Adult Mental Health Service
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Three multidisciplinary teams service the Hamilton urban and surrounding area, with two rural teams based in the northern and southern areas of the Waikato DHB.
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Hamilton/Huntly- Hamilton/Raglan
- Hamilton/Cambridge
- North (Thames)
- South (Tokoroa, Te Kuiti, Taumarunui, Te Awamutu).
Service available to adults 18 years and older with some flexibility based on clinical need:
- serious mental illness
- associated risk/disability
- specialist mental health service required
- evidence-based treatment available.
Access is through meeting the above criteria plus the specific criteria for each service below:
Crisis Assessment and Treatment Service
24 hour 7 day access to crisis service. Provides main point of access to the Adult Mental Health Service. Provides triage, Duly Authorised Officer (DAO), short term crisis management and can organise crisis respite for situational crises
Entry criteria
Initial assessment
- meets entry criteria for Mental Health Act 1992
- admission considered one of the treatment options
- presentation indicates mental illness or deterioration in mental state
- expressing suicidal ideation or intent
- severe situational stress.
CATTING
- living within 30 mins of Hamilton (or phone calls only)
- requires at least once daily contact
- anticipated length of intervention < 1 week
- alternative to admission
- consumer has been placed in crisis respite.
Crisis respite
- deterioration in mental state
- able to guarantee safety with support
- specific goals of intervention
- alternative to admission
- anticipated length of intervention < 4 days
- not under the influence of alcohol or drugs.
Assertive Community Treatment Service
An assertive intensive keyworker service for people who require a significantly higher level of support than the average client
Entry criteria
- Seriously impaired ability to function
- 2 acute episodes in last 12 months
- > 1 hour per week contact
- Unable to be supported by existing services/family
Henry Rongomau Bennett Centre - Acute inpatient
Ward 34
Ward 34 is the Urban Acute Unit. It is an open ward with 25 beds designed to manage service users / tangata whaiora in the acute phase of a mental illness. Ward 34 is the largest of the wards in the HRBC.
The ward is divided into 3 teams:
- Hamilton Cambridge (HAC) catchment covers Hamilton, Cambridge, Morrinsville & Matamata
- Hamilton Huntly (HUH) catchment covers Hamilton, Huntly, Ngaruwahia, Meremere & Te Kauwhata
- Hamilton Raglan (HAR) catchment covers Hamilton, Raglan and all areas in between.
Service users / tangata whaiora admitted to any of the wards are allocated to a team based on their geographical address.
- Charge Nurse Manager - Carole Kennedy.
Ward 35
Ward 35 is the Rural Acute Unit. It is an open ward with 15 beds designed to manage and care for clients in the acute phase of a mental illness.
Ward 35 also has 2 places for Forensic service users / tangata whaiora, euphemistically referred to as Ward 37; and x1 bed for Detox Ward 38.
There are two teams in Ward 35: North and South. Each team is made up of a Consultant Psychiatrist, Registrar and Nursing staff:
- North Team catchment covers Thames, Coromandel Peninsula, Te Aroha, Paeroa.
- South Team catchment covers Te Awamutu, Tokoroa, Te Kuiti and Taumarunui.
- Charge Nurse Manager - Geoff Richdale.
Entry criteria
- Clients in acute stage of psychiatric illness.
- Need a period of close observation/intensive investigation and treatment which is unable to be provided in the community.
Henry Rongomau Bennett Centre - Intensive inpatient
Ward 36
This is the Intensive Psychiatric Care Unit. It is a locked ward divided into two parts: LSA (Low Stimulus Area) and the Transition Area. LSA contains the only four seclusion rooms in use in the Adult Service. The maximum client-load in Ward 36 is 12 service users / tangata whaiora between both sides. Service users / tangata whaiora in Ward 36 generally present a risk to themselves or others to such a degree that they cannot be managed in a more open environment. Generally this means that service users / tangata whaiora in Ward 36 are under the Mental Health Act 1992, though occasionally an informal service user / tangata whaiora may be present. Both Wards 34 and 35 provide nurses to Ward 36. This is most often managed on a rotating basis (i.e. 1-month in Ward 36, then back to Ward 34 or 35). There are a number of nurses who are permanently based in Ward 36.
- Service Co-ordinator - Tony Moran.
These short stay beds are also linked to community teams as above
Entry criteria
- Immediate risk of self harm/harm to others
- Close observation to clarify diagnosis
- Require short period of close psychiatric/medical care
Consult/liaison
(Hospital)
Outside working hours the CAT service is called to A&E in an emergency situation. The on duty registrar is responsible after hours for routine inpatient assessments
Links with patients in the general hospital who require any mental health service (not solely restricted to AMHS).
Provides specialist assessment, advice and information for hospital departments.
This service is available in working hours.
Entry criteria
- Those in the general hospital who are existing clients of Adult Mental Health Service
- General hospital patients who are suspected to have psychiatric disorders
- Those attending outpatient clinics as above including A&E
ID Dual Diagnosis
A consult/liaison service for those with an intellectual disability and a psychiatric disorder. The service facilitates access to mental health services including crisis and crisis respite.
Entry criteria
- Individuals identified as needing follow-up after discharge from Tokanui Hospital
- Those meeting Adult Mental Health Service criteria with co-existing diagnosis of intellectual disability
- Those with ID and complex mental health needs who may not meet Adult Mental Health Service entry criteria
