Page 175 - HA Convention 2015

Service Priorities and Programmes Free Papers

SPP5.5 Healthcare Advances, Research and Innovations 09:00 Room 221

Occupational Therapy Inpatient Enhancement Programme “My Recovery, My Action”, a Recovery-oriented

Practice for Patients in Acute Psychiatric Wards: One Year Evaluation
Lee WK 1,8, Lo WYA 2,8, Wong HK 3,8, Yeung SF 4,8, U FI 4,8, Sin YM 4,8, Sezto NW 5,8, Ngai CK 6,8, Lee CK 7,8
1Department of Occupational Therapy, Pamela Youde Nethersole Eastern Hospital, 2Kowloon Hospital,
3Queen Mary Hospital, 4Kwai Chung Hospital, 5United Christian Hospital, 6Castle Peak Hospital, 7Tai Po Hospital,
8Coordinating Committee in Occupational Therapy Task Group in Clinical Standards in Occupational Therapy Inpatient Centre,

Hong Kong

Introduction

The occupational therapy inpatient enhancement programme, “My Recovery, My Action” was piloted in three HA hospitals
in 2012/13 and extended to seven clusters in 2013/14. This recovery-oriented programme helped patients to set recovery
goals, developed self-management skills, promote hope and well-being. The programme allowed choices, facilitated peer
support and encouraged active participation. It consisted of five structured individual or group sessions, including Illness
Management and Recovery (Recovery 360), Transforming Relapse and Instilling Prosperity (TRIP), Five-ways to Well-being
and Love Living programmes.

Objectives Tuesday, 19 May

(1) To empower patients in early phase of recovery so as to facilitate hospital discharge; and (2) to enhance patients to
manage their illness and improve their mental well-being so as to facilitate community re-integration.

Methodology

Multi-centre pretest-posttest single group design was used to evaluate the programme effectiveness. Patients’ subjective
well-being, hope perception, understanding of illness management and recovery, setting recovery goals were measured by
the Short Warwick-Edinburg Mental Wellbeing Scale, Hope Scale, Illness Management and Recovery Scale, and Canadian
Occupational Performance Measure respectively before and after the programme. Satisfaction survey was also conducted to
collect their overall feedback on the programme.

Results

A total of 2,515 patients from acute psychiatric wards in seven clusters attended the programme in 2013/14. 1,910 patients
(76%) had completed the whole programme. Health maintenance (30%), personal care (27%) and work (10%) were rated
as their top recovery goals. Paired t-test showed significant improvements in their mental wellbeing (p=.000), illness
management strategies (p=.000), hope (p=.000), performance and satisfaction of personal goal attainment (p=.000).
Besides, 509 patients were firstly admitted into psychiatric wards and significant improvements were found in all outcome
measurements. Qualitative feedback was positive and indicated the programme was helpful for their illness management and
discharge preparation. It is concluded that recovery-oriented practice can be an effective means for therapists to work with
our patients as it promotes respects, self-determination and individualised care.

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