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Psychological Health- Post-Traumatic Stress Disorder

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Presentation on theme: "Psychological Health- Post-Traumatic Stress Disorder"— Presentation transcript:

1 Psychological Health- Post-Traumatic Stress Disorder

2 What 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.

3 PTSD-Order of severity
Non-PTSD Acute stress disorder less than one month 1-3 months Acute PTSD in the acute stage of active treatment if the case can reduce the risk of developing a chronic PTSD 3 months or more Symptoms 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.

4 What 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

5 Symptoms Intrusive memories Flashbacks Event see again and again
Upsetting dreams about the traumatic event Avoidance & Emotional numbing Trying to avoid thinking or talking about the traumatic event Hopeless about the future Memory problems Difficulty maintaining close relationship Anxiety & Increased emotional arousal Trouble sleeping Hearing or seeing things those aren’t there Self-destructive behaviour

6 An allergic reaction (過敏反應)
Sings Repeat experience (重複經歷) Consciously recalled the incident Will feel the sound, image and body sensation At the night time Escape(逃避) Avoid any person, places and things that related to the incidents Change their habits and the lifestyle An allergic reaction (過敏反應) Physical and mental health of the patients are on the alert Easily rouse suddenly from sleep In 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.

7 Therapeutic Equipment
Individual psychotherapy Only treat one patient More easy to talk about his/her feelings Correct techniques and cognitive behaviour to reduce the patients' s fears and concerns Family therapy Help the family members to give supports the patients Help them deal with their feelings Support groups Members that had same experience Share their feelings and experience through the right way

8 (認知行為治療) Psychotherapy Helps patients to understand the thoughts and feelings Helping the patients to alleviate the psychiatric symptomatology by listening, explaining and providing perspective and support Relaxation training After the incident the patient is hard to relax themselves Physical training Do more exercise is the best way for them to release stress Medication Used include lithium carbonate, carbamazepine and valproate Treated with mood stabilizes

9 Psychological Health care services- Public ~ Hospital Authority
Allow effective utilization of staff and resources by allocating to appropriate treatment area according to their conditions Provide documentation patients’ condition, time of triage and preliminary treatment given in triage Community Psychogeriatric and Psychiatric Teams Community Medical Services- Providing designated care and rehabitation programmers to psychogeriatric patients Palliative Care Service Provide total care for the terminally-ill through the following inter-disciplinary efforts. Includes: 1) Psychological counseling and support to patients 2) Arrange and co-ordinate social and recreational activities for patients 3) Spiritual support

10 Psychological Health care services- Private~ Precious blood hospital
Only one time for each of two doctors Just in the morning Cons 3/12 of private hospitals offer psychiatry clinics can’t afford Inadequate services hours for supporting the need of mental patients Prons Provide opportunities for the psychotics to recover Raise public (psychotic) awareness

11 Psychological 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 1972 providing preventive medicine & clinical service , Chinese medicine service, mental health & social service etc.

12 The 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 Network Activities and provide pick-up services to patients with chronic illness. Increase their knowledge about the mood disorders.

13 Mental health & social service
Emotional Health Education To 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.

14 Psychological Health care services- Other non-government organization
( providing mental health service ) Hong Kong Christian Service Hong Kong Mood Disorders Centre Society for Community Organization United Centre of Emotional Health & Positive Living Baplist Oi Kwan Social Service Caritas Family Service Unit Christian Family Service Centre

15 Psychological 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.

16 Psychological 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 Wan Hong Kong

17 Psychological 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.

18 Psychological 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.

19 Do & Don't ( patients ) Do Tell them something that not under our control Accept the situation Know that it is already past Don't Don't talk about this ( because it may still recall) Avoid dating with others Don't think that I shouldn't still alive

20 Preventions 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 emotion Don’t Don't force them to look back what awful things they experienced Irritate and motive them

21 Hong Kong Mental Health Care Services
Our suggest- Hong Kong Mental Health Care Services More training to doctors and nurses Improve the mental publicity Development of working hours Actively develop mental health services To have a longer treatment time, it can be in-depth understanding of the psychological status of patients The outpatient waiting time is too long The government should have had more social workers counseling patients temporarily

22 Our Feeling Crosses modules (psychological health and health services)
Can train our thinking and hence apply our knowledge Understood the health care services more deeply because the applied learning course

23 The End Thank You

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