Addressing Violent Behaviour in Psychiatric Patients under Hong Kong's Mental Health Ordinance

Managing Psychiatric Patients in Hong Kong

Psychiatric patients and violent behaviour are critical concerns for social welfare in Hong Kong. The Mental Health Ordinance allows for hospitalisation if patients pose risks to themselves or others. Psychiatrist Michael Wong Ming-cheuk emphasizes that inadequate care at home can also necessitate admission.

Hospitalisation Criteria

• Conditions affecting cognition, emotional regulation, or behaviour.
• Patients must exhibit serious conditions or pose a danger.
• Data indicates over 3,700 patients faced compulsory admissions last year.

Discharge Regulations

Conditional discharge is complex, impacting approximately 1,300 individuals recovering from violent behaviour related to mental illness. Discharged patients must adhere to specific guidelines for community living. In 2022, 258 were conditionally discharged, with some requiring re-hospitalisation.

Community Support for Discharged Patients

Community follow-up is crucial. All patients have dedicated case managers, and integrated mental wellness centres provide essential resources. Family input on medication and behaviour monitoring facilitates optimal recovery.

Schizophrenia Insights

Schizophrenia is often misunderstood, with Chan Chung-mau, a psychiatry specialist, describing it as one of the most severe mental conditions affecting 1% of the population. Yet, it is a misconception that schizophrenia correlates with violent behaviour.

Engaging with Psychiatric Patients

Communicating effectively with psychiatric patients is essential. Treat them as you would anyone else; well-managed patients can lead fulfilling lives. However, family support is vital to prevent relapses and ensure continued treatment.

Reacting to Triggered Episodes

In the event of agitation, maintaining composure is critical. Avoid exacerbating the situation and ensure personal safety first. Calling authorities should be considered if the situation escalates.