Authors (including presenting author) :
Wong K, Lai FY, Tsang LW, Wong C
Affiliation :
Child and Adolescent Psychiatry, Castle Peak Hospital
Introduction :
The Intellectual Disability Activity Centre of Excellence (IDACE) provides training services to in-patients with intellectual disabilities. It is a training venue for patients to develop their social skills, daily living skills, to maximize learning potentials and prepare them to reintegrate to the community. However, some patients are not suitable to attend the activities there due to their persistent challenging behaviours and poor social skills. Therefore, another services delivery training model is required for this group of patient.
Objectives :
1.To set up a pilot mobile training team to provide positive behaviour support program for in-patients with persistent disruptive behaviour in CAP CPH.
2.To set up a mobile training trolley to provide training services at the bed side.
3.To minimize the use of physical restraint.
4.To decrease the patient injured incidents and staff IOD.
Methodology :
Preliminary, one female ward was selected for the trial run. 10 patients with persistent disruptive behaviours were referred for the training. A special training trolley which equipped with portable AV system, books, a variety of educational tools and toys is set up. The selection of training tools and materials were based on patients’ needs. The program ran 2 sessions per day, total 10 sessions per week. Each session lasted for 30 minutes. Individual and group activities sessions were conducted. Patients were offered choices to choose their favourable activities and training materials in the sessions.
Result & Outcome :
The Mobile Training Services has started since October 2019. As at 13 December 2019, there were 73 sessions conducted with 143 attendances. In this period, 2 patients were observed to have improvement of challenging behaviour, so they didn’t need to segregate in a quiet area. 1 patient returned to hostel for home leave. Ward staffs reflected that the mobile training services could minimize the social inappropriate behaviour and persistent disturbing behaviour of patients. Furthermore, it could improve the quality of life of bed ridden patients.
Conclusion:
As the use of mobile training services has achieved positive results during the pilot,it will be extended to other 3 wards of Intellectual disability in future if more manpower resources are injected. The ultimate goals are to decrease the use of physical restraint, minimize patient injured behaviour and staff IOD.
