environmental scan for rehabilitation programme plan

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Environmental Scan for Rehabilitation Program me Plan

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Page 1: Environmental Scan for Rehabilitation Programme Plan

Environmental Scan for Rehabilitation Programme Plan

Page 2: Environmental Scan for Rehabilitation Programme Plan

Demographic Trend

Page 3: Environmental Scan for Rehabilitation Programme Plan

Population pyramids for 2004, 2010 and 2033 – Ageing trend

-400 -300 -200 -100 0 100 200 300 400 500

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Age group

Thousands

Mid 2010

Male Female

-400 -300 -200 -100 0 100 200 300 400 500

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Age group

Thousands

Mid 2004

FemaleMale

-400 -300 -200 -100 0 100 200 300 400 500

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Age group

Thousands

Mid 2033

Male Female

Page 4: Environmental Scan for Rehabilitation Programme Plan

Elderly Population in Hong Kong

374 600 546 000

795 500 978 000

2 243 100

1 548 500

13.2%

7.0%9.3%

11.7%

26.8%

19.4%

0

500 000

1 000 000

1 500 000

2 000 000

2 500 000

1983 1993 2003 2013 2023 2033

0%

5%

10%

15%

20%

25%

30%

no. of elders (aged >= 65) % of total population

For the time being 1 in 8 of population are older persons while 1 in 4 will be older persons by 2033.

Page 5: Environmental Scan for Rehabilitation Programme Plan

Impact of the ageing trend In coming decade, we have

additional 180,000 older persons (grow by 23%).

The disability types with higher prevalence among older persons such as visual impairment, hearing impairment and restriction in body movement will be on rising trend

Page 6: Environmental Scan for Rehabilitation Programme Plan

≧ 60

≧ 60

≧ 60

≧ 60

≧ 60

≧ 60

≧ 60

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Restriction in

body movement

Seeing difficulty

Hearing difficulty

Speech difficulty

Mental illness

Autism

Overall

Total population

<15 15-29 30-39 40-49 50-59 ≧ 60

Age profile of persons with disabilities based on 2000 Disability Survey

Page 7: Environmental Scan for Rehabilitation Programme Plan

Prevalence of disability by age (based on 2000 Disability Survey)

Preva lence of Disability by Age

0 2 4 6 8 10 12 14 16

< 15

15-29

30-39

40-49

50-59

≧ 60

Ag

e g

rou

p

P ercenat ge (%)

Percentage (%)

Page 8: Environmental Scan for Rehabilitation Programme Plan

Total Fertility Rate

The total fertility rate has decreased from 1.93 per woman aged 15-49 in 1981 to 0.93 in 2004

0.00

0.50

1.00

1.50

2.00

2.50

1981 1986 1991 1996 2001 2006

Year

Tota

l Fer

tility

Rat

e,No

. of c

hildr

en p

er w

omen

age

d 15

-49

0.93

Page 9: Environmental Scan for Rehabilitation Programme Plan

Number of birth and median age of first order live birth

76126

67731 68637

5413447892

26.2

27.8

28.7

29.3 29.4

0

10000

20000

30000

40000

50000

60000

70000

80000

1985 1990 1995 2000 2004

24

25

26

27

28

29

30

Number of births Median age of first order live birth

The no. of birth keeps on deceasing while the median age of mother at first order live birth keeps on increasing. In 2004, about 45% of the first children are born by mother aged 30 or above.

Page 10: Environmental Scan for Rehabilitation Programme Plan

Medical advancement According to a HKU study, infants with Con

genital Malformation were of shorter gestation, with lower birth weight, born to mother with more advanced age.

With advancement in prenatal diagnostic technologies, increasing percentage of birth defects are diagnosed prenatally.

Physical or mental abnormality can be avoided or treated through early detection

Page 11: Environmental Scan for Rehabilitation Programme Plan

Fetus with physical or mental abnormality

0

50

100

150

200

250

300

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

Number of legal termination of pregnancy performed on the ground of fetus'physcial or mental abnormality

Page 12: Environmental Scan for Rehabilitation Programme Plan

Inpatient admissions for congenital anomalies

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

Page 13: Environmental Scan for Rehabilitation Programme Plan

Medical advancement Some diseases such as Polio are also

eradicated in HK with the full vaccination Early detection of disability can trigger

early treatment Low birth rate together with medical

advancement, the cases of inborn disability is expected to drop. Yet, the impact may be offset by the increasing awareness of disabilities of various types.

Page 14: Environmental Scan for Rehabilitation Programme Plan

Analysis of Cases Assessed (Ages 0-11 Child Assessment Services)

341

2210

167 126218 136

45

439

1583

461

790

77196

634

0

500

1000

1500

2000

2500

MentalHandicap

SpeechImpairment

(Language &Speech

Disorders)

SpecificLearning

Disabilities

HearingImpairment

Autistic SpectumDisorders

PhysicalHandicap

VisualImpairment

2000 2004

For PH cases in 2000:

81 cerebral palsy, 50 motor coordination disorders and 5 other PI cases.

In 2004:

32 cerebral palsy, 746 Developmental Coordination Disorders (DCDs) and 12 other PH cases.

Page 15: Environmental Scan for Rehabilitation Programme Plan

Analysis of Cases Assessed (Child Assessment Services and Student Health Service (P.1 –S.7))

352

2212

217405

218 14546

444

1584

461

812

1130

79

795

0

500

1000

1500

2000

2500

MentalHandicap

SpeechImpairment

(Language &Speech

Disorders)

SpecificLearning

Disabilities

HearingImpairment

Autistic SpectumDisorders

PhysicalHandicap

VisualImpairment

2000 2004

Page 16: Environmental Scan for Rehabilitation Programme Plan

Mental illness Mental illness is on a rising trend Psychological stress is linked to both

the onset and course of a mental illness

Life circumstances such as unemployment, relationship breakdown, bereavement and major physical illness or injury were linked to depression and anxiety disorders.

Page 17: Environmental Scan for Rehabilitation Programme Plan

Number of suicide deaths and suicide death rate

0

200

400

600

800

1000

1200

1400

1996 1997 1998 1999 2000 2001 2002 20030

2

4

6

8

10

12

14

16

18

20

Number of suicide deaths Suicide death rate

No. of suicide deathsNumber per 100000

population

Suicide death is on a rising trend.

Page 18: Environmental Scan for Rehabilitation Programme Plan

Unemployment rate in HK for the past two decades

0123456789

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

Unemployment rate

% The unemployment rate in the past decade fluctuated on a rising trend.

Page 19: Environmental Scan for Rehabilitation Programme Plan

Attendances of day rehabilitation service - Psychiatric day hospital

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

200,000

1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05

No

. of a

tten

da

ces

The number of attendance of rehabilitation service increased by 10% per year before 2003/04.

Note: Figure for 2003/04 might be affected by SARS

Page 20: Environmental Scan for Rehabilitation Programme Plan

SOPC attendances - Psychiatric

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05

0

5000

10000

15000

20000

25000

30000

SOPC - Psychiatrics SOP New cases

SOPC Attendances SOP new cases

The SOPC attendances increased by 6.5% per year

Note: Figure for 2003/04 might be affected by SARS

Page 21: Environmental Scan for Rehabilitation Programme Plan

Inpatient admissions for mental illness

0

5,000

10,000

15,000

20,000

25,000

30,000

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

Note: Figure for 2003 might be affected by SARS

Page 22: Environmental Scan for Rehabilitation Programme Plan

Community Psychiatric Service

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05

Community Psychiatric Nursing Services / Community PsychiatricTeams / CommunityPsychiatric Services

No. of attendances/home visits

Notes:

(1) Covered CPNS home visits only in 1997/98-1998/99. Covered CPNS homes visits and CPT activities in 1999/00-2002/03. Covered CPS activities (merging of CPNS and CPT) in 2003/04-2004/05

(2) Figure for 2003/04 might be affected by SARS

Page 23: Environmental Scan for Rehabilitation Programme Plan

Rehabilitative Services provided to mentally ill and ex-mentally ill persons by SWD

230 230 230 230 230

770

980 980 980 1005

1307 1349 1349 13491429

0

200

400

600

800

1000

1200

1400

1600

2001 2002 2003 2004 2005

Training andactivity centrefor ex-mentallyill persons

Long stay carehome

Halfway house

Page 24: Environmental Scan for Rehabilitation Programme Plan

Waiting lists for rehabilitative services provided to mentally ill and ex-mentally ill persons by SWD

0

200

400

600

800

1000

1200

1400

1600

2001 2002 2003 2004 2005

Waiting list forTraining andactivity centre forex-mentally illpersons

Waiting list forlong stay carehome

Waiting list forhalfway house

Note: no central waiting list for training and activity centre for ex-mentally ill persons is kept by SWD from 2005 onwards.

Page 25: Environmental Scan for Rehabilitation Programme Plan

Waiting time for Rehabilitative Services provided to mentally ill persons by SWD

0

20

40

60

80

100

120

2001 2002 2003 2004 2005

Training andactivity centrefor ex-mentallyill persons

Long stay carehome

Halfway house

months

Note: no central waiting list for training and activity centre for ex-mentally ill persons is kept by SWD from 2005 onwards.

Page 26: Environmental Scan for Rehabilitation Programme Plan

External factors affecting the occurrence of disabilities -Occupational Injury

0

10000

20000

30000

40000

50000

60000

70000

1998 1999 2000 2001 2002 2003

0

50

100

150

200

250

300

Non-fatal occupational injuries Fatal occupational injuries

Decreasing trend in occupational injuries in the past few years

Page 27: Environmental Scan for Rehabilitation Programme Plan

No. of cases under the Employees’ Compensation Ordinance resulted in permanent loss of earning capacity

0

20004000

6000

800010000

12000

14000

1600018000

20000

1998 1999 2000 2001 2002 2003

Number of cases under ECO resulted in permanent loss of earning capacity

A mild decreasing trend observed in the past few years.

Page 28: Environmental Scan for Rehabilitation Programme Plan

Traffic accidents and casualties

0

500

1000

1500

2000

2500

3000

3500

4000

1998 1999 2000 2001 2002 2003

0

50

100

150

200

250

Serious Fatal

Page 29: Environmental Scan for Rehabilitation Programme Plan

Claims for Criminal and Law Enforcement Injuries

Compensation and Traffic Accident Victims Assistance

0

100

200

300

400

500

600

1997/98 1998/99 1999/00 2000/01 2001/02 2002/03

0

1000

2000

3000

4000

5000

6000

7000

8000

Successful claims for CLEICS excl. deaths Successful claims for TAVA excl. deaths

CLEIC claimsTAVA claims

A mild decreasing trend for CLEIC claims but a mild increasing trend for TAVA

Page 30: Environmental Scan for Rehabilitation Programme Plan

Conclusions in respect of future disability trend

The cases of inborn disability are subject to two opposing forces of medical advancement and higher probability of congenital malformation due to first born at higher age.

Cases of intellectual disabilities will be rising. Based on the current trend, the cases of mental illness will

continue to increase in coming years. The decreasing trend of disabilities arising from

occupational injuries should continue as the growing number of employment in the service sector which are subject to less risk of industrial or occupational injuries.

Page 31: Environmental Scan for Rehabilitation Programme Plan

0

1000

2000

3000

4000

5000

6000

7000

VisualImpairment

HearingImpairment

PhysicalDisability

MildIntellectualDisability

ModerateIntellectualDisability

SevereIntellectualDisability

Grand Total

1999 2000 2001 2002 2003 2004

Enrolment of students with disabilities in special schools (1999/00-2004/05)

Note: Children with autistic disorder studying in special schools are usually affiliated with intellectual disability, hence they are grouped under the category of intellectual disability.

Page 32: Environmental Scan for Rehabilitation Programme Plan

Enrolment of students in special schools by type of disability in 2004

2713,42%

1583,25%

815, 13%160, 3% 332, 5%

778, 12%

Visual Impairment

Hearing Impairment

Physical Disability

Mild Intellectual Disability

Moderate IntellectualDisability

Severe Intellectual Disability

Total: 6381

About 80% with intellectual disabilities

Note: Children with autistic disorder studying in special schools are usually affiliated with intellectual disability, hence they are grouped under the category of intellectual disability

Page 33: Environmental Scan for Rehabilitation Programme Plan

Enrolment of students with visual, hearing, physical, intellectual disability or autistic disorders in ordinary schools

12921458

1735 1830

574 638827

966

18662096

2562

2796

0

500

1000

1500

2000

2500

3000

2001 2002 2003 2004

Enrolment ofstudent (P1-P6)

Enrolment ofstudents in S1-S7

Enrolment ofstudents in P1-S7

Page 34: Environmental Scan for Rehabilitation Programme Plan

Distribution of students in ordinary primary school by type of disability in 2004

490,27%

141, 11%

466, 35%

41, 3%

692, 51%

VisualImpairment

HearingImpairment

PhysicalDisability

IntellectualDisability

Autisticdisorders

Total: 1830

Page 35: Environmental Scan for Rehabilitation Programme Plan

Distribution of students in ordinary secondary school by type of disability in 2004

109, 11%

320, 37%

73, 9%

436, 51%

28, 3% VisualImpairment

HearingImpairment

PhysicalDisability

IntellectualDisability

Autisticdisorders

Total: 966

Page 36: Environmental Scan for Rehabilitation Programme Plan

Number of children referred for admission from ordinary school to special school

0

20

40

60

80

100

120

140

2000/01 2001/02 2002/03 2003/04 2004/05 ( up to March

2005)Primary Secondary

The rate of reverting to special school is about 5 to 7 % of the enrolment in ordinary school.

Page 37: Environmental Scan for Rehabilitation Programme Plan

Employment by industry sectors for the whole economy in 2004

7%

8%

32%

15%

26%

1%

11%

Manufacturing

Construction sites

Wholesale, retail and import/exporttrades, restaurants and hotels

Transport, storage andcommunications

Financing, insurance, real estimateand business services

Community, social and personalservices

Others

Page 38: Environmental Scan for Rehabilitation Programme Plan

The training programmes are adjusted to suit the market demand for commercial and services workers

0

50

100

150

200

250

2000 2004

Basic Catering Service

Computer and NetworkInstallationGeneral Service Work

Industrial Art-Jewellery

Industrial Art - Leather work

Interior decoration

Machine Sewing

Office Assistant Practice

Office Computing & Practice

Office reception practice

Packaging service

Printing

Basic technical studies

Silkscreen and colour printing

Massage service

Logistics service

Commercial & retailingservices

No. of trainees

Some old programmes were replaced by new ones.

Page 39: Environmental Scan for Rehabilitation Programme Plan

Employment status of graduates of 2000-2002

216 213 222

3837 41

77 7

4047 55

24 36 41

0%

20%

40%

60%

80%

100%

2000 2001 2002

Not seekingemployment

Pursuing full-timestudy

Waiting to report forduty

Seeking employment

Employed

Ave. monthly salary: $3,315

Ave. monthly salary: $2,766

Ave. monthly salary: $2,392

Page 40: Environmental Scan for Rehabilitation Programme Plan

Selective Placements by Disability Group

648 646 663 540652

5890

5787

72

271319

262208

203

229 357

356352

293

350 356477

391426

451 580 757864 745

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2000 2001 2002 2003 2004

Mentallyhandicapped

Ex-mentally ill

Chronically ill

Physicallyhandicapped

Visually impaired

Hearing impaired

Page 41: Environmental Scan for Rehabilitation Programme Plan

Selective Placements by Occupational Group

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2000 2001 2002 2003 2004

Production workers, transport equipmentoperators and labourers (e.g. Driver, Packer,Store Worker, etc.)

Agricultural, animal husbandry, forestryworkers and fishermen (e.g. AnimalHusbandman, Farm Worker, Gardener, etc.)

Service workers (e.g. Cleaner, Cook, SecurityGuard, etc.)

Sales workers (e.g. Sales Representative,Salesperson, Shop Assistant, etc.)

Clerical and related workers (e.g. Clerk,Office Assistant, Recepionist, etc.)

Administrative and managerial workers (e.g.Manager, Management Executive, MarketingOfficer, etc.)

Professional, technical and related workers(e.g. Accountant, System Analyst, Designer,etc.)

Page 42: Environmental Scan for Rehabilitation Programme Plan

Selective placements by salary range

518704

11001301 1197

318280

406322

334

392475

426362

363

303

374

307 229 272

206

186

149 102 107

0

500

1000

1500

2000

2500

3000

2000 2001 2002 2003 2004

$9,000 or above

$8,000 - $8,999

$7,000 - $7,999

$6,000 - $6,999

$5,000 - $5,999

$4,000 - $4,999

$3,000 - $3,999

Under $3,000*

Page 43: Environmental Scan for Rehabilitation Programme Plan

Provision of supported employment provided by SWD

0

2,000

4,000

6,000

8,000

10,000

12,000

Mar 2001 Mar 2002 Mar 2003 Mar 2004 Mar 2005

Integratedvocationalrehabilitativeservice centres

Supportedemployment

Shelteredworkshop

Page 44: Environmental Scan for Rehabilitation Programme Plan

Total demand for supported employment services provided by SWD

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

Mar 2001 Mar 2002 Mar 2003 Mar 2004 Mar 2005

Watiting list forsupported employment

Watiting list forsheltered workshop

Integrated vocationalrehabilitative servicecentres

Supported employment

Sheltered workshop

Page 45: Environmental Scan for Rehabilitation Programme Plan

Average waiting time for sheltered workshop and supported employment (months)

0

2

4

6

8

10

12

14

2000/01 2001/02 2002/03 2003/04 2004/05

Watitingtime forshelteredworkshop

Watitingtime forsupportedemployment

Page 46: Environmental Scan for Rehabilitation Programme Plan

Financial support to PWDs - CSSA/DA

0

10000

20000

30000

40000

50000

60000

70000

80000

1997 1998 1999 2000 2001 2002 2003 2004Higher Disability Allowance (0-59) Normal Disability Allowance (0-59)CSSA (Disabled) All

Some 68,000 PWDs (aged below 60) receive financi

al support through CSSA or DA in mid 2004.

CSSA (Permanent Disability category)

NDA

HDA

All

Page 47: Environmental Scan for Rehabilitation Programme Plan

Comment and discussion