KOWLOON HOSPITAL
96. This hospital at present has 500 beds and an additional block of 600 beds had its sub-structure completed in November 1968. At the end of the year construction of the super-structure was in hand and it is expected that the block will be completed in the early summer of 1970. When completed there will be a total of 1,100 beds in this hospital as subsidiary accommodation for Queen Elizabeth Hospital and for chest diseases requiring both medical and surgical treatment. It will also contain an acute psychiatric ward and a paraplegic unit.
97. The pulmonary tuberculosis unit and the thoracic surgical unit in the hospital now have a total of 171 beds. Apart from treating patients suffering tuberculosis the work of these two units includes also other aspects of thoracic surgery and non-tuberculous disease.
TSAN YUK HOSPITAL
(See table 51}
98. This bospital, under the clinical supervision of the Professor of Obstetrics and Gynaecology of the University of Hong Kong, is the main specialist obstetric hospital in Hong Kong. It has 241 beds and is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.
99.
About 92% of admissions were booked cases. These were mainly primigravidae, grand multiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from Government Maternity Homes. There were 5,856 deliveries with no maternal deaths.
MENTAL HEALTH SERVICE
Castle Peak Hospital (See table 52)
100. This hospital of 1,242 beds was required to accommodate 1,570 patients at the end of the year. This is the only hospital in the Colony for the full time care of psychiatric patients.
101. Continued efforts to turn the hospital into a modern therapeutic community has resulted in a judicious liberalization of control over
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patients. Except for two closed wards for patients involved in Court proceedings, most of the wards are in various degrees 'open', having free access to their own gardens. Two wards are never locked, the patients housed therein being convalescent and receiving intensive atten- tion to prepare them for discharge. Some patients travel daily to Tsuen Wan and Son Hui to work in factories for a short period of rehabilita- tion prior to final discharge and many are given permission to go freely within the hospital.
102. Much reliance was placed on psychotropic drugs, and it became increasingly clear that maintenance treatment of many schizophrenics over a long period of time could result in a drop in the relapse rate.
103. Increasing efforts were made to rehabilitate the long-stay and grossly mentally handicapped patients, the air being to make them fit to earn their living. Two wards were especially set up for this purpose. The usual therapeutic measures including occupational therapy, group therapy and re-education were intensively used but emphasis was placed on training in activities having a direct bearing on their work after leaving hospital. By these means a number of patients found employ- ment while still in hospital. They were later discharged for full time employment. Planning continued for another mental hospital which will be sited at Lai Chi Kok.
104. The first Annual Sports Day for patients and staff was held successfully during the year.
Psychiatric Centres (See table 53)
105. The Yau Ma Tei Psychiatric Centre provides treatment for both out- and day-patients including follow-up cases from Castle Peak Hospital. Its facilities include a Child Psychiatric Unit. The Day Hospital was found most useful for treating psychoneurotics and disturbed adolescents and children. On Hong Kong Island the Hong Kong Psychiatric Centre, which is also the Headquarters of the Mental Health Service, continued to see out- and day-patients, follow-up cases from Castle Peak Hospital and forensic cases. In addition to these centres, psychiatric services were provided for the Psychiatric Observa- tion Unit în Victoria Remand Prison and for the Lai Chi Kok Female Prison.
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