香港心理卫生期刊 四十四卷 第一期 二０一八年冬 Hong Kong Journal of Mental Health Volume 44 No.1 Winter 2018
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The Application of a Positive Behaviour Support Model for Adults with Intellectual Disabilities: A Pioneering Study in Hong Kong
Phyllis K S Wong Department of Social Work, The Chinese University of Hong Kong, Hong Kong |
Abstract
| Background: Positive behaviour support (PBS) is increasingly viewed as the preferred service approach for people with intellectual disabilities (IDs); however, many services settings may not have equipped their frontline workers with practice skills in this field in Hong Kong. This study is a first attempt to systematically apply the PBS model to ID adult services, with the aims of providing training to staff members on the knowledge and skills in applying the PBS model and in alleviating the challenging behaviours of service user participants with IDs. Methods: A single-system research design was adopted to measure the alleviation of challenging behaviour. In total, 18 service user participants were involved in individual tailor-made interventions. Meanwhile, a pretestposttest design was adopted to measure the staff changes. A total of 18 social workers participated. Results: The challenging behaviours of seven service users were improved. Participating social workers’ competencies in managing challenging behaviour were also enhanced. Discussion: Reflections on the practice and recommendations will be discussed. |
摘要
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智障成人「正向行为支持」的应用：香港开创性研究 背景：尽管「正向行为支持」在国际智障人士服务领域中，愈受关注。然而其技巧仍未完全普及，在香港尤甚。本研究首次将「正 研究方法：本研究共有18 位服务使用者及18 位社工参与。并采用「单一系统研究设计」与「前后测研究设计」以分别测量服务使用者需关注行为的改善情况及社工的转变。 研究结果：7 位服务使用者的需关注行为得到改善。参与社工管理需关注行为的能力亦有增强。 讨论：本文将讨论实践「正向行为支持」的经验，及为将来发展作出建议。 |
Keywords
| Positive behaviour support, evidence-based intervention, adults with intellectual disabilities, Hong Kong. |
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Outcome Study on the Personal and Clinical Recovery of ICCMW Service Users in the Mental Health Association of Hong Kong
C K Lee, C Yang, H Y Wong, S C So and M S Wong The Mental Health Association of Hong Kong |
Abstract
| This study aims to evaluate the outcome of Integrated Community Centre for Mental Wellness (ICCMW) services of the Mental Health Association of Hong Kong (MHAHK) in terms of clinical and personal recovery. 78 service users from 3 ICCMWs were recruited. In the first part of the study, the pretestposttest quasi-experimental approach was used to explore the participants’progress on clinical and personal recovery. In the second part, a qualitative study was conducted to explore the factors that are important to the clinical and personal recovery of ICCMW service users. Significant improvement in post-test scores on both clinical and personal recovery measures were found. The qualitative study identified five themes that were important to the participants’ clinical and personal recovery, including home-likeness, recovery coaching, empathetic understanding, social support and social relationships, and assertive engagement. The results provided preliminary evidence on supporting resource allocation to ICCMW services and a further step towards evidence-based practice. They also provided valuable reference to the development of built-in mechanism in ongoing monitoring of outcome of the services. |
摘要
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精神健康综合社区中心服务使用者的复元状况研究 本研究旨在了解服务使用者接受精神健康综合社区中心服务6个月后，在个人及临床复元上的进展，研究结果显示服务使用者的临床抑郁及焦虑征状有明显减少，个人复元程度亦有明显提升。服务使用者并指出五个他们认为与中心服务相关而有助促进他们复元的主要元素，包括：家的感觉、能够被理解、复元为本的指导、社交支持及主动接触。 |
Keywords
| Recovery, Service evaluation, Mental wellness |
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An Overview on the Development of Recovery-Oriented Practice in the Integrated Community Centres for Mental Wellness in the Mental Health Association of Hong Kong
C K Lee, H Y Wong and C Yang The Mental Health Association of Hong Kong |
Abstract
| This paper is an overview on the development of Recovery-Oriented Practice in the Integrated Community Centres for Mental Wellness in the Mental Health Association of Hong Kong. |
摘要
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精神健康综合社区中心复元为本服务的发展回顾 香港心理卫生会三间精神健康综合社区中心由2010年成立至今，采用复元为本的服务模式回应社区精神健康支援服务的发展需要。本文旨在回顾三间中心复元为本服务的发展历程，由订立期(2011-13年)、发展期(2014-17年)至转化期(2018至今)，每个阶段皆有其独特的里程碑及策略性的持续发展。本文亦标志着本会同工推动复元为本服务的决心。 |
Keywords
| Recovery-oriented practice, Recovery strategic development, Community mental health service |
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「友约会就业支援先导计划」服务评估及香港精神病康复者 / 智障人士就业支援需要研究
姚美因及陈婉珊 香港心理卫生会 |
摘要
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政府现时营运或资助的各类残疾人士就业支援服务不足及欠缺延续性，加上服务并没有针对雇主提供支援，影响残疾人士就业稳定性，雇主对聘用残疾人士的各种忧虑亦未能释除。针对以上的不足，香港心理卫生会训练及就业服务中心于2016年开展「友约会就业支援先导计划」(下称：「此计划」)。此研究主要透过问卷调查、聚焦小组及访谈，向参与过此计划的残疾人士、企业单位及企业员工，了解此计划的成效，以及残疾人士在就业上和企业在聘用残疾人士上的需要，从而为探讨优化现时就业支援服务的可行办法。研究结果反映此计划的功效，同时揭示了残疾人士及雇主的需要。 |
Abstract
| Study on Vocational Support Service Needs of Persons with Disabilities in Hong Kong and Evaluation on the Pilot Scheme on Vocational Support for Persons with Disabilities The employment support services currently provided by the Hong Kong Government for persons with disabilities (PWDs) are inadequate and lack continuity. Moreover, the lack of supportive service to the employers leads to instability employment of PWDs and reveals the reason for the unwillingness and hesitation of the employers to hire PWDs. To combat the problem, the Mental Health Association of Hong Kong launched the “Pilot Scheme on Vocational Support for Persons with Disability” (hereinafter referred to as “the Scheme”) in 2016. A mixed methods approach was used in this research, data were obtained via questionnaire, focus group and face-to-face interviews. The study gives an overview of the current employment situation of PWDs, provides a brief introduction of their needs in employment, and evaluates the effectiveness of the Scheme. |
Keywords
| 残疾人士就业、辅助就业、企业支援 |
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Screening and Early Intervention on Mood and Neurocognitive Impairments for Stroke Patients undergoing In-patient Rehabilitation: Initial Results of the Integrated Mood and Neuropsychological (iMAN) Scheme
Theodore C K Cheung
Department of Clinical Psychology, Haven of Hope Hospital, Hospital Authority, Hong Kong SAR
Department of Psychology, University of Toronto at Scarborough, Canada
Sharon T Y Li, Josephine Y F Chu and S Y Li
Department of Clinical Psychology, Haven of Hope Hospital, Hospital Authority, Hong Kong SAR
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Abstract
| Mood problems and cognitive impairment are common sequelae of stroke and require clinical attention. This study investigated the effectiveness of psychometric screening service in stroke rehabilitation between April 2014 and March 2016. A total of 457 non-aphasic stroke in-patients were screened and clinical psychology service was provided for indicated patients. Results showed that patients had marked improvement in mood and cognitive functioning when discharged. The clinical psychology service was found to contribute to such improvement by providing intensive mood treatment and neurocognitive rehabilitation respectively. Long-term follow-up on the mood and cognitive status of discharged patients and alternative psychological treatment modality were recommended. |
摘要
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中风病人在复康医院的综合情绪认知甄别评估与及早治疗初步结果 中风后患者往往会出现需受关注的情绪及认知障碍。本研究旨在探讨心理甄别评估在中风复康住院的成效，在二零一四年四月至二零一六年三月间共招募了457个中风住院病人，并在评估后为其中有需要的病人提供临床心理服务。结果指出在出院时病人的情绪及认知能力整体有临床上的显著进步。通过提供心理治疗或脑神经复康训练，临床心理服务为病人的复康带来正面的影响。文末亦探讨了在病人出院后作长期跟进的临床价值，以及谈话治疗以外的其他心理治疗模式。 |
Keywords
| Stroke, depression, screening, psychotherapy, neurocognitive intervention |
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