How recovery oriented are mental health services in Hong Kong? Snapshots of service users' perspectives

Tsoi, Emily W. S.; Lo, I.; Chan, Cato; Siu, Ken; Tse, Samson

doi:10.1080/02185385.2014.885211

Cited by 8 publications

(10 citation statements)

References 28 publications

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“…Perhaps this is unsurprising, given the historical reliance of the Hong Kong mental health system on a disease model. While the social model of health has become increasingly influential in most western countries, many scholars believe that a focus on the bio-medical understanding of health continues to dominate the discussions of health service design and delivery in Hong Kong (Schoeb 2016, Tsoi et al 2014. Applying a cultural lens, it is clear that authoritarian tendencies are deeply rooted in Chinese culture (Tse et al 2015, Yip 2004.…”

Section: Discussionmentioning

confidence: 99%

“…, Tsoi et al . , Williams and Smith ). These shared and non‐shared attributes form the basis of our rationale for analysing and comparing policy in the two settings.…”

Section: Introductionmentioning

confidence: 95%

“…Despite the obvious differences between what are often described as 'Western' and 'Eastern' cultures, the publicly funded health and social service systems in NSW and Hong Kong have both retained some remnants of an original British colonial governance system. More importantly, in both settings, the related discourses of 'personalisation' and 'recovery' have become broadly influential, and many of the programs funded and delivered within the two systems increasingly draw upon these discourses (Davidson and Tse 2014, Lloyd et al 2004, Tsoi et al 2014, Williams and Smith 2014. These shared and non-shared attributes form the basis of our rationale for analysing and comparing policy in the two settings.…”

Section: Introductionmentioning

confidence: 99%

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Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia

Cui

Lancaster

Newman

2019

Sociology Health & Illness

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Constituting ‘social problems’ in particular ways has a range of effects, including for how subjects are positioned within policy and discourse. Employing an approach grounded in poststructuralist and social constructionist thinking, this analysis interrogates how the subjects of mental health care were constituted and problematised in mental health policies in two distinctive contexts, unsettling the taken‐for granted assumptions which underpin these problematisations. Two policies were selected for analysis as exemplar pieces of mental health policy reform in Hong Kong and New South Wales (NSW). Subjects were constituted as ‘patientised’ individuals (in Hong Kong) encouraged to depend on professionals who help them reintegrate into the ‘normal’ community, and as ‘traumatised’ individuals (in NSW) expected to take responsibility to guide the delivery of mental health care and respected as a part of diversity in community settings. While both policies constituted subjects as ‘unwell individuals’ and enacted ‘dividing practices’, subjectivities were shaped by distinctive cultural and socio‐political contexts. This analysis shifts our attention away from a focus on the effectiveness of policy solutions to the heterogeneity and contingency of policy ‘problems’ and ‘subjects’, opening up new possibilities for ‘out‐of‐the‐box’ policy responses to mental health.

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Section: Discussionmentioning

confidence: 99%

“…, Tsoi et al . , Williams and Smith ). These shared and non‐shared attributes form the basis of our rationale for analysing and comparing policy in the two settings.…”

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia

Cui

Lancaster

Newman

2019

Sociology Health & Illness

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“…26 Mental health service providers in Hong Kong have adopted the recovery-oriented approach. [27][28][29] Various recovery programmes have been developed in inpatient, day-care, and outpatient services and in social service provided by non-governmental organisations. Patient involvement in the programmes is increasing, and trained patients can be facilitators and peer-support workers.…”

Section: Introductionmentioning

confidence: 99%

Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

Cheng

Leung

et al. 2020

East Asian Arch Psychiatry

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Objective: To determine the prevalence of traumatic experience (TE) among patients in psychiatric settings in Hong Kong and the associations between TE, levels of distress, and anxiety and depressive symptoms. Methods: 129 patients who have received inpatient psychiatric services were recruited. Their lifetime TE was assessed using the Life Event Checklist (LEC), and TE in psychiatric settings using the Psychiatric Experiences Questionnaire (PEQ). Their level of distress symptoms was assessed using the Impact of Event Scale-Revised (IES-R), and the level of anxiety and depressive symptoms using the Hospital Anxiety and Depression Scale (HADS). Results: The prevalence of direct and indirect TE was 84.5%, as was the prevalence of TE in psychiatric settings. Common TE in psychiatric settings included witnessing another patient being taken down (61.2%), being put in restraints of any kind (41.1%), and witnessing another patient being physically assaulted by another patient (36.4%). TE in psychiatric settings associated with high prevalence of severe or extreme distress 1 week after the event included being forced to take medication against their will (52.2%), being threatened with physical violence (52.2%), and experiencing a physical assault (50.0%). Lifetime TE (the total number of LEC items reported) was associated with severity of distress, and anxiety and depressive symptoms, whereas TE in psychiatric settings (the total number of PEQ items reported) was associated with severity of distress only. The total number of LEC items reported is the only predictor of levels of distress, and anxiety and depressive symptoms. Conclusions: Lifetime TE and TE in psychiatric settings are common among patients with SMI. Traumainformed care is suggested for mental health services.

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“…A study using peers as “informed peer supporters” in psychoeducation showed that they brought several benefits to individuals newly diagnosed with BD, including the provision of emotional support, practical strategies for illness management, the encouragement of positive relationships with mental health services, and the provision of a role model for treatment adherence [28]. The studies reviewed above mainly come from Western countries; studies focusing on the experiences of those receiving peer support service in non-Western regions, such as Hong Kong, Taiwan, and Singapore, or lower-middle-income and low-income countries (e.g., India, Uganda, and Tanzania) are in early stages [12, 43, 44]. It is uncertain how expert-by-experience knowledge is viewed in Chinese culture and how PSWs are perceived in the existing mental health system.…”

Section: Introductionmentioning

confidence: 99%

Combining technical and expert-by-experience knowledge in the quest for personal recovery from bipolar disorder: a qualitative study

et al. 2019

Self Cite

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BackgroundKnowledge construction is a form of communication in which people can work individually or collaboratively. Peer support services have been adopted by the public psychiatric and social welfare service as a regular form of intervention since 2015 in Hong Kong. Peer-based services can help people with bipolar disorder (BD) deal with the implications of the diagnosis, the way in which individuals with BD receive treatment, and the lifestyle changes that take place as a result of the diagnosis. Through a qualitative paradigm, this study aims to examine how individuals with BD use technical and expert-by-experience knowledge.MethodsA total of 32 clients of mental health services were recruited from hospitals, Integrated Community Centers for Mental Wellness, and non-governmental organizations. They participated in semi-structured individual interviews. All interviews were recorded, transcribed verbatim, and analyzed using thematic analysis with the aid of NVivo. The findings were verified by peer researchers.ResultsThree main themes are presented in this article, including how clients made sense of the knowledge provided by mental health professionals and peer support workers (PSWs), critical perspectives about peer support services, and the way in which the services are more than knowledge transfer alone. Participants generally indicated that knowledge sharing revolved around three experiences: mood changes, medications, and sense of hope. Nevertheless, an empathic understanding of the clients’ experience was more important than the sharing of knowledge. Some clients perceived medication as the chief means to recovery, so PSWs were not useful for them. However, PSW role models had an effect beyond mere knowledge transmission, as they could promote clients’ pursuit of functional recovery goals.ConclusionsThe present study has improved our understanding of knowledge sharing between clients with BD and health professionals or PSWs, which should take place in an empathic and hope-instilling manner. It has also emphasized the value of the presence of a role model who can speak convincingly with clients to facilitate recovery. The present findings can be used to improve the care of people with BD by generating important guidance with regard to enhancing the knowledge exchange between clients and health practitioners.

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How recovery oriented are mental health services in Hong Kong? Snapshots of service users' perspectives

Cited by 8 publications

References 28 publications

Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia

Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia

Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

Combining technical and expert-by-experience knowledge in the quest for personal recovery from bipolar disorder: a qualitative study

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