This study evaluates the effectiveness of the strengths model of case management (SMCM) for people with severe mental illness in Hong Kong. This is the first controlled trial outside the United States to investigate the impacts of SMCM on caseworkers as well as service users alongside fidelity measures. Method: Service users and their caseworkers were recruited from three types of supported accommodation for this 12-month nonrandomized controlled trial. Mixed modeling was used to investigate within-subject differences. Results: Results indicated that SMCM was effective in helping users progress toward their recovery goals and in alleviating emotional exhaustion among caseworkers. However, it was ineffective in improving, hope, wellbeing, work alliance, and psychiatric symptoms. High intervention fidelity was associated with positive outcomes. Conclusions: Conceptually, SMCM has the potential to improve service users' functional but not personal recovery. It is also potentially conducive to the well-being of caseworkers.

Background: Chlamydia is common amongst the sexually active population in Hong Kong. As most cases are asymptomatic, partner notification may be helpful in controlling chlamydia. This study examined attitudes towards partner notification for chlamydia among Hong Kong Chinese youths in order to inform a culturally appropriate, patient-empowering sexual health service. Methods: Sixteen individuals (aged 20 to 31) who received a confirmed diagnosis of chlamydia within the previous twelve months of data collection were recruited from two community-based organizations between June and December 2017. Semi-structured individual interviews were conducted by a health psychologist. Results: Nine participants notified a total of eleven current and ex-partners. Seven participants did not notify their sexual partner(s). Our findings revealed how participants struggled with the discrediting sexual aspect of their infection, and how de-sexualizing the infection and selected disclosure facilitated partner notification and social acceptance. Perceived stigma regarding chlamydia however did not dissipate with their disclosure. Participants did not perceive lasting impact of chlamydia on their well-being as they thought they have much control over whether and how to disclose to their (future) partners. All participants agreed there was a pressing need to raise public awareness on this silent but highly prevalent sexually transmitted infection. Conclusions: Our findings illustrate the complex struggle behind communicating about chlamydia to one’s sexual partner and how strategizing the disclosure process served to circumvent embarrassment and foster testing of sexual partners.