Cost-Effectiveness of An Early Assessment Service for Young People with Early Psychosis in Hong Kong

2011 ◽  
Vol 45 (8) ◽  
pp. 673-680 ◽  
Author(s):  
Kenny K. Wong ◽  
Sherry K. W. Chan ◽  
May M.L. Lam ◽  
Christy L.M. Hui ◽  
Se F. Hung ◽  
...  
2003 ◽  
Vol 37 (4) ◽  
pp. 414-420 ◽  
Author(s):  
P.J.R. Power ◽  
R.J. Bell ◽  
R. Mills ◽  
T. Herrman-Doig ◽  
M. Davern ◽  
...  

Background: Young people with early psychosis are at particularly high risk of suicide. However, there is evidence that early intervention can reduce this risk. Despite these advances, first episode psychosis patients attending these new services still remain at risk. To address this concern, a program called LifeSPAN was established within the Early Psychosis Prevention and Intervention Centre (EPPIC). The program developed and evaluated a number of suicide prevention strategies within EPPIC and included a cognitively oriented therapy (LifeSPAN therapy) for acutely suicidal patients with psychosis. We describe the development of these interventions in this paper. Method: Clinical audit and surveys provided an indication of the prevalence of suicidality among first episode psychosis patients attending EPPIC. Second, staff focus groups and surveys identified gaps in service provision for suicidal young people attending the service. Third, a suicide risk monitoring system was introduced to identify those at highest risk. Finally, patients so identified were referred to and offered LifeSPAN therapy whose effectiveness was evaluated in a randomised controlled trial. Results: Fifty-six suicidal patients with first episode psychosis were randomly assigned to standard clinical care or standard care plus LifeSPAN therapy. Forty-two patients completed the intervention. Clinical ratings and measures of suicidality and risk were assessed before, immediately after the intervention, and 6 months later. Benefits were noted in the treatment group on indirect measures of suicidality, e.g., hopelessness. The treatment group showed a greater average improvement (though not significant) on a measure of suicide ideation. Conclusions: Early intervention in psychosis for young people reduces the risk of suicide. Augmenting early intervention with a suicide preventative therapy may further reduce this risk.


2021 ◽  
Vol 7 (6) ◽  
pp. 5055-5073
Author(s):  
Dong Yile

In recent years, more and more young people from Hong Kong, Macao and Taiwan have come to universities in Chinese Mainland for higher education. However, due to the differences in political, economic and cultural environment between Hong Kong, Macao and Taiwan regions and Chinese Mainland, these young people have encountered psychological problems such as examination anxiety, interpersonal loneliness and lack of sense of meaning in life due to the related learning and life difficulties in Chinese mainland universities, which affect their growth and success. Many of the students originally thought that smoking was used in a more secluded environment to relieve stress, psychological counseling and energy recovery, but in fact smoking brings more harm. In the creation of a smoke-free campus, a variety of measures are adopted to give full play to the positive emotions of students to promote their mental health, which will help to achieve the creation of a smoke-free campus and share a healthy life on the campus. Based on the survey of a total of 658 undergraduates from Hong Kong, Macao and Taiwan in H University on their positive affect and mental health, the following conclusions are drawn through data analysis: undergraduates from Hong Kong, Macao and Taiwan in Chinese Mainland have positive affect at the upper-middle level, negative affect and overall affect at the lower-middle level; some undergraduates from Hong Kong, Macao and Taiwan in Chinese mainland universities have middle-level mental health status and significant differences in grade and family relationship satisfaction; family relationship satisfaction has an important impact on students' emotional and mental health; the negative emotional performance and mental health of senior students, science students and students with low family relationship satisfaction need more attention from educators. Correlation analysis shows that positive affect is positively correlated with health concerns, energy status, satisfaction and interest in life, mood status, control of emotions and behaviors, relaxation and tension, and total score of mental health (P < 0.01). Regression analysis shows that positive affect has significant positive predictive effects on six factors in mental health, such as "health concerns", "satisfaction and interest in life", "energy", "mental state", "control of emotions and behaviors", "relaxation and tension" and mental health. The enlightenment of this study lies in the suggestions that actions should be taken from the two levels of school education and home-school combination to strengthen the cultivation of positive affect of Hong Kong, Macao and Taiwan undergraduates in Chinese mainland universities, so as to improve their mental health level.


2021 ◽  
Author(s):  
Ka-Huen Yip

Abstract Objective To explore insights of young people’s experiences and motivations in Pokémon GO in Hong Kong. The perspectives of young people through qualitative focus group interviews. Results Eight focus group discussions with young people (n=45; age from 18-25 years old) recruited in Hong Kong. We analysed the discussions using a thematic approach. Five theme categories emerged from data analysis: missing out or self-regulation, childhood memories of Pokémon, extending virtual-reality exploration, spending more time outdoors for walking and exercise, gathering together and socially interacting with others. This study sets the way for a deeper analysis of motivation factors to young people that indicate the increasing playing location-based game (LBG) via smartphones worldwide among all cohorts of society. This relatively new phenomenon of LBG may impact players’ movement, social activity, and behaviour to gain a common goal into the preferences and effects of playing LBG for young people.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018430 ◽  
Author(s):  
Vincent C H Chung ◽  
Charlene H L Wong ◽  
Jessica Y L Ching ◽  
Wai Zhu Sun ◽  
Yan Li Ju ◽  
...  

IntroductionThis trial proposes to compare the effectiveness and cost-effectiveness of electroacupuncture (EA) plus on-demand gastrocaine with waiting list for EA plus on-demand gastrocaine in providing symptom relief and quality-of-life improvement among patients with functional dyspepsia (FD).Methods and analysisThis is a single-centre, pragmatic, randomised parallel-group, superiority trial comparing the outcomes of (1) EA plus on-demand gastrocaine group and (2) waiting list to EA plus on-demand gastrocaine group. 132 (66/arm) endoscopically confirmed,Helicobacter pylori-negative patients with FD will be recruited. Enrolled patients will respectively be receiving (1) 20 sessions of EA over 10 weeks plus on-demand gastrocaine; or (2) on-demand gastrocaine and being nominated on to a waiting list for EA, which entitles them 20 sessions of EA over 10 weeks after 12 weeks of waiting. The primary outcome will be the between-group difference in proportion of patients achieving adequate relief of symptoms over 12 weeks. The secondary outcomes will include patient-reported change in global symptoms and individual symptoms, Nepean Dyspepsia Index, Nutrient Drink Test, 9-item Patient Health Questionnaire (PHQ9), and 7-item Generalised Anxiety Disorder Scale (GAD7). Adverse events will be assessed formally. Results on direct medical costs and on the EuroQol (EQ-5D) questionnaire will also be used to assess cost-effectiveness. Analysis will follow the intention-to-treat principle using appropriate univariate and multivariate methods. A mixed model analysis taking into account missing data of these outcomes will be performed. Cost-effectiveness analysis will be performed using established approach.Ethics and disseminationThe study is supported by the Health and Medical Research Fund, Government of the Hong Kong Special Administrative Region of China. It has been approved by the Joint Chinese University of Hong Kong – New Territories East Cluster Clinical Research Ethics Committee. Results will be published in peer-reviewed journals and be disseminated in international conference.Trial registration numberChiCTR-IPC-15007109; Pre-result.


Sign in / Sign up

Export Citation Format

Share Document