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Certificate Courses in Mental Health 2017
m�,f�am•�,,� Department of Psychiatry, The Chinese University of Hong Kong
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Venue:
Cheng Yu Tung Building, 2/F, LTS/ LT4
The Chinese University of Hong Kong (Next to University train station)
Meeting Time:
Every Saturdays
(except public holidays)
Application Starts from:
3/10/2016
(first come first served with limited quota per course)
Application form and lecture information download:
http://www.cuhk.edu.hk/med/psi/html/pdf/pamphlet.pdf
Contact Information
Ms. Sarah Chia
E-mail [email protected]
Tel (852) 2607-6029
Website : www.psychiatry.cuhk.edu.hk
Fax (852)2667-8308
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香 港 中 文 大 學 精 科 學 系 THE CHINESE UNIVERSITY OF HONG KONG Department of Psychiatry
DepartmentofPsychiatry,G/F,Multi‐centerTaiPoHospital,9ChuenOnRoad,TaiPo,N.T.Tel:2607‐6029Fax:2667‐8308
CertificateCourseinMentalHealth2017–ApplicationForm
A. ApplicationData
1. Certificatecourse/coursesappliedfor:
Note:Pleasenote“ChildandAdolescentPsychiatricProblems”and“OldAgePsychiatry”areconcurrentcourses,soyoucanonlychooseeitherone.
B. PersonnalData
2. NameofApplication(inEnglish):
Surname : Given names :3. Title:
4.
5. DoyouhavearightofabodeinHongKong?
6. Do you require a visa/entry permit to stay in Hong Kong?
7. Sex
Titleofthecertificatecourse Coverperiod Fee
BasicPsychotherapy Feb11–Mar11,2017 $8,000
SevereMentalHealthandRiskAssessment Mar18–Jun3,2017 $5,500
OldAgePsychiatry Apr8–May27,2017 $5,500
ChildandAdolescentPsychiatricProblem Apr8–May20,2017 $5,500
Total(including $100 application fee)
For Office Use Only
Application no:
Prof. Dr. Mr. Ms. Miss.
Yes No
Yes No
Male Female
________________________ ______________________________________
HKID/Passport :
______________________________________
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8. Nationality :
9. Corresponding Address:
Floor:________________Rm:________________Building:
Road: District:_____________________________________
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11. Contact (Home & Office)
C. Academic Qualification
Institution Dip/Degree (PT/FT) Major/Minor Date (mm/yyyy)
From To
Hong Kong Kowloon New Territories
Email:
________________ @
(Home) (Office)
__________________________________________
_____________________________________________
________________________________________
Please specify __________________________
Others (Please specify __________________________)
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D. WorkingExperience
Institution ( Location) Position Date(mm/yyyy)From To
E. Other
I learned about this certificate course from the following channel (s)
G. DECLARATION
a. I authorize The Chinese University of Hong Kong (below “the University”) to use my data to carry outchecks on my application for admission and records of my previous studies in the Universities and otherinstitutions.
b. I understand that, during my registration in a programme, the data will become part of my student recordand may be used for all purposes relating to my studies in accordance with the procedures of theUniversity.
I declare that the information given in support of this application is true, accurate and complete, and understand that any misrepresentation will result in disqualification of my application and subsequent enrolment in the University.
Signature : _______________________ Date: _______________
CU/Psychiatry website Newspaper
Magazine Others (Please specify __________________________)
HA/Department Circular
Note:1.(a)Theapplicationform(b)Tuitionfee and applicationfee(HK$100) payable to "The ChineseUniversity of Hong Kong" (c) Copies of degree certificates all documents (a) to (c) should be sent to the address above (Attention to: Ms. Sarah Chia)
2. Feesarenotrefundableortransferable,expectintheeventofacoursebeingcancelled
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Certificate Courses in Mental Health 2017
Certificate Course Title Lecture Topic
Basic Psychotherapy History and Development of Psychotherapy
Overview of Psychotherapeutic Approaches
Special Issues on Psychotherapy for Personality Disorders
Medical Hypnosis
Psychodynamic Approaches
Cognitive Behavioral Therapy ‐ Theory and Principles
Cognitive Behavioral Therapy ‐ Clinical Approaches
Mindfulness‐Based Cognitive Therapy
Family Therapy
Bereavement Counseling
DBT and Interpersonal Therapy
Marital Therapy
Severe Mental Illness and Risk Assessments Schizophrenic Spectrum Disorder ‐ I Diagnostic Issues
Schizophrenic Spectrum Disorder ‐ II . Assessment and Management
Bipolar Affective Disorder and Bipolar Spectrum Disorder ‐ Diagnostic IssuesBipolar Affective Disorder and Bipolar Spectrum Disorder ‐ Assessment and ManagementSuicide
Organic Psychotic/ Mood Disorders
Mental Healt Ordinance
Case Management Approach and Community Rehabilitation for SMI
Risk Assessment and Prediction of Violence
Introduction to Forensic Psychiatry
Substance‐related Mental and Behavioral Disorders at Tertiary Care Level
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Certificate Courses in Mental Health 2017
Certificate Course Title Lecture Topic
Old Age Psychiatry Cogni ve Assessment for the Elderly
Non‐pharmacological Interventions in Old Age Psychiatry
Depression in the Elderly
Suicidal Behaviors in the Elderly
Dementia and Mild Cognitive Impairment
Delirium in the Elderly
Common Mental Disorders in Liaison Psychiatry
Vascular Cognitive Impairment
Pharmacotherapy for Old‐Age Psychiatric Problems
Functional Assessment for the Elderly
Community Service for the Frail Elderly and How to Promote Brain HealthGuardianship and Ethical Issues
Service Models and Preven ve Aspects in Psychogeriatrics
Mental Capacity and Consent for Treatment
Carer Interventions in Elderly Mental Health Problems
Child and Adolescent Psychaitry Childhood/Adolescent Onset Psycho c Disorders
Pharmacotherapy for Child and Adolescent Psychiatric Problems
Internalizing Problems
Pervasive Development Disorders
Externalizing Problems: ADHD/ODD/CD
Child Mental Health Assessment: Developmental Perspective, Family Approach and Multidisciplinary Approach
Specific Learning Difficul es
Child Abuse and Related Issues
Treatment Models and Service Delivery in Child and Adolescent Psychiatry Eating Disorder
BP: OffSMI: OffOld: OffChild: OffTotal Fee: 0Surname: First name: Prof: OffDr: OffMr: OffMs: OffMiss: OffHKID: AdobeY: OffAdobeN: OffVisaY: OffVisaN: OffMale: OffFamel: OffNataionality: [0]NationalityO: Floor: Rm: Building: Road: District: Hong Kong: OffKowloon: OffNew Territories: OffEmail: Email affix: [6]Homeno: Officeno: Insti1: Degree1: Major1: FromDate1: ToDate1: Insti2: Degree2: Major2: FromDate2: ToDate2: Otheremail: Work Inst1: Post1: WEFrom1: WETo1: Work Inst2: Post2: WEFrom2: WETo2: Work Inst3: Post3: WEFrom3: WETo3: Work Inst4: Post4: WEFrom4: WETo4: CU circular: OffNewspaper: OffHA: OffMagazine: OffOther: OffOtherchannel: