Page 182 - Hospital Authority Convention 2017

Parallel Sessions Parallel Sessions
HOSPITAL AUTHORITY CONVENTION 2017

PS5.1 Collaborative Service Programmes 09:00 Room 423 & Room 424

Territory-wide Collaboration between Hospital and Social Service Organisations in Substance Abuse Service
Ko F
Occupational Therapy Department, North District Hospital, Hong Kong
Effective referral and collaboration among service providers of substance abuse programmes is the cornerstone to the
service users who, in addition to quitting the substances, may have multiple needs in their path for abstinence. Initiating a
referral will potentially address the needs of the substance abuser. Yet, anchoring or losing this chance depends on how
connected the network of service providers is.

The Crisis Accommodation Programme of North District Hospital of the Hospital Authority is built on a territory-wide
hospital-community collaboration model with organised and clear principles of services and roles, as well as an established
platform for service interfacing and communication among all the collaboration parties. With hospital as the primary focus
of comprehensive assessment, treatment and rehabilitation, the Crisis Accommodation Programme is a five-day in-patient
programme serving to bridge the gap between treatment and community-based rehabilitation of the young ketamine users.
Upon receiving referrals from collaborating NGOs of the community, hospital-based urological, radiological and other medical
investigations and treatment are conducted to manage the health crisis of patients. Focused occupational therapy is provided
to promote patients’ awareness of their functional and role performance crises, to enhance their motivation, preparedness
and readiness to engage in rehabilitation for abstinence from ketamine use and for relapse prevention. Upon discharge from
the Programme, community-based rehabilitation service for abstinence is delivered by NGO partners in a standardised
manner. Short-term post-discharge occupational therapy follow-up will be provided focusing on the patients’ functional and
role performance. Medical follow-up will also be provided on a longer-term and/or on a need basis.

Evaluation results demonstrated that the model of practice of the Crisis Accommodation Programme is acceptable and
practicable to both the service users and the collaboration partners. It is also efficacious in decreasing ketamine consumption
and in enhancing the motivation and readiness to abstain from ketamine use.

PS5.2 Collaborative Service Programmes 09:00 Room 423 & Room 424

A Multi-disciplinary Service Model for Enhancing Early Identification and Intervention for Mood and Cognitive
Impairment among Young Stroke Patients (from Simple to Complex Conditions)
Cheung TCK
Department of Clinical Psychology, Haven of Hope Hospital and United Christian Hospital, Hong Kong
Wednesday, 17 May suggested positive results. Data were collected between April 2014 and March 2016 under the enhanced service with
Mood problems and cognitive impairment are common sequelae of stroke that require clinical attention. The HHH multi-
displinary stroke rehabilitation pathway incorporated clinical psychological service with preliminary effectiveness study
involvement of a total of 457 non-aphasic stroke inpatients being screened and neuropsychology service provided for
indicated patients, in addition to the conventional rehabilitation service by different disciplines. Results showed that patients
had incremental improvement in mood and cognitive functioning when discharged under the new model. The clinical
psychology service was found to contribute to such improvement by providing intensive mood treatment and neurocognitive
rehabilitation respectively. It echoed to the updated recommendations on stroke care by the UK Royal College of Physicians
(2016) that complex stroke cases with emotional and cognitive problems should be referred to specialised neuropsychological
assessment and management. Further service enhancement in long-term follow-up of the mood and cognitive status of
discharged patients and alternative psychological treatment modality including neuro-modulation such as transcranial Direct
Current Stimulation (tDCS) on aphasic stroke patients with depression would also be discussed.

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