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He Puna Waiora | Waitematā

Public Service, Psychiatry, Mental Health

Description

He Puna Waiora - "A pool of wellness" - is Waitematā DHB's new 46-bed mental health facility on Shakespeare Road, adjacent to North Shore Hospital. 
 
What is Mental Illness?
Mental illness is a clinically significant behaviour or psychological (to do with the mind) disorder that is associated with distress or disability. It is not just the way someone responds to a particular event nor is it limited to the way a person interacts with society.
 
A mental illness can continuously or intermittently (occasionally) affect our capacity for speech, language, mood, affect, thoughts, perceptions, insight, judgement, cognition (understanding) and volition (ability to make choices). It can limit our ability to function as society would normally expect of us and can put us and others at risk.
 
Mental illness is therefore, a broad term that covers problems ranging from minor to severe disorders.

Staff

A ‘consultant 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 consultant psychiatrist if your doctor feels you need specialist help.

Referral Expectations

You will be referred to a psychiatrist by your GP if your symptoms are severe and you are not able to function well. Sometimes there may be a waiting period before you can be seen by a psychiatrist or a trainee psychiatrist in the Community Mental Health Team covering the geographic area where you live.
 
At times you may become very unwell if you have not responded to treatment as expected. In this situation, urgent assessments can be arranged by your GP via the Crisis Assessment and Treatment Team (CATT). There will also be an arrangement set up for you to contact the CATT if things start getting worse or you feel unsafe with yourself.
 
Once admitted into a Community Mental Health Team (CMHT), you will be assessed by a psychiatrist. Following completion of the psychiatric assessment, you may be assigned a Case Manager (CM)  to provide for your ongoing care and support in the community. Your CM will be part of the Multi Disciplinary Team (MDT) which is a group of experienced mental health professionals including your psychiatrist, Community Psychiatric Nurses (CPNs), trainee psychiatrist (if any), psychologists, Social Workers (SWs), and Occupational Therapists (OTs).
 
After a period of assessment, treatment and rehabilitation under the CMHT, you may become well and safe enough to be discharged into the care of your GP. The CMHT will discharge you only after consultation with yourself, your family (whānau) or other significant person (if involved in your care and treatment) and your GP. These decisions are very important and are only taken after further discussion in the weekly MDT meeting.
 
Once discharged, you may be re-referred to the CMHT by your GP if your mental state becomes of concern. Usually all referrals, assessments and treatments will be done with your consent but if you are so mentally unwell that you have no awareness of your health and are consequently unable to agree to treatment, then your treatment and care will be compulsory under the Mental Health (Compulsory Assessment and Treatment) Act 1992. This Act is designed to provide assessment and safe treatment without causing you further harm of any sort. As soon as you are well and safe enough, you will be discharged from under the MH (CAT) Act 1992.

Fees and Charges Categorisation

Free

Procedures / Treatments

Schizophrenia

Schizophrenia is a serious mental disorder that affects about 1% of the general population. It is a complex illness characterised by ‘psychosis’, a word used to describe disorder of thoughts (e.g. delusions - false beliefs held in spite of evidence that they are not real), perceptions (e.g. hallucinations - seeing, hearing or feeling things which are not there), disorganised speech and grossly disorganised behaviour, which are not experienced by others and which are not seen as abnormal by the sufferer. These four symptoms are often referred to as the ‘Positive Symptoms’ of schizophrenia because they are the result of the disease process. The fifth group of symptoms: withdrawal, decreased ability to feel pleasure, lack of energy, and flat affect, are referred to as ‘Negative Symptoms’ because they represent a loss of normal functions. Schizophrenia affects different people in different ways. Some people may experience only a few short episodes and then fully recover. For others it lasts throughout their lives and needs to be treated like any other physical illness such as asthma or diabetes. It is important that schizophrenia is treated as soon as it is diagnosed by a psychiatrist to prevent long-term disability and loss of function. Treatment Schizophrenia may be treated using a number of different approaches: Use of antipsychotic medication Psychosocial education programs e.g. education, support, counselling and assistance to return to job/studies/performing daily tasks Ongoing support e.g. housing, monitoring of treatment, support groups.

Schizophrenia is a serious mental disorder that affects about 1% of the general population. It is a complex illness characterised by ‘psychosis’, a word used to describe disorder of thoughts (e.g. delusions - false beliefs held in spite of evidence that they are not real), perceptions (e.g. hallucinations - seeing, hearing or feeling things which are not there), disorganised speech and grossly disorganised behaviour, which are not experienced by others and which are not seen as abnormal by the sufferer. These four symptoms are often referred to as the ‘Positive Symptoms’ of schizophrenia because they are the result of the disease process.
 
The fifth group of symptoms: withdrawal, decreased ability to feel pleasure, lack of energy, and flat affect, are referred to as ‘Negative Symptoms’ because they represent a loss of normal functions.
 
Schizophrenia affects different people in different ways. Some people may experience only a few short episodes and then fully recover.  For others it lasts throughout their lives and needs to be treated like any other physical illness such as asthma or diabetes.
 
It is important that schizophrenia is treated as soon as it is diagnosed by a psychiatrist to prevent long-term disability and loss of function.
 
Treatment
Schizophrenia may be treated using a number of different approaches:
  • Use of antipsychotic medication
  • Psychosocial education programs e.g. education, support, counselling and assistance to return to job/studies/performing daily tasks
  • Ongoing support e.g. housing, monitoring of treatment, support groups.
Bipolar Disorder/Manic Depression

This is a mood disorder in which both depressive (persistent low mood) and manic (elevated or high mood) episodes are experienced. It is usually a recurring (i.e. keeps coming back) disorder that can cause a lot of havoc in all aspects of a person’s life. People with this disorder will experience periods of extreme mood changes but also periods of stable mood during which they may be able to return to everyday routines. These changes of mood can be very extreme and occur for no apparent reason. Different people will experience this disorder in different ways; some may have few episodes, others many, and symptoms may vary from mild to severe. When severely depressed or elevated, a person can become ‘psychotic’ i.e. lose touch with reality. Treatment Usually by medication (antidepressants if depressed and mood stabilisers if depressed and manic) A combination of counselling and psychotherapy (‘talking therapy’) may hasten recovery Hospitalisation may be required for those who are very unwell and are posing a risk to themselves or to others.

This is a mood disorder in which both depressive (persistent low mood) and manic (elevated or high mood) episodes are experienced. It is usually a recurring (i.e. keeps coming back) disorder that can cause a lot of havoc in all aspects of a person’s life. People with this disorder will experience periods of extreme mood changes but also periods of stable mood during which they may be able to return to everyday routines.
 
These changes of mood can be very extreme and occur for no apparent reason. Different people will experience this disorder in different ways; some may have few episodes, others many, and symptoms may vary from mild to severe. When severely depressed or elevated, a person can become ‘psychotic’ i.e. lose touch with reality.
 
Treatment
  • Usually by medication (antidepressants if depressed and mood stabilisers if depressed and manic)
  • A combination of counselling and psychotherapy (‘talking therapy’) may hasten recovery
  • Hospitalisation may be required for those who are very unwell and are posing a risk to themselves or to others.
Depression

Depression is a mood disorder. Emotional states like sadness, ‘feeling blue’ or tearfulness are part of normal human experience. Clinical depression is called Major Depression and is characterised by the presence for at least two weeks of symptoms such as depressed mood, diminished interest and pleasure in most activities, change in appetite and weight (these can be increased or decreased) sleep disturbance, fatigue, bodily symptoms (headache, backache etc) poor concentration, feelings of anxiousness, worthlessness, hopelessness, guilt, and suicidal ideation. Depression is a common disorder and about 10-20 % of the population in New Zealand will suffer from depression during their lifetime. Treatment Once depression has been diagnosed by your GP/Psychiatrist, it can be effectively treated by: Antidepressant medication Psychological interventions e.g. counselling (various types) and psychotherapy (talking therapy which is of various types).

Depression is a mood disorder. Emotional states like sadness, ‘feeling blue’ or tearfulness are part of normal human experience. Clinical depression is called Major Depression and is characterised by the presence for at least two weeks of symptoms such as depressed mood, diminished interest and pleasure in most activities, change in appetite and weight (these can be increased or decreased) sleep disturbance, fatigue, bodily symptoms (headache, backache etc) poor concentration, feelings of anxiousness, worthlessness, hopelessness, guilt, and suicidal ideation.
 
Depression is a common disorder and about 10-20 % of the population in New Zealand will suffer from depression during their lifetime. 
 
Treatment
Once depression has been diagnosed by your GP/Psychiatrist, it can be effectively treated by:
  • Antidepressant medication
  • Psychological interventions e.g. counselling (various types) and psychotherapy (talking therapy which is of various types).
 
Anxiety Disorders

We all feel some anxiety at some time or other. Anxiety may serve as an alerting signal, warning us of external /internal threats and consequently acting as a prompt to take appropriate action. When anxiety is very severe and present even when there is no threat of any kind, then it interferes with our functioning and can become an illness. In this circumstance, anxiety becomes a disorder characterised by an unpleasant emotion with feelings of fear, threat and impending danger and can be associated with numerous bodily symptoms like breathlessness, trembling, tightness in throat, dry mouth, racing heart and nausea/vomiting. There are varieties of anxiety disorders like panic attacks, phobias (unhealthy fear of something), agoraphobia (fear of open spaces), social anxiety, post-traumatic disorder and obsessive compulsive disorder. Anxiety can often be associated with a depressive episode. Anxiety disorders are very common and if unrecognised and untreated, can cause severe disability. Treatment Self help: learning techniques like relaxation, distraction and education Cognitive Behavioural Therapy (CBT) Medication.

We all feel some anxiety at some time or other. Anxiety may serve as an alerting signal, warning us of external /internal threats and consequently acting as a prompt to take appropriate action.
 
When anxiety is very severe and present even when there is no threat of any kind, then it interferes with our functioning and can become an illness. In this circumstance, anxiety becomes a disorder characterised by an unpleasant emotion with feelings of fear, threat and impending danger and can be associated with numerous bodily symptoms like breathlessness, trembling, tightness in throat, dry mouth, racing heart and nausea/vomiting.
 
There are varieties of anxiety disorders like panic attacks, phobias (unhealthy fear of something), agoraphobia (fear of open spaces), social anxiety, post-traumatic disorder and obsessive compulsive disorder. Anxiety can often be associated with a depressive episode.
 
Anxiety disorders are very common and if unrecognised and untreated, can cause severe disability.
 
Treatment
  • Self help: learning techniques like relaxation, distraction and education
  • Cognitive Behavioural Therapy (CBT)
  • Medication.
Drug-Induced Psychosis

Programmes

He Puna Waiora

He Puna Waiora - "A pool of wellness" - is Waitematā DHB's new 46-bed mental health facility on Shakespeare Road, adjacent to North Shore Hospital. Developed on modern design principles and clinical best practice, the building has dedicated therapeutic spaces enabling staff to better use a range of modern treatment methods to support mental health clients in their recovery. Proximity to the main hospital ensures ready access to diagnostics and other medical specialists which is crucial when caring for those with other associated health conditions.

Programme Areas

Crisis / acute, Mental health

Programme Type

Acute services

Regions

North Auckland, West Auckland

Age Groups

Adult / Pakeke

Referral Types

GP, DHB clinical services

Referral Process

You will be referred to a psychiatrist by your GP if your symptoms are severe and you are not able to function well.

Description

He Puna Waiora - "A pool of wellness" - is Waitematā DHB's new 46-bed mental health facility on Shakespeare Road, adjacent to North Shore Hospital. Developed on modern design principles and clinical best practice, the building has dedicated therapeutic spaces enabling staff to better use a range of modern treatment methods to support mental health clients in their recovery. Proximity to the main hospital ensures ready access to diagnostics and other medical specialists which is crucial when caring for those with other associated health conditions.

Contact Details

North Shore Hospital

North Auckland

Freephone 0800 80 93 42 - Waitemata DHB residential areas only
Patient enquiries:
(09) 486 8930

Emergency Department: Open 24 hours / 7 days, Phone (09) 486 8900

Shakespeare Road
Takapuna
Auckland 0620

Information about this location

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Get directions

Street Address

Shakespeare Road
Takapuna
Auckland 0620

Postal Address

North Shore Hospital
Private Bag 93 503
Takapuna
North Shore City 0740

This page was last updated at 1:34PM on December 7, 2022. This information is reviewed and edited by He Puna Waiora | Waitematā.