Report on

Institute of Mental Health

Castle Peak Hospital

July - December 2012

Contents

Page No.

I. Mission ………………………………………………………………

P. 1

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

P. 1

III. Membership of the Executive Committee of the Institute of Mental Health and the Subcommittees…………………………………….…

P. 2 – 6

IV. Overview of Programmes Conducted by IMH……………………… ( July - December 2012 )

P. 7 – 23

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

P. 24

VI. Financial Report on IMH …………………………………….......…

P. 25

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

P. 26 – 33

VIII. Appendix II - Evaluation report on seminars and courses by IMH ………………

P. 34 – 77

IX. Appendix III - Loan Record of Mental Health Educational Products…………….

P. 78 – 83

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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 31 December 2012)

Chairman :

Dr. CHOW Chun-bong

Members : Professor CHAN Tsang-sing, The Lingnan University

Mrs. Janice CHOI (until 16 October 2012)

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:

Professor John LEONG 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. Eric CHEUNG, Hospital Chief Executive (until 14 August 2012) Dr. Simon LUI, Associate Consultant (w.e.f. 15 August 2012) Convener of Research Subcommittee

Dr. Martina CHEUNG Clinical Psychologist

Mr. Kanny KWONG, Deputizing General Manager (Nursing) Convener of Psychiatric Nursing Education Centre Subcommittee (until 31 August 2012)

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, Deputizing General Manager (Nursing) Convener of Patient & Carer Resource Subcommittee and Psychiatric Nursing Education Centre Subcommittee (w.e.f. 1 September 2012)

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. 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 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)

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, Deputizing General Manager (Nursing), Nursing Services Division

Mr. Victor LAU, Advanced Practice Nurse, Nursing Service 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 Ms. W. H. WONG, Deputizing 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 : Mr. Kanny KWONG, Deputizing General Manager (Nursing), Nursing Services

Division (until 31 August 2012) Ms. W. H. WONG, Deputizing General Manager (Nursing), Nursing Services Division (w.e.f. 1 September 2012)

Members : Mr. Colin CHONG, Nursing Officer, General Adult Psychiatry Mr. Victor LAU, Advanced Practice Nurse, Nursing Services Division Mr. Roger NG, Department Operations Manager, Child & Adolescent Psychiatry

(until 31 October 2012) Ms. Gertrude SIU, Nursing Officer, Nursing Services Division Ms. K. W. WU, Nursing Officer, Nursing Services Division Members of the Research Subcommittee

Convener : Dr. Eric CHEUNG, Hospital Chief Executive (until 14 August 2012) Dr. Simon LUI, Associate Consultant, General Adult Psychiatry (w.e.f. 15 August 2012)

Members : Mr. T. K. CHAN, Advanced Practice Nurse, Nursing Services Division Dr. Eric CHEUNG, CPH/SLH HCE (w.e.f. 15 August 2012)

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

Dr. Bonnie SIU, Associate Consultant, Forensic Psychiatry

Dr. Lina SUN, Clinical Psychologist, Clinical Psychology Department

Dr. Jessica WONG, Associate Consultant, General Adult Psychiatry

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

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

Secretary : Ms. Kirby TSANG, Executive Assistant I/II (IMH) (until 27 October 2012)

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Members of the Patient & Carer Resource Subcommittee Convener : Ms. W. H. WONG, Deputizing 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. Lesile 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, Deputy Department Operations Manager, Child & Adolescent

Psychiatry 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 Mr. Roger NG, Department Operations Manager, Child & Adolescent Psychiatry

(until 31 October 2012) Ms. M. F. YEN, Advanced Practice Nurse, Community Psychiatric Service Ms. Rhoda YU, Assistant Librarian I, Administrative Services Department 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 Mr. K. S. HUI, Hospital Chaplain (until 27 August 2012) Mr. P. S. KWONG, Ward Manager, Forensic Psychiatry Ms. Joey LAI, Registered Nurse, Mindset Club/ Day Service Mr. H. C. LAU, Enrolled Nurse, Forensic Psychiatry Dr. Steve TSO, Consultant, Siu Lam Hospital Mr. C. C. WONG, Registered Nurse, Forensic Psychiatry Mr. Edmen WONG, Ward Manager, Siu Lam Hospital Secretary : Ms. Miller CHAN, Executive Assistant I/II, Nursing Services Division

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IV. Overview of Programmes Conducted by the IMH (July – December 2012)

Public Education (1) Certificate Course in Mental Health (MHC06 & MHC07) 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 the common mental

illnesses and the 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 the previous classes, two courses were re-run in the second half year of 2012.

The sixth course (MHC06) was conducted on 18 and 25 August 2012 and the seventh course

(MHC07) was conducted on 1 and 15 December 2012, with 84 and 70 participants

respectively including health care and educational professionals of the Hospital Authority,

government departments and non-government organisations, etc.

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(2) NTWC Best Quality Improvement Project, NTWC AQC 2012 The IMH has participated in the Best Quality Improvement Project Contest of the New

Territories West Cluster (NTWC) Annual Quality Conference (AQC) 2012 organised by the

Cluster Quality and Safety Division. An abstract on “Mental Health Promotion in Hong Kong:

a way to defeat stigmatisation and enhance the early intervention of mental illness in the

community” was submitted and selected for oral presentation at the NTWC Annual Quality

Conference 2012 on 7 December 2012. Dr. Bonnie SIU, Convener of the Public Education

Subcommittee presented the project during the Conference and has won the first runner-up.

Dr. Bonnie SIU presented the project at the AQC 2012

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Poster of the project

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(3) Basic Psychological Life Support (BPLS) Course The Public Education Subcommittee and 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. A total of 150 members of the general public were trained in

three BPLS Provider Courses in July, August and November 2012 respectively.

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

self-help guide to patients and 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, it has been an ongoing exercise conducted by the

Public Education Subcommittee to review the educational materials and reprint those

pamphlets on high demands. The materials updated from June to December 2012 are listed in

the following section.

Educational pamphlets including “Sleepwalking” ( 夢 遊 ) and “Obsessive Compulsive

Disorder” (強迫症) were reviewed and reprinted. The updated materials are available for free

distribution in different service units and public access on the IMH website.

11

In addition, two pamphlets of the Royal College of Psychiatrists were updated and uploaded

to the IMH website:

害羞與社交恐懼症

認知行為治療

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(5) Health Column on Sing Tao Daily The Public Education Subcommittee continues to collaborate with 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” (Feature page E08 “健康港”) on alternate Mondays.

CPH colleagues have given great support to this project by actively submitting their articles.

Published articles are shared to all CPH staff via email. The collection of articles is also

uploaded to the IMH website for public access.

Articles published from July to December 2012 included the following topics:

• 智力障礙與精神健康 (9.7.2012)

• 如何幫助智障人士？ (14.8.2012)

• 我有病嗎？ (16.8.2012)

• 少年不識愁滋味？ (27.8.2012)

• 學習與情緒共舞 (10.9.2012)

• 管理情緒三部曲 (24.9.2012)

• 結婚照心理戰 (8.10.2012)

• 面對人生「選擇題」 (22.10.2012)

• 工作意義激活人生 (5.11.2012)

• 助人為己復康天使 (19.11.2012)

• 與壓力開心共處 (17.12.2012)

• 精神病康復者勿停藥 (31.12.2012)

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Professional Training (1) Three-Day Cognitive Behavioural Therapy (CBT) Training A three-day Cognitive Behavioural Therapy (CBT) Training was successfully held on 13 to

15 September 2012, with an attendance of 108 mental health professionals, including

psychiatrists, psychiatric nurses, occupational therapists, clinical psychologists and social

workers. Professor Jesse H. Wright, Professor and Vice Chairman for Academic Affairs as

well as Director of the Depression Center in the Department of Psychiatry and Behavioral

Sciences, University of Louisville in USA, was invited to deliver this training programme.

The three-day workshop covered topics on “High-yield CBT for brief sessions in psychiatric

settings”, “CBT for severe mental disorders” and “CBT for challenging patients, inpatient

CBT, computer-assisted CBT”, with demonstrations of simulated brief sessions. Very positive

feedback was received from participants.

Discussion session Lecture session

Simulated brief sessions

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Psychiatric Nursing Education

(1) Two-year Enrolled Nurse (Psychiatric) Training Programme Under the two-year Enrolled Nurse (Psychiatric) Training Programme, there were five classes

(Classes 6 to 10) with a total of 145 trainees undergoing training in CPH during the reporting

period. The final examination of Class 6 was held on 13 July 2012 with all 27 trainees

passing.

Meanwhile, 30 trainees of Class 10 (commencement on 15 October 2012) for the Social

Welfare Sector were recruited and had been undergoing a 10-week clinical placement in long

stay care wards since 24 December 2012.

The ENP trainees of Class 10

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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 second series of four workshops in 2012 was held from October to

December, and trainee family physicians from TMH were invited. A total of 42 CPH and

TMH staff members participated in these four workshops.

(i) Critical Appraisal of Research Papers (10 October 2012)

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

research papers.

(ii) Searching Medical Literature and Using Reference Management Software (21

November 2012)

This 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.

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(iii) Application of SPSS for Clinical Study (28 November 2012)

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 (19 December 2012)

This workshop conducted by Dr. Simon LUI was on research methodology, and the concept

of research paradigm and common pitfalls in research design.

(2) Research Seminar Research Seminars have been part of the regular in-house training programme for medical

staff. A research seminar on “Negative schizotypy shows behavioural and neural

abnormalities” was presented by Prof. Raymond C. K. CHAN from the Chinese Academy of

Sciences on 19 December 2012, with a total of 37 medical staff members attended.

(3) Research Symposium Given the success of IMH conference 2011, it was planned to organize small scale scientific

symposia annually, which would serve as a platform for CPH staff to share their research work

with other researchers. The first research symposium was held on 19 December 2012. All CPH

staff were welcome to join. Four researchers of the Chinese Academy of Sciences Laboratory

of Mental Health, and five researchers of the Hong Kong CPH Branch presented and

discussed about their studies. Fourteen medical staff members attended.

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(4) Research Studies As of December 2012, 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”- As of

December 2012, a total of 150 patients with first-episode psychosis have been

endophenotyped whereas 64 healthy controls and 200 patients have been recruited for

endophenotyping and genotyping respectively.

“Prospective memory impairment in patients with bipolar affective disorder” –

Completed. An original article, “Patients with bipolar disorders share similar but

attenuated prospective memory impairments with patients with schizophrenia” was

published in Psychological Medicine (IF=6.16). Poster presentation was conducted at the

3rd Biennial Schizophrenia International Research Conference 2012 and the abstract was

published in Schizophrenia Research.

“Motivated, effortful behaviour in response to anticipatory and consummatory

pleasure in patients with schizophrenia: a cross-sectional case-control study” –

Completed. In preparation for submission to a peer-review journal.

“Facial emotion perception in psychosis under different social contexts” – Completed.

Submitted to the Schizophrenia Research and under 2nd review.

“Anticipatory and consummatory affect and motivation in schizophrenia” –

Completed. In preparation for submission to peer-review journal.

“A case-control study of the components of executive function in patients with type I

bipolar disorder” – Completed. In preparation for submission to a peer-review journal.

“The role of prospective memory in the ability to manage medications in patients

with schizophrenia” – Submitted to the Schizophrenia Research.

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

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

Around 150 respondents’ replies have been collected.

“Theory of mind and social cognition in nonpsychotic first degree relatives of

patients with schizophrenia” – Around 15 participants were recruited.

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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:

　

A music performance by 15 patients of the Mindset Club’s “二胡組” and “金曲班” was

conducted on 14 July 2012 by invitation to celebrate the 10th Anniversary of the Mindset

Club.

Promotional activities via mass media for the Rat Race were conducted with the

participation of staff and patients from the Mindset Club, which included a filming of 17

volunteers on 28 August 2012 and a media interview with the Service Manager by TVB.

The filming was broadcasted on TVB Pearl and Jade “Dolce Vita” from 13 to 19

September 2012.

20

Meanwhile, the Central Rat Race was conducted on 4 October 2012 with 17 volunteers

participated as cheer squad for the competitors. Two volunteers represented CPH to take part

in the“NGO Rat Cup”and won the champion of the game.

A gathering at the Mindset Club was conducted on 29 September 2012 to celebrate the

Mid-Autumn Festival, with 19 patients participating.

A barbeque party co-orgainsed with San Wui Commercial Society Secondary School was

conducted on 22 December 2012 under the Youth Mental Health Promotion Programme

“Health in Mind (Teen 使行動)” - A total of 18 participants, including patients and their

relatives, joined the activity. It provided a platform for secondary school students to

interact with psychiatric patients and to establish a positive attitude towards mental

illness.

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(2) Psychological Support to Patients A music appreciation for patients and carers was conducted jointly with the Chaplaincy

on 14 July 2012, with 131 attendances.

An educational talk“另一角度觀病”for the Happy Sharing Group was conducted on

27 July 2012, and attended by 23 patients.

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Hospital Archives & Gallery Exhibition

(1) The Annual History Lecture 2012 The Annual History Lecture 2012 on “The History of Mental Health in Hong Kong” was

successfully held on 6 July 2012. Dr. H. K. CHEUNG was invited as the guest speaker who

covered topics on the Asylums Ordinance 1906, the Mental Health Ordinance and the

changes over time. Over 120 participants including psychiatrists, psychiatric nurses, clinical

psychologists, allied health professionals as well as academic staff from universities attended

the lecture.

Right after the Annual History Lecture, Dr. H. K. CHEUNG officiated the Opening

Ceremony of the new Museum Exhibit – The Computerised CPH Quiz, with a prize

presentation to the Champion of the Quiz for 2011-2012.

Dr. H. K. Cheung, speaker

Dr. H. K. Cheung and the pass champions of the Quiz

Promotion poster of the lecture

The opening ceremony of the new Museum

Exhibit- Computerized CPH Quiz

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(2) Art Exhibition at HK Baptist University An exhibition of patients’ art was organised by the Art-in-CPH at Hong Kong Baptist

University on 19 November 2012. It was an opportunity to introduce the Art-in-CPH to

students and staff on campus and reduce stigma.

(3) Seminar on Art and Stress Management at Hong Kong Polytechnic

University Dr. Victoria TANG, Convener of the Art-in-CPH, was invited to give a talk on “The Art of

Stress Management” at the Hong Kong Polytechnic University on 24 October 2012 as a part

of the University’s Health Week seminars on work-life balance. Around 30 staff members

attended the talk. The audience found the talk stimulating and gave favourable responses.

The patient art exhibition

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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 for the period from July to

December 2012 was presented as per Appendix I. The activities were categorised into two types.

The first type referred to the activities that were initiated and organised by the IMH and the

other type was the invitations received from other organisations for conducting talks or training

courses.

Altogether 109 activities were conducted, among which 97 activities were organised by the

IMH. A total projected net income of $336,255 was earned from the activities with 2,162

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 attributed to 91% of the activities held. The

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

projected net income of $256,874 was generated from the activities organised by the IMH. The

evaluation report on the courses and educational talks is attached as per Appendix II.

Invitations from Other Organisations Among the 12 invitations that we received from external organisations, including government

department, non-government organisation (NGO) and educational institution, etc., most of them

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

income was $79,381.

Loan Record of Mental Health Educational Products Four applications from NGOs and educational institutions for borrowing our educational

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

IMH website were received; they were all approved. The list of applications and the feedback

from the organisations are appended as per Appendix III.

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VI. Institute of Mental Health, Castle Peak Hospital

Financial Report as at 31 December 2012