treatments will support you, providing you with the best care possible.

Some of the staff members you may meet include:

Registered Nurses/Enrolled Nurses - Registered and enrolled nurses are your main point of contact within Tiaho Mai. They are the mental health professionals responsible for coordinating your care.

Charge Nurse Manager/Associate - Charge nurse managers and associates are responsible for the overall running of the ward where you will be staying.

Psychiatric Assistants - Psychiatric assistants work under the direction of registered nurses.

Psychiatrists and other Medical Doctors - Medical doctors support you with the medical aspects of mental health, including diagnoses, prescribing and monitoring medications. Medical doctors include psychiatrists, MOSS (Medical Officer Specialist Scale), registrars, house officers and GP consultants.

Social Workers - Social workers assist you, your family/whānau and support people with a variety of your concerns and needs, including:

  • Financial issues
  • Accommodation needs
  • Family, partner or relationships issues
  • Domestic violence
  • Personal and family stress
  • Employment matters
  • Referral to community services
  • Liaising and advocating on your behalf with the medical team.

Occupational Therapists - Occupational Therapists provide a number of activities to improve your stay and enhance your life and leisure skills.

Psychologists - Psychologists provide a range of therapies and counselling services to reduce your distress and promote emotional wellbeing.

Kaumātua and Kuia Services - Kaumātua and Kuia are available to support you, your whaanau and give advice to staff on appropriate protocol.

Staff Members from other Mental Health Teams - May contact you while you are at Tiaho Mai to discuss the services they can provide.

The Service User (You) - All service users are considered key parts of the Tiaho Mai team. Your assessments, feedback and information about yourself are an integral part of our service.

Your Family/Whaanau and Friends - Tiaho Mai actively promotes involving your support system (family and friends) in your recovery.

How Do We Help?

We offer a range of support and treatments that are customised to your needs. While you stay you may like to participate in one of our activity programmes which will help with your recovery, these include cooking, alcohol and drug education, relaxation and karakia / prayer.

There are a number of support services you can access during your stay at Tiaho Mai. These include:

  • Maaori Cultural Support Services
  • Pacific Cultural Support Services
  • Interpreters
  • Chaplaincy Service
  • Kaumātua and Kuia
  • District Inspectors (lawyers responsible for protecting your rights during your stay)
  • Health and Disability Advocacy Services.

Where Are We Based?

Tiaho Mai residential services are situated on the grounds of Middlemore Hospital, near the rear Colvin Complex. We currently can hold up to 52 residents in our various wards. During your stay your family and friends are welcome to visit you (see Visiting Hours for more information).

We try to keep our services as welcoming for you and your whaanau/friends as possible. During your stay you will be able to access internet facilities, telephones and bathing facilities. Kai/Meals are regularly served throughout the day.

You are welcome to bring mobile phones, radios and other personal items with you, although we ask you to consider others when you use them. We prefer that you leave valuables and large amounts of money with someone else when you stay at Tiaho Mai. Drugs, alcohol and items that pose a safety risk to others are not permitted on the premises.

Nga Whetu Marama (translates to “the Bright Stars”) is a marae / whare situated alongside Tiaho Mai. It was named by the local Kaumātua and Kuia of Tainui. You are welcome to use this venue when family or friends are visiting or for your own support.

Want To Find Out More?

If you or someone you know has concerns about mental health there are a number of services you can contact, including:

If you would like to talk to someone with lived experience of mental health and or addictions contact our Peer TALK phoneline on 0800 234 432. This phoneline operates between 5pm and Midnight, seven days a week, and will connect you with a trained peer support worker who will listen to your experience and help you access further help if needed. Note: Peer Talk supports adults over 18. If you are under 18 contact Youthline on 0800 37 66 33.

Need Immediate Help?

For urgent after-hours support please contact 0800 775 222, or phone (09) 261 3700 at any time.

If you are having suicidal thoughts, or are worried about someone, there is help available. For more information please visit the Mental Health Foundation - In Crisis?, or in case of emergency call 111.

Referral Expectations

Counties Manukau Health Adult Mental Health receive all referrals to our service. A person from the Intake and Acute Assessment team may contact you and your family to discuss your needs.

For urgent psychiatric support please contact Adult Mental Health Services on (09) 261 3700, or in case of an emergency call 111.

Admission to Tiaho Mai

We try to make sure your experience of entering Tiaho Mai is as welcoming as possible for you and your family/whaanau.

On entering our service you will be introduced to your admission nurse who will give you all the information you need about your stay and help you with your belongings. They will then show you to your room. After you are admitted your nurse will arrange for you to have a medical examination with a House Officer, who will look for physical issues that might impact your mental health. They will also arrange for you to meet with a psychiatrist as soon as possible, who will complete an assessment and decide how we can help you during your stay.

Your family/ whaanau or support people are usually welcome to stay with you throughout the admission process. 

Leaving Tiaho Mai

While you are at Tiaho Mai someone from your treatment team will discuss your options for mental health support after you leave. They may transfer you to one of the other Counties Manukau Health Adult Mental Health teams – in which case a staff member from that team will contact you during your stay to meet you and find out about your needs.

We encourage you to talk to your nurse or social worker about any supports you may need after you leave.


Our service is free of charge for people entitled to free health care in New Zealand.


  • Rights

    During your stay at Tiaho Mai you have the right to request a second opinion about your diagnosis or treatment, and ask for a change of doctor and or nurse.  Please feel free to contact the Charge Nurse Manager or District Inspector to discuss this.… More

  • The Mental Health Act

    Most of the people we see at Tiaho Mai get to make their own decisions about their treatment, and no assessments and treatments will be done without their consent.… More

  • Smokefree Service

    Counties Manukau Health promotes good health and is committed to the Smokefree Policy.… More

Visiting Hours

As New Zealand has moved into the new COVID-19 Protection Framework, commonly known as the ‘traffic light’ system our visiting policies have changed to reflect this. Please visit Counties Manukau Health website.

Face masks must still be worn when visiting any CM Health facilities. Please use the NZ COVID Tracer app to scan our QR code each time you visit our hospital and clinics.

If unwell, get a COVID-19 test and stay home. If you have any questions call Healthline on 0800 611 116.

Outpatient areas

For questions about Outpatient Appointments - Customer Service

  • Phone: (09) 277 1660 available 07.30 am – 6.00 pm, Monday - Friday (except public holidays)
  • Email: 

Click here for more information.

If you are unwell, you must stay at home.

These restrictions apply to all hospitals and outpatient facilities. 

Other Facilities:
Inpatient services are also provided at our other facilities, which include Kidz First Children's Hospital, the Manukau Surgery CentrePukekohe HospitalFranklin Memorial HospitalBotany Downs Maternity Unit and Papakura Maternity Unit as well as dedicated mental health and rehabilitation units.    Outpatient services are primarily provided at Manukau SuperClinic™ and Botany SuperClinic™.

If you are not sure, please feel free to contact us at the numbers listed below:

  • For Information/Visiting Hours: phone (09) 270 4799
  • For Patient Enquiries: phone (09) 276 5004
  • For Tiaho Mai (Acute Mental Health Unit): phone (09) 270 4742

Public Transport

Train and bus services are available within walking distance of our clinics. For more information and to plan your route visit the Auckland Transport website.


Tiaho Mai has limited designated visitor parking, or you can use the main Middlemore Hospital visitor parking areas.

There is a charge associated with parking on Middlemore Hospital grounds.

Contact Details

Middlemore Hospital

South Auckland

For urgent support contact our after hours phoneline on 0800 775 222, or phone (09) 261 3700 at any time.
If you need immediate help call 111.

Tiaho Mai Mental Health Unit
Building 10
Middlemore Hospital
Hospital Road

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Street Address

Tiaho Mai Mental Health Unit
Building 10
Middlemore Hospital
Hospital Road

Postal Address

Private Bag 93311
Auckland 1640
New Zealand

This page was last updated at 9:25AM on December 17, 2021. This information is reviewed and edited by Counties Manukau Health Tiaho Mai (Mental Health - Inpatient Unit).