2What is PTSD? Post-Traumatic Stress Disorder People experienced or witnessed the trauma of a major security threat to life or accident.Great fear and other psychological and physiological reactions.If the reaction continues over a month, it can affects the normal living, post-traumatic stress reactions will become disease.
3PTSD-Order of severity Non-PTSDAcute stress disorder less than one month1-3 monthsAcute PTSD in the acute stage of active treatment if the case can reduce the risk of developing a chronic PTSD3 months or moreSymptoms of chronic PTSD for a long time, you may need a longer time and more in-depth of treatment. And is likely lead to other psychiatric symptoms.
4What is a traumatic event? The events can not be expected to make experience and feel the life or physical safety of bystanders threatened event.Here are some examples:-Sexual assault (性侵犯) -Suffering from life-threatening diseases(患上威脅生命的疾病) -Violence (暴力) -Huge natural disasters, such as tornadoes, storms, earthquakes and tsunamis (巨大的自然災害，如龍捲風、暴 風、地震和海嘯) -Childhood abuse or witnessing domestic violence
5Symptoms Intrusive memories Flashbacks Event see again and again Upsetting dreams about the traumatic eventAvoidance & Emotional numbingTrying to avoid thinking or talking about the traumatic eventHopeless about the futureMemory problemsDifficulty maintaining close relationshipAnxiety & Increased emotional arousalTrouble sleepingHearing or seeing things those aren’t thereSelf-destructive behaviour
6An allergic reaction (過敏反應) SingsRepeat experience(重複經歷)Consciously recalled the incidentWill feel the sound, image and body sensationAt the night timeEscape(逃避)Avoid any person, places and things that related to the incidentsChange their habits and the lifestyleAn allergic reaction (過敏反應)Physical and mental health of the patients are on the alertEasily rouse suddenly from sleepIn addition three types of symptoms,the patients generally have more anxiety, easy to anger and confusion,loss of interest in the activity, perceived inability to concentrate, feeling depressed and helpless.Some patients may experience headaches, stomachaches or other physical symptoms.
7Therapeutic Equipment Individual psychotherapyOnly treat one patientMore easy to talk about his/her feelingsCorrect techniques and cognitive behaviour to reduce the patients' s fears and concernsFamily therapyHelp the family members to give supports the patientsHelp them deal with their feelingsSupport groupsMembers that had same experienceShare their feelings and experience through the right way
8(認知行為治療)PsychotherapyHelps patients to understand the thoughts and feelingsHelping the patients to alleviate the psychiatric symptomatology by listening, explaining and providing perspective and supportRelaxation trainingAfter the incident the patient is hard to relax themselvesPhysical trainingDo more exercise is the best way for them to release stressMedicationUsed include lithium carbonate, carbamazepine and valproateTreated with mood stabilizes
9Psychological Health care services- Public ~ Hospital Authority Allow effective utilization of staff and resources by allocating to appropriate treatment area according to their conditionsProvide documentation patients’ condition, time of triage and preliminary treatment given in triageCommunity Psychogeriatric and Psychiatric TeamsCommunity Medical Services-Providing designated care and rehabitation programmers to psychogeriatric patientsPalliative Care ServiceProvide total care for the terminally-ill through the following inter-disciplinary efforts. Includes:1) Psychological counseling and support to patients2) Arrange and co-ordinate social and recreational activities for patients3) Spiritual support
10Psychological Health care services- Private~ Precious blood hospital Only one time for each of two doctorsJust in the morningCons3/12 of private hospitals offer psychiatry clinics can’t affordInadequate services hours for supporting the need of mental patientsPronsProvide opportunities for the psychotics to recoverRaise public (psychotic) awareness
11Psychological Health care services- The non-government organization The United Christian Nethersole Community Health Service (基 督 教 聯 合 那 打 素 社 康 服 務 UCN )Established in 1972providing preventive medicine & clinical service , Chinese medicine service, mental health & social service etc.
12The non-government organization- Mental health & social service Providing : clinical psychology, emotional health education, health promoting school project, good neighbour network, integrated home care service, day care centre for the elderly.Good Neighbour NetworkActivities and provide pick-up services to patients with chronic illness.Increase their knowledge about the mood disorders.
13Mental health & social service Emotional Health EducationTo promote emotional health and positive living in the community, improve their quality of life.To prevent emotional diseases.To provide method to anyone who have emotional problem and their relatives the method of helping themselves, strength their ability to cope with difficult.To provide training for professionals, help them assist their services receivers to handle emotional problem.
14Psychological Health care services- Other non-government organization ( providing mental health service )Hong Kong Christian ServiceHong Kong Mood Disorders CentreSociety for Community OrganizationUnited Centre of Emotional Health & Positive LivingBaplist Oi Kwan Social ServiceCaritas Family Service UnitChristian Family Service Centre
15Psychological Health Care Services In Hong Kong(advantages) Health care workers discharged patients subject to treatment and rehabilitation needs, arrange them in psychiatric clinics or psychiatric day hospital for follow-up treatment, or by community psychiatric nurses to provide outbound services.Also take into account the welfare of discharged patients, refer their cases to the resident medical social workers to follow up and refer them to apply for rehabilitation services and community support services.The HA will arrange for community psychiatric nurses to follow up on these priority categories of high-risk patients to provide a special follow-up after discharge, including home visits in advance.
16Psychological Health Care Services In Hong Kong (Inadequates) Mental patients to public hospitals for outpatient waiting a long time, and treatment time is short, the problem getting worse.Statistics show that Hong Kong is only about 300 psychiatrists, less than 2,000 psychiatric nurses and psychiatric beds in public hospitals only about 3,600.Lack of medical resources, enough for a small number of patients to be hospitalized for observation.Tai WanHong Kong
17Psychological Health Care Services In Tai Wan(advantages) Starting as early as 75 years, already begun to promote prevention and treatment of mental illness.Since 86 years, the comprehensive promotion of community mental health care plan.Before 2010 Mental health care from outpatient, emergency, intensive care unit, acute wards, chronic wards, rehabilitation wards, day hospital, community rehabilitation center, home to the rehabilitation of self-contained health care system covers the complete set of.
18Psychological Health Care Services In Tai Wan (Inadequates) Few people are willing to become a medical graduate psychiatrists, services for psychiatric patients.Government health administration departments responsible for the lack of mental health and mental health promotion agencies, mental health and social welfare insurance bill yet to see.Mental health facilities is a serious shortage of manpower and budget.Home treatment services still partial to the "hospital-based“ service type due to unequal distribution of medical resources.
19Do & Don't ( patients )DoTell them something that not under our controlAccept the situationKnow that it is already pastDon'tDon't talk about this ( because it may still recall)Avoid dating with othersDon't think that I shouldn't still alive
20Preventions Do Listen to them patiently Tolerate and forgive them spend time with them >let them to understands they are cared and loved e.g. family days> closer relationship>relieve depression and other negative emotions > build up positive emotionDon’tDon't force them to look back what awful things they experiencedIrritate and motive them
21Hong Kong Mental Health Care Services Our suggest-Hong Kong Mental Health Care ServicesMore training to doctors and nursesImprove the mental publicityDevelopment of working hoursActively develop mental health servicesTo have a longer treatment time, it can be in-depth understanding of the psychological status of patientsThe outpatient waiting time is too long The government should have had more social workers counseling patients temporarily
22Our Feeling Crosses modules (psychological health and health services) Can train our thinking and hence apply our knowledgeUnderstood the health care services more deeply because the applied learning course