Report on

Institute of Mental Health

Castle Peak Hospital

January - June 2012

Contents

Page No.

I. Mission

P. 1

II. Membership of the IMH Board .....

P. 1

III. Membership of the Executive Committee of the Institute of Mental Health and the Subcommittees.

P. 2 5

IV. Overview of Programmes Conducted by IMH ( January June 2012 )

P. 6 23

V. Statistics of Educational Activities .....

P. 24

VI. Financial Report on IMH .......

P. 25

VII. Appendix I - Summary of IMH Activities

P. 26 32

VIII. Appendix II - Evaluation report on seminars and courses by IMH

P. 33 64

IX. Appendix III - Loan Record of Mental Health Educational Products.

P. 65 69

1

I. Mission The Institute of Mental Health (IMH) is a centre of excellence for promotion and advocacy of better community mental health, through advancing science and disseminating knowledge in mental illness and mental health by intensive education, quality training, and rigorous research. II. Membership of the IMH (as at 30 June 2012)

Chairman :

Dr. CHOW Chun-bong

Members : Professor CHAN Tsang-sing, The Lingnan University

Mrs. Janice CHOI

Dr. HUNG Se-fong

Dr. Eugenie LEUNG, The University of Hong Kong

Mr. LU Tak-ming

Professor Joyce MA, The Chinese University of Hong Kong

Professor TANG Siu-wa

Professor Thomas WONG, The Chinese University of Hong Kong

Ex-Officio Members:

Professor John LEONG Chairman Hospital Governing Committee Castle Peak Hospital

(Vacant) Hospital Chief Executive / Chairman Executive Committee of IMH Castle Peak Hospital

Dr. Bonnie SIU Co-Chairman Executive Committee of IMH Castle Peak Hospital

2

III. The Executive Committee of the IMH

Co-Chairman : (Vacant) Hospital Chief Executive Castle Peak Hospital / Siu Lam Hospital

Co-Chairman : Dr. Bonnie SIU, Associate Consultant Convener of Public Education Subcommittee

Members : Mr. Kanny KWONG, Deputizing General Manager (Nursing) Convener of Psychiatric Nursing Education Centre Subcommittee

Dr. Eric CHEUNG, Consultant Convener of Research Subcommittee

Dr. Martina CHEUNG Clinical Psychologist

Ms. Jackaline LEE Cluster Manager (Finance Services)

Ms. Fion LING Senior Hospital Manager (Administrative Services)

Dr. Victoria TANG, Associate Consultant Convener of Hospital Archives & Gallery Exhibition Subcommittee

Ms. W. H. WONG, Department Operations Manager Convener of Patient & Carer Resource Subcommittee

Dr. Steve TSO, Consultant Convener of Professional Training Subcommittee

Secretary : Ms. Rita SIU Assistant Hospital Manager (Institute of Mental Health)

3

Members of the Professional Training Subcommittee

Convener : Dr. Steve TSO, Consultant, Siu Lam Hospital

Members : Mr. Horace KING, Nursing Officer, General Adult Psychiatry

Mr. Kanny KWONG, Deputizing General Manager (Nursing), Nursing Services Division

Mr. Victor LAU, Advanced Practice Nurse, Nursing Service Division

Mr. Colin LAW, Senior Occupational Therapist

Ms. M. M. TONG, Social Work Officer II, Medical Social Service Unit

Mrs. Denise TSANG-LAW, Senior Clinical Psychologist

Secretary : (vacant)

Members of the Public Education Subcommittee Convener : Dr. Bonnie SIU, Associate Consultant, General Adult Psychiatry Members : Dr. Martina CHEUNG, Clinical Psychologist Dr. W. K. CHOI, Deputy Chief of Service, Forensic Psychiatry Dr. Gloria CHOW, Associate Consultant, Child & Adolescent Psychiatry Dr. William CHUI, Associate Consultant, General Adult Psychiatry Mr. W. M. CHUNG, Advanced Practice Nurse, General Adult Psychiatry Mr. Horace KING, Nursing Officer, General Adult Psychiatry Ms. Angela KWOK, Nursing Officer, Old Age Psychiatry Mr. Gordon LEE, Occupational Therapist I Dr. Sandy LEUNG, Medical & Health Officer, Old Age Psychiatry Dr. Eugenia LOK, Associate Consultant, Child & Adolescent Psychiatry Dr. Dorothy TANG, Medical & Health Officer, Forensic Psychiatry Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Ms. Kat WONG, Advanced Practice Nurse, Child & Adolescent Psychiatry Secretary : Ms. Rita SIU, Assistant Hospital Manager (Institute of Mental Health)

Members of the Psychiatric Nursing Education Centre Subcommittee Convener : Mr. Kanny KWONG, Deputizing General Manager (Nursing), Nursing Services DivisionMembers : Mr. Colin CHONG, Nursing Officer, General Adult Psychiatry Mr. Victor LAU, Advanced Practice Nurse, Nursing Services Division Mr. Roger NG, Department Operations Manager, Child & Adolescent Psychiatry Ms. Gertrude SIU, Nursing Officer, Nursing Services Division Ms. K. W. WU, Nursing Officer, Nursing Services Division

4

Members of the Research Subcommittee

Convener : Dr. Eric CHEUNG, Consultant, General Adult Psychiatry

Members : Mr. T. K. CHAN, Advanced Practice Nurse, Nursing Services Division

Dr. William CHUI, Associate Consultant, General Adult Psychiatry

Mr. Colin LAW, Senior Occupational Therapist, Occupational Therapy Department

Dr. Meranda LEUNG, Medical & Health Officer, General Adult Psychiatry

Dr. S. K. LEUNG, Senior Medical Officer, General Adult Psychiatry

Ms. K. W. LUI, Social Work Officer, Medical Social Service Unit

Ms. Jolene MUI, Nurse Consultant, Community Psychiatric Service

Dr. K. S. POON, Medical & Health Officer, General Adult Psychiatry

Dr. Bonnie SIU, Associate Consultant, General Adult Psychiatry

Dr. Lina SUN, Clinical Psychologist, Clinical Psychology Department

Dr. Jessica WONG, Associate Consultant, General Adult Psychiatry

Mr. Stewart WONG, Senior Nursing Officer, Nursing Services Division

Ms. Rhoda YU, Assistant Librarian I, Administrative Services Department

Secretary : Ms. Kirby TSANG, Executive Assistant I/II, Institute of Mental Health Members of the Patient & Carer Resource Subcommittee Convener : Ms. W. H. WONG, Department Operations Manager, General Adult Psychiatry Members : Ms. Lanly CHAN, Department Operations Manager, Forensic Psychiatry / Old Age

Psychiatry Ms. Connie CHENG, Program Executive, Hong Kong Red Cross Ms. CHIU Cheong-lan, Ward Manager, Old Age Psychiatry Ms. Lesile CHOW, Representative of Pastoral Care Services Ms. Natalie LAI, Occupational Therapist I, Occupational Therapy Department Mr. David LEE, Service Manager, Mindset Club/ Day Service Ms. Winnie LEUNG, Representative of Pastoral Care Services Mr. Raymond LEUNG, Hospital Chaplain

5

Members of the Hospital Archives and Gallery Exhibition Subcommittee

Subgroup 1 Hospital Archives Convener : Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Members : Mr. Kanny KWONG, Deputizing General Manager (Nursing), Nursing Services

Division Mr. Victor LEE, Occupational Therapist I, Occupational Therapy Department Mr. David LEE, Service Manager, Mindset Club/ Day Service Mr. Roger NG, Department Operations Manager, Child & Adolescent Psychiatry Ms. M. F. YEN, Advanced Practice Nurse, Community Psychiatric Service Ms. Rhoda YU, Assistant Librarian I, Administrative Services Department Secretary : Ms. Miller CHAN, Executive Assistant I/II, Nursing Services Division Subgroup 2 Gallery Exhibition Convener : Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Members : Ms. Josephine AU, Department Operations Manager, Siu Lam Hospital Ms. Anita CHAN, Occupational Therapist I, Occupational Therapy Department Ms. Christine CHAN, Advanced Practice Nurse, Child & Adolescent Psychiatry Ms. Winnie CHAN, Ward Manager, Child & Adolescent Psychiatry Mr. K. S. HUI, Hospital Chaplain Mr. P. S. KWONG, Ward Manager, Forensic Psychiatry Ms. Joey LAI, Registered Nurse, Mindset Club/ Day Service Mr. H. C. LAU, Enrolled Nurse, Forensic Psychiatry Dr. Steve TSO, Consultant, Siu Lam Hospital Mr. C. C. WONG, Registered Nurse, Forensic Psychiatry Mr. Edmen WONG, Ward Manager, Siu Lam Hospital Secretary : Ms. Miller CHAN, Executive Assistant I/II, Nursing Services Division

6

IV. Overview of Programmes Conducted by the IMH (January - June 2012)

Public Education (1) Certificate Courses in Mental Health Certificate Courses in Mental Health (MHC05) The 12-hour Certificate Course in Mental Health (MHC) was specifically designed to serve the

needs of the society since October 2009. It provided training on the common mental illnesses and

the skills in managing mental illnesses to professionals, health care professionals and related

personnel who may come into contact with people with mental health problems or their carers in

their daily practice by comprehensive lectures, case discussions/ vignettes, and interactive

workshops. In view of the overwhelming responses from the previous four classes, the fifth course

(MHC05) was conducted on 7 and 14 January 2012, with 66 participants including health care

professionals of The Hospital Authority, government departments, non-government organizations,

etc.

Certificate Courses in Mental Health for Correctional Health Professionals

2012 (MHC-CHP-02) Healthcare professionals working in the Correctional Services Department (CSD) are our

important collaborative partners in providing care for people with mental disorders and their carers

in the community. The Certificate Course in Mental Health for Correctional Health Professionals

2011 (MHC-CHP 2011) was hence organized to provide training to those healthcare professionals

on the knowledge and skills in identifying and managing different mental disorders. Contents of

the course were tailor-made for the unique nature of the CSD services, which focused on the

practical skills training in mental health assessments and the management of mental disorders

using an evidence-based approach. Positive feedback was received after the first class that was

conducted in September 2011 and the second class was conducted on 10 and 24 March 2012 for

another batch of 30 CSD staff including doctors, nurses and clinical psychologists at the CSD staff

club in Lai Chi Kok Reception Centre.

7

(2) IMH iPhone APP A press briefing for the official launching of the iPhone App on stress management

was conducted on 1 June 2012 at Scout Association of Hong Kong. A music video

had been produced for promoting the App, which had a cast of Dr F K TSANG () and

Dr David LEE () or famously known as . Both Dr TSANG and Dr LEE had

attended the press briefing to promote the App and the music video.

A media report of the press briefing, from Apple Daily on 7 June 2012, featuring Dr TSANG and Dr LEE

8

(3) Basic Psychological Life Support (BPLS) Course The Public Education Subcommittee and St. John Ambulance have been co-organising the Basic

Psychological Life Support (BPLS) Course since January 2011. Two classes of 129 members of

the general public were trained in two BPLS Provider Course in February and May 2012

respectively.

(4) Educational Materials The publications of the IMH provide a good source of information on mental illnesses and

self-help guide to the general public. The information is handy and easily accessible at the service

units of CPH and online at the IMH website. To ensure the information is accurate and up-to-date,

it has been an ongoing exercise conducted by the Public Education Subcommittee (PES) to review

the educational materials and reprint those pamphlets on high demands. The materials updated

from January to June 2012 are listed in the following section.

An educational booklet on anxiety disorder was reviewed and reprinted. The updated

materials are available for free distribution in different service units and public access on the IMH

website.

9

In addition, two pamphlets of the Royal College of Psychiatrists were reprinted and uploaded to

the IMH website with updated contents in sequence:

()

( )

(5) Health Column on Sing Tao Daily The PES continues to collaborate with Sing Tao Daily in publishing articles written by CPH

colleagues as an effective medium to disseminate mental health knowledge to the public. The

articles are published under the health column inside the feature page of the paper on

alternate Mondays.

CPH colleagues have given great support to this project by actively submitting their articles.

Published articles are shared to all CPH staff via email. The collection of articles is also uploaded

to the IMH website for public access.

10

Articles published from January to June 2012 included the following topics:

11

(6) RTHK Radio Programme YES, WE CAN The IMH continues to collaborate with RTHK on the radio programme YES, WE CAN

and the sixth series of the programme has been launched since June 2012. Hosted by Mr. LI

Chan-wing and Ms. CHIN Pui-hing, the acclaimed programme is broadcasted on RTHK Radio I

(FM 92.6) every Saturday from 1:30 2:00am. Hyperlinks for reviewing previous topics are also

available on the IMH website.

In this series, 10 new topics on common mental health issues and problems, as well as their related

treatments would be shared by healthcare professionals from CPH to raise public awareness and

eliminate stigmatisation.

12

Professional Training (1) 3-Day Cognitive Behavioral Therapy (CBT) Training A 3-Day Cognitive Behavioral Therapy (CBT) Training organized by the Professional Training

Subcommittee (PTS) was scheduled on 13 to 15 September 2012. The PTS was pleased to invite

an honourable speaker, Professor Jesse H. Wright, the Professor of the Department of Psychiatry

and Behavioral Sciences of the University of Louisville in USA, to deliver the 3-day training. This

training aimed at providing advanced CBT training to professional staff in psychiatric services on

the rationale and application of CBT in different mental illnesses, as well as the development of

CBT services. A simulated brief session on patients with bipolar affective disorder, early psychosis

and chronic depression with hopelessness and suicidal ideation will be covered during the training.

The promotion of the training has been launched since 18 June 2012 and the enrolment is in

progress.

The promotion poster for the CBT training

13

Psychiatric Nursing Education

(1) 2-year Enrolled Nurse (Psychiatric) Training Program One class (Class 9) of 30 trainees from the Welfare Sector for the 2-year Enrolled Nurse Training

Programme in Psychiatric Nursing Education Center (PNEC) was commenced on 6 February

2012.

Photo of students of Class 9 of the 2-year Enrolled Nurse Training Program

14

Research (1) Research Skills Training Workshops The Research Subcommittee (RS) has been organising Research Skills Training Workshops

comprising a series of interactive small-group workshops conducted by experienced researchers.

The series of workshops repeats once every six months, and is open to all CPH staff. The

workshops aim at promoting a culture of research and enhancing research skills among the staff of

CPH. The first series of four workshops in 2012 was held from January to June, and trainee family

physicians from TMH were invited. A total of 36 CPH and TMH staff members had participated in

these four workshops.

(i) Searching Medical Literature and Using Reference Management Software

(29 February 2012) This workshop was conducted by Dr. Mimi Wong which focused on techniques in performing

online search for medical literature, as well as techniques in using Endnote, a citation management

software.

15

(ii) Writing research proposals and scientific papers (28 March 2012) This workshop was conducted by Dr. Simon Lui which was on research methodology, as well as

the concept of research paradigm and common pitfalls in research design.

(iii) Critical Appraisal of Research Papers (25 April 2012) This workshop was conducted by Dr. William Chui which was about critical appraisal of research

papers.

16

(iv) Application of SPSS for Clinical Study (30 May 2012) This workshop was conducted by Mr. Kenny Wong, Manager from the HA Head Office. He

demonstrated the basic concepts of biostatistics and the use of SPSS, a statistics software

commonly used in biomedical research. The workshop provided participants with hands-on

experiences on how to create data files and perform data analysis with SPSS.

(2) Research Seminar Research Seminars have been part of the regular in-house training programme for medical staff.

Two research seminars were held from January to June, with a total of 72 medical staff attended.

(i) The first research seminar, Decision making, attention profile and impulsiveness in chronic

ketamine abusers in Hong Kong was presented by Dr. Amy YEUNG on 23 May 2012.

(ii) The second research seminar, The correlation of prospective memory with medication

management in schizophrenia patients was presented by Dr. Joanna LAM on 13 June 2012.

17

(3) Research Studies As of June 2012, CPH has more than 40 on-going research projects and the IMH is actively

involved in the following research projects:

Motivated, effortful behaviour in response to anticipatory and consummatory pleasure

in patients with schizophrenia: a cross-sectional case-control study Completed. A

manuscript entitled Affective experience and motivated behaviour in schizophrenia spectrum

disorders: Convergent evidence from non-clinical and clinical samples would be submitted to

the journal, Psychological Medicine.

A four-year prospective family study in patients suffering from first episode psychosis: a

quest for intermediate phenotypes and aetiology of psychosis As of June 2012, a total of

115 patients with first-episode psychosis have been endophenotyped; 54 health controls and

150 patients have been recruited for endophenotyping and genotyping respectively.

Facial emotion perception in psychosis under different social contexts - 41 patients with

schizophrenia and 44 healthy control subjects were recruited and data analysis had been

completed. It is currently in the write-up stage.

Prospective memory impairment in patients with bipolar affective disorder. The

manuscript entitled Patients with bipolar disorders share similar but attenuated prospective

memory impairments with patients with schizophrenia has been submitted to the journal

Psychological Medicine, and is currently revising the manuscript in response to reviewers

comments. Moreover, the findings was presented in the 3rd Biennial Schizophrenia

International Research Conference 2012 whereas the abstract of the poster is to be published in

Schizophrenia Research.

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Patient and Carer Resource

(1) Community partnership and teens life coach events A community partnership and teens life coach programme was jointly organised with the Jardine

Matheson Group. The programme included the following six activities during the reporting period:

City Orienteering was conducted for 51 clients on 4 February 2012. The

objectives of the programme was to provide an environment for participants to practice the skill in

planning, time management, budgeting and decision making. It also offered an opportunity for

ex-mental patients to interact with secondary school students. Clients, students and Jardine

Ambassadors would work together to achieve assigned tasks in the vicinity of Tuen Mun, Tin Shui

Wai and Yuen Long.

Walk Up Jardine House 2012 was conducted on 18 March 2012. The Dancing Group and

Yiwu Group comprising 27 clients were invited to perform at the event and cheer for the

runners.

Before participants get off with planning underway

19

Visit to Noahs Ark under the Concern Project - Teens was conducted on 24 March

2012 in collaboration with Yan Chai Hospital No. 2 Secondary School, with 13 clients

participated in this the event.

Mini Mindset Day at Tai Tong Lychee Park was conducted on 9 June 2012 with 13 clients

and 3 carers participated.

Mindset Fun Day 2012 Bowling Competition was conducted on 16 June 2012 with 25 clients participated.

Press Conference of Rat Race 2012 was conducted on 19 June 2012 with 13 clients participated.

20

(2) Partnership programme with Red Cross A partnership programme to celebrate the Chinese New Year was jointly organised with the Red

Cross on 11 February 2012. A total of 80 inpatients had participated in this activity.

(3) Appreciation for volunteers An annual appreciation activity for volunteers was conducted on 25 February 2012 to recognize

their unfailing support and contribution during the year. A total of 80 volunteers joined the games

and performances during the event which emphasized on sharing and mutual support.

21

(4) Mental Health First Aid (MHFA) training Originated from Australia, the 12-hour MHFA training programme was re-run and conducted on 4

consecutive Saturdays afternoon in June 2012, with 23 participants of the public attended the course.

22

Hospital Archives & Gallery Exhibition

(1) Art Exhibition and Charity Sale IDACE (The Intellectual Disability Activity Centre of Excellence) was invited for an art exhibition

displaying patients artwork at the lobby of Tuen Mun Hospital on 28 February 2012. A charity

sale of souvenirs of the CPH 50th Anniversary Souvenir was also arranged during the exhibition,

including ties and scarves which were designed by the members of IDACE. The income generated

would be used on public education and the promotion of mental health through various IMH

programmes.

(2) CPH In Pictures

In arousing the interest and awareness of the history of CPH, the Hospital Archives and Gallery

Exhibition Subcommittee (HAGES) has been organising a monthly display outside the hospital

canteen with images depicting historical moments and a brief introduction. The activity was kicked

off on 27 March 2012 commemorating the 51st Anniversary of CPH with the photo of the Opening

Ceremony in 1961.

Art exhibition Charity sale of CPH 50th Anniversary

23

(3) Presentation at the Hospital Authority Convention 2012 The Convener and a member of the Hospital Archives and Gallery Exhibition Subcommittee

(HAGES), Dr. Victoria Tang and Ms. Christine Chan, were invited to deliver a talk on Art and

Creative Expression in Mental Health Services: Experience in NTWC on 7 May 2012 during the

Hospital Authority Convention 2012 at the Hong Kong Convention & Exhibition Centre. They

shared their experience in the use of art in mental health care settings, the collaboration with NGOs

and the promotion to the public.

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V. Statistics of Educational Activities (Organized by the IMH and Invitations Received)

The summary of all educational activities conducted by the IMH for the period from January to June

2012 was presented as per Appendix I. The activities were categorized into two types. The first type

referred to the activities that were initiated and organized by the IMH and the other type was the

invitations received from other organizations for conducting talks or training courses.

Altogether 60 activities were conducted, among which 54 activities were organized by the IMH.

A total projected net income of $111,233 was earned from the activities with 1,254 overall

attendances. The breakdown of the activities by topics, target groups and geographical locations of

the participants is presented as per Appendix I.

Activities Organized by the IMH

A substantial fraction of the activities organized by the IMH during the reporting period focused on

topics related to general adult psychiatry, which attributed to 74% of the activities held. The activities

organized by the IMH mainly targeted at the patients. The projected net income of $83,200 was

generated from the activities organized by the IMH. The evaluation report on the courses and

educational talks is attached as per Appendix II.

Invitations from Other Organizations Among the 6 invitations that we received from external organizations, including government

department, non-government organization (NGO) and educational institution etc., most of them

requested for delivering training courses targeted mainly for the public. The projected net income

was $28,033.

Loan Record of Mental Health Educational Products Four applications from NGOs and educational institutions for borrowing our educational exhibition

boards, obtaining pamphlets or quoting / copying our publications, and linking up the IMH website

were received; they were all approved. The list of applications and the feedback from the

organizations are appended as per Appendix III.

25

VI. Institute of Mental Health, Castle Peak Hospital

Financial Report as at 30 June 2012