two year course conducted in Cantonese and who have not trained as general nurses.
282. Admissions to the hospital are now mainly from amongst those women registered at the hospital ante-natal clinic, and 94.8% of the admissions were primiparae, 'grand' multigravidae, women with a pre- vious history of abnormal labour or referred patients who are in need of specialist care. The rest of the admissions were emergency cases referred by private midwives, general practitioners or the Government Midwifery Service.
283. The work carried out during the year is set out in Table 24.
TABLE 24
284.
WORK OF THE TSAN YUK HOSPITAL 1960-61
Total admissions
Total deliveries
Still-birth rate (per 1,000 total births) Neo-natal mortality rate (per 1000 live births) Maternal mortality rate (per 1.000 total births) Percentage operative deliveries
......
1960
1961
7,231
7.774
6,416 6,664
9.70 12.34
12.17
13.71
0.16
0.7
20.12
31.13
Ante-natal and post-natal clinics are hold weekly and consist of 6 ante-natal and 2 post-natal sessions. Since July 1961 an appoint- ments system has been in use and has been found to be satisfactory. Patients who are not within the categories which are registered at these clinics for admission to Tsan Yuk are referred to Government Maternity Homes or to private midwives for their confinements. There were 37,158 attendances at ante-natal sessions and 3,925 attendances at post-natal clinics. A Health Visitor from the Maternal and Child Health Service attends to give health talks, lasting 20 minutes, twice each week. During the ante-natal sessions milk drinks are given to the pregnant women, the supplies of milk coming through the good offices of social welfare agencies.
285. There are special consultant clinics during each week for medical conditions complicating pregnancy and for venereal diseases. The Family Planning Association also holds a clinic in the hospital out-patient department twice each week.
Custle Peak Hospital
286. This modern psychiatric hospital of a nominal 1,000 beds was opened by His Excellency the Governor on the 27th March, 1961. Sited in spacious grounds where the patients can have exercise, recreation and some outside work, every attempt has been made to preserve an
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open appearance and give as much freedom as is possible. Of two storey pavilion structure, the wards are light and airy and the ancillary services include a large occupational therapy department, facilities for physiotherapy, electro-encephalography and an operating theatre which can be used for neuro-surgery. Within the hospital, one block of 120 beds has been set aside for the treatment and rehabilitation of drug addicts who come forward voluntarily for treatment. There is also a School of Psychiatric Nursing to which reference is made in para- graph 465.
287. The hospital is in the New Territories, some 22 miles from Kowloon and there is direct public transport between town and hospital. The majority of admissions are voluntary and come through the Hong Kong Psychiatric Centre situated in the former Victoria Mental Hospital on Hong Kong Island. This is also the main outpatient and Day Hospital from which patients discharged on trial from Castle Peak are super- vised and where therapy is continued.
288. The new hospital settled down remarkably quickly considering its size and it is not without significance that additional beds have already been fitted in to the new wards giving a total 1,119 beds available.
289. An additional psychiatric outpatient clinic was opened during the year in Tsuen Wan where a session is held once a week, conducted by staff from Castle Peak. Plans are in hand to establish a Psychiatric Centre with day hospital facilities in Kowloon and proposals have also been made for the re-housing of the Hong Kong Island Centre. The Almoning Service which has trained psychiatric social workers on the staff has broadened and expanded this section of its activities to keep pace with the developments of the Mental Health Service.
290. The work done at the hospital and the associated Psychiatric Centre and Day Hospital is recorded in Table 25.
TABLE 25
CASTLE PEAK HOSPITAL 1961
Mate
Female
Total
Total admitted 1st admissions
Re-admissions
834
477
1.311
417
347
764
Total admissions
1.251
824
3.075
Discharged, including transfers and deaths Towl patients treated in hospital Voluntary patients
984
821
1.805
1,805
1.380
3,085
957
749
1.706
* There were 29 male and 14 female patients who died in hospital.
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