Government must boost investment in mental health care
Only a substantial increase in recurrent expenditure on psychiatrists, psychiatric nurses and social workers can service demand without undue stress on the system, let alone meet the needs of an ageing population
Caring for the mentally ill within the wider community where possible, rather than restricting them to institutions, has long been accepted in advanced societies on both clinical and humanitarian grounds. But that calls for greater investment in specialist medical, nursing and social welfare support at the community level. In this respect, care of the mentally ill in Hong Kong remains woefully inadequate. A weak link in the chain of treatment and follow-up, such as failure to take medication that controls violent or self-destructive behaviour, can have tragic consequences, as evidenced by random violent incidents we report from time to time.
There is a role for private or family doctors in treating mental illnesses such as insomnia or mild phobia, as suggested by the Public Doctors’ Association, to ease pressure on public hospitals. At the end of the day, however, only a substantial increase in recurrent expenditure on psychiatrists, psychiatric nurses and social workers can service demand without undue stress on the system, let alone meet the needs of an ageing population.