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Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University E-mail: [email protected]

Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

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Page 1: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

Comment and Review of Youth Mental Health Service in Hong Kong

Professor Kam-shing YIPDepartment of Applied Social ScienceThe Hong Kong Polytechnic University

E-mail: [email protected]

Page 2: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

A Lesson from the U.S.A

The vulnerable group The continuum of care Effective Intervention Related Professionals

Page 3: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

The vulnerable group in Hong Kong A trend of increase in substance abuse and

substance induced mental illness (dual diagnosis) Victim of family violence and abuse Examination stress, Depression and anxiety

disorder Internet addiction and social isolation School Bullying and first onset schizophrenia Loss of attachment and Borderline Personality

Disorder Sex transmitted Disease and Gender identity

problems (Co-morbidity of Mental illness)

Page 4: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

The continuum of care in Hong Kong The problem of mixing with adults with chronic mental

illness in institutionalized services The problem of disease oriented medical treatment,

hospitalization detoxification, harm reduction and social control

The future and career of young adult chronic homeless mental patient

Fragmented case management system (every party care or no one care)

Dichotomization of service (service for adults with chronic mental illness vs service for youth free from mental illness)

Insufficient articulation of community integration, normalization of youth with mental health problems

Page 5: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

Effectiveness of Intervention in Hong Kong Strengths Based Intervention Vs Problem/ Disease

Orientation Intervention Client subjective experience Vs Problem based objective

assessment and control Adult private practice model Vs adolescent public service

model Involvement of parents and significant others in

Intervention Vs Victimization of youth and adolescents in mental health problem

Common factors of psychotherapy (empathy, relationship, client motivation) vs specific skills and techniques in intervention model

A touch of cultural difference and youth subcultures A note of effectiveness (client, worker, parent, short term,

long term, holistic or scale oriented effectiveness articulation)

Page 6: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

Related Professionals in Hong Kong Multidisciplinary Vs Mon-disciplinary

team Dynamics and cooperation in

multidisciplinary team Medicalization, bureaucratization and

Legalization of social work professionals Insufficient training and competence in

working with adolescents and youths with mental health problem

Page 7: Comment and Review of Youth Mental Health Service in Hong Kong Professor Kam-shing YIP Department of Applied Social Science The Hong Kong Polytechnic University

A Note on Dilemmas of Future Development

Crisis Intervention Vs/& Holistic Development

Individual Services Vs/& Multidimensional Services

Disease oriented Intervention Vs/& Strengths Based Intervention

Private Adult Practice Model Vs/& Youth public service intervention model

Resource Consuming Model Vs/& Resource Generation Models