Employment Skills and Retraining for the Mentally Ill by myj85372

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									    Handbook on
    Rehabilitation Services




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Table of Content

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                                                                                   No.

Services for Pre-school Children

1       Early Education and Training Centre                                         1
2       Special Child Care Centre                                                   4
3       Residential Special Child Care Centre                                       6
4       Special Provision Programme for Autistic Children in Special Child Care     9
        Centre
5       Occasional Child Care Service for Disabled Children                        10
6       Integrated Programme in Child Care Centre                                  11

Services for School Age Children

7       Small Group Home for Mildly Mentally Handicapped Children/                 13
        Integrated Small Group Home

Services for Moderately Mentally Handicapped/Physically Handicapped
Persons

8       Sheltered Workshop                                                         16
9       Supported Employment                                                       18
10      Integrated Vocational Training Centre                                      20
11      Integrated Vocational Rehabilitation Services Centre                       23
12      Supported Hostel                                                           25
13      Hostel for Moderately Mentally Handicapped Persons                         27

Services for Severely Mentally Handicapped/Severely Physically Handicapped
Persons

14      Day Activity Centre                                                        29
15      Hostel for Severely Mentally Handicapped Persons                           31
16      Hostel for Severely Physically Handicapped Persons                         33
17      Hostel for Severely Physically Handicapped Persons with Mental Handicap    35
18      Care and Attention Home for Severely Disabled Persons                      37

Services for Ex-mentally Ill Persons

19      Training and Activity Centre for Ex-mentally Ill Persons                   39
20      Halfway House                                                              41
21      Halfway House with Special Provision                                       43
22      Long Stay Care Home                                                        44
23      Aftercare Service for Dischargees of Halfway Houses                        46
24      Community Mental Health Link                                               48
                                                                              Page No.

Services for Hearing Impaired Persons

25      Multi-service Centre for Hearing Impaired Persons                          50

Services for Visually Impaired Persons

26      Communication and Information Service for Visually Impaired Persons        54
27      Rehabilitation and Training Centre for Visually Impaired Persons           56
28      Home for the Aged Blind                                                    58
29      Care and Attention Home for the Aged Blind                                 60

Support Services

30      Agency-based Occupational Therapy Service                                  63
31      Agency-based Clinical Psychological Service                                65
32      Central Para-medical Support Service                                       67
33      Central Psychological Support Service                                      69
34      District-based Speech Therapy Service                                      71
35      Social & Recreational Centre for the Disabled                              73
36      Parents/Relatives Resource Centre for Disabled Persons                     75
37      Parents/Relatives Resource Centre for Ex-mentally Ill Persons              77
38      Home-based Training and Support Service                                    79
39      Specialized Home-based Training and Support Service                        82
40      Community Rehabilitation Network                                           85
41      Commercial-hired Transport Service for People with Disabilities            86
42      Respite Service                                                            87
43      Emergency Placement Service                                                88
44      Place of Refuge                                                            89

Appendix I:     Central Referral System for Rehabilitation Services                90
Appendix II:    Rehabilitation Services Under the Social Welfare Department        92
Appendix III:   List of Posts                                                      93
Appendix IV:    Services Index (in alphabetical order)                             95
       Services for Pre-school Children

   Early Education and Training Centre

   Special Child Care Centre

   Residential Special Child Care Centre

   Special Provision Programme for Autistic in Special
    Child Care Centre

   Occasional Child Care Service for Disabled Children

   Integrated Programme in Child Care Centre




                           Handbook on Rehabilitation Services
Services for Pre-school Children                                  Handbook on Rehabilitation Services


Early Education and Training Centre

Abbreviation: EETC

Introduction
EETC is the first stop for parents in a range of pre-school services for children with disability or
children at risk of becoming disabled. The centre provides early education and training
programmes for these children, where particular emphasis is placed on the caring and training
role to be played by the parents/guardians/family members.

Purpose and objectives
The objective of EETC is to maximise the developmental functioning of disabled children by
supporting and enabling parents/guardians/family members to accept, understand, care for and
train their children.

Nature of service
EETC provides a range of services for parents/guardians/family members focused on helping
them to learn to accept and care for their children, by working jointly with them. The following
services are included:

(a) Developmental assessment and individualised educational programmes

     Each child is assessed upon admission and periodically thereafter. The results of the
     developmental assessment are used to plan an individualised training programme which
     sets learning goals for the parent and child.

(b) Centre-based individual and group training and/or therapy

     The child and parent attend centre-based programmes together, on an individual or group
     basis, at least once a week and then practise the skills in daily life. Occupational therapy,
     physiotherapy and speech therapy services are provided. Toys are available for parents to
     borrow in order to facilitate home training.

(c) Parental support and education

     Guidance, counselling and support are provided to educate parents/guardians/family
     members and enhance acceptance and understanding in order to facilitate the overall
     development of their disabled children.

(d) Outreach service (may be provided by some centres)

     The service described above may be provided on an outreach basis in the children’s own
     home where the parents/guardians/family members experience difficulties in bringing
     their children to the centre.




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Services for Pre-school Children                                   Handbook on Rehabilitation Services

Target group
The major target groups are:
    disabled children from birth to 2 years of age
    disabled children from 2 to 6 years of age meeting the eligibility criteria for EETC only

The other group that may be catered for where vacancy exists is:
    disabled children from 2 to 6 years of age on a waiting list for other pre-school
     rehabilitation services (e.g. Special Child Care Centres or the Integrated Programmes in
     mainstream Child Care Centres)

Eligibility criteria
Referral eligibility criteria for children from birth to 2 years of age are those who are assessed as
experiencing:

    physical disabilities (including cerebral palsy)
    mental handicap
    visual impairment
    other congenital abnormalities
    developmental delay
    risk of becoming disabled, i.e. pre-mature babies or underweight babies

Referral eligibility criteria (for EETC only) for children from 2 to 6 years of age are those who
are assessed as experiencing:

    global delay (including speech delay)
    borderline intellectual delay
    a mix of physical disability and social behavioural problems
    inadequate teaching or training from parents/guardians/family members




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Staffing
Notional staffing for a standard EETC with 60 places is:
           ASWO          ½         PT I           ½
           SWA           1         OT I           ½
           SSCCW         1         CA             1
           SCCW          2         WM II          ½
                         4
           ST              /5

Referral channel
Referrals can be made by medical social workers, family caseworkers or via them by maternal
and child health centres, child assessment clinics, paediatric departments/out-patient
departments of general hospitals, private practitioners of relevant specialties and pre-school
rehabilitation centres to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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Services for Pre-school Children                               Handbook on Rehabilitation Services


Special Child Care Centre

Abbreviation: SCCC
Introduction
SCCC provides centre-based intensive training and care for moderately and severely disabled
pre-school children.

Purpose and objectives
The aim of SCCC is to develop the abilities of disabled children to the fullest extent so as to
establish a firm foundation for subsequent education and development.

Nature of service
SCCC provides a range of services for disabled children. The following services are included:

(a) Developmental assessment and individualised educational programmes
     Each child is assessed upon admission and periodically thereafter. The results of the
     developmental assessment are used to plan an individualised training programme which
     sets learning goals for each child.

(b) Centre-based individual and group training
     The child attends centre-based training programmes five days a week. Programmes aim to
     maximise each child’s developmental functioning. Occupational therapy, physiotherapy
     and speech therapy services are provided.

(c) Daily child care services
     Child care services are provided to enable the child to benefit from training programmes.
     Parental support and education are part of the Centre’s work. Transport to the centre is
     made available and a fee is charged for use of this service.

Target group
The target group is moderately and severely disabled pre-school children from 2 to 6 years of
age.




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Eligibility criteria
SCCC is open to those children who:

    do not require constant medical care in hospital;
    cannot benefit from the integrated programmes in mainstream child care centres;
    are not attending an EETC’s 2 to 6 years old programme; and
    assessed as experiencing one or more of the following:
     -     moderate or severe mental handicap
     -     moderate or severe physical handicap
     -     deafness or severe to profound hearing impairment
     -     blindness or severe visual impairment
      -    severe behavioural/emotional problems, hyperactive disposition or autistic disorder

Staffing
Notional staffing for a standard SCCC with 60 places is:

           ASWO          1           OT Aide             1
           SSCCW         1           EN                  1
           SCCW          9           CA                  1
           ST            1           Special Driver      1
           PT I          1           Cook                1
           OT I          1           WM II               5

Referral channel
Referrals can be made by medical social workers, family caseworkers or via them by maternal
and child health centres, child assessment clinics, paediatric department/out-patient department
of general hospitals, private practitioners of relevant specialties and pre-school rehabilitation
centres to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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Services for Pre-school Children                                 Handbook on Rehabilitation Services


Residential Special Child Care Centre

Abbreviation: RSCCC

Introduction
RSCCC forms part of a range of pre-school services for disabled children as a continuum of day
training service. The centre provides a coordinated approach of residential care and training to
disabled children.

Purpose and objectives
The objectives of a RSCCC are:
    to provide residential care to disabled children with a special need;
    to provide a continuum of training geared to the individual educational programme
     designed in day special child care centres to the disabled children; and
    to protect and promote the health and well-being of children in care and nurture their
     growth and development, with regard to their physical, social, emotional and intellectual
     needs.

Nature of service

The following care and training programmes are provided in addition to those provided in a day
special child care centre:

(a) accommodation and meals;
(b) opportunities and activities to meet social and recreational needs;
(c) training programmes geared to individual educational programme in particular on
    developing age-appropriate self-care skills; and
(d) liaison with the children’s family/guardians and the referring agencies regarding
    individual training and welfare plans as a continuation of the day training programme.

Target group
Children whose disability is so severe or complex that warrants intensive and continuous care
and therapy and disabled children who are homeless, abandoned, with adverse home or family
environment and without an alternative placement.




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Services for Pre-school Children                                Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for a RSCCC place, an applicant should be:
    mainly aged 2-6;
    unable to benefit from the integrated programme in mainstream child care centres/
     kindergartens;
    not in need of constant medical/hospital care; and
    with a special need; or
    assessed as experiencing one or more of the following:
          moderate or severe mental handicap
          moderate or severe physical handicap
          deafness or severe to profound hearing impairment
          blindness or severe visual impairment
          severe behavioural/emotional problems, hyperactive disposition or autistic disorder

Special consideration for admission
1. where the disabled children are homeless or abandoned or wards of Director of Social
   Welfare;

2. where children with severe or complex disabilities require a combination of therapy,
   training and care which would be beyond the combined resources of a day special child care
   centre and their families to provide, but which do not call for their admission to hospitals;

3. where learning difficulties or other barriers to educational progress are so severe that the
   whole life of the children needs to be under consistent and continual educational influence,
   for example where children are suffering from severe sensory loss, extensive neurological
   damage or malfunction, severe emotional or behavioural disorder or severe difficulties in
   communication;

4. where children are severely disabled and their parents cannot provide at home the sustained
   attention that they need, or cannot do so without unacceptable consequences for family life
   and the well-being of other children in the family; or

5. where poor social conditions or disturbed family relationships either contribute to or
   exacerbate the children's educational difficulty.

Staffing
The centre is allowed flexibility in employing any suitable staff for the service subject to its
compliance with the Child Care Services Ordinance.




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Referral channel
Referrals can be made by medical social workers, family caseworkers or via them by maternal
and child health centres, child assessment clinics, paediatric department/out-patient department
of general hospitals, private practitioners of relevant specialties and pre-school rehabilitation
centres to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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Services for Pre-school Children                                    Handbook on Rehabilitation Services


Special Provision Programme for Autistic Children in Special Child Care Centre

Abbreviation: SP Programme

Introduction
SP Programme for Autistic Children provides intensive training programme for children with
autistic disorder upon their admission into Special Child Care Centre (SCCC).

Purpose and objectives
The aim of the SP Programme in a SCCC is to help children with autistic disorder to integrate
into the daily programme of the SCCC so as to develop their abilities to the fullest extent and to
establish a firm foundation for subsequent education and development. It also aims at helping
children with autistic disorder develop social skills, attention span and the ability to follow
instructions and rules so that they can learn and progress from the SCCC programme.

Nature of service
SP Programme provides the following services:
(a)    Intensive training programmes in the form of individual and group;
(b)    Periodic assessment by psychologist to monitor progress and discharge; and
(c)    Guidance to parents.

Target group
The target group of the SP Programme in a SCCC is children with autistic disorder* aged from
2 to 6 years, who also meet the eligibility criteria for SCCC.

Staffing
Each SP Programme unit with 6 autistic children in SCCC is provided with 1 SCCW.

Referral channel
Referrals can be made by medical social workers, family caseworkers or via them by maternal
and child health centres, child assessment clinics, paediatric department/out-patient department
of general hospitals, private practitioners of relevant specialties and pre-school rehabilitation
centres to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569

           *    Autistic disorder refers to core autism or autistic features as stated at p. 34 of the
                Hong Kong Rehabilitation Programme Plan (1998-99 to 2002-03).




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Services for Pre-school Children                                Handbook on Rehabilitation Services


Occasional Child Care Service for Disabled Children

Abbreviation: OCC for DC

Introduction
OCC for DC provides short-term day care service on a full-day, half-day or sessional basis in
special child care centres (SCCCs) or early education and training centres (EETCs) for disabled
children.

Purpose and objective
The objective of occasional child care service is to provide a safe venue for the disabled
children whose parents/carers have to stay away from home occasionally due to various
commitments or sudden engagements so as to minimize the risks caused to young disabled
children being left unattended at home.

Nature of the service
Disabled children admitted for temporary care will be provided with care and activities in either
a SCCC or an EETC.

Target Group
The target group is disabled children aged between 2-6 years.

Eligibility Criteria
Disabled children whose parents/carers have to leave their children for a short while for various
reasons can be admitted. Children in ill health or with infectious disease will not be accepted.

Staffing
The centre is allowed flexibility in employing any suitable staff for the service subject to its
compliance with the Child Care Services Ordinance.

Referral channel
Parents/carers can make direct application themselves or by referrals through medical social
workers, family caseworkers or staff of pre-school rehabilitation centres, etc.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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Services for Pre-school Children                                 Handbook on Rehabilitation Services


Integrated Programme in Child Care Centre

Abbreviation: IP in CCC

Introduction
IP in CCC provides training and care to mildly disabled pre-schoolers aged 2 to 6 years in an
ordinary child care centre (CCC). Through this programme, mildly disabled children will have
a better chance of future integration into the mainstream education system and the society in
general.

Purpose and objectives
In addition to the service objective of a CCC, IP also aims to help the integration of the mildly
disabled children in the daily programme of the CCC and to promote mutual acceptance among
children therein.

Nature of service
In addition to the services provided by a CCC, an IP also provides intensive training in the form
of individual and group.

Target group
An IP in a CCC is designed for mildly disabled children aged 2 to 6 years, who also meet the
admission criteria of a CCC.

Eligibility criteria
Mildly disabled children aged from 2 to 6 years, with one or more of the following conditions as
assessed by psychologists or medical practitioners:

    mild grade mental handicap
    slight physical handicaps but no serious mobility problem
    mild or moderate hearing impairment
    mild or moderate visual impairment




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Services for Pre-school Children                                Handbook on Rehabilitation Services

Staffing
Every integrated programme unit serving 6 disabled children in ordinary child care centre is
provided with 1 SCCW.

Referral channel
Referrals can be made by medical social workers, family caseworkers or via them by maternal
and child health centres, child assessment clinics, paediatric department/out-patient department
of general hospitals, private practitioners of relevant specialties and pre-school rehabilitation
centres to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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        Services for School Age Children
   Small Group Home for Mildly Mentally Handicapped
    Children/Integrated Small Group Home




                           Handbook on Rehabilitation Services
Services for Pre-school Children                                  Handbook on Rehabilitation Services


Small Group Home for Mildly Mentally Handicapped Children /
Integrated Small Group Home

Abbreviation: SGH(MMHC) / ISGH

Introduction
SGH(MMHC)/ISGH is a residential care service for mildly mentally handicapped children who
cannot be adequately cared for by their families.

Purpose and objectives
The aim of SGH(MMHC) is to provide care in a home-like environment for mildly mentally
handicapped children until they can return to their families or a long term alternative placement
arrangement is achieved. In order to further achieve the goal of integration, mildly mentally
handicapped children can also be placed in small group homes for ordinary children at the ratio
of one MMHC to 7 ordinary children (ISGH).
The objectives of these small group homes are:
    to provide substitute care for mildly mentally handicapped children in a stable and safe
     home-like family living environment for a limited period of time, as specified by the
     individual welfare plan and subject to review on a regular basis;
    to protect and promote the health and welfare of children in care and nurture their overall
     growth and development, including their physical, social, emotional and intellectual
     needs; and
    to develop their potential, senses of responsibility, self-esteem and self-care skills amongst
     children in care.

Nature of service
The services provided by SGH(MMHC)/ISGH include:

(a) Physical and basic care

         provision of accommodation in a home-like environment where the atmosphere is
          intended to be similar to that of an ordinary family
         provision of physical care 24 hours per day by a married couple (referred to as
          “houseparents”, or in their absence “relief houseparents”). The houseparents are
          employed by the service operator to act as substitute parents and to assume overall
          responsibility for the children’s care, under the close supervision and guidance of the
          social worker of the small group home
         provision of domestic help on a full-time basis to assist with the day-to-day household
          chores within the home
         provision of sufficient and varied food appropriate to the age and need of the children
         arranging appropriate/basic clothing items
         arranging transport or escorting children to activities or functions appropriate to the
          age and needs of the children


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Services for School Age Children                                  Handbook on Rehabilitation Services


(b) Meeting individual needs
         supervising daily activities and routines, including schooling and homework
        liaising with significant others, including schools, other agencies, the
         families/guardians, and the referring agency or worker to ensure achievement of the
         individual plans
        encouraging and facilitating contact with natural families/guardians, and arranging
         home leave, in preparing children for future restoration
        arranging various social and recreational activities to cultivate individuals’ own
         aptitudes and interests

(c) Welfare planning and counselling
        involving in a child’s individual welfare plan or programme with relevant others,
         through regular case discussions or reviews to update and review progress in relation
         to achieving the plan
        rendering guidance/counselling, either on an individual or group basis, to help children
         cope with the underlying problems which brought about the need for substitute care

(d) Community participation
        arranging a variety of social and recreational activities to participate in community
         events and activities as an integrated family group

Target group
The target group is mildly mentally handicapped children from 6 to 18 years of age who are
orphaned or receiving inadequate care from parents or relatives. This may include the children
not free for adoption but may have to spend a lengthy period in care or they are in a certain crisis
situation or in need of short-term care away from their families. Children are usually attending
special schools or training in other institutions at time of admission.

Staffing
Notional staffing for a standard SGH(MMHC) with 8 places is:

           ASWO          ⅓
           WW           2⅔
           WM II         1

ISGHs have a staffing level equivalent to SGH(MMHC), which has ⅓ additional welfare
worker post as compared with ordinary SGH.




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Services for School Age Children                            Handbook on Rehabilitation Services


Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




                                            15
Services for Moderately Mentally Handicapped/
               Physically Handicapped Persons

           Sheltered Workshop

           Supported Employment

           Integrated Vocational Training Centre

           Integrated Vocational Rehabilitation Services Centre

           Supported Hostel

           Hostel for Moderately Mentally Handicapped Persons




                                   Handbook on Rehabilitation Services
Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                    Handbook on Rehabilitation Services


Sheltered Workshop

Abbreviation: SW

Introduction
SW provides persons with mental and/or physical disabilities a working environment specially
designed to accommodate the limitations arising from their disabilities, in which they can be
trained to engage in income-generating work process, learn to adjust to normal work
requirements, develop social skills and relationships and prepare for potential advancement to
supported/open employment where possible. It is a welfare-oriented service without an
employer/employee relationship between the workshop operators and the trainees.

Purpose and objectives

The objective of a SW is to provide vocational rehabilitation service through:
      work opportunity in a planned environment;
      opportunities for work adjustment and advancement with the ultimate objective of
       enabling people with disabilities to move on to supported or open employment where
       possible; and
      training to people with disabilities to develop and maintain social and economic potential.

Nature of service

The services provided by a SW include:

(a) provision of income-generating work process;

(b) provision of training on work habits and skills and on-going assessment on progress;

(c) provision of work-related referrals and referrals for other appropriate services where
    required; and

(d) provision of activities to meet developmental and social needs.

Note
Most of the existing SWs are operating five days per week from 9 a.m. to 5 p.m. All the trainees
are encouraged and expected to attend the workshop on time daily.

Target group
The target group is people with disabilities aged 15 and above with a need for sheltered work.




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Physically Handicapped Persons                                 Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for a SW place, an applicant should be:

   capable of basic self-care (disabled persons requiring personal care but with bowel and
    bladder control could be admitted to sheltered workshops for persons with severe physical
    handicap);
   mentally and emotionally stable with no active infectious disease and severe disturbing
    behaviour; and
   demonstrate to have work motivation/ability through an assessment prior to admission.

Staffing
Notional staffing for standard SWs with 100, 120 and 140-160 places respectively are:

                       Capacity 100             Capacity 120       Capacity 140-160

           either      SSWA         1           SSWA      1        SSWA         1
                       WI II        1           WI II     1        WI II        1
                                                SWA       1        SWA          1

           or          WI I         1           WI I      1        WI I         1
                       SWA          1           WI II     1        WI II        1
                                                SWA       1        SWA          1

           Plus        WI III       5           WI III    6        WI III       7/8
                       ACO          1           ACO       1        ACO          1
                       CA           1           CA        1        CA           1
                       MD           1           MD        1        MD           1
                       WM II        3           WM II     4        WM II        4/5

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                  Handbook on Rehabilitation Services


Supported Employment

Abbreviation: SE

Introduction
SE provides support to people with disabilities in employment. It allows them to work in an
integrated open setting with necessary support service and to have access to the usual benefits
of having a job such as income at market rates and job security. It is a welfare-oriented service
without an employer/employee relationship between the service operators and the trainees.

Purpose and objectives
The objectives of SE are:

   to serve as an avenue for upward mobility of people with disabilities in sheltered
    workshops and a necessary step towards integration for those people with disabilities who
    otherwise cannot take up open employment; and

   to prepare people with disabilities to work in an open and competitive setting
    independently.

Nature of service
The services provided by SE include:
(a) arrangement of job placement such as job analysis and job matching;
(b) provision of support services including employment related skills training, on-the-job
    coaching and supervision, job-related guidance and advice to the trainees, their family
    members and the job providers; and
(c) the programme will allow flexibility to go with the changing needs of the labour market
    and economic structure to ensure that its supports to trainees are matching with reality.

Target group
   people with moderate disablement with working abilities lying between sheltered workshop
    and open employment without support, i.e. the majority of people with moderate grade
    mental handicap and those with mild grade mental handicap coupled with other disabilities;
    or

   people with moderate disablement with good working abilities but who are unable to adjust
    to the competitive open job market in the absence of support, i.e. those people with severe
    physical, sensory, visceral or psychiatric disabilities.




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                   Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for a SE place, an applicant should be:

   aged 15 and above;

   people with disabilities who are assessed to be capable of or likely capable of open
    employment if provided with special support programme;

   has adequate self-care and daily living skills; and

   has motivation to take up open employment.

Staffing
Notional staffing for a SE unit of 30 places is:

           WI II     1

           WI III    2

Service operators are given the flexibility in employing any suitable staff for the service.

Referral channel
Referrals can be made by medical social workers, family caseworkers, staff of rehabilitation
units and school social workers to the Central Referral System for Rehabilitation Services.
Referrers or applicants can also approach the operating units for direct application for the
service.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5147




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Physically Handicapped Persons                                     Handbook on Rehabilitation Services


Integrated Vocational Training Centre

Abbreviation: IVTC

Introduction
IVTC aims to provide people with disabilities a series of seamless one-stop vocational training
and rehabilitation services including skills training and retraining, supported employment, job
attachment etc. There are two IVTCs, namely, Caritas Lok Mo IVTC (previously known as
Caritas Lok Mo Skills Centre) and Hong Chi Pinehill IVTC (previously known as Hong Chi
Pinehill Advanced Training Centre), and both are under the subvention of the Social Welfare
Department with effect from April 2003.

Nature of service
The services provided by an IVTC include:
(a) provision of training to develop vocational skills and work habits;
(b) arrangement of job analysis and job matching;
(c) provision of training on application of employment skills in real-work setting through job
    attachment;
(d) provision of retraining service for retaining and refreshing vocational skills;
(e) provision of work-related referrals and referrals for other appropriate services where
    required;
(f)   provision of activities to meet developmental and social needs;
(g) provision of support services including specific employment related skills training,
    on-the-job coaching and supervision, job-related guidance and advice to trainees, their
    families and job providers;
(h) provision of maintenance programmes of self-care skills;
(i)   provision of opportunities and activities to develop self-care skills, daily living, social and
      communication skills;
(j)   provision of opportunities and activities to meet social and recreational needs; and
(k) provision of residential service (for Hong Chi Pinehill IVTC only).

Target group
The target group is people with disabilities aged 15 and above with a need of vocational training
and sheltered employment services.




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for an IVTC place, an applicant should be:

   aged 15 and above;

   capable of self-care; and

   mentally and emotionally stable with no active infectious disease and severe distributing
    behavious.

For Hong Chi Pinehill IVTC (residential service)

   enrolled to Hong Chi Pinehill Integrated Vocational Training Centre (day service); and

   physically and mentally suitable for group living.

Staffing
Establishment for Caritas Lok Mo IVTC and Hong Chi Pinehill IVTC:
                                        Caritas Lok Mo       Hong Chi Pinehill Advanced
                                         Skills Centre            Training Centre
           Senior lecturer                     1                         1
           Assistant lecturer                   1                           1
           Certificated master                  4                           4
           WI II                                7                           6
           WI III                               7                           9
           SSWA                                 1                           3
           SWA                                  1                           1
           SWW                                  0                           2
           WW                                   0                          13
           OT II                                1                           0
           RN                                   1                           1
           ACO                                  1                           1
           CA                                   1                           2
           Artisan                              1                           1
           WM II                                4                           5
           P Att’d                              0                           1
           Total                                31                         51




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                              Handbook on Rehabilitation Services

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units, directly to these two IVTCs. Applicants can also
approach these IVTCs for direct application.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




                                                22
Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                   Handbook on Rehabilitation Services


Integrated Vocational Rehabilitation Services Centre

Abbreviation: IVRSC

Introduction
IVRSC provides people with disabilities a series of integrated and seamless vocational
rehabilitation services in a training environment specially designed to accommodate the
limitations arising from their disabilities, in which they can engage in income-generating work
process, learn to adjust to normal work requirements, develop social skills and relationship and
prepare for potential advancement to open employment. The service aims to enable people
with disabilities to secure, retain and advance in suitable employment and thereby to further
their integration into society. It is a welfare-oriented service without an employer/employee
relationship between the service operator and trainees.

Nature of service
The services provided by an IVRSC may include:
(a) Centre-based training
      Centre-based sub-contract jobs in the form of simple processing, finishing and assembly
      or sub-assembly work, desk-top publishing, and laundry service, etc.
(b) Non-centre-based training
      Non-centre-based training in the form of outdoor contractual services such as car-washing,
      office cleaning, delivery services, retailing, and leaflet distribution, etc.
(c) Job finding, matching, coaching and follow-through support
      Common operational modes of SE such as individual approach, including individual
      placement model and home-based employment model, group approach, including mobile
      crew, enclaved model, benchwork model and simulated business
(d) On the Job Training
      On the job training includes job attachment, job trial and post-placement service, etc.
      Attachment allowance to trainees and wage subsidy to employer should be released in line
      with the programme design of the present SWD-funded On the Job Training Programme
      for People with Disabilities
(e) Retraining and other vocational training services
      Activities such as retraining programmes to enable people with disabilities to secure,
      retain and advance in open employment and integration into society
(f)   Support services
      Vocational assessment, counseling, casework support, post-discharge services, family life
      education activities and other support and recreational activities to the trainees and their
      families



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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                 Handbook on Rehabilitation Services

Target group
The target group is people with disabilities aged 15 and above with a need of sheltered work or
in need of support to take up open employment.

Eligibility criteria
To be eligible for an IVRSC place, an applicant should be:

   aged 15 and above;

   having work motivation;

   capable of self-care; and

   mentally and emotionally stable with no active infectious disease and severe distributing
    behaviour.

Staffing
To be worked out by service operators in accordance with operational need. However,
registered social worker(s) must be included in the staffing establishment.

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                   Handbook on Rehabilitation Services


Supported Hostel

Abbreviation: SHOS

Introduction
SHOS provides group home living for people with disabilities who can only live
semi-independently with a fair amount of assistance from hostel staff in daily activities.

Purpose and objectives
The objectives of a SHOS are:

   to provide residential care and facilities for semi-independent living;

   to enhance residents' independent living skills and facilitate their integration into the
    community; and

   to promote the quality of life of the residents and to maximize their potentials through the
    provision of a supportive and stimulating environment.

Nature of service
The services provided by a SHOS include:
(a) provision of accommodation, food and meals;
(b) provision of guidance/assistance to residents in performing some domestic tasks and daily
    activities;
(c) provision of opportunities and activities to develop independent living, social,
    communication and decision-making skills;
(d) provision of opportunities and activities to meet social and recreational needs; and
(e) provision of opportunities and activities to enable residents to maintain contact with the
    families and community.

Target group
The target group is people with disabilities aged 15 and above, with a need for accommodation
for social reasons, who can manage semi-independent living.




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Services for Moderately Mentally Handicapped/
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Eligibility criteria
To be eligible for a SHOS place, an applicant should be:

   actively occupied in various forms of employment/day training;

   physically and mentally suitable for group living;

   physically healthy with no active infectious disease or drug/alcoholic abuse; and

   capable of semi-independent living i.e. mastery of self-care skills but may need a fair
    amount of guidance/assistance in some domestic tasks like cooking or washing or in
    community living activities like shopping.

Staffing:
Notional staffing for a standard SHOS with 20 places is:

            SWA         1

            WW          3

            WA          1

            Cook        1

Referral channel
Referrals can be made by medical social workers, school social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




                                                26
Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                                   Handbook on Rehabilitation Services


Hostel for Moderately Mentally Handicapped Persons

Abbreviation: HMMH
Introduction
HMMH provides home living for persons with moderate mental handicap who are capable of
basic self-care but lack adequate daily living skills to live independently in the community.

Purpose and objectives
The objectives of a HMMH are:

    to provide residential care and facilities;

    to promote the quality of life of the residents and to maximize their potentials through the
     provision of a caring and stimulating environment; and

    to maintain their health and capability and to provide care support to enable them to live as
     independently as possible in the community.

Nature of service
The services provided by a HMMH include:
(a) provision of accommodation and meals;
(b) provision of maintenance programmes of self-care skills;
(c) provision of opportunities and activities to develop daily living, social and communication
    skills;
(d) provision of opportunities and activities to meet social and recreational needs; and
(e) provision of opportunities and activities to enable residents to maintain contact with the
    community and families.

Target group
The target group is moderately mentally handicapped persons aged 15 and above.

Eligibility criteria
To be eligible for a HMMH place, an applicant should be:

   actively occupied in or being arranged for admission to a day placement; and

   physically and mentally suitable for group living, such as physically healthy with no active
    infectious diseases.




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Services for Moderately Mentally Handicapped/
Physically Handicapped Persons                              Handbook on Rehabilitation Services

Staffing
Notional staffing for a standard HMMH with 50 places is:

          SSWA         1               WM II     1

          SWA          1               CA        1

          WW           3               Cook      2

          WA           6

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




                                                28
Services for Severely Mentally Handicapped/
     Severely Physically Handicapped Persons

   Day Activity Centre

   Hostel for Severely Mentally Handicapped Persons

   Hostel for Severely Physically Handicapped Persons

   Hostel for Severely Physically Handicapped Persons with
    Mental Handicap

   Care and Attention Home for Severely Disabled Persons




                                     Handbook on Rehabilitation Services
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                            Handbook on Rehabilitation Services


Day Activity Centre

Abbreviation: DAC

Introduction
DAC provides day care and training in daily living skills and simple work skills to mentally
handicapped persons who are unable to benefit from vocational training or sheltered
employment.

Purpose and objectives
The purpose of a DAC is to provide day activities to the trainees, to train them to become more
independent in their daily lives, and to prepare them for better integration into the community
or for transition to other forms of service or care where appropriate.
The objectives of a DAC are:
    to train the traniees to acquire skills in the areas of basic self-care, social and simple work
     skills;
    to meet the physical, social and emotional needs of the traniees through the provision of
     day care and meaningful activities;
    to enable the traniees to become more independent in their daily living and social
     functioning so as to enable them to live as independently as possible; and
    to prepare the traniees for transition to other forms of service or care, including progression
     to sheltered employment where feasible, or to alternative care when increased care is
     necessary.

Nature of service
The services provided by a DAC include:
(a) assessment, on an initial and regular basis, to identify the degree of disability and
    capability of individuals;
(b) development of individual plans and training programmes to address the needs of
    individuals;
(c) training programmes, conducted on an individual or group basis in the areas of motor
    skills, self-help skills, communication skills, domestic skills, community living skills,
    simple work skills, social and interpersonal skills, leisure and recreation skills;
(d) social and recreational activities, including participation in community events and
    activities;




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Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                           Handbook on Rehabilitation Services

(e) caring activities, including:
          provision of nursing and personal care
          arranging of mid-day meals
          transporting or escorting of individuals to and from the centre, where a need exists and
           depending on the resources available
(f) supportive services, such as physiotherapy, occupational therapy and clinical psychology,
    through either the service operator or through the SWD central pool.
Centres may also provide additional services to the core services listed above, where identified
or assessed as appropriate by the service operator in meeting the needs of individual the trainee.

Target group
The target group is severely mentally handicapped persons aged 15 and above.

Eligibility criteria
To be eligible for a DAC place, an applicant should be:
    mentally handicapped;
    not bed-ridden nor requiring infirmary care;
    without severe aggressive behaviour endangering self and others; and
    without infectious disease.

Staffing
Notional staffing for a standard DAC with 50 places is:

           SSWA          1               CA 1
           SWA           2               WA 5
           WW            5               MD 1
           EN            1               (for single DAC only)

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5157




                                                 30
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                           Handbook on Rehabilitation Services


Hostel for Severely Mentally Handicapped Persons

Abbreviation: HSMH

Introduction
HSMH provides home living for persons with severe mental handicap who lack basic self-care
skills and require assistance in personal and nursing care.

Purpose and objectives
The objectives of a HSMH are:

    to provide residential care and facilities;

    to promote the quality of life of the residents and to maximize their potentials through the
     provision of a caring and stimulating environment; and

    to maintain their health and to assist them in their varying personal care needs and daily
     living activities.

Nature of service
The services provided by a HSMH include:

(a) provision of accommodation and meals;
(b) provision of nursing services including administration and supervision of medication;
(c) provision of personal assistance in basic self-care activities;
(d) provision of opportunities and activities to develop daily living, social and communication
    skills; and
(e) provision of activities organized on a regular basis to meet the social and recreational needs
    of the residents and to maintain contact with the community and families.

Target group
The target group is severely mentally handicapped persons aged 15 and above.

Eligibility criteria
To be eligible for a HSMH place, an applicant should be:

    actively occupied in or being arranged for admission to receive day service in a Day
     Activity Centre;

    physically and mentally suitable for group living; and
    without infectious disease.




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Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                        Handbook on Rehabilitation Services

Staffing
Notional staffing for a standard HSMH with 50 places is:

          CSWA/SSWA           1               EN        3
          SWA                 3               WA        7
          WW                  9               ACO       1
          RN                  1               Cook      2
                                              WM II     2

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel.                        No:                             2892                            5157




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Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                         Handbook on Rehabilitation Services


Hostel for Severely Physically Handicapped Persons

Abbreviation: HSPH

Introduction
HSPH provides home living for persons with severe physical disabilities with or without mental
handicap who lack basic self-care skills and require assistance in personal and nursing care.

Purpose and objectives
The objectives of a HSPH are:

   to provide residential care and facilities;

   to promote the quality of life of the residents and to maximise their potentials through the
    provision of a caring and stimulating environment; and

   to maintain their health and capability and to assist them in their varying personal care
    needs and daily living activities.

Nature of service
The services provided by a HSPH include:
(a) provision of accommodation and meals;
(b) provision of personal assistance in self-care activities;
(c) provision of nursing services including administration and supervision of medication;
(d) provision of opportunities and activities to develop daily living, social and communication
    skills; and
(e) provision of activities organised on a regular basis to meet the social and recreational
    needs of the residents and to maintain contact with the community and families.

Target group
The target group is severely physically handicapped persons aged 15 and above.

Eligibility criteria
To be eligible for a HSPH place, an applicant should be:

    actively occupied in or being arranged for admission to a day placement usually in a
     sheltered workshop;

    mentally and emotionally stable with no active infectious disease and severe disturbing
     behaviour; and

    capable of bowel and bladder control.




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Services for Severely Mentally Handicapped/
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Staffing
Notional staffing for a standard HSPH with 50 places is:

           CSWA/SSWA           1              EN      3
           SWA                 1              CA      1
           WW                  5½             MD      1
           PCW                 12½            Cook    2
           RN                  1              WM II   7

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5135




                                                34
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                         Handbook on Rehabilitation Services


Hostel for Severely Physically Handicapped Persons with Mental Handicap

Abbreviation: HSPH/MH

Introduction
HSPH/MH provides home living for severely physically handicapped persons with mental
handicap who lack basic self-care skills and require more assistance in personal and nursing
care due to their multiple handicaps but are capable of receiving training in a day activity
centre.

Purpose and objectives
The objectives of a HSPH/MH are:
   to provide residential care and facilities;
   to promote the quality of life of the residents and to maximise their potentials through the
    provision of a caring and stimulating environment; and
   to meet their health care need and to assist them in their varying personal care needs and
    daily living activities.

Nature of service
The services provided by a HSPH/MH include:
(a) provision of accommodation and meals;
(b) provision of personal assistance in self-care activities;
(c) provision of nursing services including administration and supervision of medication;
(d) provision of opportunities and activities to develop daily living, social and communication
    skills and to maintain the motor functioning; and
(e) provision of activities organised on a regular basis to meet the social and recreational
    needs of the residents and to maintain contact with the community and families.

Target group
The target group is severely physically handicapped persons with mental handicap aged 15 and
above.




                                                  35
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                          Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for a HSPH/MH place, an applicant should be:
   actively occupied in or being arranged for admission to receive day service in a Day
    Activity Centre;
   no active infectious disease; and
   no severe disturbing behaviour.

Staffing
Notional staffing for a standard HSPH/MH with 50 places is:

          CSWA/SSWA           1               EN           3
          SWA                 1               CA           1
          WW                  5½              MD           1
          PCW                 12½             Cook         2
          RN                  1               WM II        7

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5157




                                                      36
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                           Handbook on Rehabilitation Services


Care & Attention Home for Severely Disabled Persons

Abbreviation: C&A/SD
Introduction
C&A/SD provides home living for persons with severely mentally handicapped/severely
physically handicapped persons who are unlikely to benefit from regular day training
placement. These persons are in need of nursing and intensive personal care but do not yet
require infirmary care services.

Purpose and objectives
The objectives of a C&A/SD are:

    to provide residential care and facilities;

    to promote the quality of life of the residents through a caring and stimulating environment;
     and

    to help them maintain their health and to assist them in routine personal care tasks and daily
     living activities.

Nature of service
The services provided by a C&A/SD include:

(a) provision of accommodation and meals;
(b) provision of nursing care and intensive personal care including assistance with activities of
    daily living;
(c) provision of therapeutic exercise and treatment to maintain or improve the functioning of
    the residents;
(d) provision of maintenance programmes on basic living skills; and
(e) provision of regular activities to meet their social and recreational needs, and to enable
    them to maintain contact with their families and the community.

Target group
The target group is severely mentally handicapped/severely physically handicapped persons
aged 15 and above.

Eligibility criteria
To be eligible for a C&A/SD place, an applicant should be:

    unfit for day training placement;
    in need of intensive personal care, such as assistance in dressing, toileting and meals; and
    not being bed-ridden or requiring substantial medical/nursing care.



                                                   37
Services for Severely Mentally Handicapped/
Severely Physically Handicapped Persons                      Handbook on Rehabilitation Services

Staffing
Notional staffing for a standard C&A/SD with 50 places is:

           CSWA/SSWA           1              OT I   1
           SWA                 1              OTA    1
           WW                  2              WA     4
           PCW                 10             ACO    1
           RN                  1              MD     1
           EN                  6              Cook   2
           PT I                1

Referral channel
Referrals can be made by school social workers, medical social workers, family caseworkers
and staff of rehabilitation service units to the Central Referral System for Rehabilitation
Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5157




                                                38
      Services for Ex-mentally Ill Persons

   Training and Activity Centre for Ex-mentally Ill Persons

   Halfway House

   Halfway House with Special Provision

   Long Stay Care Home

   Aftercare Service for Dischargees of Halfway Houses

   Community Mental Health Link




                               Handbook on Rehabilitation Services
Services for Ex-meantlly Ill Persons                             Handbook on Rehabilitation Services


Training and Activity Centre for Ex-mentally Ill Persons

Abbreviation: TAC

Introduction
TAC comprises two components: the training centre and the social club. The training centre
provides structured programs to assist the ex-mentally ill persons to re-adjust to community
living while the social club provides social and recreational activities.

Purpose and objectives
The training centre is designed to improve the social adjustment capabilities of ex-mentally ill
persons to prepare them to readjust to community living and to help them develop their social
and vocational skills to the fullest extent.
The social club is intended for ex-mentally ill persons who are engaged in day training or
employment (either open, supported or sheltered), to provide them with meaningful leisure
activities and chances to develop their inter-personal relationship skills.

Nature of service
The service provided by the training centre includes tailor-made life skills and pre-vocational
training for preparing the ex-mentally ill persons to readjust to their home or work settings in
the community. Activities include training in areas of occupational skills and work attitude,
training on self-confidence, motivation, and interpersonal skills.
The service provided by the social club includes activities such as interest groups, social and
recreational programs to meet the different needs of its members.

Target group
The target group is ex-mentally ill persons aged 15 and above.

Eligibility criteria
To be eligible for a TAC place, an applicant should be:

    an ex-mentally ill person who is mentally stable;

    physically healthy and free from infectious disease, alcohol or drug addiction;

    having no event of significant violent behaviour in the recent years; and

    willing to participate in the centre’s programme.




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Services for Ex-meantlly Ill Persons                           Handbook on Rehabilitation Services

Staffing
Notional staffing for a standard TAC with a capacity of 50 day training places in conjunction
with a social club with a capacity of 200 members is:

            ASWO          1            OT I         1
            SWA           2            WM II        1
            WW            2

Referral channel
Referrals to the training centre can be made via the Central Referral System for Rehabilitation
Services. Referrals to the social club, on the other hand, can be made direct to respective
centres by doctors, social workers or allied health workers; or by self-application through
doctors, social workers or allied health workers’ handling.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Services for Ex-meantlly Ill Persons                                Handbook on Rehabilitation Services


Halfway House

Abbreviation: HWH

Introduction
HWH provides community rehabilitation service for ex-mentally ill persons after a period of
medical treatment to facilitate re-integration into the community.

Purpose and objectives
The overall objective of a HWH is to provide a transitional period of residential care and
training to facilitate residents to achieve an optimal level of functioning for the purpose of
community re-integration by:

    establishing a reasonably stable pattern of life, alleviating the effects of institutionalization
     and developing their capacity to cope with daily living; and

    providing a supportive environment conducive to personal development and
     independence.

Nature of service
The services provided by a HWH include:
(a) accommodation;
(b) provision of food and meals;
(c) developing understanding of and ability to cope with mental illness;
(d) development and training of life skills such as :
       self-care skills
       social and communication skills
       community living skills
       work habits
       domestic skills
       group living skills
       positive use of leisure time
(e) facilitation of the re-alignment of relationship with family members; and
(f) preparation for discharge from the HWH.

Target group
The target group is ex-mentally ill persons aged 15 and above.




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Services for Ex-meantlly Ill Persons                            Handbook on Rehabilitation Services

Eligibility criteria
To be eligible for a HWH place, an applicant should be:

    mentally stable;

    with reasonable vocational ability and motivation for open employment;

    physically healthy and free from infectious disease, alcohol or drug addiction;

    capable of self-care; and

    able to get along with others.

Staffing
Notional staffing for a standard HWH with 40 places is:

            ASWO          1            EN(Psy)        2
            SWW           1            Cook           1
            WW            5            WM II          1

Referral channel
Referrals can be made by medical social workers of psychiatric hospitals/clinics to the Central
Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Services for Ex-meantlly Ill Persons                           Handbook on Rehabilitation Services


Halfway House with Special Provision

Abbreviation: HWH-SP
Introduction
HWH-SP provides transitional residential service for those ex-mentally ill persons who have a
history of criminal violence or assessed disposition to violence (i.e.”Sub-target group” as
defined in the 1983 Report of the Working Group on Ex-mental Patients with a History of
Criminal Violence or Assessed Disposition to Violence), in an integrated way together with the
ordinary ex-mentally ill persons. The optimum ratio for acceptance of these clients vis-à-vis
other ordinary ex-mentally ill persons is 1:3. The facility is normally accommodated in
purpose-built premises.

Purpose and objectives

Nature of service
                                       Same as HWH
Target group

Eligibility criteria
Note
25% of the places are earmarked for discharged mental patients with assessed disposition to
violence.

Staffing
Notional staffing for a standard HWH-SP of 40 places is:

          SWO           1              RN (Psy)    1
          SWW           1              EN (Psy)    3
          WW            5              Cook        1
                                       WM II       1

Referral channel
Referrals can be made by medical social workers of psychiatric hospitals/clinics to the Central
Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Services for Ex-meantlly Ill Persons                              Handbook on Rehabilitation Services


Long Stay Care Home

Abbreviation: LSCH
Introduction
LSCH provides long term residential care and active maintenance services to discharged
chronic mental patients to enable them with the necessary abilities to progress to more
integrated living in the community with support services.

Purpose and objectives
The prime objective of a LSCH is to encourage the discharged chronic mental patients to
succeed in the areas in which they have the ability to progress and to assist them to achieve the
following aims as far as possible:

   to maintain mental stability

   to effect change in attitude from dependency to assuming more responsibility

   to develop psychomotor, social and communication skills

   to develop healthy hobbies and positive use of leisure time

Nature of service
The services provided by a LSCH include:
(a) accommodation and meals;
(b) nursing care and intensive personal care including assistance with activities of daily living;
(c) maintenance programmes on basic living skills;
(d) therapeutic exercise and treatment to maintain or improve the functioning of the residents;
    and
(e) development and training of life skills such as:

          social and communication skills

          domestic skills

          work skills

          group living skills

          positive use of leisure time

Target group
The target group is discharged chronic mental patients aged 15 or above.




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Eligibility criteria
To be eligible for a LSCH place, an applicant should be:

    in controlled medical and mental conditions and not requiring intensive psychiatric
     treatment or nursing care. They may require maintenance drugs but should not have active
     and frequent psychopathic behavioural problems;

    unlikely to be able to lead an independent living in the community due to high dependence
     in residential care; exceedingly withdrawn personality resulting from mental illness;
     dementia; mental impairment with poor psychomotor, social and communication skills;
     and comorbid mental handicap or other comorbid disabilities;

   destitute or with unfavourable home environment;

   free from significant violent behaviour in the past five years and unlikely to manifest
    dangerous behavioural disorder;

   free from infectious disease, persistent alcohol or drug abuse; and
   assessed by a pre-discharged case conference of the referring hospital under the Hospital
    Authority.

Staffing
Notional staffing for a standard LSCH with 200 places is:

            SWO           1            NO(Psy)        1         ACO          1
            ASWO          1            RN(Psy)        4         PCW          37
            SWA           1            EN(Psy)        8         MD           1
            WW            20           OT I           1         WM II        13
                                       OTA            2         CA           1
                                       PT I           1         Cook         5

Referral channel
Referrals can be made by medical social workers of psychiatric hospitals/clinics to the Central
Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Services for Ex-meantlly Ill Persons                            Handbook on Rehabilitation Services


Aftercare Service for Dischargees of Halfway Houses

Abbreviation: ACS for HWH
Introduction
ACS for HWH provides a maximum period of two-year follow-up casework service by the
agency-based aftercare worker to dischargees of halfway houses. By providing continuous
community support, networking and counselling for community re-integration by the
agency-based aftercare worker, the dischargees can receive a better continuity of service.

Purpose and objectives
The service aims to facilitate dischargees of halfway houses to re-integrate into the community
and help them adjust to their daily living as well as their social and working environment.

Nature of service
The service covers the following major scope of activities:
(a) involvement in pre-discharge procedures;
(b) counselling and assistance in seeking and maintaining employment;
(c) counselling on family, social and interpersonal relationship;
(d) organization of mutual help and therapeutic groups;
(e) assistance to apply for tangible services like Comprehensive Social Security Assistance,
    group compassionate rehousing and/or others as necessary to meet the needs in daily life;
(f)   identification of suitable social and community groups/facilities for building a community
      support network; and
(g) supervision on follow-up attendance in hospital or clinics and counselling on compliance
    with medication.

Target group
The target group is ex-mentally ill persons who are successfully discharged from halfway
houses and in need of temporary assistance in leading an independent living in the community.

Staffing
Aftercare service is provided by agency-based ASWOs at the ratio of one to 50 dischargees.




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Referral channel
Referrals are self-arranged between halfway houses and agency-based aftercare workers. After
two years of aftercare service, the dischargees will be referred to medical social service units or
family services centres or integrated family service centres if continuous support on family and
social problem is required.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Services for Ex-meantlly Ill Persons                            Handbook on Rehabilitation Services


Community Mental Health Link

Abbreviation: CMHL
Introduction
CMHL is attached to halfway house or training and activity centre to provide additional care
and support to ex-mentally ill persons and their families/carers in the community. The service
is district-based, accessible and pro-active.

Purpose and objectives
The objectives of CMHL are:
    to provide support services for both the ex-mentally ill persons and carers in their
     neighbourhood;
    to promote inclusion, integration and community participation of ex-mentally ill persons;
    to link up ex-mentally ill persons and their carers with necessary welfare services; and
    to promote better understanding of ex-mentally ill persons and their needs.

Nature of service
The services provides by CMHL include:
    outreaching visits
    consultation on employment
    counselling
    networking to local resources
    organized social/recreational/educational programs
    programs for families/carers
    public education programs
    tangible services e.g. meals, shower and laundry (subject to individual Link’s suitability)




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Services for Ex-meantlly Ill Persons                         Handbook on Rehabilitation Services

Target group
    ex-mentally ill persons aged 15 and above;
    awaiting rehabilitation services in the community; or
    halfway house dischargees; and
    any other ex-mentally ill persons; and
    their families/carers.

Staffing
CMHL service is provided by 25 existing rehabilitation units, including halfway houses and
training and activity centres.

Referral channel
Referrals can be made direct to respective CMHL:
    by doctors, social workers, or allied health workers;
    by self-application; or
    out-reaching initiated by the Link.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




                                               49
Services for Hearing Impaired Persons

    Multi-service Centre for Hearing Impaired Persons




                         Handbook on Rehabilitation Services
Services for Hearing Impaired Persons                           Handbook on Rehabilitation Services


Multi service Centre for Hearing Impaired Persons

Abbreviation: Nil

Introduction:
The Multi-service Centre of the Hong Kong Society for the Deaf provides a full range of social
rehabilitation services for persons with hearing impairment. The services provided include
casework and counselling services, sign language interpretation services, ear-mould production
and repair services and audiological and speech therapy services.

Types of Service

A.   Casework and Counselling Services
(1) Purpose and objectives
     The objectives of casework and counselling services are:

          to empower and support persons with hearing impairment to cope effectively with
           personal and family problems when they arise so that they can maximize their
           potential and function as independently as possible within the community; and

          to prevent personal and family problems.

(2) Nature of service
     The casework and counselling services include:

          provision of counselling (which may include individual, family or group counselling)
           to practical advice and assistance; and

          referrals to other services.

(3) Target group
     The target group is persons with hearing impairment who are experiencing a range of
     family or personal difficulties which cannot be resolved within the family or the
     community without assistance. As a priority, particular attention will be given to
     individuals or families at risk of abuse, suicide, family breakdown, emotional or mental
     breakdown.




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B    Sign Language Interpretation Services

(1) Purpose and objectives
     The objectives of sign language interpretation services are:

              to assist persons with hearing impairment in communicating with the hearing
               community;
              to introduce the communication methods of persons with hearing impairment to
               hearing people;
              to reduce the communication barriers between persons with hearing impairment and
               hearing people; and
              to assist in sign language development in Hong Kong.

(2) Nature of service
     The services of sign language interpretation services include:

        interpretation service for government departments, non-governmental organizations
         and hearing impaired members in relation to job interviews, court hearing, marriage
         ceremonies, medical consultations, public examinations, etc.;
        sign language course for hearing impaired persons, their family members, and
         professionals working with persons with hearing impairment aiming to bridge the
         communication gap between hearing persons and hearing impaired persons; and
        promotional activities for sign language interpretation services and sign language
         courses.

(3) Target group

               hearing impaired persons requiring interpretation services or sign language training;
               individuals interested in learning sign language to bridge the communication gap
                with hearing impaired persons; and
               government departments and non-governmental organizations.

C    Ear-mould Production and Repair Services (Technical Services)

(1) Purpose and objectives
     The objective of Ear-mould Production and Repair Services (Technical Services) is to
     provide ear-mould making and fitting services to facilitate the use of hearing aids for
     persons with hearing impairment to cope with their hearing loss.

(2) Nature of service
     The ear-mould production and repair services are ear-mould making / fitting and repairing.

(3) Target group
     The target group is persons with hearing impairment.




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D    Audiological and Speech Therapy Services

(1) Purpose and objectives
     The objectives of Audiological and Speech Therapy Services are:

          to provide audiological assessment, advice and technical assistance on hearing aid
           selection, fitting and repair to persons with hearing impairment to cope with their
           hearing loss through the use of hearing aids and assistive devices; and

          to provide communication/speech abilities assessment, speech therapy and aural
           rehabilitation programmes to enable persons with hearing impairment to make
           optimum use of their auditory ability and lip reading skills, improve articulation,
           voice and language, so that they can communicate verbally. For those who cannot
           communicate verbally, argumentative and alternative communication would be
           trained.
(2) Nature of service
     The Audiological and Speech Therapy Services include:

          conducting audiological assessment which includes case history, otoscopic
           examination, pure-tone audiometric test and middle-ear immitence test, speech and
           other audiological tests so as to identify the presence of hearing loss, and to
           investigate the degree, pattern and type of the loss;

          providing audiological counselling after the audiological assessment so as to explain
           the test result and to recommend the subsequent procedures for the persons with
           hearing impairment such as hearing aid prescription, referral, sign language
           interpretation and so on;

          conducting voice, speech and language assessment to identify problems for setting up
           intervention goals and get a performance baseline for subsequent evaluation of
           therapy outcome; and

          conducting therapy to address auditory, voice, speech and language problems to help
           hearing-impaired persons acquire verbal communication skills. For non-verbal
           clients, other communication modes would be trained.

(3) Target group
     The target group is persons with hearing impairment.




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Staffing
Staffing for the Multi-services Centre for Hearing Impaired Persons is:
        Casework and counselling services              ASWO                               2
                                                       SSWA                               1

        Sign language interpretation services          Sign Language Officer              3

        Ear-mound production and repair services       Technician                         2

        Audiological & speech therapy services         Audiologist                        1
                                                       Audiology Technician II            1
                                                       Speech Therapist                   1

Referral channel
Referrals can be made by medical social workers, family caseworkers or NGO’s staff to the
Hong Kong Society for the Deaf. Self-referrals are also accepted.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5345




                                                53
Services for Visually Impaired Persons

 Communication and Information Service for Visually
  Impaired Persons

 Rehabilitation & Training Centre for Visually Impaired
  Persons

 Home for the Aged Blind

 Care and Attention Home for the Aged Blind




                            Handbook on Rehabilitation Services
Services for Visually Impaired Persons                              Handbook on Rehabilitation Services


Communication and Information Service for Visually Impaired Persons

Abbreviation: Nil

Introduction
The Communication Department of the Hong Kong Society for the Blind provides library
services to visually impaired persons in Hong Kong.

Purpose and objectives
The objective of the service is to cater for the reading and information needs of the visually
impaired by providing them access to reading materials and music through reading aids, talking
or braille books/magazines so as to satisfy their educational and recreational needs.

Nature of service
The following services are provided:
(a) Braille and Talking Book Library
             provides loan services of textbooks, reference books, recreational materials and
              periodicals, music tapes and compact discs
             arranges overseas/local inter-library loan services
             provides space with specific facilities for reading, private study and music
              appreciation
(b) Talking Book Production Studio
             records books/magazines
             dubs talking books/magazines
(c) Volunteer Referral Service
             co-ordinates individual and group volunteer assistance for the visually impaired
             recruits volunteer readers for the Studio

Target group
The target group is persons with visually impairment.

Eligibility criteria
The target group is persons being certified by registered ophthalmologists as visually impaired.




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Staffing
Staffing for the Communication Department is:

          ASWO          1                Technician II      1
          CA            4                Asst. Technician   2
          WM II         1

Referral channel
All visually impaired persons can apply directly to the Hong Kong Society for the Blind for
membership without charges.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Rehabilitation and Training Centre for Visually Impaired Persons

Abbreviation: RTC

Introduction
RTC provides comprehensive rehabilitation training programme for visually impaired people,
aged 16 and above, particularly to those newly blind, in order to develop their independent
living skills and help them to regain self-confidence for reintegrating into the community.

Purpose and objectives
RTC aims to help needy visually impaired people to restore independent living skills for
integration into the community.

Nature of service
The following services are provided:

(a)    Training in mobility skills
            orientation & mobility skills
            route orientation
            physical education

(b)    Training in communication skills
            word processing
            Chinese and English braille
            handwriting
            audio typing
            use of reading aids and other adaptive equipment

(c)    Training in home management skills
            cookery
            techniques of daily living

(d)    Social skills training through community life education

(e)    Providing interest groups service
            music
            Putonghua

(f)    Providing other supportive services
            centre transportation
            counselling
            recreational activities

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Services for Visually Impaired Persons                         Handbook on Rehabilitation Services

Target group
The target group is persons with visually impairment aged 16 and above.

Eligibility criteria
The target group is persons being certified by registered ophtholomogists as visually impaired.

Staffing
Staffing for the Rehabilitation & Training Centre is:

          ASWO              1            ACO      1
          SWA               1            MD       1
          WW               12            WM II    1

Referral channel
Referrals can be made by medical social workers, family caseworkers or NGO’s staff to the
Society for the Blind. Self-referrals are also accepted.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Home for the Aged Blind

Abbreviation: H/AB
Introduction
H/AB provides residential care, meals and a limited degree of assistance in activities of daily
living for elderly blind persons who are unable to live independently in the community but are
not dependent on assistance with personal or nursing care.

Purpose and objectives
The objectives of residential care services for the aged blind are:

    to provide residential care and facilities for those who, for health, social and other reasons,
     are unable to live at home;
    to maintain the health of the elderly blind persons as far as possible and provide them a
     limited degree of assistance in daily living activities; and

    to meet the social and recreational needs of the residents with residual visual capacity and
     promote interpersonal relationship for a meaningful social life.

Nature of service
The following range of services are provided by a H/AB:
(a) accommodation and meals;
(b) provision of social work service such as assessment, counselling, referrals, and organizing
    activities;
(c) assistance in activities of a personal nature for those residents requiring such, for example
    letter writing, personal laundry etc; and
(d) activities organized on a regular basis to meet the social and recreational needs of
    residents, to encourage residents to pursue their own interests, and to maintain contact with
    the community and families.

Target group
The target group is certified blind persons aged 60 and above.




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Eligibility criteria
To be eligible for a H/AB place, an applicant should be:

    certified blind by medical officer of Eye Clinic or registered Ophthalmologist in private
     practice;

    in need of assistance in performing daily living activities but are able to take care of their
     personal hygiene;

    having a social or housing need and are unable to live independently in the community;

    free from infectious disease or illness which may require intensive nursing care;

    fully mobile on admission and capable of self-care; and

    mentally suitable for group living.

Staffing
Notional staffing for a standard H/AB with 100 places is:

             SSWA          1             EN           1
             SWW           1             WM II        5
             WW            3             ACO          1
                                         Cook         3

Remarks
The Central Referral System for Rehabilitation Services has ceased to accept new applications
for H/AB service 1 January 2003.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Care & Attention Home for the Aged Blind

Abbreviation: C&A/AB
Introduction
C&A/AB provides residential care, meals, personal care and limited nursing care for elderly
blind persons who suffer from poor health or physical/mental disabilities with deficiency in
activities of daily living but are mentally suitable for group living.
(Some C&A/ABs have infirmary care unit, in which the level of care provided is equivalent to
infirmary.)

Purpose and objectives
The objectives of residential care services for the aged blind are:

    to provide residential care and facilities for those who, for health, social and other reasons,
     are unable to live at home;

    to maintain the health of the elderly blind persons as far as possible and assist them with
     their varying personal care needs and daily living activities; and

    to meet the social and recreational needs of the residents with residual visual capacity and
     promote interpersonal relationship for a meaningful social life.

Nature of service
The following range of services are provided by C&A/AB:
(a) accommodation and meals;
(b) provision of social work service such as assessment, counselling, referrals, and organizing
    activities;
(c) nursing services, including administration and supervision of medication;
(d) regular visit by a registered medical practitioner ( i.e. VMO);
(e) personal care services, including assistance in daily living activities; and
(f) activities organized on a regular basis to meet the social and recreational needs of
    residents, to encourage residents to pursue their own interests, and to maintain contact with
    the community and families.

Target group
The target group is certified blind persons aged 60 and above.




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Eligibility criteria
To be eligible for a C&A/AB palce, an applicant should be:

    certified blind by medical officer of Eye Clinic or registered Ophthalmologist in private
     practice;

    in need of personal care and attention in the course of daily living activities and are unable
     to live at home, but who also do not require intensive nursing care;

    have a social or housing need and are unable to live independently in the community;

    free from infectious disease or illness which may require intensive nursing care;

    in poor health or suffering from functional disabilities to the extent that assistance in
     personal care and daily living is necessary;

    able to move around with a walking aid or in a wheelchair; and

    mentally suitable for group living.

Staffing
Notional staffing for a standard C&A/AB with 50 places is:

                                                  1
          SSWA          1                PT I         /6
                                                  1
          SWA           1                PT II        /6
          WW            1                PTA      ⅓
          RN            1                MD       1
          EN            4                WM II    5
          PCW           10               ACO      1
                                         Cook     3

Remarks
    There are combined homes which provide a continuum of residential care of home section
     and care and attention home section for the aged blind under the same service
     administration.

    Some C&A/ABs have Infirmary Unit to enable and support those elderly residents, who
     are assessed to be functioning at the level requiring medical infirmary placement, to remain
     in the existing homes, if they wished or tide them over for admission to medical infirmary
     placement.

    Infirmary Care Supplement is provided to C&A/AB without Infirmary Unit for the same
     purpose.




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Referral channel
Referrals can be made by medical social workers, family caseworkers and staff of rehabilitation
service units to the Central Referral System for Rehabilitation Services.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




                                              62
                                     Support Services
   Agency-based Occupational Therapy Service

   Agency-based Clinical Psychological Service

   Central Para-medical Support Service

   Central Psychological Support Service

   District-based Speech Therapy Service

   Social & Recreational Centre for the Disabled

   Parents/Relatives Resource Centre for Disabled Persons

   Parents/Relatives Resource Centre for Ex-mentally Ill
    Persons

   Home-based Training and Support Service

   Specialized Home-based Training and Support Service

   Community Rehabilitation Network

   Commercial-hired Transport Service for People with
    Disabilities

   Respite Service

   Emergency Placement Service

   Place of Refuge

                                 Handbook on Rehabilitation Services




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Support Services                                                 Handbook on Rehabilitation Services


Agency based Occupational Therapy Service

Abbreviation: Nil
Introduction
Agency-based Occupational Therapy Service provides occupational therapy to persons with
disabilities. It also offers consultation and demonstration to rehabilitation centre staff and
family members/care-givers on training programme and treatment of individual service user.

Purpose and objectives
The Service provides therapy, advice and assistance to help people with disabilities to
overcome problems in their daily life and develop their work potential/abilities to the fullest
extent as their disabilities permitted. The ultimate goal is to help persons with disabilities to
achieve a maximum level of functioning in their daily life at home and in the community.

Nature of service
The Service is delivered by various means of clinical activities with the primary components of
daily living skills, communication skills, pre-vocational/vocational skills, perceptual motor
and sensory integrative functioning, leisure pursuits, aids and environmental adaptations, and
community living skills. It covers a range of programmes as follows:
(a)     clinical assessments on service users’ functioning in target training areas
(b)     clinical consultations and treatments
(c)     fabrication, prescription and training on use of rehabilitation equipment/devices
(d)     recommendations on environmental design and alteration
(e)     education and training for parents/care-givers/staff

Target group
The target group is persons with disabilities including those with autistic features, who are
service users of rehabilitation units as stipulated in the Rehabilitation Programme Plan (RPP)
including:
      Sheltered Workshops
      Day Activity Centres
      Hostels for Moderately Mentally Handicapped Persons
      Hostels for Severely Mentally and/or Physically Handicapped Persons
      Supported Hostels for Mentally/Physically Handicapped Persons




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     Note
     Service units which are provided with centre-based occupational therapists (OTs) and
     Integrated Programmes in Child Care Centres supported by the Central Para-medical
     Service Unit (CPMS) under the Social Welfare Department are not included.


Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel No.: 2892 5568




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Agency based Clinical Psychological Service

Abbreviation: Nil
Introduction
Agency-based Psychological Service provides psychological support services to persons with
developmental disabilities. It also offers consultation and demonstration to rehabilitation
centre staff and family members/carers on training programme and treatment of service users.

Purpose and objectives
The agency-based Clinical Psychologists (CPs) in rehabilitation service provide professional
advice and consultation to centre staff in regard to the training and management of the service
users. He/She will provide direct treatment services and consultation to the centre staff in
matters relating to the assessment of service users’ psychological and intellectual functioning
and contribute to the formulation of treatment programmes which can help them in their
cognitive, emotional and behavioural development.

Nature of service
The service is delivered through regular visits to the centre. During the visits, the CP will
engage in various clinical activities, such as behavioural management program, Individualised
Educational Programme or Individualised Training Programme, planning and evaluation,
parent counselling and advice on behavioural management, and classroom observation and
follow-up discussion. It covers a range of programmes as follows:
(a)    clinical assessments
(b)    clinical consultations and treatments
(c)    service consultation and recommendations on environmental restructuring and training
       schedules etc.
(d)    parents/carers education
(e)    program and curriculum development
(f)    staff skills training and enhancement




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Target group
The target group is persons with developmental disabilities including those with autistic
features, who are service users of rehabilitation units as stipulated in the Rehabilitation
Programme Plan (RPP) including:
           Early Education and Training Centres
           Special Child Care Centres
           Sheltered Workshops
           Day Activity Centres
           Hostels for Moderately Mentally Handicapped Persons
           Hostels for Severely Mentally and/or Physically Handicapped Persons
           Care and Attention Homes for Severely Disabled Persons
           Supported Hostels for Mentally/Physically Handicapped Persons

           Note
           Integrated Programmes in Child Care Centres and those entitled units under agencies
           without the provision of agency-based CPs are served by the Central Psychological
           Support Service (CPSS) under the Social Welfare Department.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel No.: 2892 5568




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Central Para-medical Support Service

Abbreviation: CPMS
Introduction
CPMS provides consultation service including Occupational Therapy (OT) and Physiotherapy
(PT), to the rehabilitation centre staff and family members/care-givers on training programmes
of the persons with disabilities; and direct treatment of OT to the autistic adults.

Purpose and objectives
CPMS provides therapy, advice and assistance to help people with disabilities to overcome
problems in their daily life and develop their work potential/abilities to the fullest extent as
their disabilities permitted. The ultimate goal is to help persons with disabilities to achieve a
maximum level of functioning in their daily life at home and in the community.

Nature of Service
A.   Consultation Service
The consultation service consists of both OT and PT. OT makes use of purposeful activities
and assistive devices to improve disabled persons’ skills in the areas of daily living,
community living, learning, social relationships, leisure and physical function. PT is the use
of physical principles and methods in optimizing the neuro-musculo-skeletal and
cardio-respiratory functions of the disabled. Interventions on the training programmes
include:
(a) clinical assessments on service users’ functioning in target training areas;
(b) clinical consultations and demonstrations;
(c) fabrication, prescription and training on use of rehabilitation equipment/devices;
(d) recommendations on environmental design and alteration; and
(e) education and training for parents/care-givers/staff.

B.   Direct Treatment
Direct treatment of OT for autistic adults emphasizes on their specific needs of behaviour,
functional communication and social skills. The interventions cover a range of programmes as
follows:
(a) clinical assessments on service users’ functioning in target training areas;
(b) treatments in the areas of self-care, social skills/functional communication, work,
    perceptual motor and sensory integrative functioning, community living skills and leisure
    pursuits;
(c) clinical consultations;
(d) fabrication, prescription and training on use of rehabilitation equipment/devices;
(e) recommendations on environmental design and alteration; and
(f) education and training for parents/care-givers/staff.


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Target group
For consultation service
The target group is service users of rehabilitation units as stipulated in the Rehabilitation
Programme Plan (RPP) including:

           Integrated Programmes in Child Care Centres
           Sheltered Workshops
           Day Activity Centres
           Hostels for Moderately Mentally Handicapped Persons
           Hostels for Severely Mentally and/or Physically Handicapped Persons
           Supported Hostels for Mentally/Physically Handicapped Persons

           Note
           Service units which are provided with centre-based OT/PT service or agency-based
           OT service are not included.

For direct treatment
The target group is service users with autism or autistic features in sheltered workshops and
day activity centres, not covered by centre-based or agency-based OT service.

Enquiries
Central Para-medical Support Service Unit
Social Welfare Department
Tel. No.: 2314 3311




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Central Psychological Support Service

Abbreviation: CPSS
Introduction
CPSS provides psychological support services to persons with developmental disabilities. It
also offers consultation and demonstration to rehabilitation centre staff and family
members/carers on training programme and treatment of service users.

Purpose and objectives
The CPSS Clinical Psychologists (CPs) in rehabilitation service provide professional advice
and consultation to centre staff in regard to the training and management of the service users.
He/She will provide direct treatment services and consultation to the centre staff in matters
relating to the assessment of service users’ psychological and intellectual functioning and
contribute to the formulation of treatment programmes which can help them in their cognitive,
emotional and behavioural development.

Nature of service
The service is delivered through regular visits to the centre. During the visits, the CP will
engage in various clinical activities, such as behavioural management program, Individualised
Educational Programme or Individualised Training Programme, planning and evaluation,
parent counselling and advice on behavioural management, and classroom observation and
follow-up discussion. It covers a range of programmes as follows:
(a) clinical assessments
(b) clinical consultations and treatments
(c) service consultation and recommendations on environmental restructuring and training
    schedules etc.
(d) parents/carers education
(e) programme and curriculum development
(f) staff skills training and enhancement




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Target group
The target group is persons with developmental disabilities including those with autistic
features, who are service users of rehabilitation units as stipulated in the Rehabilitation
Programme Plan (RPP) including:
           Integrated Programmes in Child Care Centres
           Early Education and Training Centres
           Special Child Care Centres
           Sheltered Workshops
           Day Activity Centres
           Hostels for Moderately Mentally Handicapped Persons
           Hostels for Severely Mentally and/or Physically Handicapped Persons
           Care and Attention Homes for Severely Disabled Persons
           Supported Hostels for Mentally/Physically Handicapped Persons

           Note
           Entitled units served by the agency-based CPs are not included.

Enquiries
Clinical Psychological Unit
Social Welfare Department
Tel No.: 2707 7666 (Pre-school service)
         2967 4110 (Adult service)




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District-based Speech Therapy Service

Abbreviation: DSTS
Introduction
Speech therapy service enhances the speech and language development and the
communication and social skills of disabled children in need. It enables these children to
maintain their residual ability or even increase their chances of returning to the mainstream.
As each Integrated Programme (IP) unit has a very small capacity of 6 places and that they are
scattered all over the territory, IP units are grouped into 8 clusters each of which are being
served by one district-based speech therapy team (DSTT).

Purpose and objectives
The objective of DSTS is to meet the speech/language needs of children attending IP through a
well-planned and coordinated range of speech therapy services facilitative to their social
rehabilitation and future educational need.

Nature of service
DSTS is delivered by DSTTs to the service users through on-site service at respective child
care centres or at the base of DSTT. DSTTs provide the following services:
(a) Periodic clinical visits to child care centres
(b) Intensive speech/language training programmes in the form of individual and group
(c) Periodic review of training programmes to monitor progress
(d) Consultation to parents/family members/carers/staff members of the child care centres
(e) Educational programmes for parents/family members/carers/staff members of the child
    care centres
(f)   On loan service of relevant resource materials to parents/staff

Target group
The target group is children attending IP.

Eligibility criteria

     IP children who are in need of speech/language training.
     The speech/language needs of these children will automatically be screened by DSTTs.




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Staffing
The notional staffing for each DSTT is 3 speech therapists.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5569




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Social and Recreational Centre for the Disabled

Abbreviation: S&RC

Introduction
S&RC provides disabled persons with opportunities to participate in and to organise a variety
of activities which meet their social, recreational and developmental needs.

Purpose and objectives
The overall aim of S&RCs is to facilitate the integration of disabled persons into the
community.
The objectives of a S&RC include:

    to enable disabled persons to make meaningful use of their leisure time;

    to provide opportunities for disabled persons to develop their potential and well-being;

    to encourage the development of interpersonal skills and enhance the development of
     personal relationships; and

    to encourage the active participation of disabled persons in the community.

Nature of service
The focus of service provision may vary from centre to centre in order to meet the special
needs of different target groups.
The services provided include organised social, recreational and sport activities, provided
either within the centre or in the community, such as interest and social service groups,
committee training and mass/special activities which facilitate integration of people with
disabilities into the community.

Target group
The major target group is disabled persons with no age range limit*. In keeping with the
philosophy of integrating disabled persons into the community, family members and
able-bodied persons are also encouraged to participate in centre activities.
*    The types of disability catered for include all types of disability, the visually impaired,
     hearing impaired, physically handicapped, mentally handicapped and the age range may
     vary without limit as long as the participants can take part in the organized activities.




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Staffing
Notional staffing for most S&RCs is:

           SSWA      1          CA         1

           WW        1          WM II      1

Referral channel
People with disabilities can directly apply to S&RCs for membership and participation in
programmes.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5345




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Parents/Relatives Resource Centre for Disabled Persons

Abbreviation: PRC
Introduction
PRC for Disabled Persons serves as a focal point where parents and relatives of persons with
disabilities with similar problems can share experience and seek mutual support with
assistance from staff. The centre serves parents/relatives of persons of all disabilities on a
regional basis.

Purpose and objectives
The objectives of a PRC are:

    to enhance self-support and mutual help within and among families with members with
     disabilities;

    to enhance parents’ and other family members’/relatives’ knowledge and acceptance of
     their family members/relatives with disabilities;

    to empower the entire family functioning in coping with their emotional stresses and
     difficulties in raising person with disabilities; and

    to enhance public understanding and acceptance of persons with disabilities and their
     families in the community.

Nature of service
The services provided by a PRC for Disabled Persons include:
(a) provision of a place for parents and relatives of persons with disabilities to discuss matters
    of mutual interest and meet others with similar problems;
(b) provision of support services which includes individual, group and mass activities for
    parents and relatives of persons with disabilities to meet the families’ needs;
(c) provision of resource materials such as books, magazines, educational facilities or other
    information of value to the parents and relatives for better understanding and care to their
    family members/relatives with disabilities; and
(d) provision of community education programmes to promote public understanding and
    acceptance of persons with disabilities.

Target group
The target group is parents and relatives of persons with disabilities. Priority should be given
to parents with disabled children aged under 21.




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Referral channel
Parents or relatives of persons with disabilities can directly apply to PRCs for membership and
participation in programmes.

Staffing
Notional staffing for a standard PRC for Disabled Persons is:

           SWO        ⅛              WW/SCCW 1

           ASWO       1              WW             ½

           SWA        1              CA             1

                                     WM II          ⅓

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5563




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Parents/Relatives Resource Centre for Ex-mentally Ill Persons

Abbreviation: PRC for ExMI

Introduction
PRC for Ex-MI serves as a focal point where parents and relatives of persons with mental
illness with similar problems can share experience and seek mutual support with assistance
from staff. It caters the specific needs of the parents/relatives of the mentally ill persons on a
territory wide basis.

Purpose and objectives
The objectives of a PRC for ExMI are:

    to enhance self-support and mutual help within and among families with members with
     mental illness;

    to enhance parents’ and other family members’/relatives’ knowledge and acceptance of
     their family members/relatives with mental illness;

    to empower the entire family functioning in coping with their emotional stresses and
     difficulties in raising person with mental illness; and

    to enhance public’s understanding and acceptance of persons with mental illness and their
     families in the community.

Nature of service
The services provided by a PRC for Ex-MI include:
(a) provision of a place for parents and relatives of ex-mentally ill persons to discuss matters
    of mutual interest and meet others with similar problems;
(b) provision of support services which includes individual, group and mass activities for
    parents and relatives of ex-mentally ill persons to meet the families’ needs;
(c) provision of resource materials such as books, magazines, educational facilities or other
    information of value to the parents and relatives for better understanding and care to their
    ex-mentally ill family members/relatives;
(d) provision of community education programmes to promote public understanding and
    acceptance of ex-mentally ill persons; and
(e) provision of crisis intervention to parents and relatives of ex-mentally ill persons in the
    community.

Target group
The target group is parents and relatives of ex-mentally ill persons.




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Referral channel
Parents or relatives of ex-mentally ill persons can directly apply to PRC for Ex-MI for
membership and participation in programmes.

Staffing
Notional staffing for a standard PRC for Ex-MI is:

           SWO       ⅛              WW/SCCW 1

           ASWO      1              WW               ½

           SWA       1              CA               1

                                    WM II            ⅓

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5136




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Home-based Training and Support Service

Abbreviation : HBTS

Introduction
HBTS service aims to provide home-based training and establish support network for people
with disabilities and their families through utilization and integration of rehabilitation services
and community resources.

Purpose and objectives
The objectives of HBTS service are:
    to provide training and support to service users to enable them to become more
     independent in their daily living and social functioning through the provision of
     home-based, centre-based or community-based training and activities;
    to provide training and support to families of service users with a view to enhancing their
     caring capability;
    to implement appropriate Individual Training and Support Plans for service users and
     their families so as to enable service users to live in the community as far as possible;
    to prepare service users for transition to other forms of service or care, including
     progression to sheltered employment/supported employment where feasible, or to render
     necessary assistance during the interim period when alternative increased care is
     necessary;
    to provide occupational therapy service to service users;
    to offer advice and assistance in getting rehabilitative equipment, adaptive aids/devices
     and home modifications; and
    to form a cluster-based support network for service users and their families including
     provision of social and recreational activities, volunteers support, help line, consultations
     and referrals, outreaching service, day and residential respite care and emergency
     placement, etc.

Nature of the service
HBTS service is provided to meet the holistic and individual needs of service users by
providing a well-planned and coordinated range of services facilitative to their social
rehabilitation. The following range of services should be provided:

(a) training and support services for mentally handicapped persons and their families
    including the provision of appropriate Individual Training and Support Plans;
(b) occupational therapy service for people with disabilities;
(c) network support service for people with disabilities and their families; and
(d) Day Activity Centre (DAC) service.




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Target group and eligibility criteria
Specific target group of service users for the service are as follows:

(a)      Training and support service
         •    mentally handicapped persons aged 15 and above
         •    living in the community
         •    not receiving any rehabilitation services
         •    priority should be given to severely mentally handicapped persons

(b)      Occupational therapy service
         •    people with disabilities aged 15 and above
         •    living in the community
         •    not receiving any therapeutic treatment from hospitals and rehabilitation centres
         •    priority should be given to people with severe disabilities and who are not
              receiving any rehabilitation services

(c)      Network support service
         •    people with disabilities aged 15 and above and their families
         •    priority should be given to people with severe disabilities and who are not
              receiving any rehabilitation services

(d)      DAC service
         •    severely mentally handicapped persons aged 15 and above
         •    waitlisted for DAC or DAC cum Hostel service

Notional staffing
Notional staffing for a team serving 80 cases (including 14 cases for DAC service) is:

             SSWA      1
             OT II     1
             WW        7
             PCW       4
             CA        1




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Referral channel
Except DAC service that is from the Central Referral System for Rehabilitation Services,
operating NGOs receive referrals/applications from the following sources:

         •    direct referrals from school social workers, medical social workers, family
              caseworkers and staff of rehabilitation service units; or
         •    direct applications from people with disabilities or their families.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel No.: 2892 5568




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Specialized Home-based Training and Support Service

Abbreviation : SHBTS

Introduction
SHBTS service provides home-based occupational therapy services to physically handicapped
persons and mentally handicapped persons to support them living in the community and
perform the core services of Home-based Training and Support.

Purpose and objectives
The objectives of SHBTS service are:

    to provide territorial-wide specialized occupational therapy service to persons with severe
     physical handicap to overcome adaptation problems in their daily lives at homes;
    to offer advice and assistance in getting rehabilitative equipment, adaptive aids/devices
     and home modifications;
    to provide training and support to service users to enable them to become more
     independent in their daily living and social functioning through the provision of
     home-based, centre-based or community-based training and activities;
    to provide training and support to families of service users with a view to enhancing their
     caring capability;
    to implement appropriate Individual Training and Support Plans for service users and
     their families so as to enable service users to live in the community as far as possible;
    to prepare service users for transition to other forms of service or care, including
     progression to sheltered employment/supported employment where feasible, or to render
     necessary assistance during the interim period when alternative increased care is
     necessary; and
    to form a cluster-based support network for service users and their families including
     provision of social and recreational activities, volunteers support, help line, consultations
     and referrals, outreaching service, day and residential respite care and emergency
     placement, etc.




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Nature of the service
The SHBTS service includes specialized occupational therapy services, training and support
services for people with disabilities and their families and network support service for people
with disabilities and their families.

(a) specialized occupational therapy services which include:
          physical training, mobilization and strengthening
          sensory motor training
          advice and practical training on self-care activities in real life situation
          fabrication, prescription and training on use of rehabilitation equipment/devices
          recommendations on environmental design and home alteration
          pre-vocational assessment and training
          care-giver education

(b) training and support services for mentally handicapped persons and their families
    including the provision of appropriate Individual Training and Support Plans;

(c) network support service for people with disabilities and their families; and

(d) Day Activity Centre (DAC) service.

Target group and eligibility criteria

Specific target group of service users for the service are as follows:
         (a)       Occupational therapy service
                   •   people with disabilities aged 15 and above
                   •   living in the community
                   •   not receiving any therapeutic treatment from hospitals and rehabilitation
                       centres
                   •   priority should be given to people with severe disabilities not receiving
                       any rehabilitation service
         (b)       Training and support service
                   •    mentally handicapped persons aged 15 and above
                   •    living in the community
                   •    not receiving any rehabilitation services
                   •    priority should be given to severely mentally handicapped persons




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(c)    Network support service
       •       people with disabilities aged 15 and above and their families
       •       priority should be given to people with severe disabilities and who are not receiving
               any rehabilitation services
(d)    DAC service
       •       severely mentally handicapped persons aged 15 and above
       •       waitlisted for DAC or DAC cum Hostel service

Notional staffing
Notional staffing for a team serving 33 cases (including 2 cases for DAC service) is:

               SWA         1
               OT I        4
               WW          1
               PCW         2
               CA          1

Referral channel

Except for DAC service which is from the Central Referral System for Rehabilitation Services,
operating NGO receives referrals/applications from the following sources:
           •      direct referrals from school social workers, medical social workers, family
                  caseworkers and staff of rehabilitation service units; or
           •      direct applications from mentally handicapped persons or their families.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel No.: 2892 5568




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Community Rehabilitation Network

Abbreviation: CRN

Introduction
CRN is a community-based rehabilitation service to assist persons with visceral disability or
chronic illness and their families to continue to have quality life in their own homes and the
community.

Purpose and objectives
The objective of the CRN is to enhance the quality of life of viscerally disabled or chronically
ill persons and their families in their own homes and the community through the promotion of
self-help and social networking, and the organisation of psycho-social support and educational
services in the community.

Nature of service
The CRN programmes include:
(a) psycho-social, educational, developmental and recreational group activities;
(b) promotional and community activities;
(c) mobilization of volunteers;
(d) promotion and enhancement of self-help groups or organisations; and
(e) social networking activities.

Target group
The target group is viscerally disabled or chronically ill persons of the disease groups as well
as their families. It will be changed subject to community needs.

Referral channel
Medical social workers, family caseworkers and staff of rehabilitation service units can refer
suitable people with visceral disability or chronic illness to the CRN. Self-application for
membership on individual or group basis is also accepted.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel No.: 2892 5563




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Commercial-hired Transport Service for People with Disabilities

Abbreviation: Nil

Introduction
Commercial-hired transport service for people with disabilities provides transport service
mainly for mentally handicapped persons who are unable to use public transport and have no
alternative means of transport to attend day activity centres or sheltered workshops.

Purpose and objectives
Historically, commercial-hired transport service was provided to mentally handicapped
clients. With the lapse of time, the service has been extended from solely serving mentally
handicapped persons to serving persons with disabilities who are unable to use public transport
and have no alternative means of transport for their daily journeys to attend training or
sheltered work.

Nature of service
Bus routes are operated by non-governmental organizations on a contract basis with vehicles
hired from commercial transport companies.

Target group
The target group is persons with disabilities, mainly mentally handicapped persons who are
unable to use public transport and have no alternative means of transport to attend day activity
centres or sheltered workshops.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel. No.: 2892 5157




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Respite Service

Abbreviation: Nil
Purpose and objectives
Respite service provides carers of people with disabilities a planned short break in their caring
duties so that they can attend to personal business such as taking a vacation tour and
undertaking a medical operation. This will help to temporarily alleviate the long-term burden
on the carers.

Nature of service
People with disabilities admitted for temporary care will be offered the normal services of the
centre as far as possible.

Referral channel
Application can be made by parents/carers themselves or via medical social workers, family
caseworkers or staff of rehabilitation service units, directly to the centres operating the respite
service.

Enquiries
Rehabilitation and Medical Social Services Branch
Social Welfare Department
Tel.                        No.:                             2892                             5157




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Emergency Placement Service

Abbreviation: EPS

Purpose and objectives
EPS provides temporary residential care for the destitute and homeless disabled adults to
prevent them from exposure to risks due to the lack of immediate care and shelter.

Nature of service
The service includes essential care and accommodation as well as provision of simple day
activities. No structured training is provided.

Target group
The targert group is mentally or physically handicapped persons aged 15 and above.

Eligibility criteria
To be eligible for EPS, an applicant should be:

    mentally stable to the extent that they will not endanger themselves or others or cause
     nuisance to the communal living setting;

    free from infectious disease and not requiring persistent nursing care to the extent of
     infirmary level; and

    homeless and destitute.

Referral channel
Application can be made by caseworkers of SWD or NGOs to the Superintendent of Wing
Lung Bank Golden Jubilee Sheltered Workshop and Hostel for emergency placement. In the
absence of the Superintendent, the Assistant Superintendent or staff on duty should be
approached.

Enquiries
Wing Lung Bank Golden Jubilee Sheltered Workshop and Hostel
Social Welfare Department
33 Razor Hill, Sai Kung, Kowloon
Tel. No.: 2358 3301




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Place of Refuge

Abbreviation: Nil

Purpose and objectives
Place of Refuge primarily provides temporary accommodation and care for children and
juveniles with disabilities admitted under the provisions of the Protection of Children and
Juveniles Ordinance, Cap. 213. At present, there are two units, namely, Po Leung Kuk (PLK)
New Comers’ Ward and Social Welfare Department (SWD) Wing Lung Bank Golden Jubilee
Sheltered Workshop and Hostel providing this service to disabled children in the following
manner:

Mentally handicapped and /or physically handicapped children and juveniles
       (a) Aged 0 - under 8                    : PLK New Comers’ Ward
       (b) Aged 8 - under 18                   : SWD Wing Lung Bank Golden Jubilee
           (or 21 for disabled wards of          Sheltered Workshop and Hostel
           the Director of Social Welfare)

Nature of service
The service includes essentially care and accommodation. Training programmes including
motor skills, cognitive skills, language skills, self care and social skills are also offered.

Referral channel
Prior consultation with the Superintendent concerned should be made by the referring worker
before the child or juvenile is sent to the Place of Refuge. In the absence of the Superintendent,
the Assistant Superintendent or the staff on duty should be approached as the office is manned
by staff on 24-hour basis.

Enquiries
(a) Superintendent
    New Comers’ Ward
    Po Leung Kuk
    66 Leighton Road
    Causway Bay, Hong Kong
    Tel. No.: 2882 8787

(b) Superintendent
    Wing Lung Bank Golden Jubilee Sheltered Workshop and Hostel
    Social Welfare Department
    33 Razor Hill, Sai Kung, Kowloon
    Tel. No.: 2358 3301




                                               89
                                                                                 Appendix I


                   Central Referral System for Rehabilitation Services


Purpose and objectives
The objectives of Central Referral System for Rehabilitation Services (CRSRehab) are to :

(a) ensure uniformity in the referral procedures and the admission criteria of services by
    centralising referrals and placements;
(b) ensure efficient utilisation of provisions and to minimise the waiting time by
    engineering cross district/region placement as need arises;
(c) ensure referrals for and placements in the most appropriate type of services in the light
    of existing policy and admission criteria;
(d) ensure clients’ smooth transition and continuity from one type of service to another in
    case of developmental or circumstantial changes, and to consult referrers accordingly;
(e) ensure that existing services be made available to appropriate disability groups and set
    priority for urgent placements on a need basis; and
(f) provide information and statistical data on enrolment and waiting list for demand
    assessment and planning purpose.


Structure
The CRSRehab is composed of 5 subsystems that cater for target groups with different
disabilities. These subsystems include:

    Subsystem for Disabled Pre-schoolers (CRSRehab-PS)

    Subsystem for the Mentally & Physically Handicapped (CRSRehab-MPH)

    Subsystem for the Supported Employment (CRSRehab-SE)

    Subsystem for the Ex-mentally Ill (CRSRehab-ExMI)
    Subsystem for the Aged Blind (CRSRehab-AB)




                                             90
  Services Encompassed
  The CRSRehab covers rehabilitation services for the disabled pre-schoolers, mildly mentally
  handicapped children, mentally and/or physically handicapped adults, ex-mentally ill persons
  and the aged blind people in day training and residential care. Rehabilitation services that can
  be waitlisted at CRSRehab are summarised in the following table:

                                    Rehabilitation Services with Waiting List

      Age     0 to 5 yrs 11 mths       6 to 18                                15 and above                                  60 and above

  Target          Disabled           Mentally             Mentally            Physically             Ex-mentally ill         Aged blind
  group         Pre-schoolers       handicapped         handicapped          handicapped

                                                     CRSRehab-MPH                                  CRSRehab-ExMI
Sub-system     CRSRehab-PS                                                                                                 CRSRehab-AB
                                                                              CRSRehab-SE

                                                                           Supported Employment
                Early Education
              and Training Centre
                                                                            Sheltered Workshop1

                 Special Child
                                                            Integrated Vocational Rehabilitation Service Centre
   Day            Care Centre
 Training
                   Integrated
              Programme in Child                                                                   Training and Activity
                  Care Centre                        Day Activity Centre                          Centre for Ex-mentally
                                                                                                        Ill Persons
              Preparatory Class2


                                                                 Supported Hostel

                                                         Hostel for                                                         Home for the
                                                                                                     Halfway House
                                                        Moderately                                                          Aged Blind3
                                                         Mentally
                                                        Handicapped
                                  Small Group Home        Persons          Hostel for Severely
                                      for Mildly                               Physically
Residential   Residential Special      Mentally       Hostel for Severely Handicapped Persons
 Service      Child Care Centre     Handicapped           Mentally                                   Halfway House
                                  Children/Integrated   Handicapped                                   (with Special
                                  Small Group Home         Persons                                     Provision)
                                                                                                                           Care & Attention
                                                                                                                               Home for
                                                     Hostel for Severely Physically Handicapped
                                                                                                                            the Aged Blind
                                                           Persons with Mental Handicap
                                                                                                       Long Stay
                                                                                                       Care Home
                                                              Care & Attention Home
                                                           for Severely Disabled Persons




  1
       Includes the Factory for the Blind, operated by the Hong Kong Society for the Blind.
  2
       Preparatory classes governed by the Education and Manpower Bureau (EMB) can be applied through CRSRehab-PS
       which will redirect the applications to EMB on a monthly basis. EMB will follow-up the applications with respective
       referrers directly thereafter.
  3
       Has ceased to accept new applications for H/AB since 1 January 2003.
                                                                  91
                                                                       Rehabilitation Services under the Social Welfare Department
                    Age                                                                                                                 15 and above
                                                               6 – 18
          (Target group)          0 – under 6                                       (Mentally                                                                                                                        60 and above
                                                       (Mentally handicapped                            (Physically handicapped         (Ex-mentally ill      (Viscerally disabled      (Visually/hearing
Service                         (Pre-schoolers)                                handicapped/multiple                                                                                                               (Aged blind persons)
                                                             persons)                                          persons)                    persons)                persons)             impaired persons)
                                                                               handicapped persons)
                             Early Education and                                                                                     Sheltered Workshop
                               Training Centre                                                                                     Supported Employment
                                                                                                                            Integrated Vocational Training Centre
                           Special Child Care Centre
                                                                                                                     Integrated Vocational Rehabilitation Services Centre
                           Integrated Programme in                                                                                                                                    Multi-service Centre for
    Day Training               Child Care Centre                                                                                                                                     Hearing Impaired Persons
                                                                                                                                                                                     Rehabilitation & Training
                                                                                                                                     Training and Activity
                               Special Provision                                                                                                                                        Centre for Visually
                                                                                Day Activity Centre                                 Centre for Ex-Mentally
                            Programme for Autistic                                                                                                                                       Impaired Persons
                                                                                                                                          Ill Persons
                           Children in Special Child                                                                                                                                    Communication and
                                 Care Centre                                                                                                                                          Information Service for
                                                                                                                                                                                     Visually Impaired Persons

                                                                                              Supported Hostel
                                                                                                                                                                                                                   Home for the Aged
                                                                             Hostel for Moderately                                      Halfway House
                                                                                                                                                                                                                        Blind
                                                                            Mentally Handicapped
                                                       Small Group Home for
                                                                                    Persons
                                                         Mildly Mentally
                           Residential Special Child                          Hostel for Severely        Hostel for Severely
 Residential Service                                       Handicapped                                                               Halfway House with
                                 Care Centre                                Mentally Handicapped Physically Handicapped
                                                        Children/Integrated                                                           Special Provision
                                                        Small Group Home            Persons                   Persons
                                                                                                                                                                                                                 Care & Attention Home
                                                                            Hostel for Severely Physically Handicapped Persons
                                                                                                                                                                                                                   for the Aged Blind
                                                                                           with Mental Handicap
                                                                                                                                     Long Stay Care Home
                                                                              Care & Attention Home for Severely Disabled
                                                                                                  Persons

                                                                               Home-based Training and Support Service (HBTS)
                             District-based Speech
                               Therapy Service                                   Specialized Home-based Training and Support
                                                                                               Service (SHBTS)                       Aftercare Service for
                                Agency-based                                                                                        Dischargees of Halfway
                            Occupational therapy                                 Agency-based Occupational Therapy Service                 Houses
                                   Service
                            Agency-based Clinical                                                                                                                 Community              HBTS & SHBTS
                                                                                 Agency-based Clinical Psychological Service                                     Rehabilitation
                            Psychological Service                                                                                                                                      (for visually impaired
   Support Services         Central Para-medical                                                                                                                   Network                  persons only)
                                                                                     Central Para-medical Support Service
                               Support Service
                            Central Psychological
                                                                                    Central Psychological Support Service             Community Mental
                               Support Service
                                                                                                                                        Health Link
                            Occasional Child Care




                                                                                                                                                                                                                                         Appendix II
                             Service for Disabled                                              Respite Service
                                   Children
                                            Place of Refuge                                           Emergency Placement Service
                                                                                                         Social and Recreational Centre for the Disabled
                                                                                                                 Parents/Relatives Resource Centre
*Please refer to the Handbook on Rehabilitation Services for details of individual service.




                                                                                                                   92
                                                                           Appendix III
                          List of Posts (in alphabetical order)


                       Post                                 Abbreviation

Artisan

Assistant Clerical Officer                        ACO

Assistant Lecturer

Assistant Social Work Officer                     ASWO

Assistant Technician

Audiologist

Audiology Technician

Certificated Master

Chief Social Work Assistant                       CSWA

Clerical Assistant                                CA

Cook

Enrolled Nurse                                    EN

Enrolled Nurse (Psychiatric)                      EN(Psy)

Motor Driver                                      MD
Nursing Officer (Psychiatric)                     NO(Psy)

Occupational Therapist                            OT
Occupational Therapy Assistant                    OTA

Personal Care Worker                              PCW
Physiotherapist                                   PT

Physiotherapist Artisan                           PTA

Property Attendant                                P Att’d

Registered Nurse                                  RN

Registered Nurse (Psychiatric)                    RN(Psy)

Senior Lecturer

Senior Social Work Assistant                      SSWA

Senior Social Work Officer                        SSWO

Senior Special Child Care Worker                  SSCCW
                                           93
                      Post                Abbreviation

Senior Welfare Worker             SWW

Sign Language Officer

Social Work Assistant             SWA

Social Work Officer               SWO

Special Child Care Worker         SCCW

Special Driver

Speech Therapist                  ST

Technician

Ward Attendant                    WA

Welfare Worker                    WW

Work Instructor                   WI

Workman II                        WM II




                             94
                                                                       Appendix IV



                   Services Index (in alphabetical order)
                                                                            Page No
Aftercare Services for Dischargees of Halfway Houses                             46
Agency-based Clinical Psychological Service                                      65
Agency-based Occupational Therapy Service                                        63
Care and Attention Home for Severely Disabled Persons                            37
Care and Attention Home for the Aged Blind                                       60
Central Para-medical Support Service                                             67
Central Psychological Support Service                                            69
Commercial-hired Transport Service for People with Disabilities                  86
Communication and Information Service for Visually Impaired Persons              54
Community Mental Health Link                                                     48
Community Rehabilitation Network                                                 85
Day Activity Centre                                                              29
District-based Speech Therapy Service                                            71
Early Education and Training Centre                                               1
Emergency Placement Service                                                      88
Halfway House                                                                    41
Halfway House with Special Provision                                             43
Home for the Aged Blind                                                          58
Home-based Training and Support Service                                          79
Hostel for Moderately Mentally Handicapped Persons                               27
Hostel for Severely Mentally Handicapped Persons                                 31
Hostel for Severely Physically Handicapped Persons                               33
Hostel for Severely Physically Handicapped Persons with Mental Handicap          35
Integrated Programme in Child Care Centre                                        11
Integrated Vocational Rehabilitation Services Centre                             23
Integrated Vocational Training Centre                                            20
Long Stay Care Home                                                              44
Multi-service Centre for Hearing Impaired Persons                                50
Occasional Child Care Service for Disabled Children                              10
Parents/Relatives Resource Centre for Disabled Persons                           75
Parents/Relatives Resource Centre for Ex-mentally Ill Persons                    77
Place of Refuge                                                                  89
Rehabilitation and Training Centre for Visually Impaired Persons                 56
Residential Special Child Care Centre                                             6
Respite Service                                                                  87
Sheltered Workshop                                                               16
Small Group Home for Mildly Mentally Handicapped Children/                       13
Integrated Small Group Home
Social and Recreational Centre for the Disabled                                  73
Special Child Care Centre                                                         4
Special Provision Programme for Autistic Children in Special Child Care Centre    9
Specialized Home-based Training & Support Service                                82
Supported Employment                                                             18
Supported Hostel                                                                 25
Training and Activity Centre for Ex-mentally Ill Persons                         39



                                      95
Rehabilitation and Medical Social Services Branch
Social Welfare Department
September 2004
http://www.info.gov.hk/swd




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