Menu Expand
Mental Health Of A Nation

Mental Health Of A Nation

Ng Beng Yeong | Fung Daniel Shuen Sheng

(2017)

Additional Information

Book Details

Table of Contents

Section Title Page Action Price
Contents xiii
Preface vii
Foreword xi
Development of Services 1
Child and Adolescent Psychiatry 1
Children and Psychiatry 1
Child Psychiatry in Singapore 2
Research and Education 5
Specialised Services 7
Development of Child Mental Health Services 8
References 9
Early Psychosis Intervention Programme 11
Psychosis and the Need for Early Intervention 11
Duration of Untreated Psychosis 12
Development of a New System of Care 13
Public Education 14
Networking with Primary Healthcare Providers 15
Clinical Services 17
Moving Towards Indicated Prevention 18
Peer Support Movement in EPIP 20
Recognition of the Work 20
New Initiatives Moving Forward 23
EPIP Inpatient Centre 24
References 26
Addiction Medicine 29
Alcohol, Addiction and Mental Health 29
Other Addictions 30
Alcohol Treatment Centre at the\rNew Woodbridge Hospital 31
Community Addictions Management Programme (CAMP) 32
CAMP and the Buprenorphine Years 36
Treatment for Special Populations and Helpline 37
Other Community-Based Services 38
Inpatient Programme 39
The Transformation of CAMP to NAMS 40
NAMS and Problem Gambling 41
Specialist Outpatient Clinic C 42
Development of New Clinical Services 42
Research in Addictions 45
The Future 47
References 49
Geriatric Psychiatry 51
Development of Services for the Elderly 51
Aged Psychiatry Community and Treatment Service (APCATS) 52
Dementia-Friendly Ward and Memory Clinic 53
References 54
Community Psychiatry 55
Mental Health Services in the Community 55
Community Psychiatric Services in Singapore 57
Community Clinics 58
Community Psychiatric Nursing (CPN) Service 59
Assertive Community Treatment (ACT) 60
Mobile Crisis Team (MCT) 61
Community Mental Health Team (CMHT) 63
Mental Health Helpline 67
Community Psychiatry of the Future 68
References 69
Military Psychiatry 71
Psychiatrists in the Military 71
The Early Years 72
Evolving Needs in Operations 72
Increasing Capacity 74
Part of the National Mental Health System 77
Reference 79
Forensic Psychiatry 81
Introduction 81
Forensic Subspecialisation 82
Adult Psychiatry Services in IMH 82
Forensic evaluation work 83
Work with the Singapore Prison Service (SPS) 83
Reintegration of ex-offenders with mental illness into the community 84
Community-based sentencing option — the Mandatory Treatment Order programme 85
Recent developments 85
Child and Adolescent Forensic Psychiatry Services in IMH 87
Conclusions and Future Plans 90
References 92
Suicide in Singapore 93
Introduction 93
Suicide Rates 94
Singapore’s Suicide Rate 95
Ethnic Differences 97
Elderly Suicide Rates 97
Gender Differences 99
Protective Factors 99
Risk Factors 100
Life Events 101
Mental-related factors 103
Mental illness 104
Physical illness 106
Identifying Suicidality 106
Methods of Suicide 111
The Role of the Media 113
Conclusion 114
References 115
Mental Health Professions 119
Psychotherapy Movement 119
Introduction 119
Universal Historical Development 120
The Development of Therapies in Singapore 121
The New Millennium — Back to the Beginning 124
The 2010’s and Beyond — Facing the Future 126
Giving Back 128
References 130
The Development of Psychiatric Nursing 133
The Pioneering Years 133
Beginning of a New Era 134
Psychiatric Nursing in the New Millennium 139
Patient Safety and Quality Improvement 141
Advanced Practice Nursing 142
Mental Health Nursing Education 143
Centre for Mental Health Education 144
JBI — IMH Affiliate Centre for Mental Health Care 145
American Nurses Credentialing Centre Accreditation\rwith Distinction 145
National Resuscitation Council Accreditation 146
Management of Aggression and Violence Training 146
Nursing Research and Evidence Based 147
Community Psychiatric Nursing Services 149
Nursing Projects 150
Awards 151
Conclusion 152
Acknowledgement 153
Reference 153
Allied Health Professionals in Psychiatry Care 155
Psychiatric Social Work in Singapore 155
How the Past Has Shaped the Future 155
A New Era 157
A Renewed Focus: Towards Advanced Practice in Psychiatric\rSocial Work 159
Conclusion 163
References 163
The Growth and Development of the Psychological Services in IMH 165
Early Years 165
1993–2000 166
2000–Present 167
Clinical Units and Services 168
Intervention Programmes and Interest Groups 178
Training and Supervision 183
Mental Health Education Initiatives 185
Future Direction of the Psychological Services at IMH 187
References 188
Psychological Services in Other Hospitals 189
Introduction 189
Tan Tock Seng Hospital 189
National University Hospital 191
Singapore General Hospital 194
Changi General Hospital 196
Khoo Teck Puat Hospital 199
KK Women’s and Children’s Hospital 200
Acknowledgemen 204
Occupational Therapists 205
Moving into New Premises 205
Rehabilitation in Occupational Therapy Workshops 206
Activities and Events 207
Vocational Rehabilitation in the 1990s 211
Developing Vocational Rehabilitation in Mental\rHealth (2003–2013) 212
Rehabilitating Patients with Psychiatric Disorders 218
Specialised Occupational Therapy Services 222
OT Services in Restructured Hospitals 227
OT Services in Voluntary Welfare Organisations 228
Conclusion 230
References 230
Case Managers 231
Introduction 231
Definition of Case Management, the Model We Use\rand What Do We Do 232
Training 233
What We Have Achieved 235
Awards 237
How Do Our Patients View Our Services? 240
What Our Team Members Think of the Case\rManagers 242
Case Managers at Work 243
Conclusion 244
References 244
Psychiatric Services in General Hospitals 245
Changi General Hospital: From Service to Department 245
About Changi General Hospital 245
Facilities 245
Staffing 246
Range of Services 246
Teaching, Training and Research 247
The Future 248
National University Hospital System: The Journey of Academic Psychiatry in a University Hospital 249
Founding of the Department (1979–1994) 249
Education and Training 251
Research 252
Development of Clinical Services (1995–2016) 255
Specialised Clinical Services 256
Improving Clinical Services and Teaching at Ward 33 256
Compassion for our Patients 257
Integrated Care in the Community 257
Further Development of Research, Training and Education 261
Nurturing the Next Generation 261
The Way Forward 261
Acknowledgement 262
References 262
Khoo Teck Puat Hospital 263
Pioneering Care in the North 263
Community Programmes 263
Manpower Resources 265
Conclusions 265
Jurong Health Services: Psychiatry for the West 267
The Birth of Psychiatry in Singapore General Hospital 271
Conclusion 278
Acknowledgements 278
References 279
A Brief History of the Department of Psychological Medicine, Tan Tock Seng Hospital 283
In the Beginning 283
Developing Services 285
Severe Acute Respiratory Syndrome 287
Mental Health Blueprint and Other Programmes 289
The Next Lap 290
Acknowledgements 292
References 292
Psychiatry Services at KK Women’s and Children’s Hospital 293
Introduction of Psychiatry to KKH 293
KKH Mental Wellness Service (2006-2012) 294
Mental Wellness Service — Pop or Real? 295
Becoming Department of Psychological Medicine, KKH 299
Conclusion 302
References 302
Education in Mental Health 303
Training for Undergraduates 303
The Experiences at Yong Loo Lin School of Medicine, National\rUniversity of Singapore: 1990–2015 303
Education Direction for the Future 304
Undergraduate Research Opportunity Programme 310
Conclusion 315
Academic Psychiatry 317
Introduction 317
Psychiatry Education 317
Research 319
Clinical Service 320
The Growth of Academic Psychiatry 320
The Future 321
References 323
Psychiatry Specialist Training 325
Introduction 325
Seamless Training 326
Residency Training 326
Evolving Specialist Training 329
References 329
Mental Health Research 331
Definition of Research 331
Development of Research in IMH 331
Cognition and Biomarkers 333
Mental Health Policy 333
Addictions 334
Children and Adolescents 335
Ethics 336
Notable Achievements 336
Acknowledgements 338
Mental Health of the Nation 339
Developing a National Mental Health Blueprint 339
Strategic Initiatives 343
Focus Area 1: Primary Prevention and Health Promotion 344
Focus Area 2: Provision and Coordination of Services 345
Focus Area 3: Mental Health Professionals 347
Focus Area 4: Monitoring 348
Focus Area 5: Research 348
Cost of Initiatives 349
Indicators and Targets Used 349
Conclusions 350
Moving Ahead 351
References 352
Samaritans of Singapore 353
Introduction 353
History 353
Key Milestones 354
24-Hour Hotline Service 355
Email Befriending 357
Specialist Counselling 357
Local Outreach to Suicide Survivors (LOSS) 357
Healing Bridge 358
Crisis Support 358
Referral and Case Consultations 359
Professional Training 359
Community Awareness and Outreach 360
Conclusion 360
References 361
The Development of Mental Health Services by VWOs 363
Moving from Custodial Care to Community Support Care 363
Community Support Care 365
Paradigm Shift to Community Therapeutic Care 369
Caregiver’ Mental Well-Being is Equally Important\ras the Clients’ 372
Destigmatisation 374
Not Forgetting Development of Support for Dementia Clients\rand Caregivers 375
National Mental Health Blueprint 377
Community Mental Health Masterplan Towards a\rCommunity-Based Population Health Approach 378
With HEART, We Can Achieve ‘‘Integrated Community Living,\rAgeing in Place’ 383
References 384