Rehab 98 - 03

CHAPTER 1 - INTRODUCTION
REHABILITATION PROGRAMME PLAN (RPP)

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1995 WHITE PAPER ON REHABILITATION
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POLICY OBJECTIVE
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To promote and provide such comprehensive and effective measures as are

necessary for the prevention of disability, the development of the physical,
mental and social capabilities of people with a disability, and the realisation
of a physical and social environment conducive to meeting the goals of their
full participation in social life and development, and of equalisation of
opportunities.
CATEGORIES OF DISABILITY UNDER THE PLAN
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DEFINITIONS OF IMPAIRMENT, DISABILITY AND HANDICAP
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CHAPTER 2 - PREVENTION OF DISABILITIES
INTRODUCTION

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CHAPTER 3 - IDENTIFICATION AND ASSESSMENT SERVICES
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CHAPTER 4 - SERVICES FOR DISABLED PRE-SCHOOLERS
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CHAPTER 16 - SOCIAL, RECREATIONAL, SPORTS AND CULTURAL ACTIVITIES
SOCIAL, RECREATIONAL AND SPORTS ACTIVITIES
16.1 Recreation is essential to a balanced life and is of particular importance to

people with disabilities. Leisure and recreational activities facilitate the learning and
acquisition of social skills and competence, and are essential components for an effective
programme of social integration. The broad policy objectives are as follows -
To provide services and facilities for social, recreational and sporting

programmes and through these means to enable people with disabilities to
make meaningful use of their leisure time, to develop their potential and
positive personal values, to enhance family and other personal relationships
and to encourage their active participation in community life.
16.2 In pursuing these objectives and taking into account the nature of the various
disabilities, services are provided in accordance with the following broad principles -
(a) ordinary community facilities and services encourage and facilitate the
participation of people with disabilities;
(b) where people with disabilities require special facilities to meet their social,
recreational and sporting needs, such facilities are provided to complement or
substitute for ordinary community facilities and services; and
(c) socialisation programmes and activities encourage people with disabilities to
develop inter-personal relationships, while recreational and sports facilities
encourage them to develop hobbies and interests which facilitate their
integration into the community.
16.3 Social and recreational centres (S&RCs) aim to provide services and facilities
for social, developmental, recreational and sporting programmes by which people with
disabilities can make meaningful use of their leisure time, develop their potential and positive
personal values, enhance family and other personal relationships, and participate actively in
their community life. A service brief with details on the objective, programme, staffing
level, referral channel and admission criteria is at Appendix 4.27.
16.4 As at December 1998, there were 18 S&RCs, including composite clubs, as

follows -
Type of S&RCs Number

S&RC for Visually Impaired Persons 3
S&RC for Hearing Impaired Persons 4
S&RC for Physically Handicapped Persons 6
S&RC for Mentally Handicapped Persons 3
Composite Club for All Disability Groups 2
In 1997-98, the operating cost for the S&RC operated by the Social Welfare Department was
$101,398 per month and the average amount of subvention per centre for the other 17 S&RCs
operated by non-governmental organisations (NGOs) was $93,579 per month. In addition,
social and recreational facilities for ex-mentally ill patients were offered in four social clubs,
which are attached to activity centres for discharged mental patients and operated by
subvented NGOs. Details on these activity centres are provided in the chapter on services
for mentally ill persons.
16.5 Services provided by S&RCs include interest and social service groups,
committee training and mass/special activities. They cater for the needs of people of
various disability groups and promote community acceptance through public education.
They also mobilise volunteers, offer social skills training and counselling, and provide
resources and support services for people with disabilities to participate in social, recreational
and community activities.
16.6 S&RCs are putting more effort into enhancing community awareness and
participation in their activities through offering centre membership to able-bodied persons,
involving a wider network of volunteers and promoting integration and interaction of people
with and without disabilities. With greater input from the community, it is envisaged that
more people with disabilities will be attracted to participate in the programmes, and more
people will understand and accept the abilities and needs of people with disabilities.
16.7 Most of the existing S&RCs are located in the urban area and there are
discrepancies in levels of subvention to individual S&RCs. In view of this, the Social
Welfare Department will conduct a comprehensive review on social and recreational services
for people with disabilities under its purview with a view to improving the services and
meeting their needs in this respect.
16.8 The two Provisional Municipal Councils provide various sports and
recreational activities for the public including people with disabilities. In 1997-98, the
Provisional Regional Council organised 158 programmes with a total expenditure of
$318,000 while the Provision Urban Council organised 353 projects with a total expenditure
of $2.24 million for people with disabilities.
16.9 Apart from being organisers, the two Provisional Municipal Councils also
subvent/sponsor NGOs in organising various sports and recreational activities for people with
disabilities. In 1997-98, the Provisional Regional Council subvented/sponsored 243
programmes with a total expenditure of $2.12 million while the Provision Urban Council
subvented/sponsored 132 projects with a total expenditure of $2.11 million.
16.10 Working closely with the two Provisional Municipal Councils, the Hong Kong
Sports Development Board is a statutory body responsible for the promotion and
development of sport and physical recreation in Hong Kong. It has been providing support
to sports associations for people with disabilities in Hong Kong since April 1990 in respect of
staffing expenses and programme expenses which include staff training programmes, and
subvention for hosting of international events in Hong Kong, national squad training and
official training programmes as well as sending athletes to overseas competitions. It also
administers the Sports Aid for the Disabled Fund which provides annual grant to elite
disabled athletes to assist them in preparing for competitions. Apart from the above, it
supported the Disabled Campaign which aimed to generate public attention to the importance
of sport for people with physical and mental handicaps. This Campaign, comprising the
Outreach Programme and Super Coach Programme, started in 1992-93 and completed in
1996-97.
16.11 The Hong Kong Sports Association for the Physically Disabled and the Hong
Kong Sports Association for the Mentally Handicapped undertake to promote and organise
sports training and competition for physically and mentally handicapped persons. They
have made tremendous efforts in the development of sports for people with disabilities so as
to cater for their rehabilitation needs. These two sports associations also play the role of
�National Sports Association� in respect of selecting disabled athletes to participate in
international competitions on behalf of Hong Kong.
16.12 The promotion of integration of the physically handicapped and able-bodied is

implemented through an internationally recognised movement known as �PHAB Movement�.
To encourage physically handicapped persons to participate in community activities as other
members of society, membership of the S&RCs for physically handicapped persons operated
by an NGO comprises people with and without disabilities. In addition, physically
handicapped and able-bodied members of the centres are encouraged to form autonomous
self-programming clubs/groups. Leadership training, professional guidance, and required
resources are provided through staff of the centres. These clubs/groups have served as an
added driving force behind the PHAB Movement. In recent years, attempts have been made
to further promote the PHAB concept in ordinary community services, particularly in elderly
centres in which members are usually suffering from different forms and degrees of physical
handicap.
16.13 The Gateway Movement was introduced in Hong Kong in 1980 to encourage
mentally handicapped persons to participate in community activities through direct
interaction between mentally handicapped and ordinary members of gateway clubs. It
provides opportunities for leisure and recreational activities for mentally handicapped persons
by making use of premises of rehabilitation service units, special schools and other
community facilities. Through these activities, mentally handicapped persons are
encouraged to exercise their personal choice, independence and full participation.
Currently, there are over 20 gateway clubs run by NGOs. The Social Welfare Department
will continue to pursue NGOs� proposal of setting up co-ordinating offices on a regional
basis, subject to the availability of resources. In the meantime, NGOs are encouraged to
operate gateway clubs within their service units with non-governmental resources so as to
meet the identified demand.
ARTS AND CULTURAL ACTIVITIES
16.14 People with disabilities also have access to arts and cultural activities so that
they may develop their creative, artistic and intellectual potential to the full. The policy
objectives regarding cultural activities for people with disabilities are as follows -
To assist people with disabilities to benefit from arts and cultural activities and
facilities, to develop their talents and to integrate them into the community by
the provision of suitable amenities, training and programmes.
16.15 In pursuance of the above objectives, the principles set out below will be
followed -
(a) providing arts and cultural activities in an integrated setting so that people
with disabilities can have equal opportunities for participation and better
understanding of and from their able-bodied counterparts;
(b) encouraging the development of arts and cultural services to facilitate the
participation and integration of people with disabilities in the community, and
to develop their interests and talents;
(c) providing special facilities and services to complement or substitute for
ordinary facilities and services so as to meet the needs of people with
disabilities;
(d) making popular the creative means and art forms developed by people with
disabilities and encouraging active participation of people with disabilities;
and
(e) encouraging existing art groups to work with and for people with disabilities.
16.16 The two Provisional Municipal Councils organise cultural activities for people
with disabilities with a view to developing their talents and integrating them into the
community. Activities organised include presentation by disabled artists, demonstration of
creative work by disabled artists, arrangement of shows for the enjoyment of people with
disabilities, and presentation of activities that involve the participation of both able-bodied
and disabled persons.
16.17 In order to encourage people with disabilities to attend cultural performances,

the Provisional Urban Council and the Provisional Regional Council have introduced
concessionary schemes for people with disabilities since May 1995 and �anuary 1997
respectively. People with disabilities joining the schemes will be entitled to enjoy various
activities presented and organised by them at half-price. Currently, more than 11 000 and
1 900 people with disabilities have registered with the Provisional Urban Council and the
Provisional Regional Council respectively under the schemes.
16.18 In addition, there are three performing arts groups funded and managed by the
Provisional Urban Council. Between 1994-95 and 1997-98, two of them organised seven
outreach performances at special schools, rehabilitation centres and hospitals. In 1998-99,
six outreach performances for people with disabilities were arranged. These two performing
arts groups will continue to liaise with rehabilitation organisations and special schools for
similar activities on suitable occasions. Regarding the remaining performing arts group, it
staged a drama with a hearing impaired lady as the female protagonist in 1996. Apart from
a free performance arranged for hearing impaired persons, the other six public performances
of the drama were provided with sign language interpretation service. Similar arrangement
will be made for appropriate disability groups when there are plays with related themes.
However, it is difficult for this performing arts group to arrange outreach performance like
the other two due to stage and lighting requirements as well as other technical restrictions.
16.19 The Provisional Regional Council has offered participatory programmes such
as workshops under the drama and dance animateur schemes to special schools since 1996-97
so as to enable participation by disabled children. In 1997-98, 33 disabled children in two
special schools joined the animateur schemes.
16.20 Furthermore, the Music Office, jointly managed by the two Provisional
Municipal Councils with effect from August 1995, runs full-scale instrumental music training
programmes, promotes interest in music especially among the young, and encourages and
assists in the organisation of music activities for both able-bodied and disabled persons. It
also organises seminars on music therapy to introduce the concept of helping the
rehabilitation of disabled children through music activities. As part of its outreach music
promotional programme, it arranges care and concern concerts performed by music
ensembles for under-privileged audiences at rehabilitation service units, elderly homes,
hospitals, etc. Between 1994-95 and 1997-98, the Music Office organised 122 care and
concern concerts for 11 370 people with disabilities. According to its 1998-99 Programme
Plan, 39 care and concern concerts have been scheduled at sheltered workshops, hospitals,
elderly homes and convalescent centres.
16.21 The Hong Kong Arts Development Council was formally established as a
statutory body in �une 1995 to plan, promote and support the broad development of the arts
so as to improve the community�s quality of life. It adopts a fair and open funding policy
that respects equal opportunities for all. The grants awarded by this Council to support
cultural activities for people with disabilities amounted $541,405 in 1997-98 and increased
by some 48� to over $800,000 in 1998-99.
16.22 The Arts with the Disabled Association Hong Kong is a major organiser and
co-ordinator in arts with people with disabilities in Hong Kong. With the aims of promoting
opportunities in arts for people with disabilities and integrating them into the community
through such activities, it has served as an initiator of many innovative activities and plays an
important role in service provision and advocacy for the mission of arts for everyone. It
helps promote artistic activities in rehabilitation service units and special schools. It also
works towards the inclusion of people with disabilities in mainstream arts and cultural
sectors. In recent years, people with disabilities have established a number of arts groups,
some with encouraging achievements.
ISSUES OF CONCERN
16.23 The Review Committee noted that the two Provisional Municipal Councils
had made significant improvements in providing social, recreational, sports and cultural
activities as well as related facilities for people with disabilities in recent years. For
examples, the provision of increasing number of sports, recreational and cultural programmes
for people with disabilities and the introduction of concessionary schemes. The Review
Committee is of the view that such progressive measures should be maintained, and that the
existing service arrangements and planned future service improvements should not be
affected by the restructuring of district organisations.
CHAPTER 17 - SUPPORT SERVICES
INTRODUCTION
17.1 Both the governmental and non-governmental sectors provide a number of

services to facilitate the rehabilitation and integration of people with disabilities, many of
which are discussed in previous chapters. This chapter mainly covers those services that
aim to provide support and assistance to people with disabilities and their families, and those
services that help future planning of rehabilitation services. These services include -
(a) adult education programmes under the Education Department;
(b) central referral systems of the Social Welfare Department;
(c) Central Registry on Rehabilitation administered by the Rehabilitation Division
of the Health and Welfare Bureau;
(d) family support services under the Social Welfare Department;
(e) housing assistance provided by the Hong Kong Housing Authority;
(f) social security provided by the Social Welfare Department;
(g) tax allowances and concessions; and
(h) services of self-help organisations.
ADULT EDUCATION
17.2 The Education Department provides primary and secondary education courses
as well as English courses for persons aged 15 or above who have missed the opportunity for
formal education. People with disabilities who are able to integrate into ordinary settings
may attend these courses.
17.3 The Education Department also subvents non-governmental organisations

(NGOs) in developing adult education programmes within a prescribed purview to
complement and supplement the Department's provision. Within the purview, there are
adult education programmes specifically provided for people with disabilities. NGOs may
decide the operation of the type of programmes to meet the special needs of their clients. In
the school year 1997/98, 112 programmes were operated for adults with disabilities by 22
NGOs, representing an increase of 62.3% over that in the school year 1994/95. The details
are shown in Table 17.1 below. The Education Department will continue to provide
subventions for the NGOs and to work closely with them to further develop adult education
programmes for people with disabilities.
Table 17.1 - Comparison of Adults Education Programmes for People with Disabilities
Subvented by the Education Department for the School Years 1994/95 and
1997/98
School Year 94/95 97/98

Target Disability No. of No. of NGOs No. of No. of NGOs
Group Programmes Involved Programmes Involved
Visually Impaired 9 1 8 1
Persons
Hearing Impaired 19 2 22 2
Persons
Physically 12 2 35 8
Handicapped and
Viscerally Disabled
Persons
Mentally Handicapped 29 7 47 11
and Ex-Mentally Ill
Persons
Total 69 12 112 22
CENTRAL REFERRAL SYSTEMS
Co-ordinated Referral System for Disabled Pre-schoolers
17.4 The Co-ordinated Referral System for Disabled Pre-schoolers (CRSPS) was
set up in 1987 under the Social Welfare Department and came into full operation in April
1988. The objectives of the system are as follows -
(a) maintaining and disseminating to departments and NGOs information on the
level of occupancy and waiting lists for centres for disabled pre-schoolers,
namely early education and training centres (EETCs), special child care
centres (SCCCs) and integrated programmes in child care centres (ICCCs);
(b) through statistical returns and liaison, ensuring service is available for cases of
high priority especially for early intervention in EETCs;
(c) finding placement for hard-to-place cases, for example, severely disabled
children;
(d) compiling statistics for planning purpose;
(e) ensuring existing services are made available to all children who need them as
soon as possible; and
(f) ensuring a smooth transition and continuity from one type of service to
another at the appropriate age or stage of development.
17.5 At present, all referrals to pre-school service units of EETCs, SCCCs and
ICCCs are managed by the CRSPS. So far, the CRSPS has developed a sufficiently reliable
data base for the projection of demand for the services. Apart from undertaking much
publicity effort to promote the system to all sources of referrals, the general public and
rehabilitation personnel, briefing sessions on referral procedures are organised by the Social
Welfare Department for front-line staff. In addition, there are liaison meetings organised
half-yearly between the Social Welfare Department and the Hong Kong Council of Social
Service (HKCSS) to discuss operational issues related to pre-school services for disabled
children. Representatives from other relevant government departments such as the
Department of Health and the Education Department are also invited to attend as and when
necessary.
17.6 As the CRSPS was developed some 10 years ago, the existing computer
system becomes unable to cope with the requirements arising from the continuous expansion
of pre-school services for disabled children. In view of this, the Social Welfare Department
is undertaking a plan of redeveloping and enhancing the computer system so that it can cope
with the increasingly sophisticated demands and be rectified to be Year-2000 compliant by
mid-1999. The Department is also undergoing a review on the operational procedures of the
CRSPS with a view to enhancing the efficiency of referral procedures and maximising the
utilisation of placement resources available.
Central Referral System for Disabled Adults
17.7 In April 1988, the Social Welfare Department set up the Central Referral
System for Disabled Adults (CRSDA) in order to -
(a) ensure uniformity in referral procedures and admission criteria of service units
by centralising referrals and placements;
(b) ensure efficient utilisation of provisions and to minimise waiting time by
engineering cross district/region placement as need arises;
(c) ensure referrals for and placements in the most appropriate type of services in
the light of existing policy and admission criteria;
(d) identify the need for changing "queues" in case of circumstantial changes and
to consult referrers accordingly;
(e) set priority for urgent placements on a need basis; and
(f) provide realistic and first-hand information and statistical data for planning
and demand assessment.
17.8 Rehabilitation facilities encompassed by the CRSDA comprise day activity

centres, sheltered workshops, home-based training, activity centres for discharged mental
patients and all residential services for people with disabilities under the purview of the
Social Welfare Department. Case data are processed in three computer systems for
discharged mental patients, aged visually impaired persons and other people with disabilities
respectively.
17.9 To familiarise front-line workers, in particular new recruits, with the functions
and operation of the CRSDA, briefing sessions are held by the Social Welfare Department at
regular intervals. As the CRSDA was developed some 10 years ago, the existing computer
systems become unable to cope with the requirements arising from the continuous expansion
of rehabilitation services. In view of this, the Social Welfare Department is undertaking a
plan of redeveloping and enhancing the computer systems so that they can cope with the
increasingly sophisticated demands and be rectified to be Year-2000 compliant by mid-1999.
The Department is also undergoing a review on the operational procedures of the CRSDA
with a view to enhancing the efficiency of referral procedures and maximising the utilisation
of placement resources available.
CENTRAL REGISTRY FOR REHABILITATION
17.10 The Central Registry for Rehabilitation (CRR) collects and compiles
information on people with disabilities in Hong Kong with a view to providing statistics on
disability to the Government and NGOs concerned for the planning and delivery of
rehabilitation services and research purposes.
17.11 The CRR has been established since October 1983. It is monitored by an
Advisory Committee chaired by the Commissioner for Rehabilitation and represented by
members from government departments concerned, the Hospital Authority, Vocational
Training Council, HKCSS and Hong Kong Special Schools Council. The Rehabilitation
Division of the Health and Welfare Bureau is responsible for its day-to-day operation. At
the end of December 1998, there were about 123 000 people with disabilities registered with
the CRR.
17.12 The CRR collects information on people with disabilities on a voluntary basis
through relevant government departments and NGOs upon their first contact with a disabled
client. In order to alleviate the problem of under-reporting and encouraging the co-
operation of various parties concerned, the reporting form (now known as registration form)
was simplified in 1998, having regard in particular to the relevant provisions of the Personal
Data (Privacy) Ordinance (Cap. 486).
17.13 There were cases that some people with disabilities requested the CRR to
provide them with written certification to facilitate them in obtaining privileged services or
concessionary rates offered by some companies or organisations. In order to simplify the
certification process and provide CRR registrants with better service, the CRR launched a
new initiative of issuing a registration card for people with disabilities to CRR registrants
upon application in �anuary 1999. The registration card has been gradually accepted by
some schemes/organisations, including the concessionary schemes for people with disabilities
offered by the two Provisional Municipal Councils, as an identity proof for price concessions
and privileged services.
FAMILY SUPPORT SERVICES
Counselling Service
17.14 �amilies in need of support or counselling may approach family services

centres of the Social Welfare Department and NGOs, or medical social service units in
hospitals and clinics for assistance. Advice and counselling would be provided by
caseworkers or medical social workers and referrals to appropriate government departments
and organisations for follow-up services will be made whenever necessary. In addition,
there is a hotline service run by the Social Welfare Department which provides immediate
counselling or advice. Similar services are also provided by some NGOs.
Home Help Service
17.15 The home help service, being an essential community support service, aims to
substantiate community care and support. The major target groups are elderly persons,
people with disabilities and families in need. Home help teams, working throughout the
territory, provide a variety of services such as general personal care, house keeping, escort,
meal and child care services. In 1997-98, the home help service catered for 20 554 cases
with an average unit cost of �1,129 per month. About 2 500 of these cases (12.2%) were
related to people with disabilities aged below 60. As at December 1998, there were 133
subvented home help teams. Resources have already been allocated to provide an additional
29 teams by 1999-2000.
Family Aide Service
17.16 The family aide service, as a support to family casework service, aims to
impart basic skills on home making to the needy with the ultimate goal of providing them
with adequate self-management in household matters through systematic training programme.
�amilies with young children whose parents/carers are inadequate, disabled or mentally ill
and families in and after crisis may be provided with the service. Training in parental and
home-making skills is given to young couples and inadequate parents, including parents with
disabled children, through live demonstrations and practice sessions at a family care and
demonstration and resource centre.
HOUSING ASSISTANCE
17.17 Through the Compassionate Rehousing Scheme, the Hong Kong Housing
Authority offers a quota of about 2 000 public rental housing flats each year to applicants
with special or compassionate justifications referred by the Social Welfare Department.
Consumption of the quota is based on need and the Housing Authority is prepared to offer
assistance to genuinely deserving cases, including people with disabilities. Successful
applicants will normally be rehoused as soon as the formalities are cleared. A total of 1 352
public rental housing flats were allocated to people with disabilities under this scheme
between 1994-95 and 1997-98.
17.18 In order to suit the special requirements of wheelchair users, the Hong Kong
Housing Authority makes it a standard practice that families with wheelchair users are
allocated with larger flats which are one grade up of the standard entitlement and close to lift
landing. The Hong Kong Housing Authority also tries to meet their choice of estates as far
as practicable in order to minimise the distance between their residence and places for work
or medical treatment. As regards improvement work for disabled tenants in public housing
estates, it is discussed in the chapter on access, transport and rehabilitation engineering
services.
17.19 In addition, households with disabled member(s) and in financial hardship can
apply for rent assistance. �nder the Rent Assistance Scheme of the Hong Kong Housing
Authority, they would enjoy 50% rent reduction if -
(a) their household income is below 50% of the Waiting �ist Income �imit;
(b) their rent-to-income ratio exceeds 25%; or
(c) their household income is between 50% and 60% of the Waiting �ist Income
�imit, and the rent-to-income ratio exceeds 15%.
Ordinary households who continue to require the rent assistance after two years may be
required to transfer to flats with lower rent in the same district. Households with disabled
members are however exempted from this removal rule.
SOCIAL SECURITY
17.20 Social security is provided by the Social Welfare Department to meet the basic
needs of the disadvantaged including the financially vulnerable, the elderly and the severely
disabled. �or people with disabilities who encountered financial difficulties in meeting their
basic needs, they may apply for financial assistance under the Comprehensive Social Security
Assistance (CSSA) Scheme which is provided on a means-tested basis. �or severely
disabled persons, they may apply for a non-means-tested disability allowance under the
Social Security Allowance (SSA) Scheme. A higher disability allowance equivalent to
twice the amount of normal disability allowance is payable to severely disabled persons
requiring constant attention at home. By the end of 1997-98, there were some 70 000
people with disabilities receiving financial assistance under the CSSA Scheme and some
77 000 people with disabilities who were not CSSA recipients receiving payments under the
SSA Scheme. In 1998-99, the total amounts of payment under the CSSA and SSA schemes
for people with disabilities were about �3.95 billion and �1.33 billion respectively.
TAX ALLOWANCE AND CONCESSIONS
17.21 In order to encourage the care of people with disabilities by their family
members, a new salaries tax allowance of �11,000 for a disabled dependant who was eligible
to claim disability allowance was introduced in 1995-96. Tax-payers could benefit from this
concession in addition to any allowance already being claimed by them for the disabled
family members. With a view to offering more help to individuals and families giving
support to disabled dependant, this allowance is increased to �60,000, which doubles the
basic allowance for an ordinary dependant, with effect from 1998-99.
17.22 In addition, drivers with disabilities are exempted from the payment of a
number of fees and duties charged by the Government, details are provided in the chapter on
access, transport and rehabilitation engineering services.
SELF-HELP ORGANISATIONS
17.23 Self-help organisations can be defined as groups of individuals who organise

themselves in a group structure to pursue common goals of furthering their own welfare and
interests. The group solidarity arises from the fact that people encountering similar
problems can join together to overcome them by sharing experiences and exchanging
information. Where the nature of disabilities prevent people from expressing and
advocating their rights, their parents/carers in self-help organisations may represent their
interests on their behalf.
17.24 Self-help organisations are monitored and managed by boards comprising
mainly people with disabilities and/or their parents/carers who are in the best position to
understand the special needs of people with disabilities. Apart from providing meaningful
social, educational and leisure activities, self-help organisations promote a spirit of mutual
help among people with disabilities as well as their parents/carers. These organisations also
represent people with disabilities to express their views on rehabilitation services to service
providers and government departments concerned. Through seminars, campaigns and the
mass media, self-help organisations foster a positive image of and promote the rights of
people with disabilities.
17.25 The Government strongly supports the further development of self-help

organisations. They are and will continue to be encouraged to participate actively in the
formulation of rehabilitation policies so as to ensure that planned services are tailored to meet
the special needs of people with disabilities. The Social Welfare Department will continue
to render the necessary support and assistance to self-help organisations in their application
for welfare premises as appropriate.
ISSUES OF CONCERN
17.26 Self-help organisations have been requesting the Government to provide

financial assistance to support their staffing expenses and operational costs. However,
under existing subvention policy, the Government will only subvent the operational costs
associated with the provision of certain direct welfare services. Expenditures for the
internal administration of an organisation, which are not directly related to subvented
services, are not covered in the subvention and have to be met by non-governmental
resources.
APPENDIX 1.1
1998 Rehabilitation Programme Plan Review Committee
I. �embership
Chairman: Commissioner for Rehabilitation Mr CHOI Chi-wa, A, JP

�ember: Hong Kong Council of Social Service Miss Virginia CHAN, JP
Mr Philip YUEN
Hospital Authority Dr C C LUK
Vocational Training Council Mr Kevin KO
Education Department Mrs Gigi MANSUKHANI
Labour Department Mr SIU Lap-kei
Social Welfare Department Miss Ophelia CHAN
Transport Department Mr Daniel CHUNG
Department of Health Dr Monica WONG
(up to April 1998)
Dr Constance CHAN
(April 1998)
Dr Thomas CHUNG
(from May 1998)
Secretary: Health and Welfare Bureau Miss Natalie LI
Assistant Secretary: Health and Welfare Bureau Miss Amanda HO
Health and Welfare Bureau Mr M C KAN
Co-opted �ember: (nominated by the Rehabilitation Division, Hong Kong Council of
Social Service and listed in alphabetical order)
Dr Derrick AU Mrs Grace CHAN, JP Mr Joseph CHAN

Mr Panny CHAN Mr Stephen CHAN Ms Mabel CHAU
Ms Cindy CHENG Mrs Goretti CHEUK Mr CHEUNG Kin-fai
Sister Theresa CHIEN Mrs C S CHONG, JP Mr CHONG Chan-yau
Mrs Natalie CHOW Miss Kimmy HO Mrs HO YEUNG Sau-chun
Ms KWAN Wai-fong Mr LAI Boon-lap Mr Louis LAI
Miss LAU Kwai-ying Mrs Julie LEE Mr LEE Koon-hung
Mr LEUNG Kau Mrs Mary LEUNG Dr Simon LEUNG
Mr LIU Choi-hung Mrs LO CHU Yin-kwan Miss Lisa LUK
Prof Arthur MAK Mr Augustine MOK Mr Kim MOK
Miss Angela NG Mrs Bessie PANG Prof Jonathan SHAM
Miss Rachel SZETO Ms Maureen TAM Mrs Amelia TING
Mrs Pauline TONG Miss TSANG Chi-hung Miss Nancy TSANG, JP
Mr Andrew TSE Ms TSUI Hok-ling Ms Deborah WAN, JP
Mr WONG Chak-tong Ms Elaine WONG Miss WONG Ka-ling
Miss Mary WONG Miss Phyllis WONG Prof Virginia WONG
Mrs Winnie WONG Mr YEUNG Tak-wah
II. Terms of Reference
1. To review the progress of implementation of the recommendations made in

the 1994 Review of the Rehabilitation Programme Plan.
2. To update the various statistical projects for the purpose of service and
manpower planning.
3. To make recommendations to the Secretary for Health and Welfare on -
(a) areas where revision to planning targets is found to be necessary; and
(b) existing or proposed service areas and policies which require further
study and/or development outside the context of the major review.
APPENDIX 1.2
Rehabilitation Advisory Committee (1998 and 1999)
I. �embership
Chairman: Dr Raymond WU, JP

Vice-Chairman: Secretary for Health and Welfare or her representative
�ember: Miss Virginia CHAN, JP
Miss Iris CHAN
Mr William CHANG
Mr CHEUNG Kin-fai
Mr Nicholas CRAWFORD, JP
Dr Stevenson FUNG
Ms Priscilla HO
Dr IP Yan-ming, JP
Dr Joseph KWOK, JP
Professor LEE Ngok, JP
Dr MAK Ki-yan, JP
Mr WANG Kai-fung
Mr YEUNG Ka-sing, JP
The Hon Howard YOUNG, JP
Chief Executive of Hospital Authority or his representative
Director of Education or her representative
Director of Social Welfare or his representative
Secretary for the Treasury or her representative
Commissioner for Rehabilitation
Secretary: Assistant Secretary (Health and Welfare)
II. Terms of Reference
1. To advise on the development and phased implementation of rehabilitation

services in Hong Kong.
2. To advise on the principles of subvention applicable to such services.
3. To co-ordinate rehabilitation services in Government departments and

voluntary organisations and to ensure that available resources are put to the
best use.
4. To advise on the respective roles of Government, voluntary organisation and

other bodies providing rehabilitation services.
5. To make recommendations on the training of rehabilitation workers.

APPENDIX 1.3
Demand Formula for Social Rehabilitation Services
The planning of social rehabilitation services subvented through the Social

Welfare Department is based on a demand formula endorsed by the former Rehabilitation
Development Co-ordinating Committee (now Rehabilitation Advisory Committee) in 1994.
The formula adopts an accounting flow approach involving the addition and subtraction of
factors constituting the two variables, demand and provision, in calculating the shortfall or
surplus, as the case may be.
The application of the demand formula for social rehabilitation services

between 1998-99 and 2002-03 in this Plan is based on the actual figures in 1997-98 as
illustrated in the following table -
Financial Year 1997-98 (base-year for projection) 1998-99 to 2002-03

(A) Demand factors
(a) Enrollment Actual enrollment as at 1.4.97 Total provision, i.e. B(a), at the end of
the preceding year
plus
(b) Waiting list Actual number of people on the Projected shortfall, if any, in the
waiting list as at 1.4.97 preceding year
plus
(c) New application Average number of new applications Projected Target

in 1994 95, 1995 96 and 1996 97 number of population* in
new the year
applications, x
i.e. A(c), in
Target
the preceding
population* in
year
the preceding
year
(B) Provision factors
(a) ExistinglPlanned Provision as at 31.3.98 Total provision at the end of the year
Provision
plus
(b) Projected Annual Average annual Actual Average annual Projected

Discharge discharge rate x enrollment as discharge rate x enrollment at the
in 1995 96 and at 1.4.97, in 1995 96 and beginning of the
1996 97 i.e. A(a) 1996 97 year , i.e. A(a)
(C) Shortfall or (Surplus) (A) minus (B) (A) minus (B)
Notes: * Population of the relevant age group(s) of the respective service.

APPENDIX 1.4
Public Expenditure on Rehabilitation Services

in terms of Cost of Services1 (1999-2000)
Non-
Recurrent Total
Organisation Recurrent
Expenditure Expenditure
Expenditure
($ million) ($ million) ($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 13.7 4.9 18.6
(b) Mental Health Guardianship Board 4.7 0.2 4.9
(c) Environmental Advisory Service 1.6 -- 1.6
(d) Vocational Training 147.3 5.2 152.5
Hospital Authority 4,656.3 63.4 4,719.7
Department of Health 121.1 -- 121.1
Education Department
(a) Departmental Services 234.6 7.6 242.2
(b) Subvention2 1,336.5 81.9 1,418.4
Social Welfare Department
(a) Departmental Services 197.5 -- 197.5
(b) Subvention 1,688.7 -- 1,688.7
(c) Comprehensive Social Security 4,661.8 -- 4,661.8
Assistance to People with
Disabilities
(d) Disability Allowance 1,428.5 -- 1,428.5
Labour Department 38.9 -- 38.9
Transport Department 29.8 3.5 33.3
Total 14,561.0 166.7 14,727.7
Notes:
1. Cost figures are based on the draft estimates of 1999-2000 with on-costs including
pension, gratuities, housing benefits, medical and dental benefits for the staff taken
into account unless otherwise specified.
2. Costs for practical schools and skills opportunity schools, which could not be
identified until actual expenditure has committed, are also included.
APPENDIX 1.5
Public Expenditure on Rehabilitation Services in terms of Cost of Services1

from 1989-90 to 1999-2000
Financial Year Recurrent Payments Non- Total Public Total Public Public
Expenditure under CSSA Recurrent Expenditure Expenditure4 Expenditure on
(excluding and DA to Expenditure on Rehabilitation
payments People with Rehabilitation Services as a
under CSSA2 Disabilities Services Percentage of
and DA3) Total Public
Expenditure
($ million) ($ million) ($ million) ($ million) ($ million) (%)
1989-90 1,637 583 163 2,383 83,600 2.85
1990-91 2,032 728 202 2,962 100,190 2.96
1991-92 2,319 894 249 3,462 112,990 3.06
1992-93 3,254 1,112 211 4,577 127,300 3.60
1993-94 3,732 1,728 164 5,624 158,500 3.55
1994-95 4,448 2,045 83 6,576 170,850 3.85
1995-96 5,314 2,600 90 8,004 195,245 4.10
1996-97 5,959 3,541 96 9,596 217,195 4.42
1997-98 6,749 4,194 81 11,024 243,905 4.52
1998-99 7,885 5,276 155 13,316 275,125 4.84
5
1999-2000 8,471 6,090 167 14,728 290,130 5.08
Notes:
1. Cost figures are based on the revised estimates of the respective years (except for 1999-2000 which is based on the
draft estimates). For public expenditure on rehabilitation services, on-costs including pension, gratuities, housing
benefits, medical and dental benefits are taken into account.
2. CSSA denotes Comprehensive Social Security Assistance.
3. DA denotes Disability Allowance.
4. The total public expenditure comprises expenditure by the trading funds, the Hong Kong Housing Authority, the
two Provisional Municipal Councils, expenditure financed by the Government's statutory funds and all
expenditure charged to the General Revenue Account. Expenditure by institutions in the private or quasi-private
sector is included to the extent of their subventions. The payments of government departments which are wholly
or partly financed by charges raised on a commercial basis are also included (e.g. airport, waterworks). But not
included is expenditure by those organisations, including statutory organisations, in which the Government has
only an equity position, such as the Airport Authority, the Mass Transit Railway Corporation and the Kowloon-
Canton Railway Corporation. Similarly, advances and equity investments from the Capital Investment Fund are
excluded as they do not reflect the actual consumption of resources by the Government.
5. Cost figures are based on the draft estimates of 1999-2000.
APPENDIX 1.6
Improvements in the Provision of Rehabilitation Services

between 31.3.95 and 31.12.98
Rehabilitation Services Unit of Provision Provision Increased

Provision as at as at (Decreased)
31.3.95 31.12.98 Provision
Pre-school Service
1. Early Education and Training Centre! Place 905 1 555 650

2. Special Child Care Centre Place 1 047 1 179 132
3. Integrated Programme in Child Care Place 910 1 270 360
Centre
4. Occasional Child Care Place 36 40 4
Special Education2
1. Integrated Programme in Kindergarten Place 120 168 48

2. Special Education Class
(a) Hearing Impaired Place 120 90 (30)
(b) Visually Impaired Place 105 120 15
3. Special School School Section
(b) Mentally Handicapped (Type I) Place 2 980 3 060 80
(c) Mentally Handicapped (Type II) Place 1 870 1 870 0
(d) Mentally Handicapped (Type III) Place 760 784 24
(e) Physically Handicapped Place 690 780 90
(f) Visually Impaired Place 210 225 15
4. Special School Boarding Section
(b) Mentally Handicapped (Type II) Place 124 190 66
(c) Mentally Handicapped (Type III) Place 452 422 (30)
(d) Physically Handicapped Place 166 166 0
(e) Visually Impaired Place 180 175 (5)
5. Hospital School Place 458 465 7
Vocational Rehabilitation
1. Vocational Assessment2 Assessment3 280 430 150

2. Skills Centre2 Place 768 1 001 233
3. Selective Placement4 Registration 2 864 3 598 734
4. Supported Employment Place 360 1 070 710
5. Sheltered Workshop Place 5 095 6 215 1 120
Medical Rehabilitation
1. Hospital Bed for Profoundly and Severely Bed 825 800 (25)
Mentally Handicapped
2. Hospital Bed for Mentally Ill Patients Bed 4 639 5 068 429
3. Day Hospital for Mentally Ill Patients Place 575 599 24
Rehabilitation Services Unit of Provision Provision Increased
Provision as at as at (Decreased)
31.3.95 31.12.98 Provision
Day Services
1. Day Activity Centre Place 2 715 3 526 811

2. Activity Centre for Discharged Mental Day Training 160 180 20
Patients Place
3. Home based Training Place 380 350 (30)
4. Community Rehabilitation Network Regional 0 3 3
Centre
5. ParentslRelatives Resources Centre Centre 6 6 0
6. Social and Recreational Centre Centre 22 18 (4)
1. Halfway House Place 857 1 217 360

2. Long Stay Care Home Place 200 570 370
3. Hostel for Moderately Mentally Place 993 1 444 451
Handicapped Persons
4. Hostel for Severely Mentally Handicapped Place 1 472 2 143 671
Persons5
5. Care and Attention Home for Severely Place 240 490 250
Disabled Persons
6. Hostel for Severely Physically Place 331 406 75
Handicapped Persons6
7. Home for the Aged Blind Place 143 296 153
8. Care and Attention Home for the Aged Place 182 669 487
Blind
9. Supported Hostel Place 90 154 64
10. Supported Housing Place 17 17 0
11. Small Group Home for Mildly Mentally Place 53 96 43
Handicapped Children
Notes:
1. The provisions of early education and training centres include 65 places designated for hearing
impaired children.
2. The provisions as at 31.3.95 and 31.12.98 are the provisions in the school years 1994l95 and 1998l99
respectively.
3. The number of vocational assessments provided is expressed in terms of comprehensive assessments
designed for complex cases. Each comprehensive assessment takes 6 8 weeks and is equivalent to
four specific assessments, each of which takes 1 2 weeks.
4. The provisions as at 31.3.95 and 31.12.98 are the actual number of registrations received by the
Selective Placement Division of the Labour Department in the calendar years 1994 and 1998
respectively.
5. The provisions of hostels for severely mentally handicapped persons include 50 places for visually
impaired persons with mental handicap and exclude the places in care and attention homes for severely
disabled persons which were subsumed under this category in the 1994 Rehabilitation Programme
Plan.
6. The provision as at 31.12.98 includes 150 places for severely physically handicapped persons with
mental handicap that have been provided since October 1997.
APPENDIX 1.7
Summary on the Existing Supply and Demand
and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Existing Additional Total Waiting Utilisation Unit Cost Service
Provision Provision Funded Provision List as at Rate in per Fee in
as at Provision by 31.3.03 31.12.98 1997-98 Month in 1997-98
31.12.98 by 31.3.03 1997-981
(%) ($) ($)
Pre-school Service
1. Early Education and Training Place 1 555 180 1 735 420 98.4 3,246 148
Centre" (per annum)
2. Special Child Care Centre Place 1 179 210 1 389 433 95.5 10,085 354
(per month)
3. Integrated Programme in Place 1 270 48 1 318 825 93.0 4,203 N.A.
Child Care Centre
4. Occasional Child Care Place 40 0 40 N.A. 27.1 5,145 64
(per day)
Special Education3
1. Integrated Programme in Place 168 36 204 78 78.8 2,908 N.A.

Kindergarten
2. Special Education Class
(a) Hearing Impaired Place 90 0 90 0 59.0 6,602 N.A.
(b) Visually Impaired Place 120 0 120 0 36.2 4,420 N.A.
3. Special School - School
Section
(a) Hearing Impaired Place 640 70 710 0 75.4 9,823 N.A.
(b) Mentally Handicapped Place 3 060 320 3 380 8 88.6 5,757 N.A.
(Type I)
(c) Mentally Handicapped Place 1 870 60 1 930 3 88.7 10,882 N.A.
(Type II)
(d) Mentally Handicapped Place 784 56 840 11 89.0 15,481 N.A.
(Type III)
(e) Physically Handicapped Place 780 20 800 2 87.3 13,770 N.A.
(f) Visually Impaired Place 225 0 225 0 68.0 10,228 N.A.
4. Special School - Boarding
Section
(a) Hearing Impaired Place 60 10 70 0 83.1 8,071
(b) Mentally Handicapped Place 190 40 230 9 72.8 11,590
(Type II)
(c) Mentally Handicapped Place 422 70 492 0 82.5 11,207 440
(Type III) (per month)
(d) Physically Handicapped Place 166 14 180 0 80.7 11,620
(e) Visually Impaired Place 175 0 175 0 73.1 8,274
5. Hospital School
(a) Psychiatric units Place 120 8 128 N.A. 95.0 8,435 N.A.
(b) Non-psychiatric units Place 345 75 420 N.A. 87.2 4,356 N.A.
1. Vocational Assessment3 Assessment4 430 0 430 45 108.0 32,764 N.A.

(per
assessment)
2. Skills Centre3 Place 1 001 156 1 157 33 100.0 7,848 N.A.
3. Selective Placement5 Registration 3 598 191 3 789 N.A. N.A. N.A. N.A.
4. Supported Employment
(a) Operated by SWD6 Place 60 93.3 3,058 N.A.
(b) Operated by NGO7 Place 1 010 93.0 2,000 N.A.
(c) Overall Place 1 070 0 1 070 N.A.
5. Sheltered Workshop
(a) Operated by SWD Place 685 107.3 3,079 N.A.
(b) Operated by NGO Place 5 530 99.7 3,347 N.A.
(c) Overall Place 6 215 2 020 8 235 2 179
31.12.98 by 31.3.03 1997-981
(%) ($) ($)
Medical Rehabilitation
1. Hospital Bed for Profoundly Bed 800 0 800 about 150 88.9 21,528 N.A.
and Severely Mentally
Handicapped
2. Hospital Bed for Mentally Ill Bed 5 068 704 5 772 N.A. 90.8 27,250 68
Patients (per day)
3. Day Hospital for Mentally Ill Place 599 120 719 N.A. N.A. 21,250 55
Patients (per day)
Day Services
1. Day Activity Centre

(a) Operated by SWD Place 140 96.0 6,528 N.A.
(b) Operated by NGO Place 3 386 93.9 6,141 N.A.
(c) Overall Place 3 526 160 3 686 838
2. Activity Centre for
Discharged Mental Patients
(a) Day Training Place 180 50 230 62 98.0 N.A. N.A.
(b) Social Club Place 800 200 1 000 N.A. N.A. N.A. 21
(per annum)
(c) Overall Centre 4 1 5 N.A. N.A. 182,068
3. Home-based Training Places 350 0 350 N.A. 88.9 2,760 N.A.
4. Community Rehabilitation
Network
(a) Regional Centre Centre 3 0 3 N.A. N.A. 465,580 N.A.
(b) Clearing House Centre 1 0 1 N.A. N.A. 153,508 N.A.
5. Parents/Relatives Resources Centre 6 0 6 N.A. N.A. 116,871 21
Centre (per family
per annum)
6. Social & Recreational Centre
(a) Operated by SWD Centre 1 N.A. 101,398 21
(b) Operated by NGO Centre 17 N.A. 93,579 (per annum)
(c) Overall Centre 18 0 18 N.A.
Residential Services8
1. Halfway House
(a) Ordinary Place 775 94.3 7,704 1,169
(b) With Special Provision9 Place 442 94.7 11,778 (per month)
(c) Overall Place 1 217 200 1 417 396
2. Long Stay Care Home Place 570 800 1 370 1 258 96.5 9,103 1,500
(per month)
3. Hostel for Moderately
Mentally Handicapped
Persons
(a) Operated by SWD Place 180 99.9 8,272 1,427
(b) Operated by NGO Place 1 264 96.6 4,458 (per month)
(c) Overall Place 1 444 750 2 194 1 308
4. Hostel for Severely Mentally
Handicapped Persons1O
(a) Operated by SWD Place 50 100.0 11,543 1,603
(b) Operated by NGO Place 2 093 98.2 10,023 (per month)
(c) Overall Place 2 143 460 2 603 1 521
5. Care and Attention Home for Place 490 150 640 229 92.5 12,843 1,603
Severely Disabled Persons11 (per month)
6. Hostel for Severely
Physically Handicapped
Persons1"
(a) Operated by SWD Place 20 1,603
(b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 98.6 10,517
31.12.98 by 31.3.03 1997-981
(%) ($) ($)
7. Home for the Aged Blind Place 296 0 296 73 81.5 3,550 1,427
(per month)
8. Care and Attention Home for Place 669 0 669 222 94.9 9,023 1,603
the Aged Blind (per month)
9. Supported Hostel
(a) Mentally Handicapped Place 100 83.8 6,664
(b) Mentally Ill Place 20 93.8 3,681
(c) Physically Handicapped Place 24 99.3 5,605 851
(per month)
(d) Visually Impaired with Place 10 100.0 8,001
Mild Mental Handicap
(e) Overall Place 154 100 254 96
10.Supported Housing Place 17 0 17 3 91.0 3,757 500
(per month)
11.Small Group Home for Place 96 0 96 27 91.5 10,693 N.A.
Mildly Mentally
Handicapped Children
�otes�
1. �ees paid by users are not included in unit costs.

2. The provision figures for early education and training centres include places designated for hearing impaired children (65 places
in 1997-98).
3. The e�isting provision as at 31.12.98 and additional funded provision by 31.3.03 are the e�isting provision in the school year
1998/99 and the additional funded provision by the school year 2002/03 respectively. The utilisation rate and unit cost per
month in 1997-98 are the figures in the school year 1997/98.
4. The number of vocational assessments provided is e�pressed in terms of comprehensive assessments designed for comple� cases.
Each comprehensive assessment takes 6-8 weeks and is e�uivalent to four specific assessments, each of which takes 1-2 weeks.
5. The e�isting provision as at 31.12.98 and the additional funded provision by 31.3.03 are the actual number of registrations
received by the Selective Placement Division of the Labour Department in 1998 and the estimated additional number of
registrations that will be received in 2002 respectively.
6. SWD denotes Social Welfare Department.
7. NGO denotes non-governmental organisation.
8. �or most residential services, Disability Allowance recipients have to pay service fees at a different rate.
9. The utilisation rate in 1997-98 does not take account of the 250 new places provided in late 1997.
10. The provision figures for hostels for severely mentally handicapped persons� include places for visually impaired persons with
mental handicap (50 places in 1997-98).
11. The utilisation rate in 1997-98 does not take account of the 150 new places provided in late 1997.
12. The utilisation rate in 1997-98 does not take account of the 150 new places for severely physically handicapped persons with
mental handicap provided in late 1997.
APPENDIX 1.8
Summary on the Recommendations
of the Working Group on Services for Autistic Persons
Conceptual �odel of Autism
1. Persons with core autism or autistic features should be collectively termed as

suffering from autistic disorders.
2. The ratio for long term service planning should be set at 10/10 000 and reviewed
regularly in the context of the Rehabilitation Programme Plan review exercise.
3. Tertiary institutes should be invited to conduct a survey to collect statistics on the

number of autistic adults who are institutionalised in or awaiting admission to
facilities for mentally handicapped persons.
Diagnostic Service
4. The proposal of forming a multi-disciplinary team within existing resources to settle

appeals against diagnostic results should be explored.
5. Education Department and Social Welfare Department should consider accepting

assessment reports made by private practitioners in respect of autistic children seeking
service, subject to certain conditions.
Training and Education for Autistic Children
6. Appropriate support services should be provided for ICCCs1 to handle children

exhibiting autistic behaviour.
7. Adequate para-medical support and more group training sessions should be provided
at EETCs2. The level of additional staffing required in respect of the input of speech
therapists should be determined taking into account the special needs of both autistic
children and other handicapped children.
8. Placement criteria should be set for autistic children for admission to ICCCs.
9. Autistic children should continue to be provided with services from EETCs at the
initial stage after they have entered ICCCs. Director of Social Welfare should be
allowed to exercise discretion in providing supplementary EETC service to children
in ICCCs, if necessary.
10. SP3 in SCCCs4 should serve all autistic children. Continuous assessment of the
progress of individual autistic children is necessary to determine whether they can be
discharged for SP. More SCCCs should be invited to join the programme to meet
the increased demand.
11. RTP5 should be provided for both the "core group" of autistic children and children
with autistic features. Two levels of RTP should be provided in future to cater for
the whole spectrum of autistic disorders.
12. A training and treatment programme should be developed in hospital classes for
autistic children.
Problems in Families of Autistic Persons - Counselling Services
13. Publicity effort should be strengthened. A comprehensive information pamphlet

should be produced to explain the various aspects of autistic disorders.
14. Social work input in special child care centres should be improved.
15. Self-help groups, such as parents groups and parents resource centre, should be
recognised and given support.
Services for Autistic Adults
16. Additional input of occupational therapists and clinical psychologists should be

provided to day activity centres, hostels and sheltered workshops.
17. The Rehabilitation Programme Plan Review Committee should review the level of
para-medical support for service units with autistic adults.
18. Training on how to handle persons with autism should be provided to staff of social
welfare service units.
19. Social Welfare Department should consider admitting autistic persons to small group
homes for disabled adults.
20. Social Welfare Department should consider the provision of respite service for
autistic adults as well as children.
Out-patient and Hospital Services
21. Existing services for autistic children should be improved by developing some focal
centres of treatment. Consideration should be given to strengthening staff resources,
accommodation and specialisation at these centres.
22. Children with autism should be separated from adult psychiatric patients at general
psychiatric units. Hospitals and clinics should give a more precise timing for
appointments. Parents while accompanying their autistic children for treatment
should be provided with a more cosy and private area while awaiting consultation.
23. Hospitals and clinics should help devise a management programme for autistic
children and provide backup services for schools and parents. Demand from schools
for support services provided by hospitals and clinics should be taken into account in
the long term development of medical services.
24. In the longer term, psychiatric centres should be attached to district-based general
hospitals. Autistic children should be given services at Child Psychiatric Centres,
while autistic adults should receive services at General Adult Psychiatric Centres
attached to general hospitals. A regional, and perhaps eventually a district-based,
child psychiatric service should be set up.
25. As a long term goal, some form of out-reaching services should be developed.
26. Proper training should be provided for autistic persons to help them adjust to a
working environment before placing them into open employment.
27. The Vocational Training Council should consider organising short training courses for
its staff to enhance their understanding of autistic persons. Enhancement
programmes to existing training courses are essential to cater for the needs of autistic
trainees.
28. There should be more input by occupational therapists in day activity centres and
sheltered workshops to cater for autistic trainees. Consideration should be given to
expanding the supported employment scheme for autistic persons.
29. More counselling by placement officers in Selective Placement Division and parents
is required for autistic job-seekers.
30. The existing co-ordinating and monitoring system for service delivery might be
improved by enhancing the communication among different departments, and
promoting the rights of parents to have access to information related to their children.
Parents should be provided with simplified reports written in layman terms.
�anpo�er Training for Professional dealing �ith Autistic Persons
31. Hong Kong University should be requested to put more emphasis on autism in the
curricula on education psychology programmes.
32. Colleges of Education should be invited to consider including courses on autism in

the basic curricula to teachers� training programme. On-going training, refresher
courses and advanced courses should be organised for teachers of special education.
33. Psychological and psychiatric support services should be strengthened for schools
which admit autistic students.
34. Special child care workers� knowledge of autism should be enhanced through either
special courses or enhancing the curriculum of the in-service part-time course.
35. Tertiary institutes should be requested to consider organising a course on autism for
members of different disciplines.
36. Courses and workshops for medical and para-medical staff, including those working
in Maternal and Child Health Centres, should in future be organised in a co-ordinated,
pragmatic and tailor-made approach, preferably with adequate parental involvement.
Videos on typical cases of autistic disorders should be used for case studies.
37. More in-service training courses should be offered to rehabilitation personnel, central
para-medical support staff and front-line workers. Training on behaviour
modification for staff of pre-school service units, day activity centres and sheltered
workshops should be emphasised.
Notes:
1. ICCCs denotes integrated child care centres.

2. EETCs denotes early education and training centres.
3. SP denotes special programme.
4. SCCCs denotes special child care centres.
5. RTP denotes resource teaching programme.
APPENDIX 1.9
Major Findings and Recommendations
of the Report on Overseas Study Visit on Autism
1. Local definition and diagnostic criteria is in line with overseas practice.
2. Local planning ratio corresponds to the trend abroad.
3. Prevalence rate is useful only when it is considered together with an estimated

demand for service; there is no need to conduct a prevalence rate survey, engage
consultants and further pursue the target group survey of autistic persons.
4. The central registry for rehabilitation should make an effort to collect more data on
autistic persons so as to arrive at a more realistic demand figure for rehabilitation
services.
5. To endorse local diagnosis practice.
6. To provide more spacious premises.
7. To reinforce training for special child care workers taking care of autistic pre-
schoolers; support families with newly identified autistic children.
8. To enhance social work input in special child care centres.
9. To pilot a self-contained class in an integrated child care centre for high functioning
autistic children.
10. To place more emphasis on training element vis-�-vis caring element in pre-school
services; the staff concerned should therefore have some background in education.
11. To form a central co-ordinating group amongst the education department, institute of
education and special schools to plan and organise systematic training on the
TEACCH (Treatment and Education of Autistic and Related Communications
Handicapped Children) programme in Hong Kong.
12. To increase training for front-line and para-medical staff.
13. Funding approach on a per-capita basis in Tokyo is a useful reference.
14. To increase staffing support in skills centres to implement structured and

individualised programmes.
15. To consider providing some post-training continuous support to autistic persons in

supported/open employment.
16. A non-governmental organisation may set up a centre of excellence modelling on the
TEACCH programme.
17. To strengthen in-service training for workers in facilities for autistic persons.
18. To provide some computers in every classroom of pre-school centres and special
schools.
19. To re-target existing secured resources as far as possible so as to further improve

rehabilitation services for people with autism.
APPENDIX 1.10
Number of Patients Admitted to Hospitals of the Hospital Authority in 1996

for the Treatment of Visceral Diseases
Type of Visceral Diseases1 Number of Patients2

All cancers 27 490
Lung diseases
Chronic bronchitis 2 373
Emphysema and asthma 8 171
Bronchiectasis 1 105
Other chronic obstructive airway disease 9 975
Pneumoniosis due to silica 136
Heart diseases
Chronic rheumatic heart disease 1 854
Hypertensive heart 5 383
Other ischaemic heart 9 043
Other forms of heart disease 14 275
Liver disease
Chronic liver disease and cirrhosis 1 890
Renal disease
Nephrotic syndrome 453
Chronic glomerulonephritis and other nephrosis 4 741
Metabolic/endocrine diseases
Diabetes Mellitus 10 071
Other endocrine, metabolic and immune disorders 5 359
Blood disease
Other diseases of blood and blood forming organs 1 698
Miscellaneous
Senile and presenile conditions 839
Notes:
1. Only those diseases with high risk to develop into visceral disability are listed in this
table. It should be noted that this is not an exhaustive list of diseases under visceral
disability and it is difficult to draw up such a list.
2. The number of patients cannot be added arithmetically as a patient may suffer from
more than one type of disease.
APPENDIX 1.11
Major Improvements and Initiatives undertaken by Public Transport Operators

and the Progress as at December 1998
I. Rail�ay Services
(a) Kowloon-Canton Railway
Proposed I�prove�ents Pro�ress E�pected �o�pletion Date

Provision of grab poles in luminescence Completed in 17 trains December 1999
contrast in 29 trains
Provision of audible devices for escalators Completed N.A.
Enlargement of signboards Completed N.A.
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed N.A.
Provision of call bells at barrier lines and Completed N.A.
fare adjustment offices
Installation of visual display units in 29 Completed in 17 trains December 1999
trains
Installation of Electronic Display Board at Completed N.A.
all stations entrances and platforms
(b) Light Rail Transit

Provision of digitised announcers in light Completed N.A.
rail vehicles
Provision of tactile yellow line on platforms Completed N.A.
Provision of electronic information display Completed N.A.
in light rail vehicles
Provision of Braille Plates on all platform Completed N.A.
Octopus processors and add value
machines
Provision of induction loops in customer Provided in two customer December 1999
services centres services centres
Widening 14 platforms for wheelchair users Completed N.A.
Production of Braille user guide books and Completed N.A.
cassette tapes on the use of Light Rail ticket
vending machines and Octopus facilities
and distributed to welfare organisations
serving visually impaired persons
(c) Mass Transit Railway

Provision of tactile platform yellow line Completed N.A.
Provision of tactile guide path Completed N.A.
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei December 1999
Station
Modification of litter bins, telephone Completed N.A.
booths and information units to avoid
causing obstruction to people with
disabilities
Provision of �Wheelchair Aids� at 22 Completed N.A.
stations where there were no options to step
between ground level and concourse
Provision of a lift at Tai Koo Station Completed N.A.
Provision of entrance ramps at seven Completed N.A.
selected stations
Conversion of staff lifts between concourse Completed N.A.
and platform for public use
Stair lift trial Provided at Shek Kip Mei N.A.
Station
Installation of induction loop at stations Provided at the customer N.A.
service centres in 38 stations
Provision of electronic information display Completed N.A.
at entrances of underground stations
Provision of electronic information display In progress April 2000
at concourses and platforms
Provision of Electronic Information Boards The provision would be December 2002
on trains considered as part of the train
modernisation project.
Provision of a new internal lift in Kowloon Completed N.A.
Tong Station
Provision of a new internal lift in Lai King Completed N.A.
Station
Provision of new external lifts in Central Completed N.A.
and Lai King stations
Provision of bi directional wide ticket gates Completed N.A.
Provision of wheelchair parking space in In progress December 2002
modernised trains
Provision of wheelchair parking space in Completed N.A.
trains of the Tung Chung Line and the
Airport Express Line
Provision of induction loop in public pay Completed N.A.
phones
Provision of Active Line Diagrams in trains Completed N.A.
of the Airport Express Line
Modification of Octopus Card Add Value Completed N.A.
Machines with the provision of Braille
plates
II. �us Services
(a) Citybus

Trial of kneeling bus Completed N.A.
Provision of new buses which are All new buses procured since N.A.
incorporated with the specifications 1996 are low floor vehicles
recommended by the DPTAC* with features recommended
by the DPTAC. Completed.
Provision of bright textured hand poles, step Completed N.A.
edging with contrasting colours, low easy
access steps, clear easy reading destination
blinds in all existing buses
Trial provision of bus stop announcement Trial being conducted N.A.
system
(b) Kowloon Motor Bus

recommended by the DPTAC with features recommended by
the DPTAC. Completed.
system
(c) Long Win Bus

Provision of 150 low floor double deckers Completed N.A.
which are incorporated with the
specifications recommended by the
DPTAC
system
(d) New Lantao Bus

Provision of new buses which are Three single deckers are in N.A.
incorporated with the specifications service.
recommended by the DPTAC as
appropriate
Trial provision of bus stop announcement Trial will be conducted N.A.
system
(e) New World First Bus

Production of Braille route guide A Braille route guide was N.A.
produced and 100 copies were
distributed to associations and
schools for visually impaired
persons. Completed.
Provision of Braille information plate With effect from September N.A.
inside compartment 1998, all new buses are
equipped with Braille
information plates.
Completed.
system
(f) China Motor Bus
Ceased operation on 1 September 1998.

III. Tram Service

Installation of new upper deck seats with Completed in 150 trams December 1999
back handrails
Installation of �emergency evacuation� sign Completed in 42 trams December 2000
and audible warning
Installation of audible warning to denote Completed in 42 trams December 2000
�rear gates closing�
Provision of clearer coloured destination Obtaining quotations December 1999
blinds
Notes: * DPTAC denotes Disabled Persons Transport Advisory Committee, which is an advisory
committee in England. The specifications recommended by the DPTAC concerning buses
include
z low floor bus with single step entrancelexit and clearly marked step edges�
z mechanical ramp for wheelchair users and wheelchair space inside bus compartment�
z easily reached bells�
z non slip floors�
z reserved seat for people with disabilities�
z sufficient handrails and brightly coloured hand poles� and
z large destination display characters.
APPENDIX 1.12
Major Legislation Concerning People with Disabilities
I. The �asic �a�
II. �egislation related to the Disabled
1. Inland Revenue Ordinance (Cap. 112)

2. Disability Discrimination Ordinance (Cap. 487)
III. �egislation related to the �entally Disabled
1. Rules of the High Court (Cap. 4, sub. leg.)

1. Mental Health Ordinance (Cap. 136)
2. Crimes Ordinance (Cap. 200)
3. Criminal Procedure Ordinance (Cap. 221)
4. �ueen Eli�abeth Foundation for the Mentally Handicapped Ordinance
(Cap. 399)
5. Enduring Powers of Attorney Ordinance (Cap. 501)
6. Legislative Council Ordinance (Cap. 542)
IV. �egislation related to the Physically Disabled
1. Dutiable Commodities Ordinance (Cap. 109)

2. Buildings Ordinance (Cap. 123)
3. Cross-Harbour Tunnel (Passage Tax) Ordinance (Cap. 274)
4. Motor Vehicles (First Registration Tax) Ordinance (Cap. 330)
5. Road Traffic Ordinance (Cap. 374)
V. �a�or legislation applicable to all including the Disabled
1. Guardianship of Minors Ordinance (Cap. 13)

2. Employment Ordinance (Cap. 57)
3. Legal Aid Ordinance (Cap. 91)
4. Protection of Children and Juveniles Ordinance (Cap. 213)
5. Education Ordinance (Cap. 279)
6. Employees� Compensation Ordinance (Cap. 282)
7. Occupational Safety and Health Ordinance (Cap. 509)
APPENDIX 2.1
Service Brief on Clinical Genetic Service
Abbreviation: CGS
Objective: The CGS provides comprehensive genetic service on a territory wide

basis with a primary role in genetic diagnosis, counselling and prevention.
Programme:
A. Genetic Counselling Clinic
Diagnoses are made after clinical history taking, physical examination, pedigree
analysis and diagnostic investigation (including cytogenetic, biochemical genetic and
molecular genetic studies). Counselling including information on aetiology and
natural course of the disease and the estimated recurrence risk is given to help parents
make informed decisions on family planning. Expectant mothers will be referred to
receive prenatal diagnostic investigations (ultrasonogram, amniocentesis, chorionic
villi sampling) to make early diagnosis of genetic diseases possible.
B. Genetic Neonatal Screening
The Neonatal Screening Programme screens for glucose-6-phosphate dehydrogenase

deficiency and congenital hypothyroidism for all new-born babies delivered at the
hospitals under the Hospital Authority (excluding the Queen Mary Hospital and Tsan
Yuk Hospital which have their own screening programs) or government maternity
homes. The service is provided free of charge.
Staffing:
Consultant 1
Senior Medical Officer 2
Medical Officer 3
Nursing Officer 2
Scientific Officer (Medical) 1
Senior Medical Technologist 1
Medical Technologist 1
Medical Laboratory Technician I 1
Medical Laboratory Technician II 4
Personal Secretary I 1
Assistant Clerical Officer 1
Clerical Assistant 2
Photographer I 1
Laboratory Attendant 1
Workman II 1
Referral Channel:
A. Genetic Counselling Clinic - Accepts referrals from medical practitioners only.
B. Genetic Neonatal Screening - Not required.
Admission Criteria:
A. Genetic Counselling Clinic
Any person having a family history of the following conditions may attend the clinic -
z any genetic-related disorders;

z multiple congenital anomaly syndromes;
z mental retardation of unknown cause;
z recurrent abortion of unknown cause;
z suspected sex chromosomal disorders including primary infertility in man and
primary amenorrhoea in females; or
z advanced maternal age (over 35 years old).
B. Genetic Neonatal Screening - Nil.

APPENDIX 2.2
Service Brief on Maternal and Child Health Centre
Abbreviation: MCHC
Objective: MCHCs provide an easily accessible and comprehensive range of

promotive and preventive health services for women of childbearing age and children from
birth to five years old. The service covers three main areas, namely child health, maternal
health and family planning.
Programme:
1. Health education on various aspects of child care, maternal health and family
planning through individual counselling, demonstration, health talks, slide shows,
video shows, or workshops;
2. immunisation programme to protect infants and children from childhood infectious
diseases including tuberculosis, poliomyelitis, diphtheria, whooping cough, tetanus,
hepatitis B, measles, mumps and rubella;
3. Comprehensive Observation Scheme with screening tests at three key ages - ten
weeks, nine months and three years - to assess gross motor and fine manipulation
development, vision, hearing, speech and behaviour adaptability, to detect
developmental abnormalities early, thus to initiate early remedial treatment and
increase the chance of rehabilitation;
4. physical examination for children at first visit, at two years and five years of age to
detect any abnormalities early;
5. antenatal service to expectant mothers and postnatal service;
6. family planning service with counselling on contraception and infertility; and
7. cervical cytology screening service for early detection of cervical cancer.
Staffing: The range for each rank of staff per MCHC is -
Medical Officer 1 to 3
Nursing Officer 1 to 4
Registered Nurse 1 to 1o
Enrolled Nurse o to 4
Midwife o to 2
Clerical Assistant 1 to 5
Workman II 1 to 5
Referral Channel: The service is open to the public and no referral is needed.
Admission Criteria:
1. All children aged under six are eligible for the child health service.
2. All women are welcome to come for antenatal, postnatal, family planning or cervical
cytology screening services according to their need.
3. All are welcome to the health education activities in MCHCs.
APPENDIX 2.3
Service Brief on Student Health Service
Abbreviation: SHS
Objective: The SHS aims to safeguard both the physical and psychological health
of school children through comprehensive, promotive and preventive health programmes, and
to enable them to gain the maximum benefit from the education system and develop their full
potential.
Programme: Enrolled students will be given an annual appointment to attend a

student health service centre for a series of health services designed to cater for the health
needs at various stages of their development. Such services include physical examination,
screening for health problems related to growth, nutrition, blood pressure, vision, hearing,
spine, sexual development, psychological health and behaviour, individual counselling and
health education. Students found to have health problems will be referred to the special
assessment centre or specialist clinics for detailed assessment and follow-up.
Staffing: The range of each rank of staff at a student health service centre is as
follow -
Medical Officer 1 to 2
Nursing Officer 2
Registered Nurse 3 to 5
Enrolled Nurse 3 to 4
Assistant Clerical Officer/Clerical Assistant 1/3 to 1/2
Workman II 3 to 4
Referral Channel: The Service is provided free of charge to all Primary One to Secondary
Seven day school students. Students can enrol through their schools at the beginning of
each school year in September. Enrolled students will be given an annual appointment for
health visit at a designated student health service centre.
Admission Criteria: Primary One to Secondary Seven day school students.

APPENDIX 2.4
Service Brief on Woman Health Service
Abbreviation: WHS
Objective: The WHS provides a comprehensive range of health promotion and

disease prevention services to women aged 45-64, so as to enable them to avoid sickness and
to facilitate early detection and treatment if they fall ill. With health promotion coupled
with programmes for screening and early treatment of targeted diseases, it is expected that the
morbidity and mortality due to such would be reduced.
Programme: The WHS, being provided in woman health centres under the
Department of Health, comprises the following services -
1. health education and counselling on healthy lifestyle practices, prevention of cancer,

menopause and osteoporosis; and
2. screening service directed towards prevalent diseases, such as cervical cancer, breast
cancer, hypertension and diabetes mellitus, in the form of general physical check-up,
gynaecological examination, simple laboratory tests, cervical cytology screening and,
if indicated, mammography.
Staffing: Notional staffing for a standard woman health centre is as follows -
Medical Officer 1
Nursing Officer 1
Registered Nurse 2
Workman II 2
Radiographer I 1
Darkroom Technician 1
Referral Channel: The service is open to the public and no referral is needed.
Admission Criteria:
1. Women aged between 45 and 64 may come for individual health counselling, physical
check-up and cervical cancer screening services. Women aged 5o or above may
receive the mammography service.
2. All are welcome to the health education activities in woman health centres.
APPENDIX 2.5
Service Brief on the New Elderly Health Services Launched in July 1998
Abbreviation: EHS
Objective: The EHS aim to provide quality primary health care services for
promoting the health of the elderly population.
Programme:
A. Elderly Health Centres
To provide physical check up and health assessment, counselling and curative

treatment as well as health promotion and education through elderly health centres.
B. �isiting Health Teams
To provide health promotion and disease prevention programmes to the elderly,

formal and informal carers, and home-helpers.
Staffing: Elderly health centres and visiting health teams are staffed with
medical and nursing staff and supported by clerical and workmen. They are also supported
by allied health staff such as clinical psychologist, dietician, occupational therapist,
physiotherapist and chiropodist.
Referral Channel: No referral is needed.
Admission Criteria:
A. Elderly Health Centres - Persons aged 65 or above.
B. �isiting Health Teams - Nil.

APPENDIX 2.6
Service Brief on Central Health Education Unit
Abbreviation: CHE�
Objective: The CHE� under the Department of Health was established in �anuary
1�7� with a view to -
1. providing professional advice on health education to government departments and

other organisations which are interested in carrying out health education activities;
2. co-ordinating and developing health promotion activities within and outside the
Department of Health through inter-sectoral collaboration and community
participation; and
3. serving as a resource centre on health education materials.
Programme: The CHE� offers the following services -
1. professional advice to government departments and other organisations;

2. health education resource production;
3. training of health promoters; and
4. health education direct to the public.
Staffing: The establishment of the CHE� is as follow -
Senior Medical Officer 2
Medical Officer 3
Nursing Officer �
Registered Nurse 7
Enrolled Nurse �
Executive Officer 1
Supplies Supervisor I 1
Clerical Officer 1
Office Assistant 4
Workman II 7
Motor Driver 1
Admission Criteria: Nil.

APPENDIX 3.1
Brief on Special Education Services
Objective: The primary aim of special education services is to provide early

diagnosis so that remedial measures can be taken to prevent a mild impairment from
becoming a serious or permanent one.
Programme: A full range of special education services is provided by the Education

Department for pre-school and school children. The services comprise -
1. Screening, Referral and Placement Services
z Recommendations for appropriate placement for children with special

educational needs to Primary One Admission Unit
z Recommendations for allocation of primary six pupils to practical schools or
skills opportunity schools through Secondary School Places Allocation
z Audiometric and eye-sight screening programmes
z Programmes for identifying children with learning difficulties and speech
problems
z Intake and initial screening service for children seeking special help or
assessment
z Referral of children suspected of having sensory impairments or learning
problems for further assessment and remedial help
z Referral of children to government departments or non-governmental
organizations for other services
z Placement of children in special schools, practical schools, skills opportunity
schools or special education classes according to their individual needs
2. Audiological Service
z Audiological assessment and diagnosis

z Prescription, fitting, issue, and maintenance of hearing aids
z Production and issue of earmoulds
z Peripatetic advisory service to hearing impaired children studying in ordinary
schools and special schools other than schools for the hearing impaired
z Advisory and training services for pre-school hearing impaired children
z Referral to ear, nose and throat specialists for medical treatment
z Parent guidance
z Visiting audiological service to special schools for the hearing impaired and
special education classes for the hearing impaired
z Professional support for Integrated Kindergartens and Supportive Remedial
Service for hearing impaired children
3. Speech Therapy Service
z Assessment and diagnosis of speech and/or language impaired children

z Direct work on speech and language problems in the form of individual/group
therapy and parent counselling/training
z Support to and supervision of speech therapy personnel in special schools
z Peripatetic speech therapy service in ordinary schools and special schools
without speech therapy personnel
4. Psychological Service
z Psychological, intellectual, social and educational assessment for children with

suspected learning and/or behavioural problems
z Counselling and treatment for children with emotional problems, including
behaviour treatment programmes and social skills training groups
z Consultation and support to schools on crisis management
z Counselling for parents individually or in groups
z Short-term learning support group programmes for children, and advice for
parents on systematic support methods
z Professional support to guidance service in secondary schools
z School-based psychological service for special schools, practical schools and
skills opportunity schools
z Regular visits to integrated kindergartens
5. Resource Teaching Service
z Remedial support to children with learning difficulties and physical handicaps

studying in ordinary schools
z Adjustment programmes for children with behaviour/adjustment problems
6. Advisory Service
z Professional advice to pre-school centres, special and ordinary schools, non-

governmental organisations and government departments on the education of
children with special educational needs
z Operation of a Teaching Resources Room for special education teachers
7. School-based Remedial Support Programme
z Professional advice to ordinary schools with a high intake of bottom 10%

junior secondary students on helping these students to strengthen their interest
in learning
z Regular support and training to teachers deployed for the School-based
Remedial Support Programme
8. Other Services
(a) Examination Service
z Assessment of special needs of handicapped candidates sitting for

public examinations
z Recommendation for special arrangements for such candidates
(b) Training Service
z Orientation, introductory, refresher and professional

courses/workshops for teachers
z Lectures and talks on special education requested by educational and
other professional institutions
z Supervision of trainees in educational psychology, speech therapy and
audiology, and co-ordination of field placement for social work
students
The above services are generally rendered at three special education services centres located
on Hong Kong Island, in Kowloon and the New Territories respectively. All staff in the
special education services centres are professionally qualified in their respective fields.
Outreach and peripatetic programmes are also organized to meet children's special needs as
necessary.
Referral Channel: Schools, parents or professional workers who wish to apply for
services may write to special education services centres or the Services Division of the
Education Department.
APPENDIX 3.2
Service Brief on Centralized Braille Production Centre

for Visually Impaired Persons
Objective: To apply the latest computer technology to enhance the efficiency and
quality of braille production.
Programme: �raille transcription services are operated to provide braille materials

for visually impaired persons in Hong Kong. These materials include -
1. textbooks for visually impaired students�

2. books and materials required by visually impaired persons at work�
3. recreational and reference reading materials�
4. other materials such as examination papers, information pamphlets and documents�
5. embossing, thermoforming and book binding�
6. news summary of a local English newspaper and a local Chinese newspaper�
7. consultation papers, green papers and white papers of the �overnment� and
8. user's manuals of public companies.
�taffing: Notional staffing for the Centre is as follows -
Supervisor 1
Senior �raille Production Officers 2
�raille Production Officers 15

Typists 2
Printing Staff 2
�orkman II 1
Referral Channel:
1. All organisations and schools should apply directly to the Supervisor of the
Centralized �raille Production Centre of the Hong Kong Society for the �lind.
2. All individual requests should apply through the Communication Department of the
Society or major organisations of/for visually impaired persons.
APPENDIX 4.1
Service Brief on Early Education and Training Centre
Abbreviation: EETC
Objective: EETCs are designed mainly for disabled children from birth to the age
of two, providing them with early intervention programmes with particular emphasis on the
role of the disabled child's family. It is believed that young children are best cared for at
home, and that parents/guardians/family members should be enabled to accept, understand,
care for and train their children. Disabled children aged two to under six can also receive
EETC service if they are not concurrently receiving other pre-school rehabilitation services,
which will facilitate their integration into the mainstream education system.
Programme:
1. Provision of educational and training activities for disabled children on individual

and/or group basis aiming at developing disabled children's gross and perceptual,
motor, communication, self-care, cognitive and personal social skills.
2. Provision of training, guidance, counselling and emotional support to
parents/guardians/family members in the understanding, management and training of
their disabled children.
3. Provision of a toy library where parents can borrow toys that are designed for use as
aids in training disabled children at home.
Staffing*: Notional staffing for a standard EETC with 60 places is as follows -
Assistant Social Work Officer 1/2
Social Work Assistant 1
Senior Special Child Care Worker 1
Special Child Care Worker 2
Physiotherapist I 1/2
Occupational Therapist I 1/2
Workman II 1/2
Referral Channel: Referrals can be made by medical social workers, family caseworkers
or via them by maternal and child health centres, child assessment clinics and private
practitioners to the Co-ordinated Referral System for Disabled Pre-schoolers.
Admission Criteria:
1. Children aged from birth to two who are assessed to have -
(a) physical disabilities (including cerebral palsy);

(b) mental retardation;
(c) visual impairment;
(d) hearing impairment;
(e) other congenital abnormalities (e.g. Down Syndrome); or
(f) developmental delay.
2. Children aged from 2:0 to 5:11 who are assessed to have the following conditions and
are in need of EETC service only -
(a) global delay (including speech delay);

(b) borderline intellectual delay;
(c) a mix of physical disability and social behavioural problems; or
(d) inadequacy in teaching or training by parents/guardians/family members.
3. Disabled children aged from 2:0 to 5:11 on a waiting list for other pre-school
rehabilitation services (e.g. special child care centres, integrated child care centres or
kindergartens).
Notes: * Additional staff are provided to EETCs serving 75/90 clients on a pro-rata basis.
APPENDIX 4.2
Service Brief on Special Child Care Centre
Abbreviation: SCCC
Objective: SCCCs provide intensive training and care for moderately and severely
disabled children aged 2:0 to 5:11 who cannot benefit from the integrated programme in
ordinary child care centres/kindergartens. The aim is to develop the disabled children to the
fullest extent so as to establish a firm foundation for subsequent education and development.
SCCCs with residential facilities provide a co-ordinated approach to a

disabled child's training and living. A child whose disability is so severe or complex that
requires care and therapy services which cannot be provided either by day service or his
family can benefit from this service. Disabled children who are homeless or abandoned or
those with adverse home or family environment and have no alternative placement can also
be served.
Programme*: Training programme is geared to developing disabled children's

fundamental developmental skills, sensory, perceptual, motor, cognitive, communication,
social and self-care skills. Allied health input is provided, including occupational therapy,
physiotherapy and speech therapy.
Staffing: Notional staffing for a standard SCCC with 60 places is as follows -
Assistant Social Work Officer 1

Senior Special Child Care Worker 1
Special Child Care Worker 9
Speech Therapist 1
Physiotherapist I 1
Occupational Therapist I 1
Occupational Therapy Assistant 1
Enrolled Nurse 1
Motor Driver 1
Cook 1
Workman II 5
Referral Channel: Referrals can be made by medical social workers or family

caseworkers or via them by maternal and child health centres, child assessment clinics and
private practitioner's clinics, and pre-school rehabilitation centres to the Co-ordinated
Referral System for Disabled Pre-schoolers.
Admission Criteria:
A. Day SCCC
1. Aged 2:0 to 5:11; and

2. with one or more of the following problems but who do not require constant
medical hospital care -
(a) moderate or severe mental handicap;

(b) moderate or severe physical handicap;
(c) deafness or severe to profound hearing impairment; and
(d) blindness or severe visual impairment.
B. Residential SCCC
1. Homeless, abandoned or the Director of Social Welfare's wards;

2. cannot be cared and properly trained by their families, but do not need to be
hospitalised;
3. with learning difficulties or conditions such as severe sensory loss, extensive
neurological damage or malfunction, severe emotional or behavioural disorder
or severe difficulties in communication, which require the children to be put
under consistent and continual educational influence;
4. parents cannot provide at home the sustained attention that the children need,
or cannot do so without unacceptable consequences on family life and the
well-being of other children in the family; or
5. with poor social conditions or disturbed family relationships, which contribute
to or exacerbate the children's educational difficulties.
Notes: * Children with autistic disorders are admitted to a special programme within the
centre to help their integration in the daily programme.
APPENDIX 4.3
Service Brief on Integrated Programme in Child Care Centre
Abbreviation: ICCC
Objective: ICCCs provide training and care for mildly disabled pre-schoolers
aged two to under six. Through the training programme, it is expected that disabled
children will have a better chance of future integration into the mainstream education system.
Programme: Each child care centre with the integrated programme is provided an
additional special child care worker per six disabled children. Intensive and individualised
training programme is provided. Psychological and allied health support are also provided
from Clinical Psychology Unit and Central Para-medical Support Service Unit of the Social
Welfare Department.
Staffing: Every integrated programme unit serving six disabled children is

provided with one Special Child Care Worker.
Referral Channel: Referrals can be made by medical social workers or family

caseworkers or via them by maternal and child health centres, child assessment clinics and
private practitioners and pre-school rehabilitation centres, to the Co-ordinated Referral
System for Disabled Pre-schoolers.
Admission Criteria*:
1. Aged 2:0 to 5:11; and

2. with one or more of the following disability -
(a) mild grade mental handicap (children under the age of 3:6 with mild grade
mental handicap as suspected by medical practitioners or psychologists are
also eligible);
(b) slight physical handicap but no serious mobility problem;
(c) mild or moderate hearing impairment; or
(d) mild or moderate visual impairment.
Notes: * Priority will be given to children with a need for full day care, though this will not
be a pre-requisite for admission. In addition, referral to an ICCC is not
appropriate where the child is in need of specialist help e.g. speech therapy, unless
this can be arranged to complement attendance at the integrated programme.
APPENDIX 4.4
Service Brief on Parents/Relatives Resource Centre for Disabled Persons
Abbreviation: PRC
Objective: PRCs provide emotional support and practical advice to parents and
relatives of persons with mental or physical disabilities. The aims are to enhance their
understanding and acceptance of disabilities and to strengthen their resources and ability in
securing appropriate training opportunities for their disabled dependants and in taking proper
care of them at home.
Programme: PRCs provide the following three core programmes -
1. resources - to build up a resource library on information, reference kits and equipment

relevant to the understanding, rehabilitation, care and training of disabled persons and
to give professional advice upon request of members;
2. support - to organise programme activities to enhance mutual support among
parents/relatives of disabled persons, e.g. mutual-aid groups, interest groups and
family activities; and
3. community education - to organise educational programmes to enhance the public's
understanding and acceptance of disabled persons in the community.
Staffing: Notional staffing for a standard PRC is as follows -
Social Work Officer 1/8
Welfare Worker/Special Child Care Worker 1
Welfare Worker 1/2
Workman II 1/3
Referral Channel: Parents or relatives of disabled persons can directly apply to a PRC for
membership and participation in programmes.
APPENDIX 4.5
Service Brief on Small Group Home for Mildly Mentally Handicapped Children/
Integrated Small Group Home
Abbreviation: SGH(MMHC)/ISGH
Objective: Small group homes (SGHs) for mildly mentally handicapped children
(MMHC) provide residential service to school-age children with mild mental handicap whose
families for one reason or another cannot give them adequate care. In order to further
achieve the goal of integration, MMHC can also be placed in integrated small group homes
(ISGHs) at the ratio of one MMHC to seven ordinary children.
Programme: Residential care in the form of home living under the care of house
parents together with close peers interactions simulating sibling relationships.
Staffing*: Notional staffing for a standard SGH(MMHC) with eight places is as

follows -
Assistant Social Work Officer 1/3
Welfare Worker 2
Workman II 1
Referral Channel: Referrals can be made by school social workers, medical social
workers, family caseworkers and staff of rehabilitation service units to the Central Referral
System for Disabled Adults.
Admission Criteria:
1. Mildly mentally handicapped children aged 6-18;

2. orphans or those children receiving inadequate care from parents or relatives, who are
not free for adoption but may have to spend a lengthy period in care; and
3. those who are in crisis or in need of short-term care away from their families.
Notes: * ISGHs have a staffing level equivalent to ordinary SGHs plus 1/3 additional
Welfare Worker post.
APPENDIX 4.6
Service Brief on Supported Hostel
Abbreviation: SHOS
Objective: SHOSs provide group home living for people with disabilities who can
only live semi-independently with a fair amount of assistance from hostel staff in daily
activities. The aim is to enhance their independence and integration in the community.
Programme: Accommodation, meals and guidance/assistance in performing some

domestic tasks and daily activities are provided to residents with limited staff support.
Opportunities and activities to develop independent living, social, communication and
decision-making skills are organised as part of group living.
Staffing: Notional staffing for a standard SHOS with 20 places is as follows -

Welfare Worker 3
Ward Attendant 1
Cook 1
Admission Criteria:
1. People with disabilities aged 15 or above;

2. in need of accommodation for social reasons;
3. actively occupied in various forms of employment/day training;
4. physically and mentally suitable for group living;
5. physically healthy with no active infectious disease or drug/alcohol abuse; and
6. capable of semi-independent living i.e. mastery of self-care skills but may need a fair
amount of guidance/assistance in some domestic tasks like cooking or washing or in
community living activities like shopping.
APPENDIX 4.7
Service Brief on Hostel for Moderately Mentally Handicapped Persons
Abbreviation: HMMH
Objective: HMMHs provide home living for people with moderate mental
handicap who are capable of basic self-care but lack adequate daily living skills to live
independently in the community.
Programme: Accommodation and meals are provided. Programmes and activities

are organised to develop daily living, social and communication skills as well as to meet the
residents' social and recreational needs. Besides, maintenance programmes of self-care
skills are provided. In addition, there is support service from the Central Para-medical
Support Service Unit and the Clinical Psychology Unit of the Social Welfare Department.
Staffing: Notional staffing for a standard HMMH with 50 places is as follows -
Senior Social Work Assistant 1

Welfare Worker 3
Ward Attendant 6
Workman II 1
Cook 1
1. Moderately mentally handicapped people aged 15 or above;

2. willing to live in the hostel and able to conform to the regulations of the hostel;
3. already admitted or being arranged for admission to day placement;
4. free from active infectious disease or drug addiction; and
5. physically healthy and with basic self-care ability.
Notes: * Priority will be given to those who are homeless, orphaned or with unfavourable
home environment and who cannot live independently.
APPENDIX 4.8
Service Brief on Hostel for Severely Mentally Handicapped Persons
Abbreviation: HSMH
Objective: HSMHs provide home living for persons with severe mental handicap
who lack basic self-care skills and require assistance in personal and nursing care.
Programme:
1. Provision of accommodation and meals.

2. Provision of nursing services including administration and supervision of medication.
3. Provision of personal assistance in basic self-care activities.
4. Provision of opportunities and activities to develop daily living, social and
communication skills.
5. Provision of activities organised on a regular basis to meet the social and recreational
needs of the residents and to maintain contact with the community and families.
Staffing: Notional staffing for a standard HSMH with 50 places is as follows -
Chief Social Work Assistant/Senior Social Work Assistant 1

Welfare Worker 9
Registered Nurse 1
Enrolled Nurse 3
Clerical Officer II 1
Cook 2
Ward Attendant 7
Workman II 2
1. Severely mentally handicapped aged 15 or above who are actively occupied in or

being arranged for admission to a day placement; and
2. physically and mentally suitable for group living, such as physically healthy with no
active infectious disease.
home environment.
APPENDIX 4.9
Service Brief on Hostel for Severely Physically Handicapped Persons
Abbreviation: HSPH
Objective: HSPHs provide home living for severely physically handicapped

persons, with or without mental handicap, who lack basic self-care skills and require
assistance in personal and nursing care.
Programme:
1. Provision of accommodation and meals.

2. Provision of personal assistance in basic self-care activities.
3. Provision of nursing services including administration and supervision of medication.
4. Provision of opportunities and activities to develop daily living, social,
communication skills and work habits wherever possible.
5. Provision of opportunities and activities organised on a regular basis to meet the
social and recreational needs of the residents and to maintain contact with the
community and families.
In addition, residents are required to attend day training elsewhere, usually in sheltered
workshops or in day activity centres for mentally handicapped residents.
Staffing: Notional staffing for a standard HSPH with 50 places is as follows -

Welfare Worker 5 1/2
Personal Care Worker 12 1/2
Registered Nurse 1
Enrolled Nurse 3
Motor Driver 1
Workman II 7
Cook 2
1. Severely physically handicapped persons with or without mental handicap, and aged
15 or above, who cannot live independently or cannot be adequately cared for by their
own means or their family members, or live in areas too remote from sheltered
workshops or day activity centres;
2. willing to live in the hostel and able to conform to the regulations of the hostel;
3. actively occupied in or being arranged for admission to day placement;
4. mentally and emotionally stable with no active infectious disease and severe
disturbing behaviour; and
5. capable of bowel and bladder control.
home environment.
APPENDIX 4.10
Service Brief on Care and Attention Home for Severely Disabled Persons
Abbreviation: C&A/SD
Objective: C&A/SDs aim to provide home living for persons with severe
mental/physical handicap who are unlikely to benefit from regular day training placement.
They are in need of nursing and intensive personal care but do not yet require infirmary care.
Programme: It provides accommodation with a fair level of nursing care, intensive

personal care (including assistance with activities of daily living), therapeutic exercise and
treatment so as to maintain or improve functional levels, and regular activities so as to meet
social and recreational needs.
Staffing: Notional staffing for a standard C&A/SD with 50 places is as follows -

Welfare Worker 2
Personal Care Worker 10
Registered Nurse 1
Enrolled Nurse 6
Occupational Therapist Assistant 1
Physiotherapist I 1
Motor Driver 1
Ward Attendant 4
Cook 2
Admission Criteria:
1. Severely mentally/physically handicapped persons aged 15 or above who are unfit for
day training placement;
2. in need of intensive personal care, such as assistance in dressing, toileting and meals;
3. not bedridden or requiring substantial medical/nursing care; and
4. free from active infectious disease or acute medical problems.
APPENDIX 4.11
Service Brief on Emergency Placement Service
Abbreviation: EPS
Objective: EPS provides temporary residential care for the destitute and homeless
disabled adults to prevent them from exposure to risks due to the lack of immediate care and
shelter.
Programme: The service includes essentially care and accommodation as well as

provision of simple day activities.
Referral Channel: Application can be made direct by caseworkers of the Social Welfare
Department or non-governmental organisations to the Wing Lung Bank Golden Jubilee
Sheltered Workshop and Hostel.
Admission Criteria:
1. Mentally or physically handicapped people aged 15 or above;

2. mentally stable to the extent that they will not endanger themselves or others or cause
nuisance to the communal living setting;
3. free from infectious diseases and not requiring persistent nursing care to the extent of
infirmary level; and
4. homeless and destitute.
APPENDIX 4.12
Service Brief on Day Activity Centre
Abbreviation: DAC
Objective: DACs aim to provide mentally handicapped adults who are unable to
benefit from vocational training or sheltered employment with day care and training to meet
their physical, social and emotional needs, to enable them to become more independent in
their daily living and social functioning, and to prepare them for transition to other forms of
service or care when feasible, or to alternative care when increased care is necessary.
Programme: Regular training on motor skills, self-help skills, communication skills,

domestic skills, community living skills, simple work skills, social and interpersonal skills,
and the provision of social and recreational activities.
Staffing: Notional staffing for a standard DAC with 50 places is as follows -

Welfare Worker 5
Enrolled Nurse 1
Motor Driverl 1
Ward Attendant 5
Admission Criteria2:
1. Aged 15 or above;
2. mentally handicapped people lacking the ability to benefit from vocational training or
sheltered workshops;
3. not bedridden or requiring infirmary care;
4. without infectious disease and severely aggressive behaviour endangering self and
others; and
5. able to receive and follow simple instructions and have potential to learn.
Notes:
1. Motor Driver is only provided to a DAC that is not paired up with hostel service.
2. Priority will be given to people with severe mental handicap.
APPENDIX 4.13
Service Brief on Home-based Training
Abbreviation: HBT
Objective: HBT aims to provide mentally handicapped special school leavers

awaiting day training placement with the necessary training to minimise the adverse effect of
staying idle at home and to maintain or develop the skills they have acquired from special
education to facilitate their placement in future. It also serves those mentally handicapped
persons who only require this type of service.
Programme: Training in self-care and other maintenance or supportive services is

conducted by the visiting team three hours a week in the trainee's home, with the
participation of his or her family members.
Staffing: Notional staffing for a team serving 70 cases is as follows -

Welfare Worker 7
Referral Channel: Referrals can be made by school social workers, family caseworkers,
medical social workers and staff of rehabilitation service units to the Central Referral System
for Disabled Adults.
APPENDIX 4.14
Service Brief on Long Stay Care Home
Abbreviation: LSCH
Objective: LSCHs provide long term residential care and active maintenance
services to discharged chronic mental patients with the aims of -
1. maintaining mental stability;

2. effecting change in attitude from dependency to assuming more responsibility;
3. developing psychomotor, social and communication skills; and
4. developing healthy hobbies and positive use of leisure time.
The ultimate objective is to enable the residents with the necessary abilities to progress to
more integrated living in the community with support services. Whilst not all clients will
eventually be able to achieve all of these aims, the prime objective is that all clients should be
positively encouraged to succeed in the areas in which they have the ability to progress and
they are assisted to achieve all these aims as far as possible.
Programme: Besides accommodation, LSCHs provide training programmes in

social skills, domestic care and nursing care. Training in work skills is also arranged.
Staffing: Notional staffing for a standard LSCH with 200 places is as follows -
Social Work Officer 1
Welfare Worker 20
Nursing Officer (Psychiatric) 1
Registered Nurse (Psychiatric) 4
Enrolled Nurse (Psychiatric) 8
Occupational Therapist Assistant 2
Physiotherapist I 1
Cook 5
Motor Driver 1
Workman II 13
Referral Channel: Referrals can be made by medical social workers of psychiatric

hospitals/clinics to the Centre Referral System for Disabled Adults.
Admission Criteria:
1. Chronic mental patients aged 15 or above;

2. being in controlled medical and mental conditions and not requiring intensive
psychiatric treatment or nursing care. They may require maintenance drugs but
should not have active and frequent psychopathic behavioural problem;
3. their medical and mental conditions are such that they are unlikely to be able to lead
an independent living in the community due to high dependence in residential care,
exceedingly withdrawn personality due to mental illness, dementia, mental
impairment with poor psychomotor, social and communication skills, comorbid
mental handicap, or other comorbid disabilities;
4. destitute or with unfavourable home environment;
5. no significant violent behaviour in the past five years and considered unlikely to
manifest dangerous behavioural disorder; and
6. free from infectious disease and persistent alcohol or drug abuse.
Assessment: To be assessed by a pre-discharge case conference of the concerned

hospital.
APPENDIX 4.15
Service Brief on Halfway House
Abbreviation: HWH
Objective: HWHs provide transitional residential care for discharged mental

patients so as to enable them to achieve an optimal level of functioning for re-integration into
the community.
Programme: Apart from accommodation and meals, training are provided to

develop residents' understanding and ability to cope with mental illness, skills in self-care,
socialisation, communication, community living, domestic living and group living.
Programmes are designed with the aims to help the residents cultivate good habits in work
and leisure, re-align relationship with family members and prepare for discharge from the
halfway house. Instilling compliance with medical follow-up requirements, such as regular
medication as prescribed and attending follow-up treatment as scheduled, is also part of the
programmes.
Staffing: Notional staffing for a standard HWH with 40 places is as follows -

Senior Welfare Worker 1
Welfare Worker 5
Cook 1
Workman II 1

hospitals/clinics to the Central Referral System for Disabled Adults.
1. Discharged mental patients aged 15 or above;

2. physically healthy and free from infectious diseases;
3. with reasonable vocational ability and motivation for open employment; and
4. capable of self-care and able to get along with others.
Notes: * Persons with serious criminal records, violent behaviour or propensity to violence
are not suitable for admission to ordinary HWH.
APPENDIX 4.16
Service Brief on Halfway House with Special Provision
Abbreviation: HWH-SP
Objective: HWHs-SP provide transitional residential service for those discharged

mental patients who have a history of criminal violence or assessed disposition to violence
(i.e. �sub-target group� as defined in the 1983 Report of the Working Group on Ex-mental
Patients with a History of Criminal �iolence or Assessed Disposition to �iolence) in an
integrated way with 25� of the places designated for the sub-target group and the remaining
for other discharged mental patients. The facility is normally accommodated in purpose-
built premises.
Programme: Apart from accommodation and meals, training are provided to

develop residents' understanding and ability to cope with mental illness, skills in self-care,
socialisation, communication, community living, domestic living and group living.
Programmes designed also aim to help the residents cultivate good habits in work and leisure,
re-align relationship with family members and prepare for discharge from the halfway house,
and instil compliance with medical follow-up requirements such as regular medication as
prescribed and attending follow-up treatment as scheduled.
Staffing: Notional staffing for a standard HWH-SP with 40 places is as follows -
Social Work Officer 1

Senior Welfare Worker 1
Registered Nurse (Psychiatric) 1
Welfare Worker 5
Cook 1
Workman II 1

hospitals/clinics to the Central Referral System for Disabled Adults.
Admission Criteria:
1. Discharged mental patients aged 15 or above;

2. physically healthy and free from infectious diseases;
3. with reasonable ability and motivation for open employment; and
4. capable of self-care and able to get along with others.
APPENDIX 4.17
Service Brief on Activity Centre for Discharged Mental Patients
Abbreviation: ACDMP
Objective: ACDMPs are designed to enhance the social adjustment capability of

ex-mentally ill persons. They have no event of significant violent behaviour in the recent
years and have recovered substantially from their mental illness. ACDMPs aim to help
them become more independent in daily living and develop their social and vocational skills.
Attached to each centre is a social club providing members with social and meaningful
leisure activities and a venue for them to develop their interpersonal skills.
Programme: The activity centre provides regular programmes and service including
training in social skills, pre-vocational skills and life skills, individual counselling,
educational programmes, outdoor programmes and various group activities. On the other
hand, the social club organises interest groups, social and recreational programmes for their
members.
Staffing: Notional staffing for a standard ACDMP with a capacity of 50 day

training places in conjunction with a social club with a capacity of 200 members is as
follows -

Welfare Worker 2
Workman II 1
Referral Channel: Referrals to the activity centre can be made via the Central Referral
System for Disabled Adults. Referrals to social clubs, on the other hand, can be made direct
to respective centres or through doctors, social workers, allied health workers and by self-
application.
Admission Criteria:
1. Ex-mentally ill persons aged 15 or above;

2. mentally stable;
3. be physically healthy and free from infectious disease or drug/alcohol abuse;
4. have no event of significant violent behaviour in the recent years; and
5. be willing to participate in the centre's programme.
APPENDIX 4.18
Service Brief on Aftercare Service for Dischargees of Halfway Houses
Abbreviation: ACS for HWH
Objective: To facilitate dischargees of halfway houses to re-integrate into the

community and help them adjust to their daily living, social environment and working
environment.
Programme: The service adopts an out-reaching approach and offers a maximum

period of two-year follow-up casework service for dischargees. Apart from involving in
pre-discharge procedures and helping dischargees to apply for tangible services like
Comprehensive Social Security Assistance and group compassionate rehousing, aftercare
workers are required to assist dischargees in seeking job opportunities, render counselling to
family members and organise mutual help and therapy groups. The duties of aftercare
workers also include supervision on follow-up attendance in hospital or clinics and
counselling on compliance with medication.
Staffing: Aftercare service is provided by agency-based Assistant Social Work

Officers (ASWOs) at the ratio of one to 50 dischargees. In order to deliver the service while
a caseload is being built up, an agency will be provided with half an ASWO when the number
of dischargees reaches five. Manpower allocation is made according to the following scale -
Caseload Additional ASWOs

0-4 0
5 - 29 1/2
30 - 54 1
55 - 79 1 1/2
80 - 100 2
Referral Channel: Referrals are self-arranged between halfway houses and agency-based
aftercare workers.
Admission Criteria: Dischargees of halfway houses excluding unsuccessful cases who are
admitted to hospitals or other rehabilitation facilities for more intensive care due to
relapse/deterioration and who are untraceable drop-outs.
APPENDIX 4.19
Service Brief on Supported Housing
Abbreviation: SHOU
Objective: To provide accommodation in public housing estates for people with

disabilities who can manage independent living under limited supervision and support with
the aim to enhance their confidence in leading a non-institutional life.
Programme: Accommodation with limited staff support and supervision is provided

to develop daily living, social and communication skills which are conductive to independent
living. It is anticipated that residents would be engaged either in open, sheltered or
supported employment, or receiving vocational training. Provision of opportunities to meet
social and recreational needs and to enable residents to maintain contact with the community
and families will also be arranged.
Staffing: Notional staffing for a standard SHOU with a cluster of eight three-
person units is two Social Work Assistants.
Referral Channel: Referrals can be made by medical social workers, school social
Admission Criteria:
1. People with disabilities aged 15 or above;

2. in need of accommodation for social reasons;
3. actively occupied in various forms of employment/day training;
4. free from active infectious diseases or drug/alcohol abuse;
5. capable of independent living i.e. mastery of the main self-care and daily living skills;
and
6. need support and supervision to live confidently in the community.
APPENDIX 4.20
Service Brief on Domiciliary Occupational Therapy Service
Abbreviation: DOT
Objective: DOT Service provides advice and assistance to people with physical or
sensory handicap, mental illness and mental handicap to help them overcome adaptation
problems arising from their daily lives at home.
Programme: Programmes include home-based training in Activities of Daily Living,

community-based training, care-giver education, recommendations for environmental design
and home modification, and prescription and training on use of rehabilitation
equipment/devices.
Staffing: One Occupational Therapist I per 500 visits per annum.
Referral Channel: People with disabilities in need of the service can apply directly to the
Spastics Association of Hong �ong.
Admission Criteria: People with disabilities who are not receiving rehabilitation services in
special schools, or day centres such as day activity centres and sheltered workshops.
APPENDIX 4.21
Service Brief on Medical Social Service
Objective:
1. To assist patients and their families with social and emotional problems arising from
illness/disabilities.
2. To enable them to make the best use of medical/rehabilitation services in medical
institutions and in the community.
3. To contribute to the total rehabilitation of individuals, and their re-integration into
society.
4. To strive for the promotion of health for patients, their families and the community.
Programme:
1. Counselling services, either through individual casework or groupwork approach, for

patients and families on issues related to the patient's illness situation or disabilities
and their emotional or social problems arising from illness/disabilities.
2. Helping the patient plan for his discharge, assessment and referrals for rehabilitation
and community resources, such as home help service, residential and day care service
for the elderly or disabled, housing and employment assistance, etc.
3. Provision of statutory duties, report and supervision on cases under the Protection of
Children and Juveniles Ordinance (Cap. 213), Mental Health Ordinance (Cap. 136) or
Probation of Offenders Ordinance (Cap. 298).
4. �inancial/Material assistance, e.g. waiving of medical charges, application of
charitable/trust fund, referral for social security benefits, etc.
5. Collaboration with other medical and allied health professionals to reach out to
persons in the community who are in need of treatment or rehabilitation.
6. Assisting in the practicum learning of medical students, student nurses, social work
students and allied health personnel on the social and psychological implications of
illness and disabilities.
Staffing: As at December 1998, there were 384 and 148 medical social worker
posts in the Social Welfare Department and Hospital Authority respectively.
Referral Channel:
1. Referrals by medical or allied health professionals in hospitals/clinics.

2. Self-approach by patients or their family members/relatives.
3. Initiation or outreach efforts by medical social workers.
4. Referrals by other welfare agencies, government departments, or general public, etc.
Clientele: Patients of hospitals and specialist clinics under the Hospital Authority
and of some out-patient clinics of the Department of Health.
APPENDIX 4.22
Service Brief on Home/Care and Attention Home for the Aged Blind
Abbreviation: HAB / C&A/AB
Objective: To provide residential service with an appropriate level of care, meal,

personal care and limited nursing care for aged blind persons.
Programme:
1. Accommodation with an appropriate level of personal care and nursing care; and
2. training programmes to develop self-care or other daily living skills of the residents.
Staffing: Notional staffing for a standard HAB with 100 places is as follows -
Welfare Worker 3
Enrolled Nurse 1
Workman II 5
Cook 3
Notional staffing for a standard C&A/AB with 50 places is as follows -
Welfare Worker 1
Registered Nurse 1
Enrolled Nurse 4
Motor Driver 1
Workman II 5
Cook 3
and staff of rehabilitation service units to the Central Referral System for Disabled Adults.
Admission Criteria:
A. HAB
2. certified blind by medical officer of eye clinic;
3. free from infectious disease or illness that may require intensive nursing care;
4. fully mobile on admission and able to cope with daily living skills; and
5. mentally suitable for communal living.
B. C&A/AB
2. certified blind by medical officer of eye clinic;
3. generally weak in health or suffering from functional disabilities to the extent
that need help with dressing, toileting and meal, but are able to move around
with a walking aid or with wheelchair;
4. free from acute medical problems, and not requiring medical treatment in
hospital or infirmary care;
5. free from chronic illness that requires constant and intensive professional
nursing care such as frequent injections and complicated dressing; and
6. mentally suitable for communal living.
APPENDIX 4.23
Service Brief on Rehabilitation and Training Service

Objective: Community-based and centre-based rehabilitation training and

vocational training services are provided to help visually impaired clients aged 16 or above,
especially the newly blind, to regain their self-confidence and re-integrate into the
community.
Programme: Comprehensive rehabilitation training programme (lasting one year on

the average) covering orientation and mobility training, communication skills, braille writing
and reading, handwriting and word processing, home management skills, community life
education and work habits.
Staffing: Notional staffing for the service is as follows -

Welfare Worker 11
Motor Driver 1
Workman II 1
or non-governmental organisations' staff to the Hong �ong Society for the Blind. Self-
referrals are also accepted.
APPENDIX 4.24
Service Brief on the Communication and Information Service

Objective: To cater for the reading and information needs of the visually impaired
persons.
Programme: The service provided by the Communication Department of the Hong

�ong Society for the Blind include the followings -
1. a braille and talking book library which lends out braille books, audio books and
talking maga�ines to visually impaired students and adults by mail;
2. a music library;
3. a CD-ROM library;
4. a professional library;
5. production of talking books and maga�ines;
6. co-ordination of individual volunteer services; and
7. consultation service to schools and organisations for the visually impaired regarding
reading materials.
Staffing: Notional staffing for the Communication Department is as follows -

Technician II 1
Assistant Technician 2
Workman II 1
�embershi�: All visually impaired persons are eligible to apply for membership
without charges. As at December 1998, the total membership was over 1 500.
APPENDIX 4.25
Service Brief on Supported Employment
Abbreviation: SE
Objective: SE provides job matching and placement, ongoing support in the form
of on-the-job supervision, training and counselling to people with disabilities to enable them
to secure and maintain a job in open and competitive employment. This serves as an avenue
for upward mobility of people with disabilities in sheltered workshops and a necessary step
towards integration for some moderately disabled persons and discharged mental patients,
who otherwise cannot take up open employment. Being a service provider rather than a job
provider, the operating agencies should not have an employer-employee relationship with the
people with disabilities concerned in providing the SE service.
Programme:
1. Job placement.
2. On-the-job training, supervision, guidance and counselling to the workers.
3. Liaison and counselling to family members of workers.
4. Liaison with employers.
Staffing: The notional staffing for a unit of 30 places is one Workshop

Instructor II and two Workshop Instructor IIIs. Service operators are given the flexibility in
employing any other suitable staff for the service.
Referral Channel: Medical social workers, family caseworkers, staff of rehabilitation

units and school social workers can directly refer suitable clients to operating agencies
including the Social Welfare Department's SE Unit.
Admission Criteria: Moderately disabled persons and discharged mental patients in need of
support to take up open employment. Priority is given to sheltered workers and trainees in
day activity centres to move up in view of limited resources.
APPENDIX 4.26
Service Brief on Sheltered Workshop
Abbreviation: SW
Objective: SWs provide people with mental and/or physical handicap a working
environment specially designed to accommodate the limitations arising from their disabilities
such that they can be trained to engage in income-generating work process, learn to adjust to
normal work requirements, develop social skills and relationships and prepare for potential
advancement to supported/open employment where possible. It is a welfare-oriented service
without an employer-employee relationship between the workshop operators and the
sheltered workers.
Programme: The services provided by SW include the provision of income-

generating work process; training in work habits and skills and on-going assessment of
workers; work-related referrals and referrals for other appropriate services where required; as
well as activities to meet developmental and social needs.
Staffing: Notional staffing for standard SWs with 100, 120 and 140-160 places
respectively are as follows -
Capacity 100 Capacity 120 Capacity 140-160
either 1 SSWA 1 SSWA 1 SSWA
1 WI II 1 WI II 1 WI II
1 SWA 1 SWA
or 1 WI I 1 WI I 1 WI I
1 SWA 1 WI II 1 WI II
1 SWA 1 SWA
plus 5 WI III 6 WI III 7/8 WI III
1 CO II 1 CO II 1 CO II
1 CA 1 CA 1 CA
1 Driver 1 Driver 1 Driver
3 WM II 4 WM II 4/5 WM II
where SSWA denotes Senior Social Work Assistant

SWA denotes Social Work Assistant
WI I denotes Workshop Instructor I
WI II denotes Workshop Instructor II
WI III denotes Workshop Instructor III
CO II denotes Clerical Officer II
CA denotes Clerical Assistant
WM II denotes Workman II
Admission Criteria:
1. Aged 15-60 with a need for sheltered work;

2. be capable of basic self-care (disabled persons requiring personal care but with bowel
and bladder control could be admitted to sheltered workshops for people with severe
physical handicap);
3. be mentally and emotionally stable with no active infectious disease and severe
disturbing behaviour; and
4. demonstrate to have work motivation/ability through an assessment prior to
admission.
APPENDIX 4.27
Service Brief on Social and Recreational Centre for the Disabled
Abbreviation: S&RC
Objective: The overall aims of S&RCs are to facilitate the integration of people
with disabilities into the community, to enable them to make meaningful use of their leisure
time, to provide them with opportunities to develop their potential and well-being, to
encourage the development of their interpersonal skills and enhance the development of
personal relationships, and to encourage their active participation in the community.
Programme: The service provides people with disabilities with opportunities to

participate in and to organise a variety of activities which meet their social, recreational and
developmental needs. These services include social, recreational and sporting activities
organised in either the centre or the community, such as interest and social service groups,
committee training and mass/special activities.
Staffing: Notional staffing for most S&RCs is as follows -

Welfare Worker 1
Workman II 1
Referral Channel: People with disabilities can directly apply to S&RCs for membership
and participation in programmes.
Admission Criteria:
1. The major target group is people with disabilities with no age range limit.
2. �amily members and people without disabilities are also encouraged to participate in
S&RC activities.
APPENDIX 5.1
Service Brief on Community Occupational Therapy Service
Abbreviation: COT
Objective: The objective is to provide occupational therapy service in the clients'

living environment through evaluation, advice training and monitoring on the performance of
daily living tasks at clients' home, work and social areas. The service also helps clients
overcome dysfunction due to environmental obstacles by advice on adaptation and provision
of assistive device. Through the clients' successful performance of daily living tasks at
home and at work, clients and carers are helped to regain confidence and the sense of mastery
of their environments.
Programme:
1. Home based training, including training in Activities of Daily Living (ADL) and
Instrumental ADL such as daily routine planning, use of home appliances, baby care,
money concept and handling budget.
2. Community based training, mainly on generalisation and skills transfer of learned
techniques to clients' daily life.
3. Environmental design and home modifications.
4. Prescription and training on use of assistive devices.
5. Family education on patient care.
6. Building up resources network to support clients' specific needs.
7. Referring to other appropriate services.
8. Public education on living and coping with disability in the community.
9. Consultancy service to other health care professionals.
Staffing: The service is mainly provided by occupational therapists who are

hospital based as the COT service is viewed as a continuation of the in-patient programme for
the purpose of facilitating discharge and resettlement.
Referral Channel: Referrals by medical practitioners or other health care professionals in

hospitals or community settings are accepted. Referrals would be triaged according to
urgency and the clients will receive direct reply from the COT centre for follow-ups.
Clientele: For most hospital centres, clients are mainly in-patients and those who
require post-discharge COT follow-up service. These patients may be suffering from stroke,
hip fracture, or more chronic problems such as brain injuries and rheumatoid arthritis. For
Rehabaid Centre, the majority of clients are those already living in the community.
APPENDIX 5.2
Service Brief on Community Nursing Service
Abbreviation: CNS
Objective: The mission of the CNS is to provide quality nursing service to people
in their own environment, usually at home, as an integral part of the total health care delivery
service. The service is operated through network of nursing centres and stations serving
patients according to the geographic location of their residence with the following
objectives -
1. to provide high-quality, holistic and individualised nursing care for patient-clients

with altered health status in their home environment;
2. to provide nursing care that aims towards maximising self-care and positive resolution
of patient-clients' health care problems to facilitate their re-socialisation and re-
integration into the community;
3. to promote the participation of carers in the nursing treatment or rehabilitation process
of patient-clients;
4. to ensure effective communication with other members of the health care and
rehabilitation team to facilitate the co-ordination of services and co-operative working
relations with other medical and health, and community services; and
5. to develop high-quality nursing services through training and continuing education for
community nurses at all levels.
Scope of Service:
1. Home nursing care - to provide patient care by means of skilled individualised

nursing care to patient-clients and families.
2. Special nursing care - to identify health care problems in the community and provide
special care programme for patient-clients.
3. Health education - to provide individualised health education to patient-clients and
carers and groups.
4. Consultation - to provide consultative services to support and assist nursing and allied
health staff and carers in addressing complex problems in home care.
5. Liaison and co-ordination - to liaise and co-ordinate with other community services to
enable the effective delivery of care to patient-clients.
Staffing: As at December 1998, there were 277 community nurses and 60

community psychiatric nurses serving in the Hospital Authority.
Referral Channel: Referrals by medical practitioners but may be initiated by nurses, allied
health professionals and the clients themselves.
Clientele: Patients who require nursing care within the scope of service and
cannot receive such care in out-patient setting.
APPENDIX 5.3
Service Brief on Domiciliary and Community Physiotherapy Service
Objective: The service aims at providing physiotherapy home programs to

maintain or restore patients' mobility and physical ability so as to facilitate their re-
integration into the community. Domiciliary service can shorten the patients' hospital stay
by supporting the rehabilitation process at home and in the community.
Programme:
1. Assessment, evaluation and design of physiotherapy home program to maximise

clients' physical and functional capacity to cope with environmental limitation at
home.
2. Education and advice to related personnel, e.g. relatives/carers or other health care
workers, for appropriate physical management of the patients and related matters such
as oedema, pain, dyspnoea, chest infection, immobility, stress etc.
3. Liaison with other health care professionals in relation to treatment planning and
resource management.
4. Health promotion and disease prevention program to public.
Referral Channel: Referrals can be initiated by medical practitioners or, under certain
other circumstances, by other health care professionals. Referrals would be triaged and
attended according to urgency of condition.
Clientele:
1. Pre-discharge patients identified for early but safe hospital discharge.

2. Post-discharge patients scheduled for regular monitoring of progress and home
program.
3. Home-bound patients, in particular the elderly, disabled individuals at the acute
episode of their disease, and people with chronic disease or extensive disabilities.
4. Transitional dependent patients with identified service gap(s).
APPENDIX 5.4
Service Brief on Patient Resource Centre
Abbreviation: PRC
Objective:
1. To empower the patients and their families in facing with health challenges.
2. To promote the concept of mutual help and self-help.
3. To arouse public awareness on health consciousness.
4. To advocate the concern of the patients and their families on their rights.
5. To improve patient service in the aspect of psychosocial care and the quality of life of
discharged patients.
6. To encourage community involvement in hospital services.
7. To act as a bridge between the community and hospitals.
Programmes: The programmes provided by PRC are mainly on information

dissemination, health education, support to patient self-help groups, volunteer training and
direct patient support services.
Clientele: Theses services are mostly provided to hospital in-patients and out-
patients with various chronic diseases, their family members as well as the general public.
APPENDIX 5.5
Service Brief on Community and Patient Health Resource Centre
Role - Community Partnership in Health
1. The establishment of the Hospital Authority (HA) InfoWorld, a community

and patient health resource centre (CPHRC), in the HA Building in mid-1998 serve as a
springboard for the HA's collaboration with patient self-help groups and the community in
the health care process. It is also a gateway for people with visceral disability and the public
to obtain information concerning health and the HA.
2. HA is committed to providing a patient focused service. The CPHRC,

among other HA initiatives to play the role of patient advocate, is instrumental in
understanding patients' needs and expectations through continuous liaisons and collecting
patients' feedback for service enhancement.
3. The community has a major role to play in treatment and rehabilitation

process. The CPHRC serves as a focal point for health education activities to empower
people with visceral disability, their family and the community at large with the knowledge
and skills to take up patient care and look after one's own health. To prepare the way for
the full scale operation of the CPHRC, a number of pilot health activities were launched on a
regular basis to promote health, prevent diseases and enhance public awareness of health
issues. All of these activities were well received by the community.
4. The CPHRC organises health education programmes in collaboration with

patient self-help groups, health care professionals, volunteers, patient resource centres and
community organisations. Theses programmes facilitate the individual and the community
to join hands with the HA to become effective partners in health.
5. As a facilitator and co-ordinator of patient activities, the CPHRC can facilitate

organisation of these events by providing support particularly in terms of venue and facilities,
as well as co-ordinating support form health professionals.
Facilities
6. The CPHRC has three major components, namely Health Exhibition Centre,
Community Activity Rooms and Health Information Bureau -
(a) Health Exhibition Centre - an exhibition gallery displaying various thematic

topics on health care services, health and major diseases. A network of
interactive computer terminals would be installed to facilitate the visitors to
explore and learn in an inspiring and interesting way further topics relating to
health and health care.
(b) Community Activity Rooms - a range of multi-purpose rooms equipped with

audio-visual facilities for the organisation of lectures, workshops,
presentations, courses and other activities on health-related topics. As a
communal focal point where patients and the public interface, the centre
provides venue and support for patient groups to conduct their member
activities and other community health promotion programmes.
(c) Health Information Bureau - a library where the public can have access to HA
information including agenda, minutes and papers of its Board and
Committees; annual reports, work plans, publications and other related
information of the HA and its hospitals, as well as books, journals, audio-
visual materials and CD-RO�s on health topics.
Operation
7. Purposely built for the community, the funding required for the establishment
of the CPHRC mainly comes from community sponsorship. It is a centre to meet the needs
of the community.
8. �olunteer support will be essential for the operation of the CPHRC. To live
out the concept of community partnership in health, volunteer programmes will be developed
to solicit support form staff, patients, general public, corporations and community
organisation etc.
APPENDIX 6.1
Service Brief on the Selective Placement Division

of the Labour Department
Abbreviation: SPD
Objective: The SPD provides free employment service to job-seekers with

disabilities, which include the visually impaired, the hearing impaired, the physically
handicapped (including people with a visceral disability), the mentally handicapped and the
ex-mentally ill. The objective is to assist people with disabilities to secure open
employment jobs, with the ultimate aim of integrating them into the community.
Programme:
1. Employment assistance to job-seekers with disabilities which includes -
(a) vocational assessment and job guidance;
(b) job matching and referral; and
(c) follow-up service for three months.
2. Public education and promotional activities as follows -
The objective is to enhance public understanding of the working abilities of people

with disabilities and to promote their employment opportunities. These activities
include visiting major employers and government departments to canvass vacancies,
staging exhibitions and seminars, issuing quarterly newsletter to employers,
presenting awards to enlightened employers and outstanding disabled employees,
launching of television and radio programmes, and producing videos and guidebooks
to assist employers and job-seekers with disabilities.
Staffing: The SPD is headed by a Senior Labour Officer. There are three
regional offices located in Hong Kong, Kowloon and the New Territories, each headed by a
Labour Officer. As at end of December 1998, there were 16 Assistant Labour Officers IIII
in the SPD responsible for the placement of over 3 000 registrants. The Publicity and
Promotion Unit is manned by three Labour Officers and three Assistant Labour Officers I.
Referral channels: Referrals by medical practitioners, social workers, rehabilitation

agencies, NGOs, schools, training institutes as well as direct application by persons with
disabilities requiring employment assistance.
APPENDIX 7.1
Manning Ratios of Clinical Psychologists in Rehabilitation Service Units
Rehabilitation Service Unit Capacity per Unit Manning Ratio

Early Education and Training Centre 60, 75, 90 1 CPl to 8 units of 60 children each
and 3.5 hours per week per group of 6
autistic children2
Special Child Care Centre 60 1 CP to 8 units
(excluding special child care centres for hearing and 1 CP to 11 special child care
impaired children) centres with 6 autistic children each
Integrated Programme in Child Care Centre 6 1 CP to 500 children
Day Activity Centre 50 1 CP to 16 units
and 3.5 hours per week per group of 6
autistic adults
Sheltered Workshop 100, 120, 140 or 1 CP to 16 units
160 and 3.5 hours per week per group of 6
autistic adults
Hostel 50 1 CP to 16 units
Supported Hostel or Housing 20, 24 1 CP to 16 units
(for mentally/physically handicapped persons)
Care and Attention Home for Severely Disabled 50 1 CP to 16 units
Persons
Notes:
1. CP denotes Clinical Psychologist.

2. The manning ratios relating to the special provision for autistic persons are implemented by phases
through a dual system whereby non-governmental organisations running a substantial number of
rehabilitation service units are provided with agency-based clinical psychologists whilst small agencies
are served by the Central Psychological Support Service Unit of the Social Welfare Department.
APPENDIX 7.2
Manning Ratios of School-based Educational Psychologists

under the Code of Aid for Special Schools
Number of Special Schools Classes (excluding Provision of School-based

Hospital Classes) Operated by a Sponsoring Body Educational Psychologist
30 - 59 1
60 - 99 2
100 - 139 3
140 - 179 4
APPENDIX 7.3
Existing and Proposed Manning Ratios of Occupational Therapists

in Rehabilitation Service Units
Rehabilitation Service Unit Capacity Existing Manning Ratio Proposed Manning Ratio
per Unit Endorsed by the Working
Group on Allied Health
Personnel
Early Education and Training 60, 75, 90 0.5 OT Il per unit of 60 1 OT I to 30 children
Centre children
Special Child Care Centre 60 1 OT I and 1 OTA2 per unit 1 OT I and 1 OTA to 30
(excluding special child care children
centres for hearing impaired
children)
Integrated Programme in Child 6 1 OT I to 500 children 1 OT I to 120 children
Care Centre
Day Activity Centre 50 1 OT I to 9 units 1 OT I and 1 OTA per unit
and 10 hours per week per unit
with autistic adults3
Sheltered Workshop 100, 120, 1 OT I to 18 units 1 OT I and 1 OTA per unit
(for ex-mentally ill and 140 or 160 and 10 hours per week per unit
mentally handicapped persons) with autistic adults
Sheltered Workshop 120 1 OT I per unit 1 OTI, 1 OT II4 and 2 OTAs
(for severely physically per unit
handicapped persons)
Hostel 50 1 OT I to 18 units 0.5 OT I and 0.5 OTA per unit
(for moderately mentally
Hostel 50 1 OT I to 18 units 0.5 OT I and 1 OTA per unit
(for severely
mentally/physically
Activity Centre for Discharged 50 1 OT I per unit 1 OT I and 1 OTA per unit
Mental Patients
Long Stay Care Home 200 1 OT I and 2 OTAs per unit 1 OTI, 3 OT IIs and 4 OTAs
per unit
Care and Attention Home for 50 1 OT I and 1 OTA per unit 1 OTI, 1 OT II and 2 OTAs
Severely Disabled Persons per unit
Notes:
1. OT I denotes Occupational Therapist I.

2. OTA denotes Occupational Therapist Assistant.
3. The manning ratios relating to the special provision for autistic persons are implemented by phases
through a dual system whereby non-governmental organisations running a substantial number of
rehabilitation service units are provided with agency-based occupational therapists whilst small
agencies are served by the Central Para-medical Support Service Unit of the Social Welfare
Department.
4. OT II denotes Occupational Therapist II.
APPENDIX 7.4
Existing and Proposed Manning Ratios of Physiotherapists

per Unit Endorsed by the
Working Group on
Allied Health Personnel
Early Education and Training Centre 60, 75, 90 0.5 PT Il per unit of 60 1 PT I per unit of 60
children children
Special Child Care Centre 60 1 PT I per unit 1 PT I and 1 PTA2 per unit
(excluding special child care centres of 60 children
for hearing impaired children)
Integrated Programme in Child Care 6 1 PT I to 500 children 1 PT I to 240 children
Centre
Day Activity Centre 50 1 PT I to 18 units 1 PT I to 9 units
Sheltered Workshop 100, 120, 1 PT I to 18 units 1 PT I to 9 units
(for ex-mentally ill and mentally 140 or 160
Sheltered Workshop 120 1 PT I per unit 1 PT I and 1 PTA per unit
(for severely physically handicapped
persons)
Hostel 50 1 PT I to 18 units 1 PT I to 9 units
(for severely physically handicapped
and moderately/severely mentally
Long Stay Care Home 200 1 PT I per unit 1 PT I and 1 PTA per unit
Care and Attention Home for 50 1 PT I per unit 1 PT I and 1 PTA per unit
Severely Disabled Persons
Care and Attention Home for Aged 50 N.A. 1 PT I and 1 PTA per unit
Blind
Notes:
1. PT I denotes Physiotherapist I.
2. PTA denotes Physiotherapist Artisan.
APPENDIX 7.5
Manning Ratios of Medical Social Workers
Adopted by the Former Medical Development Advisory Committee
Medical Unit Manning Ratio
General Beds 1 Medical Social Worker to 90 beds
Beds for Psychiatric Patients 1 Medical Social Worker to 140 beds
Psychiatric Cases (Out-patient) 1 Medical Social Worker to 250 cases
Chest Cases (Out-patient) 1 Medical Social Worker to 400 cases
General Clinic Cases (Out-patient) 1 Medical Social Worker to 250 cases
General Out-patient Clinics 1 Medical Social Worker to 5 clinics

APPENDIX 7.6
Manning Ratios of Special Education Teachers
Education Unit Manning Ratio

Special School 1.5 teacher per class
Special Education Class in Ordinary Primary 1.2 teacher per class
School
Special Education Class in Ordinary Secondary 1.4 teacher per class
School
Intensive Resource Teaching Programme for 1 teacher to 8 children
Children with Core Autism
Less Intensive Resource Teaching Programme for 1 teacher to 16 children
Children with Autistic Features
APPENDIX 7.7
Existing and Proposed Manning Ratios of Speech Therapists

per Unit Endorsed by the
Working Group on the
Review of
Speech Therapist (ST) in
the Public Sector
Early Education and Training Centre 60, 75, 90 N.A. 1 ST to 60 or more children
Special Child Care Centre 60 1 ST to 60 children 1 ST to 60 children
(excluding special child care centre
for hearing impaired children)
Special Child Care Centre 15, 24 N.A. 1 ST to 60 children
(for hearing impaired children)
Integrated Programme in Child Care 6 N.A. 1 ST to 120 cases
Centre
Day Activity Centre 50 N.A. 1 ST to 120 cases
Sheltered Workshop 100, 120, N.A. 1 ST to 120 cases
140 or 160
Supported Employment 30 N.A. 1 ST to 120 cases
(for moderately mentally
handicapped persons and physically
Hostel 50 N.A. 1 ST to 120 cases
(for severely mentally/physically
Supported Hostel or Housing 20, 24 N.A. 1 ST to 120 cases
(for mentally/physically
Care and Attention Home for 50 N.A. 1 ST to 120 cases
Severely Disabled Persons
APPENDIX 7.8
Manning Ratios of Social Work Officers in Rehabilitation Service Units
Rehabilitation Service Unit Manning Ratio
Day/Residential Service Unit 1 Social Work Officer to 5 units

(excluding integrated programme in child care centre,
integrated small group home for mildly mentally
handicapped children, and those service units specified
below)
Social and Recreation Centre 1 Social Work Officer to 8 units
Parents/Relatives Resources Centre 1 Social Work Officer to 8 units
Supported Employment Unit (with 30 places) 1 Social Work Officer to 8 units
Supported Hostel 1 Social Work Officer to 8 units
Supported Housing Unit 1 Social Work Officer to 12 units
Small Group Home for Mildly Mentally Handicapped 1 Social Work Officer to 15 units
Children

Rehab 98 - 03

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CHAPTER 1 - INTRODUCTION

REHABILITATION PROGRAMME PLAN (RPP)

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1995 WHITE PAPER ON REHABILITATION

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To promote and provide such comprehensive and effective measures as are

CATEGORIES OF DISABILITY UNDER THE PLAN

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DEFINITIONS OF IMPAIRMENT, DISABILITY AND HANDICAP

ESTIMATED NUMBER OF PEOPLE WITH DISABILITIES

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PUBLIC EXPENDITURE ON REHABILITATION SERVICES

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ENHANCED PRODUCTIVITY PROGRAMME

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