A Critical Review on the Current Hong Kong Mental Health Issues Dr Chan Chung Mau Chairperson H K Association for the Promotion of Mental Health 2 Major tragic incidents involving mentally ill patients in Hong Kong • Un Chau Street Incident (1982) 3 Major tragic incidents involving mentally ill patients in Hong Kong • Kwai Shing East Estate Incident (2010) Repeated tragic incidents signify deficiencies in the current mental health care system 4 5 Current issues in mental health in Hong Kong Mental Health System • Current pitfalls in priority follow-up system • Lack of sufficient funding and a separate budget for mental health • Inadequate staffing and training levels • Underuse of newer-generation antipsychotics • Poor coordination amongst existing psychiatric services 6 Current issues in mental healthcare system in Hong Kong Mental Health System • Inadequate united community effort (within and cross different sectors) to lobby for a change in the current system and advocate government for improving mental health policy in Hong Kong Mental Health Policy • Lack of holistic view to tackle mental health problems for Hong Kong citizens • Lack of contemporary researches to analyze the mental health problems of Hong Kong • Neglect of long term mental health policy 7 Next step Short Term Appointment with the key stakeholders for improving mental health policy • Potential Candidates of Chief Executive • Key Members of Legislative Council • Secretary of Labor and Welfare Bureau • Secretary of Food and Health Bureau • Chief Executive of Hospital Authority Long Term New Initiative to establish the Mental Health Committee or Commission 8 Other Suggestions Reference Mental Health Committee and Commission NGO Committee on Mental Health Introduction The NGO Committee on Mental Health was established in 1996 under the auspices of the Conference of Non-Governmental Organizations (CONGO) in Consultative Status with the United Nations Economic and Social Council. The Committee's members represent a diversified constituency. The members include NGOs, individuals, the private sector, governments and representatives of the UN and its various agencies. • Source: The Conference of Non-Governmental Organizations in Consultative Relationship with the United Nations 9 Reference Mental Health Committee and Commission The Mental Health Standing Committee Introduction In 1991 the Australian Health Minister' Advisory Council (AHMAC) established the National Mental Health Working Group (NMHWG) to oversee the implementation of the National Mental Health Strategy (NMHS), and to provide a forum for cross-jurisdictional information exchange to encourage a consistent approach to the implementation of the NMHS. NMHWG also provided advice to the Commonwealth Minister for Health on expenditure of mental health national project funding. Source : the Health Policy Priorities Principal Committee 10 Reference Mental Health Committee and Commission Mental Health Commission of Canada Introduction The Mental Health Commission of Canada is a national non-profit organization created by the Canadian government in 2007 to govern issues relating to mental health and mental illness. The organization is governed by a board of directors including 11 nongovernmental directors. Seven of these directors are appointed by the government. This board will be assisted by eight advisory committees. Source: Mental Health Commission of Canada, Ottawa, Ontario 11 Reference Mental Health Committee Focus and Guiding Principles The focus of the Committee's advocacy centers around five critical areas: social development, human rights, the rights of persons with psychiatric disabilities, gender perspectives, peace building and social reconciliation. Promote a holistic approach to prevention, treatment and policy development; Promote positive attitudes about mental health; Promote mental health as essential in social development and peace-building; Promote relationships/partnerships within the UN system and with other NGOs; Promote mental health as a basic human right; Promote mental health throughout all the periods of the life cycle Source: The Conference of Non-Governmental Organizations in Consultative Relationship with the United Nations 12 Reference Early Stage for the Development of the Mental Health committee The Mental Health Committee is a monthly forum which enjoins mental health providers, allied public and nonprofit organizations, consumers, advocates, concerned citizens and others to discuss and share ideas which address mental health-related issues and advance policy and other important initiatives. Source: Empowerment Congress, Los Angeles 13 Reference The Mental Health Standing Committee • Membership • The membership is endorsed by the HPPPC. The MHSC, as a decision making committee to progress national policy and reform, members must have the ability to represent their jurisdiction/organisation. Chair (a Director of Mental Health appointed by the HPPPC) • Directors of Mental Health or equivalent in each state and territory • A representative from the Department of Health and Ageing (DoHA) • A representative from the Department of Veterans Affairs (DVA) • A representative from the Department of Families, Housing, 14 Community Services and Indigenous Affairs (FaHCSIA) Reference • The Mental Health Standing Committee • Membership • A representative from the private sector, currently nominated through the Private Mental Health Alliance (PMHA) • Chair of the Mental Health Council of Australia • A mental health consumer representative and a mental health carer representative. The Mental Health Council of Australia (MHCA) is requested to seek nominations from the co-chairs of the National Mental Health Consumer and Carer Forum for these representatives. The carer and consumer members must be representatives of consumer and carer organisations and are to each represent their constituency and not the MHCA. Source : the Health Policy Priorities Principal Committee 15