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Conference Paper: Pressure to adhere to treatment in Hong Kong mental health care - A pilot study

TitlePressure to adhere to treatment in Hong Kong mental health care - A pilot study
Authors
Issue Date2016
PublisherSage Publications Ltd. The Journal's web site is located at http://www.uk.sagepub.com/journals/Journal202095
Citation
The 4th International Congress of Psychiatry (RANZCP 2016), Hong Kong, 8-12 May 2016. In Australian and New Zealand Journal of Psychiatry, 2016, v. 50 n. Suppl. S1, p. 131-132 How to Cite?
AbstractBackground: Pressures to adhere to treatment (‘leverage’) refers to an informal practice whereby practitioners attempt to influence patients’ treatment adherence. Little is known about the use of leverage in community psychiatric services in Hong Kong. Objectives: To examine the prevalence of leverage in mental health care in Hong Kong and evaluate its association with patients’ sociodemographic and clinical characteristics. Methods: A pilot study was conducted from December 2014 to February 2015. Consecutive adult patients attending a local psychiatric centre for personalised care programme, with recovery-oriented multidisciplinary case management service for patients with severe mental illness (SMI), were recruited. Using structured interviews, the four commonest forms of leverage, in areas of finance, housing, criminal justice and child custody, were evaluated. In addition, their sociodemographic and clinical characteristics were collected. Participants were also interviewed with Perceived Coercion Scale, Insight and Treatment Attitudes Questionnaire, Brief Psychiatric Rating Scale, Global Assessment of Functioning, Conjoint CAGE and Montreal Cognitive Assessment. Findings: A total of 59 participants were recruited. Their mean age was 48.5 years, and two-thirds of them were men. On average, they have had SMI for 19.6 years. About 80% of participants were diagnosed as having schizophrenia. The remaining participants had either a depressive or bipolar affective disorder. Nearly half of the participants (N = 28) reported experiencing leverage. Financial leverage was the most commonly reported form of informal coercion (33.9%), followed by housing leverage (15.3%). Participants who were younger when they first came into contact with psychiatric services were more likely to report experiencing leverage (p < 0.05). Conclusions: Leverage is as commonly used in Hong Kong as in other developed countries. However, the pattern of leverage employed in different mental healthcare systems varies. Understanding leverage applied onto psychiatric service users will facilitate a closer consideration of their justifications and gives insightful perspectives to the mental healthcare planning and policy making in Hong Kong.
DescriptionThe supplement issue is the RANZCP Abstract book
Oral Presentation
Persistent Identifierhttp://hdl.handle.net/10722/247941
ISSN
2023 Impact Factor: 4.0
2023 SCImago Journal Rankings: 1.643
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, W-
dc.contributor.authorWong, C-
dc.contributor.authorWahab, S-
dc.contributor.authorBurns, T-
dc.date.accessioned2017-10-18T08:35:08Z-
dc.date.available2017-10-18T08:35:08Z-
dc.date.issued2016-
dc.identifier.citationThe 4th International Congress of Psychiatry (RANZCP 2016), Hong Kong, 8-12 May 2016. In Australian and New Zealand Journal of Psychiatry, 2016, v. 50 n. Suppl. S1, p. 131-132-
dc.identifier.issn0004-8674-
dc.identifier.urihttp://hdl.handle.net/10722/247941-
dc.descriptionThe supplement issue is the RANZCP Abstract book-
dc.descriptionOral Presentation-
dc.description.abstractBackground: Pressures to adhere to treatment (‘leverage’) refers to an informal practice whereby practitioners attempt to influence patients’ treatment adherence. Little is known about the use of leverage in community psychiatric services in Hong Kong. Objectives: To examine the prevalence of leverage in mental health care in Hong Kong and evaluate its association with patients’ sociodemographic and clinical characteristics. Methods: A pilot study was conducted from December 2014 to February 2015. Consecutive adult patients attending a local psychiatric centre for personalised care programme, with recovery-oriented multidisciplinary case management service for patients with severe mental illness (SMI), were recruited. Using structured interviews, the four commonest forms of leverage, in areas of finance, housing, criminal justice and child custody, were evaluated. In addition, their sociodemographic and clinical characteristics were collected. Participants were also interviewed with Perceived Coercion Scale, Insight and Treatment Attitudes Questionnaire, Brief Psychiatric Rating Scale, Global Assessment of Functioning, Conjoint CAGE and Montreal Cognitive Assessment. Findings: A total of 59 participants were recruited. Their mean age was 48.5 years, and two-thirds of them were men. On average, they have had SMI for 19.6 years. About 80% of participants were diagnosed as having schizophrenia. The remaining participants had either a depressive or bipolar affective disorder. Nearly half of the participants (N = 28) reported experiencing leverage. Financial leverage was the most commonly reported form of informal coercion (33.9%), followed by housing leverage (15.3%). Participants who were younger when they first came into contact with psychiatric services were more likely to report experiencing leverage (p < 0.05). Conclusions: Leverage is as commonly used in Hong Kong as in other developed countries. However, the pattern of leverage employed in different mental healthcare systems varies. Understanding leverage applied onto psychiatric service users will facilitate a closer consideration of their justifications and gives insightful perspectives to the mental healthcare planning and policy making in Hong Kong.-
dc.languageeng-
dc.publisherSage Publications Ltd. The Journal's web site is located at http://www.uk.sagepub.com/journals/Journal202095-
dc.relation.ispartofAustralian and New Zealand Journal of Psychiatry-
dc.titlePressure to adhere to treatment in Hong Kong mental health care - A pilot study-
dc.typeConference_Paper-
dc.identifier.emailChan, WC: waicchan@hku.hk-
dc.identifier.authorityChan, WC=rp01687-
dc.description.natureabstract-
dc.identifier.hkuros281512-
dc.identifier.volume50-
dc.identifier.issueSuppl. S1-
dc.identifier.spage131-
dc.identifier.epage132-
dc.identifier.isiWOS:000375591600310-
dc.publisher.placeUnited Kingdom-
dc.customcontrol.immutablejt 2017-11-10-
dc.identifier.partofdoi10.1177/0004867416640967-
dc.identifier.issnl0004-8674-

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