An Overview of Community Rehabilitation for Ex-Mentally Ill Persons Sin Tze Kwan, Doris Baptist Oi Kwan Social Service

Content 1. Introduction 2. The Collaboration 3. The Development of Collaboration Model 4. Results & Conclusion

Introduction 1. Difficulties of Mental Health Rehabilitation: Series of social and psychological adjustment tasks during the course of rehabilitation Series of social and psychological adjustment tasks during the course of rehabilitation Unmotivated, inactive or disturbed by the negative symptoms Unmotivated, inactive or disturbed by the negative symptoms 2. Seamless cooperation between medical professionals and community rehabilitation service is crucial

The Collaboration Purpose Purpose To facilitate Psychiatric services of PYNEH rehabilitation in community To facilitate Psychiatric services of PYNEH rehabilitation in community Understanding of services available Understanding of services available A taste of “Honey” A taste of “Honey” To be linked with suitable units / staff To be linked with suitable units / staff

Collaboration: MultidisciplinaryMultidisciplinary Continuity of careContinuity of care Comprehensive serviceComprehensive service Supported by Psychiatric Department of PYNEH The Development of Collaboration Model Interfacing by Patient Resource Centre (PRC, PYNEH) Service provision by 4 Community Mental Health Link (CMHL, HK Island) ＋ ＋

The Development of Collaboration Model At the beginning (2000) At the beginning (2000) Patient empowerment programme by PRC(PY) + BOKSS Patient empowerment programme by PRC(PY) + BOKSS After the birth of CMHL (HK Island) After the birth of CMHL (HK Island) Baptist Oi Kwan Social Service Baptist Oi Kwan Social Service Fu Hong Society Fu Hong Society Richmond Fellowship of Hong Kong Richmond Fellowship of Hong Kong The Society of Rehabilitation and Crime Prevention Hong Kong The Society of Rehabilitation and Crime Prevention Hong Kong

The Development of Collaboration Model Mental Health Resource Station Mental Health Resource Station Empowerment Programme Empowerment Programme Publication of education material Publication of education material

At the entrance of OPD At the entrance of OPD Service promotion Service promotion Brief counselling Brief counselling Information giving Information giving Assistance by ex-patient volunteers Assistance by ex-patient volunteers 1. Mental Health Resource Station ( 精神健康資源站 )

2. Empowerment programme ( 病人及家屬社區融合計劃 ) Rehabilitation Café ( 復康茶座 ) Rehabilitation Café ( 復康茶座 ) Rehabilitation Journey ( 復康之旅 ) Rehabilitation Journey ( 復康之旅 ) Seasonal programs for patients & relatives ( 親心互牽病人及家屬活動系列 ) Seasonal programs for patients & relatives ( 親心互牽病人及家屬活動系列 ) Psycho-educational talk series ( 伴您同航精神健康教育講座系列 ) Psycho-educational talk series ( 伴您同航精神健康教育講座系列 ) Others Others

3.) Publication of “Tips for Carer 2nd edition” ( 親心互牽家屬錦囊第二版 ) Practical skill Practical skill Informational support Informational support Community resources Community resources

Result Resource Station 204 Ex-MI persons referred to CMHL 204 Ex-MI persons referred to CMHL 338 Ex-MI persons referred to other community service 338 Ex-MI persons referred to other community service 14 programs Ex-MI persons and carers participated Joint programs

Communi ty DeskCommuni ty Desk NGO service in hospital settingNGO service in hospital setting NGO service at point of clinical careNGO service at point of clinical care Communi ty DeskCommuni ty Desk NGO service in hospital settingNGO service in hospital setting NGO service at point of clinical careNGO service at point of clinical care The Development of the Collaboration Model Resource Station Resource Station Regular meetingRegular meeting Close collaborationClose collaboration Trust builtTrust built Regular meetingRegular meeting Close collaborationClose collaboration Trust builtTrust built Joint programs PartnershipPartnershipFutureFuture ExperientialExperiential Interactiv eInteractiv e Peers sharingPeers sharing Empower mentEmpower ment Educatio nEducatio n ExperientialExperiential Interactiv eInteractiv e Peers sharingPeers sharing Empower mentEmpower ment Educatio nEducatio n Contact pointContact point InitiativeInitiative DirectiveDirective By rotation of 9 teamsBy rotation of 9 teams Contact pointContact point InitiativeInitiative DirectiveDirective By rotation of 9 teamsBy rotation of 9 teams

Benefit Ex-MI persons Ex-MI persons Decreasing frequency of relapse Decreasing frequency of relapse Reintegrating into community Reintegrating into community Multidisciplinary & continuous service / holistic care Multidisciplinary & continuous service / holistic care Carers Carers Support in community strengthened Support in community strengthened  Resources available  Peer sharing

Benefit Medical professionals and Community service units Medical professionals and Community service units Mutual understanding improved Mutual understanding improved Collaboration & support enhanced Collaboration & support enhanced Among Community service units Among Community service units Promote cooperation Promote cooperation

Conclusion Vital to maintain multidisciplinary Vital to maintain multidisciplinary Partnership between Community Service and Medical Service appreciated Partnership between Community Service and Medical Service appreciated Holistic & continuous care to facilitate successful rehabilitation Holistic & continuous care to facilitate successful rehabilitation

Acknowledgement Psychiatric Department, Pamela Youde Nethersole Eastern Hospital Psychiatric Department, Pamela Youde Nethersole Eastern Hospital Community & Patient Resource Centre, Pamela Youde Nethersole Eastern Hospital Community & Patient Resource Centre, Pamela Youde Nethersole Eastern Hospital Baptist Oi Kwan Social Service Baptist Oi Kwan Social Service Fu Hong Society Fu Hong Society Richmond Fellowship of Hong Kong Richmond Fellowship of Hong Kong The Society of Rehabilitation and Crime Prevention Hong Kong The Society of Rehabilitation and Crime Prevention Hong Kong