Waitemata DHB Early Psychosis Intervention (EPI) Service
Early Psychosis Intervention (EPI) is an assertive outreach service that provides intensive follow-up to young people aged between 16 - 25 years (and their families/whanau) who are experiencing First Episode Psychosis and who live in the WDHB geographic area. EPI may be available for up to 3 years for young people aged under 18 at time of referral. Those 18 years and over, for up to 2 years.
The EPI Team is part of the Waitemata District Health Board’s District Mental Health Services.
The EPI Team uses a model called Early Intervention. This involves providing support, information and treatment to people as soon as possible after their first experience.
We are able to see you in our offices or at any other place you feel comfortable e.g. home, school or workplace.
What is Psychosis?
There are three main experiences people may have when experiencing psychosis:
1. Hallucinations - experiences that come through your senses (sight, hearing, touch, taste, smell) but don’t seem to have an external cause e.g. hearing voices when there isn’t anyone around or seeing things that others can’t see.
2. Delusions - strongly held beliefs you might have but that others around you would say were strange or unusual.
3. Disorganised thinking - can feel like you are thinking less clearly. It might be hard to concentrate, or it might be hard to put words together and you might not be sure if you are making sense.
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.
Maori Cultural Advisor
Maori cultural assessment and support may involve providing:
programmes that are based upon the four interacting dimensions of ‘Te Whare Tapa Wha’ (the traditional Maori health system):
- Taha wairua (spiritual health)
- Taha hinengaro (mental health)
- Taha tinana (physical health)
- Taha whanau (family health)
- an understanding of what it means to be Maori
- assistance accessing traditional Maori healing, cultural assessments, customary remedies and using Maori language in treatment if requested
- family/whanau interventions in an environment based on Maori cultural values, customs and beliefs.
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/whanau 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.
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.
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.
8.30am - 4.30pm (Monday to Friday)
Referrals must be made via a Community Mental Health Team. If you wish to make a referral to the EPI team please contact a Community Mental Health Team. Contact details for your local areas are as follows:
West Auckland Adult Mental Health Services (over age 18 years): ph (09) 822 8601
North Shore Adult Mental Health Services (over age 18 years): ph (09) 487 1400
Rodney Adult Mental Health Services (over age 18 years): ph (09) 427 0360
Marinoto North CAMHS, Youth (under age 18 years): ph (09) 489 0555
Marinoto West CAMHS, Youth (under age 18 years): ph (09) 822 8666
EPI offers a number of groups, though the most consistent group is RAP (Recovery After Psychosis) that is run each week. This is a social and recreational group that offers a range of activities such as education about healthy eating/healthy lifestyles, cooking skills, bush/beach walks, anxiety management, mini-golf, laser strike,… More
Young people involved with EPI have access to the Bach respite facility, located near the North Shore. This is a home-like environment where young people can stay overnight i.e.… More
The EPI Team offers a free service for New Zealand residents. You may be asked to contribute a small amount of money as part of some groups.
Community Alcohol and Drug Service. You can use this service if you are worried about your or someone else's alcohol and drug use.
This website has been developed primarily by health professionals working with people who are experiencing psychosis for the first time.
This is a Canadian website that promotes early detection and education about psychosis.
This website's focus is to help people overcome psychosis early.
This website provides information about psychosis in a variety of languages.
Online depression help and information for youth.
|*WDHB accepts no responsibility for external websites.|
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This page was last updated at 8:21AM on March 4, 2016. This information is reviewed and edited by Waitemata DHB Early Psychosis Intervention (EPI) Service.