Environmental Scan for Rehabilitation Programme Plan

1
Environmental Scan for Rehabilitation Programme
Plan
2
Demographic Trend
3
Population pyramids for 2004, 2010 and 2033
Ageing trend
4
Elderly Population in Hong Kong
For the time being 1 in 8 of population are older
persons while 1 in 4 will be older persons by
2033.
5
Impact of the ageing trend

• In coming decade, we have additional 180,000
  older persons (grow by 23).
• The disability types with higher prevalence among
  older persons such as visual impairment, hearing
  impairment and restriction in body movement will
  be on rising trend

6
Age profile of persons with disabilities based on
2000 Disability Survey
7
Prevalence of disability by age (based on 2000
Disability Survey)
8
Total Fertility Rate
9
Number of birth and median age of first order
live birth
The no. of birth keeps on deceasing while the
median age of mother at first order live birth
keeps on increasing. In 2004, about 45 of the
first children are born by mother aged 30 or
above.
10
Medical advancement

• According to a HKU study, infants with Congenital
  Malformation were of shorter gestation, with
  lower birth weight, born to mother with more
  advanced age.
• With advancement in prenatal diagnostic
  technologies, increasing percentage of birth
  defects are diagnosed prenatally.
• Physical or mental abnormality can be avoided or
  treated through early detection

11
Fetus with physical or mental abnormality
12
Inpatient admissions for congenital anomalies
13
Medical advancement

• Some diseases such as Polio are also eradicated
  in HK with the full vaccination
• Early detection of disability can trigger early
  treatment
• Low birth rate together with medical advancement,
  the cases of inborn disability is expected to
  drop. Yet, the impact may be offset by the
  increasing awareness of disabilities of various
  types.

14
Analysis of Cases Assessed (Ages 0-11 Child
Assessment Services)
For PH cases in 2000 81 cerebral palsy, 50 motor
coordination disorders and 5 other PI cases. In
2004 32 cerebral palsy, 746 Developmental
Coordination Disorders (DCDs) and 12 other PH
cases.
15
Analysis of Cases Assessed (Child Assessment
Services and Student Health Service (P.1 S.7))
16
Mental illness

• Mental illness is on a rising trend
• Psychological stress is linked to both the onset
  and course of a mental illness
• Life circumstances such as unemployment,
  relationship breakdown, bereavement and major
  physical illness or injury were linked to
  depression and anxiety disorders.

17
Number of suicide deaths and suicide death rate
Number per 100000 population
No. of suicide deaths
Suicide death is on a rising trend.
18
Unemployment rate in HK for the past two decades
The unemployment rate in the past decade
fluctuated on a rising trend.

19
Attendances of day rehabilitation service -
Psychiatric day hospital
The number of attendance of rehabilitation
service increased by 10 per year before 2003/04.
Note Figure for 2003/04 might be affected by SARS
20
SOPC attendances - Psychiatric
SOPC Attendances
SOP new cases
The SOPC attendances increased by 6.5 per year
Note Figure for 2003/04 might be affected by
SARS
21
Inpatient admissions for mental illness
Note Figure for 2003 might be affected by SARS
22
Community Psychiatric Service
No. of attendances/home visits
Notes (1) Covered CPNS home visits only in
1997/98-1998/99. Covered CPNS homes visits and
CPT activities in 1999/00-2002/03. Covered CPS
activities (merging of CPNS and CPT) in
2003/04-2004/05 (2) Figure for 2003/04 might be
affected by SARS
23
Rehabilitative Services provided to mentally ill
and ex-mentally ill persons by SWD
24
Waiting lists for rehabilitative services
provided to mentally ill and ex-mentally ill
persons by SWD
Note no central waiting list for training and
activity centre for ex-mentally ill persons is
kept by SWD from 2005 onwards.
25
Waiting time for Rehabilitative Services provided
to mentally ill persons by SWD
months
Note no central waiting list for training and
activity centre for ex-mentally ill persons is
kept by SWD from 2005 onwards.
26
External factors affecting the occurrence of
disabilities -Occupational Injury
Decreasing trend in occupational injuries in the
past few years
27
No. of cases under the Employees Compensation
Ordinance resulted in permanent loss of earning
capacity
A mild decreasing trend observed in the past few
years.
28
Traffic accidents and casualties
29
Claims for Criminal and Law Enforcement Injuries
Compensation and Traffic Accident Victims
Assistance
TAVA claims
CLEIC claims
A mild decreasing trend for CLEIC claims but a
mild increasing trend for TAVA
30
Conclusions in respect of future disability trend

• The cases of inborn disability are subject to two
  opposing forces of medical advancement and higher
  probability of congenital malformation due to
  first born at higher age.
• Cases of intellectual disabilities will be
  rising.
• Based on the current trend, the cases of mental
  illness will continue to increase in coming
  years.
• The decreasing trend of disabilities arising from
  occupational injuries should continue as the
  growing number of employment in the service
  sector which are subject to less risk of
  industrial or occupational injuries.

31
Enrolment of students with disabilities in
special schools (1999/00-2004/05)
Note Children with autistic disorder studying in
special schools are usually affiliated with
intellectual disability, hence they are grouped
under the category of intellectual disability.
32
Enrolment of students in special schools by type
of disability in 2004
Total 6381
About 80 with intellectual disabilities
Note Children with autistic disorder studying in
special schools are usually affiliated with
intellectual disability, hence they are grouped
under the category of intellectual disability
33
Enrolment of students with visual, hearing,
physical, intellectual disability or autistic
disorders in ordinary schools
34
Distribution of students in ordinary primary
school by type of disability in 2004
Total 1830
35
Distribution of students in ordinary secondary
school by type of disability in 2004
Total 966
36
Number of children referred for admission from
ordinary school to special school
The rate of reverting to special school is about
5 to 7 of the enrolment in ordinary school.
37
Employment by industry sectors for the whole
economy in 2004
38
The training programmes are adjusted to suit the
market demand for commercial and services workers
No. of trainees
Some old programmes were replaced by new ones.
39
Employment status of graduates of 2000-2002
Ave. monthly salary 3,315
Ave. monthly salary 2,766
Ave. monthly salary 2,392
40
Selective Placements by Disability Group
41
Selective Placements by Occupational Group
42
Selective placements by salary range
43
Provision of supported employment provided by SWD
44
Total demand for supported employment services
provided by SWD
45
Average waiting time for sheltered workshop and
supported employment (months)
46
Financial support to PWDs - CSSA/DA
Some 68,000 PWDs (aged below 60) receive
financial support through CSSA or DA in mid 2004.
All
NDA
CSSA (Permanent Disability category)
HDA
47
Comment and discussion