Defeat Depression Project of the Castle Peak Hospital:

A Pawn in Fighting the Leading Cause of Disability

Eugenie Y. Leung, PhD.and the Defeat Depression Project Team

8 May 2006

The Institute of Mental Health, Castle Peak HospitalHong Kong Hospital Authority

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Defeat Depression Project Team Advisor: Hung-Kin Cheung, Chief of Service,

Consultant Psychiatrist Project Manager: Eugenie Y. Leung, Clinical

Psychologist

Grace Yuen-ching CHAN MO (Psychiatry) Martina Sim-ling CHEUNG Clinical Psychologist Amy CHOW Public Affairs Manager Tak Wing FAN SMO (Psychiatry) Chung Sing KAN SMO (Psychiatry) Siu Man LAM SMO (Psychiatry) Candy Sau-luen LEE Senior Occupational

Therapist Sing Yuen LI Clinical Psychologist Siu Kau LEUNG SMO (Psychiatry) Bacon Fung-leung NG Senior Occupational

Therapist Shu Leung PANG Registered Nurse Fan Kwong TSANG SMO (Psychiatry) Bennie Wah-hung WONG DOM (Nursing) Timothy Ming Hong YEUNG SMO (Psychiatry)

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Defeat Depression Project ( )

A community-funded three-year project 1999-2003 A multi-disciplinary, multi-media and multi-target mental health

educational programme for the Chinese-speaking communities Focused on the recognition, treatment and prevention of depression Language and cultural dimensions taken into consideration

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Why on Depression?

Pre-Project independent community survey by the Lingnan University on the Knowledge of Depression in the NTW Cluster (1999)

39% reported significant depressive symptoms

2.1% has sought professional help

46.5% did not know that depression is an illness

Over 62% did not know that there is treatment

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Objectives

1. To educate the general public and high-risk populations about depression as a mental illness and its prevention and treatment;

2. To share evidence-based information and sharing of skills with family doctors and other community healthcare professionals;

3. To reduce the disability related to depression by empowering patients and carers, and to foster greater patient participation in managing their depression.

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The Multi-disciplinary Team

Consultant

Project Manager

13 Programme Coordinators

psychiatrists, clinical psychologists, occupational therapists, psychiatric nurses, pharmacists, dietitians, medical social workers, hospital administrators, clerical and supporting staffcommunity partners, patients and volunteers

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Funding

Donation of almost HK$ 1 Million (approx. US$128,000)

Castle Peak Hospital Flag Day Health Care and Promotion Fund S.K. Yee Medical Foundation

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Characteristics: Multi-target

Public and

high-risk groups

Patientsand

carersProfessional

Educational Materials

EducationalActivities

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Success in a task starts with sharpened tools. a Chinese proverb

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Identity: Logo and Slogan

Our Slogan:

Dont worry, be happy, be positive in life, and build your own future.

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Exhibition panels

Depression: Overview Depression: Treatment Defeat Depression Project Postpartum Depression Depression in the Workplace Depression in Childhood and

Adolescence Depression in the Elderly Elderly Suicide Depression in the Intellectually

Disabled Depression and Substance Abuse Depression and Alcohol Depression and Criminal Behaviours Survey Findings

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Printed Materials for Public, Patients and Carers

Thirteen educational pamphlets written by our professional staff

Depression Overview Depression in Pregnancy and

Postpartum Period Depression in the Workplace Depression in Childhood and

Adolescence Depression in the Intellectually

Disabled Depression in the Elderly: Causes Depression in the Elderly: Prevention Depression in the Elderly: Survival Depression in the Elderly: Treatment Depression and Criminal Behaviours Depression and Suicide: What could I

do when I feel suicidal? Depression and Suicide: How could I

help someone with suicidal ideas? Changing Depressive Cognitions

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International Collaboration -- Printed Materials for Public, Patients and Carers

Authorized translation of Help is at Hand and Patient Information Factsheets (Royal College of Psychiatrists, England)

Manic Depression Alcohol and Depression Depression Men Behaving Sadly Bereavement Sleep Problem Cognitive Therapy ECT (Electroconvulsive Therapy) Lithium Therapy Antidepressants Psychotherapy Depression in the Elderly Depression in People with Learning

Disability Depression in Workplace Post Natal Depression

http://www.rcpsych.ac.uk/

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Printed Materials for Public, Patients and Carers

An easy-reading public-education Chinese book titled Defeat Depression ( )

Case stories and information-based articles

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Strategies

Public education Education for patients

and carers Skills-sharing with

professionals

Public Education

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Key Messages Better awareness of depression, its mental health risk

and its social cost; Up-to-date knowledge on the effective bio-psycho-social

treatment; Personal and social benefits of early identification and

early intervention; Reduced stigmatization of depression and barriers to

seeking treatment; Sensitivity to depression-related suicides and homicide-

suicides; Positive coping and mentally healthy lifestyles.

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General Public: Learning by Participating

Road shows and exhibitions

Quiz Contest

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General Public: Learning by Participating

Webpage Design Competition

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Public-Professional Joint Efforts

Internet Website www.imh.org.hk/depression www.ha.org.hk/cph

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A Game Set

Game FUN Problem-solving and positive thinking through

experiential games on handling life stressors and adversities

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General Public: Learning by Participating

Mental Health Month activitiesCastle Peak Hospital Open Day

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Audio-visual Information for Public

Home-made video compact disc (VCD) on Depression

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Audio-visual Information for Public

Home-made video compact disc (VCD) on Depression

Free distribution and quiz

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Healthcare-Media Collaboration:Radio Drama Series

Radio drama production depressed adolescent postnatal woman unemployed man suicidal persons marital and family discord depressed elderly

Mental health professionals Story lines Recording Interviews

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Healthcare-Media Collaboration:Radio Drama Series

Radio Drama series depressed adolescent postnatal woman unemployed man suicidal persons marital and family discord depressed elderly

Audio compact disc (CD)

Education for Patients and Carers

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Target / High-Risk Groups

Children and Adolescents Elderly persons Pregnant and postpartum women Depression in the Workplace and

the Unemployed Family problems Outpatients and their families Depression in the Intellectually

Disabled Depression and Substance Abuse Depression and Crime

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Education for the Patient and High-Risk Groups

Educational seminars for pregnant and postpartum women, working population, teachers etc. Self and carers

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Reaching Out to the High-Risk Groups

Depression and the Family Series Depression in the Elderly People Depression Awareness Programme in the School

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Empowering Patients and Carers

Depression Education for Patients and Carers

Parenting Course for Depressed Patients

Groups for Depressed Women

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Empowering Patients and Carers

Patients as educators Patients as workers Patients as consultants

Skills-sharing with Professionals

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Professional Training Materials:Community Awareness Depression Kit

Ready-made materials such as a video introduction of depression, lecturers notes, overhead transparencies and a complete set of educational pamphlets

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Depression Education in Primary Care

Community Medical Education General information, Assessment of

Depression Depression in Childhood, Adolescent

Depression Pharmacological Treatment, Psychological

treatments Alcohol and Substance Misuse Recognition and Treatment Approaches for

Postpartum Depression Management of Insomnia, Anxiety and

Depression Early Detection and Management of Elderly

Depression Early Detection and Management of Suicide

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Professional Training Materials:Continuing Medical Education Kit for General

Practitioners on the Management of Depressive Illnesses

Early Detection and Management of Depressive Disorders

Clinical Guidelines for Management of Depressive Illness (desk reference)

Drugs Used for Patients With Major Depressive Disorder (desk reference)

Use of Antidepressants in General Practice Counselling for Distressed Patients in General

Practice Anxiety, Sleep Disturbance and Depression The Practical Issue on the Management of

Insomnia, Anxiety, and Depression The Recognition and Treatment Approach for

Post-Partum Depression Depression, Alcohol, and Drug Abuse Early Recognition and Treatment of Childhood

and Adolescent Depression Elderly Depression The Assessment of Suicidal Pa