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Copy of Copy of Prevention of Anorexia in Hong Kong

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by

Iris Lam

on 30 November 2012

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Transcript of Copy of Copy of Prevention of Anorexia in Hong Kong


**Please feel free to ask any questions** Secondary level:
Medical treatment
Psychological therapy by Clinical psychologists
Nutritional guidance by Registered Dietitian Hong Kong Eating Disorders Centre 2 NGOS Prevention in HK Prevention: Tertiary Level 2. Community psychiatric care
Vocational training increase:
- a sense of social responsibility
- social circle
- confidence
Comprehensive rehabilitation program
- assertiveness training
- interpersonal skills Prevention: Tertiary Level 2. Community psychiatric care
Rehabilitating the patient in the community
Providing Continuing care
Mobilizing & utilizing resources in the community

 Social Integration & live in community adaptively Prevention: Tertiary Level Solution :
Carry out Anti-stigmatization Campaign
- Social policy level
- community level

To eliminate the social stigmatization Prevention: Tertiary Level -ve Effect of In-patient treatment:
Patient:
Experience social stigmatization
e.g. labeled as weird, mad , crazy
Marginalized in society
develop negative/ poor self-image Prevention: Tertiary Level 1. In-patient treatment
public hospitals
 body check & assessment

In reality, not many patients would
voluntarily go to the public hospitals
to seek help Prevention: Tertiary Level 1. In-patient treatment
Target:
Face life-threatening conditions
e.g. body weight  < 30% of ideal weight
body temp <35degree
Psychological conditions
e.g. suicidal tendency, extremely bad temper Aims:
Reducing impairment resulted from AN
Enhance patients’ rehabilitation Prevention: Tertiary Level Prevention: Secondary Level Reason of receiving Self-help manuals
Inaccessibility
Wait long before psychiatrist assessment
Complications
(Unfavorable evolution of diseases)
e.g. Anemia and osteoporosis

Prevention: Secondary Level Self-help manuals
Encourage participants to follow the steps at their own pace
Provide interim treatment
Practical & Economical
Prevention: Secondary Level Aim: Prevented from deterioration
Targets: Early stage of the condition- anorexia

Steps of treatment:
1st : Receive self-help manuals
2nd : Assessed by a psychiatrist Prevention: Primary Level Advantages :
1. raises public awareness
2. utilize family resources
reduce Social welfare

Disadvantage :
NOT early identification of susceptible clients Prevention: Primary Level 2. Family

Underweight/ overweight  clinic Prevention: Primary Level 1. School prolonged binging and severely self-induced vomiting may have:
- stomach erosion
- eyes capillaries erosion
- internal mouth parts and fingers damaged
- facial swelling
- dental erosion Long-Term Harmful Effects
About 10 years' history of AN
< 50% fully recovered
over 70% lifetime depression
> half (53.8%) --> attempted suicide/
-->self-harm behaviors
After 5 years -->relapse
-->recovery chance was low Long-Term Harmful Effects HEDA identified 1170 cases of eating disorders
(2000 – 2008)
> 50% : bulimic cases;
~ 30% : anorexic
~ 10% : others
> 50% between 16-25 years old
seeking medical help after 2.2 years Local Trend of Eating Disorders Introduction to Anorexia Nervosa Anorexia Nervosa (AN):
involve tremendous weight loss
1. Excessive food intake restriction
2. Irrational fear of - gaining weight
- being fat
3. Distortion of body image & shape Content Anorexia Nervosa (AN)
1. Introduction
2. Situation in HK
3. Consequences
- long-term harmful effects
4. Prevention
-Primary Level
- Secondary Level
- Tertiary Level
5. Prevention in HK
6. Conclusion Prevention of Anorexia Nervosa Prevention: Secondary Level Health care professionals: Bio-psychosocial Approach
Family practitioners /doctors...小兒
- Focus on biological
condition
- Neglect psychosocial aspects Prevention: Primary Level 3. Community

Developing written information
Media -> advertisement
Organizing Campaigns
Training volunteers
Creating support groups Aims: Maintaining a state of well-being
Target: The whole population
Means: Community education
Areas: 1. School
2. Family
3. Community Prevention: Primary Level (HEDA, 2012) Situation in HK Hor Wai Shan, Hilary (52645832)
Hung Yung Ling, Tracy (52644915)
Lam Sze Man, Iris (52644823)
Tse Ka Man, Kelvin (52645948) Thank you Psychosocial Physiological Secondary level:
- Psycho- Educational
group
- Mutual Support group
- Members’ gathering
- Dietetic Consultation Primary level:
- School education
- Volunteering service Hong Kong Eating Disorders Association Limited (HEDA) Consequences : serious
Death rate: Very High
Recovery rate: Low
Relapse rate: High
No. of patients ↑ in HK
SHOULD NOT BE IGNORED Conclusion In HK :
- only 2 NGOs work with it
- NOT enough preventions in
Primary level
& Tertiary level
HK Gov should put more effort
on dealing this issue Conclusion Death Rate:
- 10 times higher than general population
- 2 times higher than other mental disorders
e.g. depression

Social workers, clinical psychologists…
-Focus on psychosocial aspects
-Neglect physiological
status +effects of starvation
E.g. poor concentration,
reduced heart volume and blood flow…
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