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Written by: Li Enci
2021-05-17 07:00
Last update date: 2021-05-17 07:00
Qingshan Hospital, regarded as a symbol of mental illness, has been standing in the community for 60 years. Administrative Director Lin Ming reviewed the changes over the years. Fortunately, the community service has helped reduce the number of inpatients, so that medical care can take care of the patients' body, mind and social life.
He believes that communication between hospitals and the public is very important, and he is happy to see that the public's attitude towards mental patients is no longer what it used to be.
It is often said that once admitted to the Castle Peak Hospital, he will never get out of it for the rest of his life.
Lin Ming admitted that this situation occurred 30 years ago. Because of widespread discrimination, "family life is very difficult, so (patients) will not go to the hospital even if they are well treated." At present, acutely admitted patients can be discharged within one month on average. .
There are also people who think that pretending to be mentally ill can live long in the green hills. Senior nurses have come forward to say that doctors can always find clues in the conversation and try to untie the patient's heart.
The Castle Peak Hospital was officially opened in 1961, and this year is just one Jiazi.
(Photo by Zheng Zifeng)
▼A full view of the cultural relics of Aoyama Hospital▼
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At the peak, 2300 patients were hospitalized and one doctor saw 200 people
Castle Peak Hospital was officially opened in 1961. At that time, there were 10 buildings in the hospital, providing a total of 1,000 beds. 14 years later, the demand increased to nearly 2,000.
In 1988, more than 2,300 mental patients were hospitalized, reaching the peak of service volume.
The hospital was rebuilt in the 1990s and began mental health community services, such as sending doctors and nurses for home visits, setting up psychotherapy clinics, and implementing rapid treatment services for the elderly to minimize the number of inpatients.
Lin Ming recalled that in the 1980s and 1990s, each ward accommodated more than 100 patients, and there were only more than 10 doctors in the hospital. He had to treat 200 inpatients on his own. There is no way to understand everyone's emotions, social interactions, etc." Today, Qingshan Hospital has about 1,500 employees, including 80 doctors and more than 500 nurses; there are fewer than 1,000 inpatients, and each ward has an average of about 40 people.
Lin Ming believes that accommodation and meals are only basic requirements. At present, each patient has a nurse who is responsible for following up on the condition and will jointly formulate plans for reintegration into society, such as employment ladders.
Lin Ming recalled that from the 1980s to the 1990s, each ward accommodated more than 100 patients, and there were only more than 10 doctors in the hospital. He had to treat 200 inpatients on his own.
(Photo by Zheng Zifeng)
Discrimination is widespread, patients fail to be discharged after recovery
It is often said that once admitted to the Castle Peak Hospital, he will never get out of it for the rest of his life.
Lin Ming admitted that this situation occurred 30 years ago. Because of widespread discrimination, neighbourhoods often pressured families of mentally ill people. "At that time, the people’s understanding and tolerance were insufficient. It's so difficult, so even if the patient is well treated, it will not go to the hospital." He emphasized that mental patients can definitely return to the community. Now acutely admitted patients can be discharged within one month on average.
Senior psychiatric nurse Deng Zhiqiang reflects on juvenile patients and should be more tolerant for parents.
(Photo by Zheng Zifeng)
14-year-old boy said he had hallucinations and senior nurses refused to pretend to be the source of illness
Senior psychiatric nurse Deng Zhiqiang said that he entered the field in 1999 and has taken care of countless mental patients. One of the most profound patients is a 14-year-old in the child psychiatric department. He claimed to be affected by hallucinations, but then the doctor discovered that he was only before school. There is "illusion".
During the conversation, the doctor understood that his family had put a lot of academic pressure on the teenager, and he finally admitted that he pretended to be a mental patient in order to avoid school work.
This patient made him reflect, and parents should be more tolerant of their children.
This story also made Lin Mingming clear that doctors and nurses need to communicate more with the patient's family to solve the crux of the mental problem.
The society once had serious discrimination against mental patients, and Castle Peak Hospital was committed to promoting community work in order to increase public awareness and tolerance.
Xiao Huimin, co-chairman of the Executive Committee of the School of Mental Health of Castle Peak Hospital, introduced that the hospital established the School of Mental Health in 2002 to hold different lectures and activities; and in 2009, it opened a mental health certificate course for carers, school and institution staff, disciplined forces, etc. Professor dealing with mental illness knowledge.
In addition, the hospital also held a number of exhibitions of works by patients of "Art in the Green Hills" to increase their confidence and satisfaction.
Xiao Huimin (right), co-chairman of the Executive Committee of the School of Mental Health of Castle Peak Hospital, introduced that the School of Mental Health opened a mental health certificate course in 2009.
(Photo by Zheng Zifeng)
Citizens scramble to enter the green hills on the 50th Anniversary Open Day
Lin Ming believes that communication between the hospital and the public is very important. He recalled the 50th anniversary of the hospital’s open day 10 years ago. "The situation on that day made him understand that the public's attitude towards mental patients is no longer what it used to be.
The "Mental Health Experience Hall" located on the second floor of the Academy Building (Block S) of Castle Peak Hospital was completed at the end of 2019 and has not been opened due to the epidemic.
Lin Ming said that he hopes to uncover the mystery of Castle Peak Hospital through the exhibition hall, and said with a smile to let the public know that "( Castle Peak Hospital) is a general ward. Don’t feel that (patients) are sleepy.” He believes the more transparent the hospital. , The public has less misunderstandings about mental patients, which helps reduce discrimination.
The new drug reduces side effects and the patient is recognized at a glance
With the progress of the times, the methods of treating patients with mental illness are changing with each passing day.
For example, Lin Ming said that there were few psychiatric drugs available decades ago. After taking the drugs, patients "are all alone, drooling and shaking hands. Everyone really recognizes him (suffering from mental illness)." Nearly 10 By 20 years, various drugs have been developed for several generations, and side effects have been significantly reduced.
In recent years, acupuncture has become more popular, and each dose can last for 3 months, so that suitable patients do not need to swallow the drug daily.
In addition, the current popular use of brain magnetic stimulation therapy to deal with depression, avoiding the risk of general anesthesia.
On the other side, the former "restraint clothing" was directly tied to the patient with a rope. Now it has evolved into a magnetic restraint clothing, which is more stable and less likely to hurt the patient.
According to a document issued by the Food and Health Bureau in response to the special meeting of the Finance Committee, the number of outpatient visits in the psychiatric clinics of the HA has been reduced from 900,000 in 19/20 to 670,000 in 20/21.
Lin Ming explained that the number of mental patients in Hong Kong has not decreased, and the waiting time for outpatient clinics has not been shortened.
He estimated that the reason for the decline in attendance was that stable patients chose to only take medicines and not see doctors during the epidemic, and it became more common for new patients to miss appointments.
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