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- Title
Multi-disciplinary Psychiatric Case Management Model in Hong Kong: Service Coverage and Risk Stratification.
- Authors
Lee, C. C.; Chui, W. W. H.; Wong, S. L.; Wong, T. C. B.; Lau, S. P. F.; Kwong, P. K.; Hung, S. F.; Yau, S. S. W.
- Abstract
Introduction: Community mental health services in Hong Kong follow a multi-disciplinary case management model. We investigated whether at-risk patients received higher intensity care and whether risk stratification concorded between personalised care programmes and integrated community centres of mental wellness. Methods: Records of all patients in North Lantau and Mongkok districts who received case management services (from personalised care programmes and/or integrated community centres of mental wellness) between 1 April 2014 and 30 June 2015 were reviewed. Patients' levels of risk, demographic data, and clinical characteristics were analysed. Results: Identified at-risk patients received high-intensity care from personalised care programmes and integrated community centres of mental wellness. Case management was coordinated between the Hospital Authority and non-government organisations. However, risk stratification did not correlate with assessment rating scores of psychopathology or psychosocial functioning. Assessment rating scales appear unsuitable to provide any optimal cut-off scores for risk stratification. Conclusions: Risk stratification should be a structured clinical judgement based on comprehensive and accurate information of protective and risk factors, rather than relying on cut-off scores of assessment rating scales.
- Subjects
HONG Kong (China); MENTAL illness risk factors; COMMUNITY health services; HEALTH; HEALTH services accessibility; INTEGRATED health care delivery; MENTAL health; PATHOLOGICAL psychology; RISK assessment; SOCIAL services case management
- Publication
East Asian Archives of Psychiatry, 2020, Vol 30, Issue 1, p12
- ISSN
2078-9947
- Publication type
Article
- DOI
10.12809/eaap1848