Who Works on the EPI Team?
Community Nurses
As well as having a primary role as a key worker in the team, a community nurse has specific skills in:
- administering and monitoring medication
- monitoring side effects of medication
- liaising between you and your doctor
- assisting you with any physical health issues.
Māori Cultural Advisor
Māori cultural assessment and support may involve providing:
- programmes that are based upon the four interacting dimensions of ‘Te Whare Tapa Wha’ (the traditional Māori health system):
- Taha wairua (spiritual health)
- Taha hinengaro (mental health)
- Taha tinana (physical health)
- Taha whānau (family health)
- an understanding of what it means to be Māori
- assistance accessing traditional Māori healing, cultural assessments, customary remedies and using Māori language in treatment if requested
- family/whānau interventions in an environment based on Māori cultural values, customs and beliefs.
Occupational Therapists
Occupational therapy aims to help support people to be able to do the things they want or need to do. Occupational therapists might work with you around the following areas:
- setting goals and supporting you to work towards these
- developing leisure interests and roles
- self-confidence, communication and stress management
- work and study or training
- living skills including cooking, budgeting, and transport
- motivation, decision making and problem solving
- using community supports and resources.
Psychiatrist and Psychiatric Registrars
A ‘psychiatrist’ is a doctor who, after basic medical qualifications, receives further training and develops the expertise to become a ‘specialist’ in identifying symptoms of, and diagnosing and treating, mental illnesses. You may have been referred to a psychiatrist if your doctor feels you need specialist help.
Along with other types of treatment, medication plays an important role in recovery from a psychotic episode and prevention of further episodes. There are a number of different types of medications that are effective in reducing the symptoms of psychosis, and the anxiety and stress these symptoms may cause.
Treatment usually starts with a low dose of medication and your doctor and key worker will give you and your family/whānau lots of information about the medication as well as potential side effects. The doctor will also monitor your physical health and provide oversight of your care. You might see the doctor weekly if you are in crisis but usually you will see them every one to three months.
Psychologists
Psychological interventions are mainly talking therapies that are based on psychological principles. The aim of these is to help you understand and/or change certain thoughts, feelings and behaviours in order to reduce distress and achieve greater life satisfaction. Some of the other psychological interventions are:
- problem solving
- stress management
- dealing with the symptoms of psychosis
- reducing low mood and anxiety
- developing healthy coping strategies.
Social Workers
As well as having a primary role as a key worker in the team a social worker has specific skills to support you:
- address your social needs and problems in the community around e.g. education, work and income, families and relationships
- find appropriate accommodation in the community to meet your needs
- address any barriers and inequalities you may face in your daily life.