MENTAL HEALTH BULLETIN [Buletin Kesihatan Mental] Persatuan Kesihatan Mental Malaysia PATRON: TOH PUAN DATO’ SERI HJH. DR. AISHAH ONG AUGUST 2015 (2/2015) KDN PP/5342/02/2013 (031842) INSIDE THIS MONTH’S ISSUE: MMHA – A Glimpse of its Past An interview with one of the earliest life members of MMHA—Page 8 Electronic Nicotline Delivery Devices (ENDS) or E-cigs What is ENDS ? Is it safe? An article by Associate Professor Dr Amer Siddiq Amer Nordin HAPPENINGS IN MMHA -Pages 5-6 MMHA activities and events - Pages 10—11 MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 1 CONTENTS: President’s message Pg 3-4 Music for Mental well-being by Lum Khay Xian Pg 4 Electronic Nicotine Deliver Devices by Dr Amer Siddiq Amer Nordin University Malaya Centre of Addiction Sciences (UMCAS) Pg 5-6 Q and A on Substance Abuse by Dr.Anne Yee and Assoc. Prof. Dr. Ng Chong Guan (UM, UMMC) Pg 6-7 MMHA – A Glimpse of its Past by Datin Dr Ang Kim Teng Caring for the Future of Loved Ones with Serious Mental Illness - Dato’ Dr Yaacob Hussain Merican & Mdm. Ong Su-Ming Happenings in MMHA EDITORIAL Advisor Datin Dr. Ang Kim Teng Pg 8 Editor Pn. Fazlin Badri Pg 9 Assistant Editor Lum Khay Xian Pg10-11 Editorial team Sponsorship form Dr. Eileen Nadarajah Nurhijjah bt. Mat Zin Santa Kumarie Chin Chi Onn Pg 12 MMHA Management Committee Committee Members : 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. 7. President Dep. President V. President (1) V. President (2) Hon. Sec. Gen. Hon. Treasurer - Mr. See Cheng Siang - Dato’ Dr. Andrew Mohanraj - Mdm. Poh Kim Pheng - Dr. Ng Chong Guan - Datin Dr. Ang Kim Teng - Mdm. Lee Siew Bee Dr. Eileen Nadarajah Dr. Anne Yee Dr. Ivan Thomas Pn. Fazlin Badri Mr. Harp Singh Datin Seri Aleena Abdullah Mdm. Mala T. Davi Publisher: Malaysian Mental Health Association, MMHA Office: 8 Jalan 4/33, off Jalan Othman, 46050 Petaling Jaya Telephone: 03 7782 5499, 03-77825499 , Fax: 03-7783 5432 , Email: admin@mmha.org.my Website : http://mmha.org.my/ All rights reserved. Requests for bulletin or permission to reproduce or translate MMHA Mental Health bulletin – whether for sale or for noncommercial distribution – should be addressed to MMHA as above. Views expressed by the individual authors may not necessarily reflect that of MMHA. MMHA does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 2 PRESIDENT’S MESSAGE MMHA held its 40th Annual Gen- Although psychiatric service is now available in many gov- eral Meeting last May although it ernment hospitals and in the private sector, service for the has been 47 years since its official mentally ill is more than psychiatric treatment. Some ill- th registration on 30 July 1968. This nesses will benefit from supportive psychotherapy and gap in the history of MMHA may counseling. However, this is very lacking in government be interesting to explore further. hospitals (except university hospitals) and not many can afford such expensive therapies in the private sector. It has been a long journey since its establishment. The MMHA will be providing psychotherapy service in a small founding members would have been proud that they had way starting this August. This service can be expanded if left a legacy that is even more needed today, as mental there is sufficient funding. health becomes an increasingly important health concern. When MMHA was first established, it was to provide sup- We want to thank our donors from among the public, corpo- port and rehabilitation to patients who were discharged rations and the Government (Ministry of Health Malaysia from the hospital for serious mental illness. Today, the and Social Welfare Department) for the grants provided to role of MMHA has gone beyond serving the mentally ill, us. We will strive to do our best to provide better service for but encompasses caregivers, the local community and gen- those who need them, and to work with the Ministry of eral public as a whole. It is also beyond providing psycho- Health to promote better mental health for people in Malay- social rehabilitation to those recovering from serious men- sia. tal illness, but also towards caregiver and public education, promoting mental wellbeing as well as advocacy for the mentally ill. 会长的讯息 虽然马来西亚精神健康协会(MMHA) 注册于1968年7月 30日, 成立至今已有47年, 然而MMHA于今年五月 召开的却是第40周年年度会员大会, 在MMHA的历史上 这一差距是值得我们进一步探索的。 MMHA成立至今可谓是一次漫长的旅程。随着人们越来 越重视精神健康,我们协会的创办人应该为他们所留下 在现今社会中更被重视的遗产而感到骄傲与自豪。在 MMHA成立之初,它是为提供刚出院的精神病患者辅助 及协助他们朝复原之路前进。今时今日,MMHA所扮演 的角色不仅限于协助与为精神病患者服务,而也延伸至 精神病患的照护者、当地社区居民及民众。此外, MMHA除了提供精神病患者康复护理服务,同时也给予 精神病患者的照护者及大众精神健康方面的教育,促进 精神健康以及提倡与维护精神病患者的权益。 Mr. See Cheng Siang, President, Malaysian Mental Health Association 尽管许多政府医院及私人诊所已有提供精神病治疗服务, 但精神病患者所需要的服务却不仅是精神疾病药物治疗。 事实上,有些精神疾病患者也透过辅助性心理治疗及辅导 获益良多,进而让病情好转。然而,除了教学医院之外, 许多政府医院都缺乏心理治疗及辅导支援,而且只有少数 人能负担得起私人诊所昂贵的心理咨询费用。因此, MMHA将于今年八月开始提供心理治疗。 若有足够的资 金,我们将扩充此服务。 在此,我们衷心感谢大众、各公司与政府(马来西亚卫生 部及社会福利部)的捐助。我们会尽心尽力地向有需要的 人伸出援手及提供更完善的服务,并与政府携手合作以提 升马来西亚人民的精神健康。 Mr. See Cheng Siang 会长, 马来西亚精神健康协会 MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 3 PERUTUSAN PRESIDEN MMHA telah mengadakan mesyuarat Agung tahunan yang ke-40 pada penghujung Mei yang lalu walaupun ianya telah ditubuhkan secara rasmi sejak 47 tahun lalu pada 30 July 1968. Jurang yang wujud adalah sejarah yang perlu dikaji lanjut. Persatuan ini telah lama ditubuhkan. Kumpulan pengasas MMHA pasti sangat berbangga dengan legasi yang telah mereka tinggalkan, yang mana isu kesihatan mental menjadi makin penting di masyarakat. Pada awal penubuhan MMHA, tujuan utama adalah untuk menyediakan sokongan dan pemulihan kepada pesakit mental yang telah keluar dari hospital kerana penyakit mental yang serius. Masa kini peranan MMHA telah melangkaui bukan sahaja menyediakan perkhidmatan kepada pesakit bahkan memberi bertumpukan kepada penjaga, masyarakat setempat dan seluruhnya. Ia juga melangkaui perkhidmatan psikososial kepada pesakit yang dalam proses pemulihan tetapi pendidikan kepada penjaga pesakit dan masyarakat, membantu selia pencarian kerja klien, mempromosi kesejahteraan mental dan juga memperjuangkan hak pesakit mental. Walaupun perkhidmatan psikiatrik disediakan di kebanyakan hospital kerajaan dan klinik swasta, perkhidmatan bagi pesakit mental seharusnya tidak hanya ter- tumpu sekadar rawatan semata. Sesetengah pesakit akan menerima lebih manfaat daripada sokongan psikoterapi dan kaunseling. Walaubagaimanapun perkhidmatan ini masih kurang di hospital kerajaan (kecuali hospital universiti) dan kebanyakkan orang mungkin tidak mampu untuk mendapatkan perkhidmatan yang mahal ini dari sektor swasta. MMHA akan menyediakan sesi psikoterapi pada skala kecil sebagai permulaan bermula pada Ogos ini. Perkhidmatan ini boleh dikembangkan lagi bergantung kepada kedudukan kewangan dan sokongan penderma. Kami ingin mengucapkan terima kasih kepada dermawan dari kalangan orang awam, pertubuhan dan juga pihak Kerajaan ( Kementerian Kesihatan dan Jabatan Kebajikan Masyarakat) dengan sejumlah geran yang diberikan. Kami akan terus berusaha untuk memberikan perkhidmatan yang lebih baik untuk mereka yang memerlukan, serta bekerjasama dengan pihak Kementerian Kesihatan untuk mempromosi kesihatan mental yang lebih baik untuk Masyarakat di Malaysia. Encik See Cheng Siang, Presiden, Malaysian Mental Health Association Music for Mental Well-Being Music has been an important component of life across different cultures, but do you know that music could be used as a medium to achieve therapeutic goals in mental health? The monthly public education talk, Music in Mental Health, was given by Dr. Indra Selvarajah, a music therapist and lecturer from the Music Department of University Putra Malaysia, on 27th June (Sat) in MMHA. About 40 people attended the talk, which was very interactive with many questions from the audience. Dr. Indra gave a brief introduction on how music therapy is aligned with primary psychiatric treatment. She also provided an insight on how music can be used in mental health as an alternative to sedative medication, stabilizing one’s thoughts and emotions as well as stimulating an individual’s interest and engagement in activities. The talk has indeed broadened the audience’s horizon and deepened their understanding towards the therapeutic use of music in promoting mental health. Given that recent emphasis in mental health care on ‘coping with’ rather than ‘curing’ mental disorder, the exploration of healthier and more positive use of music in promoting mental health would continue to benefit the community. Submitted by: Lum Khay Xian MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 4 Electronic Nicotline Delivery Devices (ENDS) or E-cigs Associate Professor Dr Amer Siddiq Amer Nordin Of late, there has been much ado about ENDS being discussed in both social media and also mainstream newspapers and magazines. Some of the news have been about the positive use of these devices as a method to quit smoking whilst others touch upon the dangers of using these devices. Which of the two is the real news? Are they safe to be used on their own or as an option to quit smoking? What are the harms of ENDS? Should we be worried? Should the relevant authorities do something about this ‘menace’ before it is too late? What is an ENDS? ENDS are electronic delivery devices which deliver nicotine to the user. These devices have three main elements – a mouthpiece, a heating element normally attached with a battery and reservoir to store the nicotine or flavored solution known as e-juice. When the user sucks onto the mouthpiece, the suction behavior causes the reservoir containing the e-juice to make contact with the heating element to release a mist known as vape. Vapes are not smoke as there are no combustibles in an ENDS but are a mist of heated e-juice. Can they be used to quit smoking? For the record, in Malaysia there are no ENDS that have been approved to be used as quit smoking devices. In other countries, ENDS have been touted as a replacement for cigarettes and a potential quit smoking aid, but have not been approved for the latter. The main issue with ENDS are that they are not regulated as medical devices and therefore cannot be promoted as a quit smoking aid. Without regulation in its current form, e-juices are not subject to any form of quality control; therefore, both the dose of nicotine present in the liquids and the stability of its content when heated up have yet to be quantified and verified. At present, two studies have looked at the use of ENDS as a quit smoking aid. Both efforts are hopeful indicatives, however, they were small in participants and the devices used are now obsolete. Therefore, we are not yet at liberty to recommend or suggest the use of ENDS as a quit smoking aid. (Refer to the picture below) Are they safe? This is a contentious issue and source of much debate. As we have highlighted earlier, these products are unregulated and therefore do not go through the normal check-andbalance of regulation. As a result, the onus on using is passed to individual users. To date, a recent Cochrane review of current evidence on safety was inconclusive on its safety to health in the long term, however, current evidence suggest that they are safe in the short term. The use of propylene glycol in ENDS has been the main safety concern as the effects of inhaling this product to the lungs is unknown. There are studies that have found toxins to still be present in ENDS, though their concentration is significantly lower compared to conventional cigarettes. … Continues next page MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 5 ….. Continued from previous page. Should we be worried? Nicotine is the mainstay of addiction towards cigarettes. Nicotine is found in tobacco and was traditionally introduced to individuals through smoking cigarettes, waterpipes, cigars or pipes. In a small number of individuals, it was introduced through chewing of tobacco. With the introduction of ENDS, we are now faced with a new problem of nicotine introduction, a problem we did not previously have. Of specific concern is the growing use of ENDS among children. As it is not yet regulated in Malaysia, there are no specific laws to prohibit the use or selling of ENDS to minors. Thus, nicotine can potentially be introduced to children through this explicit loophole. Also, ENDS users have the choice to introduce greater quantities of nicotine on each use. E-juices are often sold with higher nicotine content compared to conventional cigarettes, although their absorption is comparable to conventional cigarettes as nicotine delivery is less efficient through vaping in contrast to combusting tobacco. It is important to note however, that nicotine is a class C poison and is regulated through the Malaysia Poison Act in Malaysia. Sellers of nicotine are committing a crime by selling without a permit and can be charged for this offence. Yes. In my opinion, we definitely should. In fact, considering the many uncertainties presently available, we should be especially worried about the growing trend of ENDS in Malaysia. There appears to be little directive on its use at present; thus, the relevant authorities need to act and act swiftly in regulating these products. In particular, should they not be banned, they need to be regulated similarly to cigarettes whereby selling to minors and vaping in public is not allowed. They also need to undergo thorough product safety checks to prevent unwanted incidents. As it is, a number of reports have surfaced on END devices blowing up on their users causing burns towards the oral mucosa and facial regions. More recently, there are newer reports of users using the END devices to heat other substances of abuse such as cannabis and amphetamines. Dr Amer Siddiq Amer Nordin University Malaya Centre of Addiction Sciences (UMCAS) Asso. Professor, Consultant Psychiatrist and Addiction Medicine Specialist Coordinator, Nicotine Addiction Research & Collaborating Centre, UM Smoking Cessation Specialist, Fellow, Yongin WHO Collaborating Centre (Psychosocial Rehabilitation) ,Doctor of Philosophy Student (National Addiction Centre, University of Otago, Christchurch) Q & A ON SUBSTANCE ABUSE By Dr. Anne Yee and Assoc. Prof. Dr. Ng Chong Guan (UM, UMMC) Q1. What are the substances that people abuse in Malaysia? The most common is Tobacco use. In Malaysia, the prevalence of smoking among men, according to the Global Adult Tobacco Survey 2011, is more than 40%. That means that for every two Malaysian men, one will be a smoker. Every year, 20,000 Malaysians die due to smoking related diseases such as lung cancer and cardiaovascular diseases. Many more are left with a whole range of health morbidities due to their smoking habit. More recently, there is increasing concern on the environmental harm of smoking. Others common substances use by Malaysians are alcohol, cannabis, opioid, methamphetamine, amphetamine, designer drugs, ecstasy, benzodiazepine (sleeping pills) and inhalants (glue). 2. When does a substance use become an abuse ? A person is said to suffer from substance use disorder when he or she has a maladaptive pattern of substance use over a period of time (12 months or more), with at least one of the following characters: Use large amount of the said substance, or for a prolonged duration without successful attempt to cut down or control its use Great deal of time spent in obtaining or using the substance Crave for the substance Unable to fulfill their duties (work, school, home) Encounter social or interpersonal problems caused by substance use Give up usual social, occupational or recreational activities Tolerance (larger amount of the substance needed to achieve the same effect) Withdrawal (physical or psychological discomfort after abrupt discontinuation of the substance use) The disorder is deemed more severe when the person experiences more symptoms as mentioned above. … Continues next page MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 6 ….. Continued from previous page. 3. Why does one develop substance use disorder? Over the years, there are many conceptual models to explain the development of substance use disorder. Currently, the most acceptable model is the Bio-psychosocial model. In this model, substance abuse is seen from a broader manner, which includes biological, psychological and social factors. Substance use leads to various biological responses in the body that account for the tolerance and withdrawal side effects. Psychological factors such as lack of self-control, emotional turmoil and negative thoughts play a role in the formation of substance use. Lastly, social factors like work stress, peer pressure or peer influences are among other risk factors. The Biopsycho-social-spiritual model includes the spiritual component. This is a more holistic model that places emphasis on all areas essential to the development of personal well-being and integration. 4. What are some of the tests to detect substance abuse ? Medical detection – urine analysis can detect the pres HAVE YOU SUBMITTED YOUR STORY ? Don’t Miss Out on the Prizes ! SHORT ESSAY COMPETITION in conjunction with World Mental Health Day 2015 ence of certain drugs. Other methods include the use of breath analyzer and toxicology analysis of hair samples. Screening questionnaires such as CAGE, AUDIT (for alcohol), FTND(for tobacco use) and ASSIST (for all substances) 5. What are the treatment options for substance use disorder? The treatment of substance use disorder involves a biopsycho-social approach, which is similar to the treatment model for any other illnesses. There is an array of medical (biological) treatments available for all types of substance abuse, among the commonest one is Champix for smoking cessation. In the instances of substance related psychosis or mood disorder, antipsychotics, antidepressants or mood stabilizers are usually prescribed. Psychotherapy such as relapse prevention, motivational interview and cognitive behavioural therapy (CBT) are crucial in the management of substance use disorder. Last but not least, social intervention and support also play a crucial role in the treatment of substance use disorder, for example, Alcohol Anonymous, which is a peer support for alcohol abuser. 2-Day Intensive Course 3½-Day Caregiver Education Course FREE MMHA conducts both these courses from time to time. Tell your story about your struggle with mental ill-health or your experience caring for someone close to you with mental illness. The story should be aimed at creating better awareness on early recognition of the illness, on educating the public to be more positive in their attitudes towards mental illness, to dispel misconceptions/ stigmas related to mental illness or to inspire hope for those who are mentally ill or their caregivers. First Prize - RM 3,000.00 Second Prize – RM 1,000.00 3rd to 5th Prize – RM 500.00 Submission of essay Essay shall be submitted together with a competition form which will be available online (mmha.org.my) Closing Date : 15 Sept 2015. Find out more on the Rules of Competition. Check out at mmha.org.my, or call MMHA Tel : 03-77825499 Currently, the 3½-day course is running, starting on 8th August, and continues on 15th, 22nd and 23rd Aug. (English) The 2-day intensive course for Non-Caregivers will be on 12th & 13th September (English). Another 3½-day course in mandarin will be conducted in Oct (end) to Nov. 2015. Register early if you are interested. Limited place available. Please call MMHA or email to register. COURSE CONTENT Lesson 1: Introduction, riding the emotional journey Lesson 2 : Understanding Schizophrenia Illness Lesson 3 : Mood and Anxiety Disorders Lesson 4 : The Brain and mental illness Lesson 5 : Medication and compliance Lesson 6 : Communications - I, You Communications Lesson 7 : Handling Crisis Lesson 8: Recovery from Mental Illness Lesson 9 : Empathy Workshop (3½-day course) Lesson 10 : Problem Solving (3½-day course) Lesson 11 : Self Care for your wellbeing (3½-day course) Lesson 12 : Advocacy MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 7 MMHA – A Glimpse Of Its Past Datin Susheila McCoy, one of the earliest life members of MMHA and in her eighties decided to attend MMHA’s 40th Annual General Meeting on 24 May 2015. It was a pleasant surprise when she introduced herself at the end of the meeting, and this led us to reconnect with our past - on how MMHA was established. Tan ES had migrated to Australia many decades ago. Hence, this preliminary reconstruct from Datin Susheila, a colleague and close associate of Ms. Sushama in UH, who used to be actively involved in MMHA during its early days From what we gathered, the initial idea of forming MMHA was to cater for the needs of patients with serious mental illness who were discharged from the University Hospital. Day rehabilitation service was not started until several years later. Service for mentally ill persons were provided by volunteers during weekends. MMHA operated from rented premise and shifted several times until it moved into its own premise in 2000. According to Elsie, another medical social worker and current President of the Malaysian Medical Social Workers Association, one of the challenges faced by the Association was lack of people willing to join the Committee, or to lead the Organisation. This is understandable due to the stigma associated with mental illness, and mental health work is not as glamorous as some other Organisations. We (President and Secretary General) met up with Datin Susheila and Ms. Elsie Lee, a past president (1996/98) recently to find out more about MMHA’s early years. Unfortunately, records on the history of MMHA could not be found, probably lost in the process of several relocations of the office in the past, or destroyed by termite infestation during a period of time. The meeting was a first attempt to reconstruct the history of MMHA. More time is needed to check out on the work of MMHA in the early days from the Archives of the Registrar of Societies, and tracing those who were involved in the work of MMHA in those days. The founding of MMHA was a direct result of the opening of the University of Malaya (UM) University Hospital (UH) in 1968. According to Datin Susheila, two people were instrumental in the establishment of MMHA. They were Professor Dr. Tan Eng Siong, from the Psychiatric Department of MU’s Medical Faculty (established in 1964), as well as Ms. P.C. Sushama, a pioneer medical social worker in UH. Both worked together to lay the ground work for the formation of MMHA in 1967 and its official registration on 30th July 1968. It is unfortunate that both were not available to obtain further details on MMHA. Ms. Sushama passed away in April last year (2014), while Prof. MMHA has certainly grown in strength with the support of more people other than psychiatrist and medical related professionals. A number of caregivers have joined the Committee and are actively contributing to its growth. Donations from the public and grants from the Government and Corporate sector have enabled MMHA to employ full-time staff to manage the Organisation professionally. MMHA’s psychosocial rehabilitation service is ISO certified since 2007 and a half-way home, on an adjacent building, was opened in December 2012. MMHA will be celebrating its Golden Jubilee in 2018. We will piece together more details on the early days of MMHA in time for the occasion. This article then, is just a glimpse of the past. We wish to record our thanks to Datin Susheila and Elsie for providing us with some initial information on the formation of MMHA. We are also thankful to the founders of MMHA for their initiative and foresight. We will continue with the legacy and make MMHA the leading Mental Health NGO in Malaysia as envisaged by the founders. Story contributed by : Datin Dr. Ang Kim Teng MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 8 Caring for the Future of Loved Ones with Serious Mental Illness - Forum MMHA held a very interesting forum on Managing the Future of People with serious Mental Illness on 25th July. The topic was specifically chosen to address concerns of caregivers who worry about who would take care of their loved ones in the eventuality of their demise . The session was chaired by Dato’ Dr. Andrew Mohanraj, Deputy President of MMHA Dato’ Dr. Yaacob Hussain Merican, a consultant and advisor to an established legal firm in Kuala Lumpur, as well as secretary-general to the Kuala Lumpur Foundation to Criminalise War (KLFCW), spoke on legal planning to manage the future of persons incapacitated by mental illness. Madam Ong shared on how she purposefully planned and got her son to be involved in real life activities to make him independent should she be incapacitated or not around one day. It include : Getting him to be responsible for some basic needs e.g. buying provisions from the neighbourhood shop, picking up groceries from the supermarket, making muesli for breakfast, and so on. Taking over more and more domestic responsibilities, in all the tasks that keep a household going smoothly. Handling his personal administration : medication, appointments, filing of records. Handling money, banking affairs. Getting him involved in social projects she organized More recently, to be involved in end-of-life matters like accompanying her to attend funerals of close friends. Mdm. Ong Su-ming, a caregiver and Chairperson to KAMI (2003-2013), a Family Support NGO from Ipoh, shared on practical steps to prepare her son to be independent besides taking care of his future financial needs. Dato’ Yaacob emphasized the need for preventive planning for the future. He spoke on establishing an Enduring Power of Attorney that allows the caregiver to plan ahead and have a machinery in place to care for the loved one when the caregiver is no longer capable of doing so himself/herself. This could be in relation to financial affairs, estates, and others. The forum continued with a Q & A session where many interesting questions were posted to the speakers. Due to time factor, the details of making a Power of Attorney and will could not be discussed. It was felt that a separate session on the issues be organized to deliberate on this further. Overall, the session had been very useful to the audience where more than 50 people turned up. He also spoke on the importance of making a Will that is a legal document in which the caregiver declares his/her wish for the loved one and the distribution of his/her estate when he/she dies. He went on to explain the manner of estate distribution by law if there is no will, for Muslims and nonMuslims. On the execution of the will and the execution on the Power of Attorney, options include setting up of trustee to manage the estate on behalf of the loved one from among close and trusted family members. Alternatively, there are professional 3rd party trustees that can be engaged to manage the estate and finances on behalf of the loved one. [Explanatory note : A Power Of Attorney is a legal document that gives another person legal power to make personal decisions on your behalf. A Trustee, on the other hand, is a person or company appointed in a trust document to manage and disburse trust property]. MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 9 Happenings in MMHA 16th of June, Datin Dr. Ang gave a talk on Stress and Mental Wellbeing to the staff of Berjaya Times Square Hotel. Visit to Hospital Permai Tampoi on the 8th of June. The committee members in the picture from left - Datin Aleena, Mr. See (President), Dr. Ang & Mdm. Poh Kim Pheng Fun outdoor activities with our clients and interns A catch up with Mdm. Elsie Lee (our past president in 1996/98) and Datin Susheila, the earliest life member of MMHA. A big thank you to the students from Taylor’s Lakeside Campus who came and delievered a generous donation to MMHA. MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 10 Happenings in MMHA A Day trip to Putrajaya with Mr. Ong Su Ming and Mrs Muller, our volunteers, on the 14th of May. Our vice president, Mdm. Poh Kim Pheng was featured in the NTV7 Good Morning Tai Tai TV show to share her journey in supporting her son towards recovery from mental illness. On the 27th of June, a public talk entitled ‘Music Therapy in Mental Health’ was held. The speaker was Dr. Indra Selvarajah (music therapist). We are honoured to be one of the recipient for the Selangor Turf Club’s ‘A Heart for Charity’ Programme Mdm. Poh Kim Pheng, MMHA Vice President, was conducting the empathy workshop during our 2-day intensive workshop on Understanding Mental Illness. MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 11 PERSATUAN KESIHATAN MENTAL MALAYSIA MALAYSIAN MENTAL HEALTH ASSOCIATION 8, Jalan 4/33, off Jalan Othman, 46050 Petaling Jaya Tel: 03-77825499 Fax: 03-77835432 e-mail: admin@mmha.org.my Website: http://www.mmha.org.my TO: PRINTED MATTER PLEASE SUPPORT US The Malaysian Mental Health Association provides psychiatric rehabilitation service at our centre; conducts seminars and awareness programmes for the public and targeted population groups, as well as programmes for support group for clients and their families. For these, we depend on financial support from well wishers to ensure that our programmes can reach out to, and benefit, as many people as possible. What can you do to help make a difference? We need financial contribution to help us maintain our rehabilitation, advocacy and public education activities. As such, we appeal to you to support us by donating to the Malaysian Mental Health Association to help make a difference. PAYMENT DETAILS (Tax exemption permit No. 8278) I wish to make a one-time contribution of the following amount: RM_________________ Enclosed herewith cheque/Money Order No: ____________________________________ Pay direct to Malaysian Mental Health Association through our CIMB account No 800-231-3886. DONOR DETAILS PLEASE USE CAPITAL LETTERS Name : Mr/Ms/Madam___________________________________________________________________________________ Address :______________________________________________________________________________________________ ______________________________________________________________________________________________________ Town / City: _________________________State: _____________________________ Postcode:________________________ Tel No: ___________________________ Mobile No: __________________________ E-mail: _________________________ MMHA MENTAL HEALTH BULLETIN Aug. 2015 Issue 2/ 2015 12