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Conference Paper: Pathway to Psychiatric Care for Older Persons in Hong Kong

TitlePathway to Psychiatric Care for Older Persons in Hong Kong
Authors
Issue Date2012
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm
Citation
The 3rd Joint International Conference of the Hong Kong College of Psychiatrists and the Royal College of Psychiatrists (UK), Hong Kong, China, 8-10 December 2012. In East Asian Archives of Psychiatry, 2012, v. 22 n. 4 suppl., p. 20, abstract no. S2.4.3 How to Cite?
AbstractBackground: Early intervention effectively improves quality of life, clinical outcomes, and social functioning of older persons with mental disorders. It is therefore important to identify the obstacles that delay their acquisition of psychiatric care. Objectives: This is the first territory-wide study to examine the pathway to care taken by the local older adults with mental health problems, and elucidate the factors that delay or speed up help-seeking behaviours. Methods: A total of 128 participants who presented for the first time to psychiatric service units in 5 clusters of the Hospital Authority during the study period were recruited. Their pathway to care was evaluated using WHO Encounter Form. In addition, they were assessed using Health of the Nation Outcome Scale, Cumulative Illness Rating Scale, and Social Support Rating Scale. Their socio-demographic data and psychiatric diagnosis were also recorded. Results: On average, participants consulted 1.3 ± 0.5 professional carers before reaching specialist psychiatric service. Hospital doctors (44.0%) and general practitioners (29.5%) were the major carers involved. The median duration between onset of symptoms and contact with first carer was 6.0 weeks whereas that between onset and consulting mental health professionals was 44.0 weeks. A number of sociodemographic, clinical, and pathway factors were associated with prolonged delays to mental health services. Conclusions: The present study identified 2 major pathways to mental health care in Hong Kong, and factors influencing duration taken to reach psychiatric services. Understanding these factors assists us to develop a combination of strategies including public awareness programmes and training courses for healthcare professionals that may shorten the delay in receiving psychiatric assessment and care.
DescriptionConference Theme: Mental Health for All
Symposium 2.4 - Elderly Mental Health
Persistent Identifierhttp://hdl.handle.net/10722/190121
ISSN
2015 SCImago Journal Rankings: 0.331

 

DC FieldValueLanguage
dc.contributor.authorChan, WCen_US
dc.date.accessioned2013-09-17T15:11:06Z-
dc.date.available2013-09-17T15:11:06Z-
dc.date.issued2012en_US
dc.identifier.citationThe 3rd Joint International Conference of the Hong Kong College of Psychiatrists and the Royal College of Psychiatrists (UK), Hong Kong, China, 8-10 December 2012. In East Asian Archives of Psychiatry, 2012, v. 22 n. 4 suppl., p. 20, abstract no. S2.4.3en_US
dc.identifier.issn2078-9947-
dc.identifier.urihttp://hdl.handle.net/10722/190121-
dc.descriptionConference Theme: Mental Health for All-
dc.descriptionSymposium 2.4 - Elderly Mental Health-
dc.description.abstractBackground: Early intervention effectively improves quality of life, clinical outcomes, and social functioning of older persons with mental disorders. It is therefore important to identify the obstacles that delay their acquisition of psychiatric care. Objectives: This is the first territory-wide study to examine the pathway to care taken by the local older adults with mental health problems, and elucidate the factors that delay or speed up help-seeking behaviours. Methods: A total of 128 participants who presented for the first time to psychiatric service units in 5 clusters of the Hospital Authority during the study period were recruited. Their pathway to care was evaluated using WHO Encounter Form. In addition, they were assessed using Health of the Nation Outcome Scale, Cumulative Illness Rating Scale, and Social Support Rating Scale. Their socio-demographic data and psychiatric diagnosis were also recorded. Results: On average, participants consulted 1.3 ± 0.5 professional carers before reaching specialist psychiatric service. Hospital doctors (44.0%) and general practitioners (29.5%) were the major carers involved. The median duration between onset of symptoms and contact with first carer was 6.0 weeks whereas that between onset and consulting mental health professionals was 44.0 weeks. A number of sociodemographic, clinical, and pathway factors were associated with prolonged delays to mental health services. Conclusions: The present study identified 2 major pathways to mental health care in Hong Kong, and factors influencing duration taken to reach psychiatric services. Understanding these factors assists us to develop a combination of strategies including public awareness programmes and training courses for healthcare professionals that may shorten the delay in receiving psychiatric assessment and care.-
dc.languageengen_US
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm-
dc.relation.ispartofEast Asian Archives of Psychiatryen_US
dc.rightsEast Asian Archives of Psychiatry. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titlePathway to Psychiatric Care for Older Persons in Hong Kongen_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, WC: waicchan@hku.hken_US
dc.identifier.authorityChan, WC=rp01687en_US
dc.description.naturepublished_or_final_version-
dc.identifier.hkuros225228en_US
dc.identifier.volume22-
dc.identifier.issue4, suppl.-
dc.identifier.spage20, abstract no. S2.4.3-
dc.identifier.epage20, abstract no. S2.4.3-
dc.publisher.placeHong Kong-

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