The Experience of a Small NGO in HK--- Mobilizing partners for better support and care for the...
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Inn
ovative
Caring
People-oriented
The Experience of a Small
NGO in HK---Mobilizing partners for
better support and care for the elders in
primary medical care
Inn
ovative
Caring
People-oriented
Background of ELCSS-HK a multi-service NGO established in
1976
District based ( in Shatin , Kwai Chung and Tuen Mun
districts)
About 20 elderly units (and projects), 200 staff members serving the elders
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A Heath Promotion Project
• Conducted in social centre for 16 yrs
In a deprived public Estate
• Services Medical care: eye and foot caring Meals service: 40 Single/hidden
Elders• Supported by JC
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Limitation/ obstacles (in the context of primary care)
• Small in scale;
• Not linked to medical system
• Uniqueness
• Successful project but Not sustainable
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Reflection
• Similar situation of small NGOs today in HK
• How to involve small NGOs to primary care system??
• Primary Medical Care in Social Service
Not a why question! But how?
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Strategy Change of ELCSS-HK
• From single programme to district- base project
• Mobilizing partners for better support and care for the elders in primary medical care
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• (01 至 2003 年機構計劃 ) (key words)
•一條龍地區綜合化 one stop service• 2 4小時加全天候 24 hours•無夾縫兼及早預防 seamless多元化跨專業合作 multi-disciplinary
•身前死後皆無憂 Life/death education
•社會企業起風雲 social enterprise •快閃隱蔽………… ..Hide elders
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Primary Health Care ProjectsMedical Institutes /
Partners
a.
Community Health Care and Fall Prevention Clinic- Fragility Fracture Management for Older Adults社區防跌診所脆骨長者針對性之治療
The Chinese University of Hong Kong ,Prince of Wales Hospital, Shatin中文大學學系醫學院 ,沙田威爾斯醫院
b.
Mental Health Community Clinic- Early Assessment and Treatment, de-labeling精神健康社區診所為長者提供早期評估及治療,免除標籤
Psycho-Geriatric TeamPrince of Wales Hospital, Shatin沙田威爾斯醫院老人精神科外展隊
c.
No Worry Be Peaceful Group- Mutual support group for stable cases of depression (community dwelling older adults), with support from psycho-geriatric nurse and social worker 康寧無憂組為已穩定個案 (抑鬱症 )提供支援
Psycho-Geriatric UnitShatin Hospital沙田醫院老齡精神科
d.
Support Group for Family Caregivers of Demented Elders- Render practical and emotional support in the mutual support and self help group失智症家屬月會於照顧實務及情緒方面提供支援、互助自助
Psycho-Geriatric UnitShatin Hospital沙田醫院老齡精神科
e.
Chronic Disease Self Management Group for Diabetes Mellitus 糖尿病自我管理小組
The Chinese University of Hong Kongand Shatin Hospital中文大學及沙田醫院
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f.
Consultation by Registered TCM Practitioner- free of charge consultation, once a month中醫免費診症為長者提供免費診症及諮詢服務
Society for Promotion of Traditional ChineseMedicine and other Registered TCM
Practitioners中醫促進學會及其他義務中醫師
g.Oasis - Pain Management Project for Elderly「緩痛綠洲」長者痛症管理計劃
Registered TCM Practitioner / Physiotherapist/Occupational Therapist / Specialist on PainManagement / Orthopedic Surgery /Nurse
註冊中醫 / 註冊物理治療師痛症專科醫生 /骨科醫生 /職業治療師 /護士
hProject Life Garden - for elders with depressed symptoms生命花園計劃 -輕度憂鬱
Registered TCM Practitioner- to treat insomnia and depressive symptoms
adopting Auricular Acupressure Therapy (耳穴治療 )
中醫師 (耳穴治療失眠及抑鬱徵狀 )
iIntegrated Discharge Support Programmed for the Elderly Patients (長者離院計劃 )
HA (Tuen Mun Hospital 屯門醫院老人科 )
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理念。目標Rationale &Goal
共識Consensus
Continuous and reciprocal communication
持續,積極溝通
具體運作 (使之可行) Logistics & Operationalisation
Who何人 When何時 What何事 Where何地 How 如何 How much 幾何$
Why為何
-Target 對象
-Partners 伙伴
-Frequency頻密度
-Intensity and Duration 為期多久
-Coverage服務範圍
-Linkage among Parts 環節之間如何配合
-Venue 場地
-Packaging - Promotion & Mobilization -Sustain , Support & Motivate -Recording & Documentation -Feedbackmechanism
-Intersystem and Intra-system
communication
- Make users and family members well informed-Incentives
- Briefing & Debriefing 解說- MeaningMaking
From Rationale to Operationalisation (從理念、目標到實務安排)
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Community Fall & FracturePrevention Centre社區防跌預防中心
(started 2002)• Exercise Class• Tai Chi Practice• Volunteer Group• PT Exercise Class• Walking Aids • Structured and Regular
Programme (package)
• Home Visit• Home Modification• Educational Talk
(started 2008)
Community Healthcare & Fall Prevention Scheme社區保健及防跌計劃( 第三代社區防跌診所 )
Volunteer &
Social Support
義エ及其他支援
Enhanced
Package
增值套餐服務
Health
Programme
健康教育
Vibration
Therapy
震動治療
Community
Clinic
社區診所
Group
小組
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Success factors (proposed future primary care model )
- One-stop service and elders friendly
- Holistic and enhanced care program
-Integrated with existing centre service
-Volunteers and peer support/ family members mobilized
- Community based and centre-based
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- Appropriate Fee charging/incentives
- Targeted : tailor-made for elders having fall history
-Shared record/data
-Research built-in (by university)
- A trans-system collaboration ( hospital, university, private health sector and NGO )
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- Continuous collaboration - Open and learning team
- Solution focused instead of fault finding
- Effective communication/ shared mission for intra and inter systems
- Close collaboration among professionals
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Future Challenges
- Only Individual effort? policy support ?
- Resources implication: manpower, facilities, space of the centre??
-Evidence based?? and How??
-Culture change?? (Shared ownership)
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In sum• In line with the healthcare reform , while
developing basic models for primary care service:
• Social workers are get ready• Small social service units in the district level
should be networked• Linked the preventive care services to the public
health medical system • 12 factors to enhance cooperation are identified