香港心理衞生期刊 三十七卷 第一期 二０一一年夏 Hong Kong Journal of Mental Health Volume 37 No.1 Summer 2011
Message from Issue Editor
Media, Stigma and Mental Health Promotion
L K Chan Kwai Chung Hospital |
Abstract
| The societal stigma against mental illness is a formidable obstacle to the progress of mental health care. The media are the primary source of information about mental illness, and there is evidence that the stigma is attributable to negative portrayals in the media. Nevertheless, with a joint effort among mental health and media professionals, the media can help promote a positive, non-stigmatizing image of mental illness. |
摘要
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精神健康推廣–傳媒與精神病標籤 社會上對精神病的標籤仍是精健康服務發展的巨大障礙。傳播媒體是大眾對精神健康資訊的主要來源。有證據顯示，精神病的歧視與傳媒負面的描述有甚大關係。然而，只要與傳媒合作，它也可以成為推廣正面精神健康的有效工具。 |
Keywords
| mass media, social stigma, mental health |
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Positive Youth Development Programs: Experience Based on the Project P.A.T.H.S. in Hong Kong
Daniel T L Shek Department of Applied Social Sciences The Hong Kong Polytechnic University Andrew M H Siu Department of Rehabilitation Sciences The Hong Kong Polytechnic University |
Abstract
| A survey of the literature shows that there are worrying trends and phenomena related to the development of adolescents in Hong Kong. As such, primary prevention programs targeting specific adolescent developmental problems and positive youth development programs are called for. However, research findings show that there are very few systematic and multi-year positive youth development programs in Hong Kong. In response to this worrying picture, a positive youth development program entitled Project P.A.T.H.S. was initiated by The Hong Kong Jockey Club Charities Trust to promote holistic development of junior secondary school students in Hong Kong, with the involvement of five universities in Hong Kong the program development, training and evaluation. Based on different evaluation strategies, existing research findings generally revealed that different stakeholders had positive perceptions of the program, workers, as well as benefits the program and the program was effective in promoting holistic positive youth development in Chinese adolescents in Hong Kong. |
摘要
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「共創成長路」—青少年正面成長課程在香港推行的經驗 在近年，多項本地調查顯示，香港青少年的發展有多個令人擔憂的現象及趨勢。社會有需要發展基層健康方案，以針對年青人的發展問題及培育正面發展。可是，香港多年來都未有開發有系統及持續的青少年正面成長課程。針對這令人擔憂的現象，香港賽馬會慈善信託基金贊助及推動了一個名為「共創成長路」的青少年正面成長課程，以促進香港初中學生的全面發展。「共創成長路」計劃的課程由本地五所大學所設計、並進行導師培訓及成效評估。通過使用不同的評估策略，成效研究結果顯示，不同的利益相關者普遍對計劃、導師、及效益有正面的評價，認為「共創成長路」的課程能有效地促進香港青少年的正面發展。 |
Keywords
Youth Development, Chinese, Positive Psychology
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Mental Health Promotion in Hong Kong: A Way to Prevent Stigmatization and Enhance the Early Intervention of Mental Illness
Bonnie W M Siu Castle Peak Hospital |
Abstract
| Mental health promotion has been given high priority in the delivery of mental health service in the United Kingdom. The prevalence of mental illnesses in Hong Kong would not be less than that in the United Kingdom and mental health promotion should not be ignored in Hong Kong. Mental health promotion helps to decrease the stigmatization adhered to mental illness, modify the pathway to care to mental illnesses, shorten the delay in help seeking, enhance the early intervention of mental illness, and probably improve the outcome of mental illness. In order to meet the need of the society and to be in line with the global trend of primary prevention, apart from mental health promotion and education on established mental illness, it is important to provide education on positive mental health, stress management, and the building up resilience in the society. |
摘要
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香港的精神健康推廣: 減低歧視及促進精神病的及早干預 在英國的精神健康服務中，精神健康推廣及教育佔了很重要的部份。在香港，精神病的發病率並不少於英國。因此，精神健康的推廣及教育不容忽視。精神健康推廣幫助減低大眾對精神病的歧視，改善精神病的求助途徑，促進精神病的及早干預，令精神病的治療更見功效。為了更加切合社會的需要及配合世界各地對疾病採取基層預防的趨勢，精神健康推廣及教育除了幫助大眾認識各種精神病外，亦要在正向心理健康，壓力處理，堅韌力的提升等課題上加以推廣及教育。 |
Keywords
| Mental health promotion, stigma, pathway to care |
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“Growing in Happiness”: Pilot Study of a Mental Health Promotion Programme for Children with Mentally Ill Parents
Sally Chan Yong Loo Lin School of Medicine National University of Singapore Jolene Mui , K C Shing Castle Peak Hospital W T Chien Hong Kong Polytechnic University Amy Chan Queen Mary Hospital Dominic Chan, W Y Ip The Chinese University of Hong Kong |
Abstract
| Current research consistently suggests that parental mental illness places children at a significantly greater risk of having lower social, psychological and physical health than children from families not affected by mental illness. This paper reported a pilot study to evaluate a mental health promotion programme for children of mentally ill parent(s). Thirty children from the New Territories West region, aged 6-11 years old, who have one or both parents experiencing a mental health problem were recruited in this pilot study. The programme ‘Growing in Happiness’ (歡笑成長) was developed which consisted of six sessions (three hours per session). Activities included mental health education, communication exercises, problem solving, interactive and relaxation exercises, age appropriated games and activities, and peer support. ‘A Booklet for Children about Mental Illness’, and a manual for conducting the programme were developed. Outcome measures included Chinese General Self-efficacy Scale; Rosenberg Self-esteem Scale; Chinese version of the State Anxiety Scale for Children; Interpersonal scale; and focus group interview. The pilot study showed that the participants had improved self-efficacy, self-esteem, interpersonal relationship and reduced anxiety. Qualitative data supported that the participants were happy. They have learnt knowledge on mental illness. Parents supported that they observed their children had positive behavioral changes after attending the programme. The programme will be improved by adding more interactive strategies in delivering the programme. Outing will also be incorporated in the programme. This pilot study provided support for the implementation of a large scale study. The framework of this programme could be used to develop programmes for children of other age groups. |
摘要
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「歡笑成長」：促進精神病患者子女的精神健康先導研究 有研究一致認為父母親的精神疾病會使得孩子的社會、心理、生理狀態顯著低于那些沒有被父母精神疾病影嚮的孩子。本研究是一個精神健康促進項目的初步科研究告，是為了評价精神疾病父母孩子而設立的歡笑成長項目。樣本是30個來自新界西區的孩子，他们6~11歲，父母單方或雙方經受精神健康疾病。項目包括6個部分，每個部分兩個小時。活動內容包括精神健康教育、社交訓練、問題解決、交互和放松鍛練、与年齡相匹配的游戲和活動、同伴支持。研究者開發了供孩子用的精神疾病小冊子和執行項目的手冊。結果測量包括：中文版一般自我效能量表，羅森伯格自尊量表，中文版狀態焦慮量表，人際關系量表，和焦點團體訪談。參与者的自我效用、自尊、人際關系得到顯著提高，狀態焦慮顯著降低，質性數據提示參與者相當愉快，他們學習了關于精神疾病的知識。父母提供的資料顯示他們能夠觀察到孩子參與本項目後的積極行為變化。在以後的執行中，本項目將會進一步加入交互策略，戶外活動也將會融入到項目中。本研究為大型科研提供了實施依据，項目框架也可以用來發展其他年齡段孩子的教育項目。 |
Keywords
| mental health promotion, children with mentally ill parents |
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Mental Health First Aid: An International Early Intervention Training Program for Members of the Public
Anthony Francis Jorm, Betty Ann Kitchener Centre for Youth Mental Health, University of Melbourne Angus Y K Lam Department of Applied Social Studies City University of Hong Kong Fritz N F Wong The Mental Health Association of Hong Kong |
Abstract
| Early intervention is usually discussed among formal health providers. Many people with mental disorders delay seeking help, but they are more likely to receive professional help when this is suggested by family, friends and other members in their social network. The Mental Health First Aid (MHFA) Training Program is a method of achieving this by providing members of the public skills to give the first early intervention. This paper gives a brief description of the MHFA program, its development in Australia, its roll-out in other countries, especially in Hong Kong, and evaluation studies which have been carried out. The future directions for MHFA are also discussed. |
摘要
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精神健康急救：國際性早期介入公眾教育課程 早期介入已在醫護界獲得充份的討論，但面對精神健康問題，不少人仍延誤求助。然而，若由親人、朋輩或身邊的人伸出援手及提供意見，人們顯得較為願意接納精神科專業人員的服務。精神健康急救訓練課程的目標正是如此。本文將為精神健康急救訓練於澳大利亞及國際上的發展，尤其是香港，提供一個概略的描述。當中包括了課程的內容，其相關的成效研究成果，及其展望。 |
Keywords
| mental health, early intervention, training |
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Learning from our Mistakes : How the “Wrong” Result can set you “Right” in Community Psychiatry Research
Prof. Tom Burns
Professor of Social Psychiatry
University of Oxford
Department of Psychiatry
Warneford Hospital
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| Transcript of the presentation at the The 5th Dr. Gerald Choa Memorial Lecture of the Mental Health Association of Hong Kong delivered on 10th December 2010. |
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