Report on

Institute of Mental Health

Castle Peak Hospital

January - June 2013

Attachment 2

Contents

Page No.

I. Mission ………………………………………………………………

P. 1

II. Membership of the IMH Board ….………………………….……....

P. 1

III. Membership of the Executive Committee and the Subcommittees of the IMH……………………..………………………………….….…

P. 2 – 6

IV. Overview of Programmes Conducted by the IMH…………..……… ( January – June 2013 )

P. 7 – 23

V. Statistics of Educational Activities ………………………..……...…

P. 24

VI. Financial Report………...…………………………………….......…

P. 25

VII. Appendix I - Summary of IMH Activities ………………………….……………

P. 26 – 32

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I. Mission The Institute of Mental Health (IMH) is a centre of excellence for promotion and advocacy of better community mental health, through advancing science and disseminating knowledge in mental illness and mental health by intensive education, quality training, and rigorous research. II. Membership of the IMH (as at June 2013)

Chairman :

Professor SHAM Pak-chung, The University of Hong Kong

Members : Professor CHAN Tsang-sing, The Lingnan University

Professor Raymond CHAN, Chinese Academy of Sciences

Dr. HUNG Se-fong

Dr. Eugenie LEUNG, The University of Hong Kong

Mr. LU Tak-ming

Professor Joyce MA, The Chinese University of Hong Kong

Professor TANG Siu-wa

Professor Thomas WONG, The Chinese University of Hong Kong

Ex-Officio Members:

Mr. CHAN Bing-woon Chairman Hospital Governing Committee Castle Peak Hospital

Dr. Eric CHEUNG Hospital Chief Executive / Co-Chairman Executive Committee of IMH Castle Peak Hospital

Dr. Bonnie SIU Co-Chairman Executive Committee of IMH Castle Peak Hospital

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III. The Executive Committee of the IMH

Co-Chairman : Dr. Eric CHEUNG Hospital Chief Executive Castle Peak Hospital / Siu Lam Hospital

Co-Chairman : Dr. Bonnie SIU Associate Consultant Convener of Public Education Subcommittee

Members : Dr. Simon LUI Associate Consultant Convener of Research Subcommittee

Dr. Martina CHEUNG Clinical Psychologist

Ms. Jackaline LEE Cluster Manager (Finance Services)

Ms. Fion LING Senior Hospital Manager (Administrative Services)

Dr. Victoria TANG Associate Consultant Convener of Hospital Archives & Gallery Exhibition Subcommittee

Dr. Steve TSO Consultant Convener of Professional Training Subcommittee

Ms. W. H. WONG General Manager (Nursing) Convener of Patient & Carer Resource Subcommittee and Psychiatric Nursing Education Centre Subcommittee

Secretary : Ms. Rita SIU Assistant Hospital Manager (IMH)

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Members of the Public Education Subcommittee Convener : Dr. Bonnie SIU, Associate Consultant, Forensic Psychiatry Members : Dr. Quinney CHAN, Medical & Health Officer, Child & Adolescent Psychiatry

(w.e.f. 26 June 2013) Dr. Martina CHEUNG, Clinical Psychologist, Clinical Psychology Department Dr. W. K. CHOI, Deputy Chief of Service, Forensic Psychiatry Dr. Gloria CHOW, Associate Consultant, Child & Adolescent Psychiatry Dr. William CHUI, Associate Consultant, General Adult Psychiatry Mr. W. M. CHUNG, Advanced Practice Nurse, General Adult Psychiatry Mr. Horace KING, Nursing Officer, General Adult Psychiatry Ms. Angela KWOK, Nursing Officer, Old Age Psychiatry Mr. Gordon LEE, Occupational Therapist I, Occupational Therapy Department Dr. Sandy LEUNG, Medical & Health Officer, Old Age Psychiatry Dr. Eugenia LOK, Associate Consultant, Child & Adolescent Psychiatry Ms. Rita SIU, Assistant Hospital Manager (IMH) (w.e.f. 17 March 2013) Dr. Dorothy TANG, Medical & Health Officer, Forensic Psychiatry Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Ms. Kat WONG, Ward Manger, Child & Adolescent Psychiatry Secretary : Ms. Rita SIU, Assistant Hospital Manager (IMH) (until 16 March 2013)

Ms. Yennis WAN, Hospital Administrative Officer (IMH) (w.e.f. 17 March 2013)

Members of the Professional Training Subcommittee

Convener : Dr. Steve TSO, Consultant, Siu Lam Hospital

Members : Mr. Horace KING, Nursing Officer, General Adult Psychiatry

Mr. Kanny KWONG, Senior Nursing Officer, Nursing Services Division

Mr. Victor LAU, Advanced Practice Nurse, Nursing Services Division

Mr. Colin LAW, Senior Occupational Therapist, Occupational Therapy Department

Ms. M. M. TONG, Social Work Officer II, Medical Social Service Unit

Mrs. Denise TSANG-LAW, Senior Clinical Psychologist, Clinical Psychology Department

Ms. W. H. WONG, General Manager (Nursing), Nursing Services Division

Secretary : Ms. Candy TANG, Executive Assistant II (IMH)

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Members of the Psychiatric Nursing Education Centre Subcommittee Convener : Ms. W. H. WONG, General Manager (Nursing), Nursing Services Division Members : Mr. Colin CHONG, Nursing Officer, General Adult Psychiatry Mr. Kanny KWONG, Senior Nursing Officer, Nursing Services Division Ms. LAU King Yu, Advanced Practice Nurse, Siu Lam Hospital Mr. Victor LAU, Advanced Practice Nurse, Nursing Services Division Ms. Ann PANG, Deputy Department Operations Manager, General Adult Psychiatry Ms. Gertrude SIU, Nursing Officer, Nursing Services Division Ms. K. W. WU, Nursing Officer, Nursing Services Division Secretary : Mr. T. K. CHAN, Advanced Practice Nurse, Nursing Services Division Members of the Research Subcommittee

Convener : Dr. Simon LUI, Associate Consultant, General Adult Psychiatry

Members : Mr. T. K. CHAN, Advanced Practice Nurse, Nursing Services Division

Dr. Eric CHEUNG, Hospital Chief Executive

Dr. William CHUI, Associate Consultant, General Adult Psychiatry

Dr. Meranda LEUNG, Medical & Health Officer, General Adult Psychiatry

Dr. S. K. LEUNG, Senior Medical Officer, General Adult Psychiatry

Ms. K. W. LUI, Social Work Officer, Medical Social Service Unit

Ms. Jolene MUI, Nurse Consultant, Community Psychiatric Service

Mr. Colin LAW, Senior Occupational Therapist, Occupational Therapy Department

Dr. Cola LO, Clinical Psychologist, Clinical Psychology Department (w.e.f 12 April 2013)

Dr. K. S. POON, Medical & Health Officer, General Adult Psychiatry

Dr. Bonnie SIU, Associate Consultant, Forensic Psychiatry

Dr. Steve TSO, Consultant, Siu Lam Hospital (w.e.f 26 February 2013)

Mr. Stewart WONG, Senior Nursing Officer, Nursing Services Division

Ms. Rhoda YU, Assistant Librarian I, Administrative Services Department

Secretary : Ms. Hera YEUNG, Executive Assistant (w.e.f 9 January 2013)

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Members of the Patient & Carer Resource Subcommittee Convener : Ms. W. H. WONG, General Manager (Nursing), Nursing Services Division Members : Ms. Lanly CHAN, Department Operations Manager, Forensic Psychiatry / Old Age

Psychiatry Ms. Connie CHENG, Program Executive, Hong Kong Red Cross Ms. CHIU Cheong-lan, Ward Manager, Old Age Psychiatry Ms. Leslie CHOW, Representative of Pastoral Care Services Ms. Natalie LAI, Occupational Therapist I, Occupational Therapy Department Mr. David LEE, Service Manager, Mindset Club/ Day Service Ms. Winnie LEUNG, Representative of Pastoral Care Services Mr. Raymond LEUNG, Hospital Chaplain

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Members of the Hospital Archives and Gallery Exhibition Subcommittee

Subgroup 1 Hospital Archives Convener : Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Members : Ms. Abby CHAN, Ward Manager, Siu Lam Hospital Ms. Christine CHAN, Advanced Practice Nurse, Child & Adolescent Psychiatry Mr. Kanny KWONG, Senior Nursing Officer, Nursing Services Division Mr. Victor LEE, Occupational Therapist I, Occupational Therapy Department Mr. David LEE, Service Manager, Mindset Club/ Day Service Dr. S W LI, Chief of Service , Old Age Psychiatry (w.e.f. 17 April 2013) Ms. Daisy WONG, Assistant Hospital Manager, Administrative Services Department

(w.e.f. 17 April 2013) Ms. M. F. YEN, Advanced Practice Nurse, Community Psychiatric Service Ms. Rhoda YU, Assistant Librarian I, Administrative Services Department (until 15

March 2013) Secretary : Ms. Miller CHAN, Executive Assistant I/II, Nursing Services Division Subgroup 2 Gallery Exhibition Convener : Dr. Victoria TANG, Associate Consultant, General Adult Psychiatry Members : Ms. Josephine AU, Department Operations Manager, Siu Lam Hospital Ms. Anita CHAN, Occupational Therapist I, Occupational Therapy Department Ms. Christine CHAN, Advanced Practice Nurse, Child & Adolescent Psychiatry Ms. Winnie CHAN, Ward Manager, Child & Adolescent Psychiatry (until 7 January

2013) Ms. Alice CHU, Occupational Therapist I, Occupational Therapy Department Ms. Joey LAI, Registered Nurse, Mindset Club / Day Service Mr. H. C. LAU, Enrolled Nurse, Forensic Psychiatry Mr. K. M. LAU, Registered Nurse, Forensic Psychiatry (w.e.f. 2 January 2013) Mr. W. L AU, Registered Nurse, Forensic Psychiatry (w.e.f. 2 January 2013) Dr. Steve TSO, Consultant, Siu Lam Hospital Mr. C. C. WONG, Registered Nurse, Forensic Psychiatry Mr. Edmen WONG, Ward Manager, Siu Lam Hospital Dr. Evelyn WONG, Medical & Health Officer, General Adult Psychiatry

(w.e.f. 2 January 2013) Secretary : Ms. Miller CHAN, Executive Assistant I/II, Nursing Services Division

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IV. Overview of Programmes Conducted by the IMH (January to June 2013)

Public Education (1) Certificate Course in Mental Health (MHC08) The 12-hour Certificate Course in Mental Health (MHC) was specifically designed to serve

the needs of the society since October 2009. It provided training on common mental illnesses

and skills in managing mental illnesses to professionals, health care professionals and related

personnel who may come into contact with people with mental health problems or their carers

in their daily practice by comprehensive lectures, case discussions / vignettes, and interactive

workshops. In view of the overwhelming responses from previous classes, the eighth course

(MHC08) was conducted on 2 and 16 March 2013, with 88 participants including health care

professionals of the Hospital Authority, government departments and non-government

organisations.

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(2) Basic Psychological Life Support (BPLS) Course The Public Education Subcommittee (PES) and the Hong Kong St. John Ambulance have

been co-organising the Basic Psychological Life Support (BPLS) Course since January 2011.

The BPLS Course provided knowledge on common mental health problems and treatments,

positive psychology, recognising stress and anxiety and skills in dealing with the

psychological reactions of victims in a first aid situation. For the two BPLS Provider Courses

held in January and March 2013, 49 and 37 members of the general public participated

respectively.

(3) Mental Health Talk The Hong Kong St. John Ambulance Brigade Cadet Command has invited the PES to

organise a three-hour Mental Health Talk for its member on 28 April 2013 and a series of

one-hour Mental Health talks for secondary school students from June to October 2013. It

aims to enhance the participants’ awareness and knowledge on general mental health and

stress management.

(4) Management of Workplace Violence (MoV) Training The Chain of Charity Movement (CCM) has invited the PES to organise a three-hour MoV

Training for the recruited volunteers who would provide caring services in the community.

The MoV Training Team of CPH delivered the captioned training on 8 June 2013 and very

positive feedback was received.

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(5) Poster Presentation in the Hospital Authority Convention 2013 Two abstracts submitted by the PES have been selected for poster presentation in the Hospital

Authority Convention 2013 on 15 and 16 May 2013, entitled “Mental Health Promotion in

Hong Kong: a way to defeat stigmatisation and enhance the early intervention of mental

illness in the community” and “Application of Mobile Technology to Enhance Stress

Management and the Early Intervention of Stress-related Mental Health Problems in the

Community” respectively.

Posters for the exhibition in the Hospital Authority Convention 2013.

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(6) Ten Healthy Mobile Phone/ Tablet Apps 2012 – Stress Reduction DIY The PES has developed an iPhone APP on stress management, namely “Stress Reduction

DIY (減壓情識)” in November 2011. The iPhone APP was nominated and awarded the “Ten

Healthy Mobile Phone / Tablet Apps 2012 (2012 十大健康手機 / 平板電腦應用程式)” by

the Office for Film, Newspaper and Article Administration (OFNAA), HKSAR Government.

Dr. Bonnie SIU and Ms. Rita SIU represented the PES and attended the prize presentation

ceremony on 6 April 2013. Steady increase in the download rate of the Stress Reduction DIY

app was noted and the accumulated download rate up to 30 June 2013 was 5,838.

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(7) Educational Materials The publications of the IMH provide a good source of information on mental illness and

self-help guide to the general public. The information is handy and easily accessible at the

service units of CPH and online at the IMH website. To ensure the information is accurate

and up-to-date, the PES has continuously been reviewing all educational materials and reprint

those pamphlets with high demand. The materials updated from January to June 2013 are

listed as follows:

Five educational pamphlets were reviewed:

Insomnia “不吃安眠藥，治好失眠可以嗎？”

How to achieve mental health and overcome mental illness?

“如何擁有精神健康和克服精神病患？”

Schizophrenia “思覺失調”

Depression “不再抑鬱”

Common mental illness “解開精神病之謎”

In view of high demand, an educational pamphlet on Anxiety disorder “焦慮大亨” was

reprinted. All of the above updated materials are available for free distribution in different

service units and accessible on the IMH website.

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(8) Health Column on Sing Tao Daily The PES continues to collaborate with the Sing Tao Daily in publishing articles written by

CPH colleagues as an effective medium to disseminate mental health knowledge to the public.

The articles are published under the health column“保健至專”inside the feature page of

the paper on alternate Mondays.

CPH colleagues have contributed to this project by actively submitting their articles.

Published articles are shared with all CPH staff via email. The collection of articles has also

been uploaded to the IMH website for public access.

Articles published from January to June 2013 included the following:

• 精神科藥物副作用 (14.01.2013)

• 正視懷孕情緒波動 (28.01.2013)

• 學會改善焦慮情緒 (18.02.2013)

• 精神病與歧視 (25.02.2013)

• 獎勵有方勝懲罰 (11.03.2013)

• 遊戲正面功能真諦 (25.03.2013)

• 靜觀活化精神 (08.04.2013)

• 管控生育期情緒 (22.04.2013)

• 健康角度正視性事 (13.05.2013)

• 談情說性身心護理 (27.05.2013)

• 家長善用獎勵教導 (10.06.2013)

• 何謂專注力不足 (24.06.2013)

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Psychiatric Nursing Education

(1) Two-year Enrolled Nurse (Psychiatric) Training Programme The Graduation Ceremony for Class 7 of the Enrolled Nurse (Psychiatric) Training

Programme for the Hospital Authority was held on 1 February 2013. All the 30 pupil nurses

were graduated and they shared their joy, achievement and happiness with their relatives and

friends during the event.

A total of 30 trainees had been recruited for Class 11 of the Enrolled Nurse (Psychiatric) Training Programme for the welfare sector, which commenced on 4 February 2013.

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Research (1) Research Skills Training Workshop The Research Subcommittee has been organising Research Skills Training Workshops which

comprise a series of interactive small-group workshops conducted by experienced researchers.

The series of workshops repeats once every six months, and is open to all CPH staff. The

workshops aim at promoting a culture of research and enhancing research skills among the

staff of CPH. The first series of four workshops in 2013 was held from April to June, and

trainee family physicians from Tuen Mun Hospital (TMH) were invited. A total of 34 CPH

and TMH staff members had participated in these four workshops.

(i) Critical Appraisal of Research Papers (17 April 2013)

This workshop was conducted by Dr. William CHUI which was about critical appraisal of

research papers.

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(ii) Searching Medical Literature and Using Reference Management Software

(29 May 2013)

The workshop was conducted by Dr. Mimi WONG, Associate Consultant of United Christian

Hospital. It focused on techniques in performing online search for medical literature, and

techniques in using Endnote, a citation management software.

(iii) Application of SPSS for Clinical Study (5 June 2013)

This workshop was conducted by Mr. Kenny WONG, Manager from the HA Head Office. He

demonstrated the basic concepts of biostatistics and the use of SPSS, a statistics software

commonly used in biomedical research. The workshop provided participants with hands-on

experiences on how to create data files and perform data analysis with SPSS.

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(iv) Writing Research Proposals and Scientific Papers (26 June 2013)

This workshop was conducted by Dr. Simon LUI which included research methodology,

concept of research paradigm and common pitfalls in research design.

(2) Research Studies

As of June 2013, CPH has more than 30 on-going research projects and the IMH is actively

involved in the following research projects:

“A four-year prospective family study in patients suffering from first episode

psychosis: A quest for intermediate phenotypes and aetiology of psychosis”- Data

collection stage. As of June 2013, a total 188 patients with first-episode psychosis have

been phenotyped whereas 83 healthy control and 218 patients have been recruited for

endophenotyping and genotyping respectively.

“The heritability of neurocognitive and neuroanatomical endophenotype in twins

with psychosis” – Suspended until further notice.

“Neurological soft signs in chronic patients with psychosis and its susceptibility

genes: An extended study” –Data collection stage. As of June 2013, a total of 35

participants have been recruited.

“Theory of mind performance in patient with first-episode schizophrenia and

first-degree relatives: A cross-sectional case control study” –Data collection and data

analysis have been completed. A total of 41 patients with schizophrenia, 43 siblings of

these patients and 42 healthy controls have been recruited.

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“Schizotypy traits or features in nonpsychotic first-degree relatives of patients with

schizophrenia: Cluster analysis using the Chapman Psychosis Proneness Scales” –

Data collection and data analysis have been completed. In Phase I of the study, a total of

190 siblings who had completed the Chapman’s anhedonia scales have been recruited. In

Phase II, a total of 29 patients with schizophrenia, 28 relatives of these patients and 33

healthy controls have been recruited respectively.

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Patient and Carer Resource

(1) Community Partnership and Teens’ Life Coach Events A community partnership and teens life coach programme was jointly organised with the

Jardine Matheson Group. The programme included the following activities during the

reporting period:

“Walk Up Jardine House 2013” was conducted on 17 March 2013. The Dancing Group

was invited to perform during the event, with 21 patients participated and cheered for the

runners.

Visit to Nam Sang Wai (南生圍) and having Poon Choi luncheon (盆菜) under the

“Health in Mind Programme - Teen使行動” was conducted on 9 March 2013 in

collaboration with the San Wui Commercial Society Secondary School. A total of 10

patients joined the event.

20

“City Orienteering” was conducted on 26 January 2013 with nine patients. They

cooperated with the secondary school students and Jardine Ambassadors in order to

achieve some tasks in Kowloon district.

Press Conference of the “Central Rat Race 2013” was conducted on 18 June 2013, with

10 volunteers participated.

(2) Partnership Programme with Red Cross A partnership programme jointly organised with the Red Cross to celebrate Chinese New Year

was conducted on 23 February 2013, with 80 inpatients participated.

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(3) Appreciation for Volunteers An annual appreciation to volunteers was conducted on 23 March 2013 to recognise their

support and contribution. A total of 86 volunteers were invited to join the event including

sharing of experience and thoughts and playing games.

(4) Mental Health First Aid (MHFA) Training Originated from Australia, two classes of 12-hour MHFA training programme were re-run in

the morning of four consecutive Saturdays in March, April and June 2013 respectively. A total

of 30 participants of the public attended the course.

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Hospital Archives & Gallery Exhibition (1) Seminar on Art Facilitation in Health Setting A seminar on art facilitation in health setting was conducted on 30 January 2013, with Ms.

Fiona CHANG, Registered Expressive Art Therapist and Ms. Grace CHENG, Director of

Art-in-Hospital. Over 100 participants including psychiatrists, psychiatric nurses and allied

health professionals of the HA, as well as academic staff from local universities had attended

the seminar. There was a workshop of art facilitation after the seminar, with 28 participants.

The participants found the workshop stimulating and gave favourable responses.

(2) Staff Sharing Session “一人一劇場”

A staff sharing session titled“一人一劇場”was jointly conducted with the Playback

Theatre on 11 March 2013. Drama Therapist, Mr. Eddie YU and performers of the Playback

Theatre demonstrated their physical movement, music and drama to re-enact the stories

shared by the participants. A total of 32 staff attended.

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(3) CPH In Pictures “每月一相”

The Hospital Archives and Gallery Exhibition Subcommittee organises regular display with

images depicting historical moments and a brief introduction outside the staff canteen. The

episode in May 2013 featured “Stories of Minor staff in the late 60’s”. Pictures of the old

“Club House of the Castle Peak Hospital Junior Staff Union” were shown that reflected the

contribution of frontline staff to the culture of Castle Peak Hospital.

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V. Statistics of Educational Activities (Organised by the IMH and Invitations

Received)

The summary of all educational activities conducted by the IMH from January to June 2013 was

presented as per Appendix I. The activities were categorised into two types. The first type refers

to the activities that were initiated and organised by the IMH and the other type is invitations

received from other organisations for conducting talks or training courses.

A total of 61 activities were conducted, among which 48 activities were organised by the

IMH. A total projected net income of $219,998 was earned from the activities with 1,267

overall attendances. The breakdown of the activities by topics, target groups and geographical

locations of the participants is presented as per Appendix I.

Activities Organised by the IMH

A substantial fraction of the activities organised by the IMH during the reporting period focused

on topics related to general adult psychiatry, which accounted for 79% of the activities held. The

activities organised by the IMH mainly targeted at professional carers and patients. A projected

net income of $95,640 was generated from the activities organised by the IMH.

Invitations from Other Organisations Among the 13 invitations that we received from external organisations, including government

departments, non-government organisations (NGO) and educational institutions, most requested

for delivering training courses targeted mainly for the public. The projected net income was

$124,358.

Loan Record of Mental Health Educational Products One application from NGO / educational institution for borrowing our educational exhibition

boards / obtaining pamphlets or quoting / copying our publications, and linking up the IMH

website was received and approved.

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VI. Institute of Mental Health, Castle Peak Hospital

Financial Report as at 30 June 2013