ASMS senior doctors’ 48-hour strike planned for 23 and 24 September 2025
Senior doctors and dentists at Health NZ public hospitals and health services plan to strike for 48 hours on Tuesday 23 September and Wednesday 24 September.
Emergency departments will be open for emergencies only.
GPs, after-hours and urgent care clinics, and other community health providers are not affected by the strikes and will continue to operate as normal.
Altered High Youth Service is for young people aged from 13 to 20 and their whānau with concerns about their own, or someone else’s alcohol or drug use.
We are available to talk to between 8:30am and 4:30pm, Monday to Friday.
One of our youth clinicians will take your call, explain our service and answer questions, discuss your needs and take a referral if appropriate.
Feedback
We are keen to know what rangatahi and their whānau think of the service we provide. If you have had contact with us recently, let us know how you found it — good, bad or not sure.
Select the link or scan the QR code to go to our feedback form.
We see rangatahi who have concerns about their use of alcohol, drugs, or both. We also support rangatahi affected by a parent's or other whānau member's use of substances — the young person may or may not use substances themselves. We hold a whānau inclusive approach with the rangatahi who engage with us whenever possible.
We engage with rangatahi with information and support to help them make a change or a decision about what to do, to stop or cut down, and if they are continuing to use to reduce the harms associated with using substances. Some also experience mood or mental health challenges alongside their use of substances.
We are a mobile community service covering the wider Auckland region so travel to meet with rangatahi where they are, in an environment most suitable for them such as their education setting, rooms in community settings, home. We also engage with rangatahi by video-call and phone sessions.
We have a Rainbow-focused clinician available and we liaise with other agencies who are supporting rangatahi.
We also offer an evening whānau group (on Zoom) for whānau and caregivers concerned about or affected by their rangatahi use of substances, whether the rangatahi is engaged with us or not, with individual support where appropriate.
Resources
We have downloadable information about our services and drug facts on the Health NZ website.
Taking a Break group is for people aged 15 to 19 who are using drugs and alcohol, want to change their use and need to access support online or after hours. All participants get a certificate of attendance, so it is good for rangatahi who have legal requirements such as:
diversion
probation
FGC requirements.
During the group we explore and share experiences and beliefs about using substances, look at ways to reduce the harms associated with using alcohol and other drugs and help motivate you to make lasting change. We also learn strategies to change use and manage strong emotions.
Taking a break group runs for 4 to 7 weeks depending on the content being delivered.
You will meet with one of our clinicians for a brief assessment before starting the group.
The group is sometimes on Zoom and sometimes face to face. Call our Dutyline to find out the current dates and times and to discuss a referral.
Whānau group is for adults who are concerned about the alcohol or other drug use of a rangatahi and would like information, advice or support.
It provides a safe and supportive place for parents, caregivers and whānau to:
talk about the impact of their teenager’s substance use on their family, home-life and selves
discuss the approaches you have tried
discuss 'on top' concerns.
It provides space to ask questions, gain knowledge on alcohol, drugs, youth development and explore parenting approaches.
Advice and guidance come from both Altered High clinicians and from the other group participants. The group has a focus on how family look after themselves and self-care skills.
The group usually runs on Zoom videoconferencing in the evenings. There is a 10 to 12 week revolving cycle of varying content. You will meet with an Altered High clinician (online, phone or in person) for a brief assessment before starting the group. Call our Dutyline to discuss further.
Managing Mood Group is a group for young people who would like to know more about their emotions and learn strategies to help manage them. It is a 5 to 6 week program that has had great feedback from rangatahi. All participants receive a certificate of attendance.
At the group you will:
discuss your emotional responses and why they occur
learn and practice skills for how to manage strong emotions
learn how to communicate more effectively and manage tricky situations.
We usually run the group over Zoom during work hours — however this can change. If you would like to know more, call or text us.
For primary care services with practice management systems use 'E-referrals – Addiction Services'. Mark your referral clearly for the attention of Altered High youth service and include the following information.
Whether or not the rangatahi has agreed to the referral.
Whether or not the whānau of the rangatahi is aware of the referral.
Contact numbers and email addresses for the rangatahi and whānau if possible.
If you are contacting us on behalf of a rangatahi, make sure that you have discussed this with them and they agree. Complete as much contact information as possible.
Phone
Call us between 8:30am to 4:30pm Monday to Friday on either:
Based on the information from the referral you will be allocated an Altered High clinician.
Your clinician will ring you or your whānau, to introduce themselves and organise a time to meet.
Your clinician will then meet with you in a place convenient for you. They will answer any questions you might have about Altered High and then ask you some questions — an assessment. This is to find out about you, work out what your strengths and current difficulties are, and begin to work out a plan about how to help you.
Some of the ways they might help include:
sharing some factual information with you about drugs and alcohol
supporting you to think about how you use alcohol and other drugs and what changes you might want to make
sharing some strategies on how to minimise harms from using drugs and alcohol and how to cut down or stop using
working with your family to support you in making safer choices.