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THE TSAN YUK HOSPITAL

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This hospital, 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 300 beds, including 50 beds for the care of premature and sick babies. It is the teaching centre of obstetrics for medical undergraduates and the training school for midwives.

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About 91 per cent of admissions during 1973 vere booked cases. These were mainly primigravidae, grand multiparae, and cases with previous, or present, complications which required specialist care. The emergency admissions were referred mostly from government maternity homes. There were 6,678 deliveries with one maternal death during the year,

Castle Peak Hospital

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MENTAL HEALTH SERVICE

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This hospital of 1,242 beds was required to accommodate 2,013 patients at the end of the year 1,966 actually living in, and 47 on trial

discharge. It is for the time being the only hospital in Hong Kong Por the full-time care of all types of psychiatric patients.

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The hospital continued to develop during the year, in accordance with contemporary psychiatric practice, into a modern therapeutic community. Except for one closed ward for patients involved in court proceedings, the rest of the wards were in various degrees 'open', with free access to their own gardens. Eight wards were entirely open, the patients housed being convalescent and receiving attention in preparation for discharge. Some

patients travelled daily to Tsuen Wan, Sham Tseng, and San Hui to work in factories. Others went to the adjacent New Life Rehabilitation Farm each week, for a short period of rehabilitation prior to final discharge, and many were given permission to move freely within the hospital.

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Reliance

All modern treatment in psychiatry was administered. continued to be placed on drug treatment and social measures, with the emphasis on inter-disciplinary, participatory-democratic teamwork, co-ordinating the functions and resources of social workers, nurses, occupational therapists, doctors and others in therapy. There was an increasing tendency to treat patients in psychiatric out-patient centres and day hospitals rather than to

admit them to Castle Peak Hospital.

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Continued efforts were made to rehabilitate the long-stay and severely mentally disabled patients, the aim being to discharge them when they were fit to earn a 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 discharge. By these means, a mumber of patients were able to find employment while still in hospital. They later left the hospital for full-time employment.

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A variety of social and recreational activities was organized for the patients, and they were always kept informed. In addition, they had their own social club. Every ward has a television set,

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Flanning for the psychiatric wing of the Princess Margaret Hospital was in an advance stage.

Psychiatric Centres

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The Yau Ma Tei Psychiatric Centre provides treatment for both out-patients and day-patients, including follow-up cases from the Castle Peak Hospital. Its facilities include a child psychiatric unit. The day hospital is useful for the treatment of psychoneurotics and disturbed adolescents and children. On the Island, the Hong Kong Psychiatric Centre continued to look after out- and day-patients, follow-up cases from the Castle Peak Hospital, and forensic cases. In addition to these centres psychiatric services were provided for the Siu Lam Hospital for the mentally subnormal, the Prisons Department Siu Lam Psychiatric Centre, the Tai Lam Centre for Women, and the Social Welfare Department's Aberdeen Rehabilitation Centre.

Kowloon Hospital Psychiatric Unit

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This unit, located in the west wing of the Kowloon Hospital, provides comprehensive psychiatric services in a general hospital setting. It consists of an out-patient section, day hospital and in-patient section, and provides an EEG investigation service for all patients in Kowloon. All types of patients, except those with strong suicidal and aggressive tendencies, were admitted. During their stay, they were subjected to an intensive treatment programme. Average length of stay was two weeks.

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