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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: ssksyip@polyu.edu.hk. A Lesson from the U.S.A. The vulnerable group The continuum of care Effective Intervention
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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: ssksyip@polyu.edu.hk
A Lesson from the U.S.A • The vulnerable group • The continuum of care • Effective Intervention • Related Professionals
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)
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
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)
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
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