1998 rehabilitation programme plan review committee · ms deborah wan, jp miss wong ka-ling prof...
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APPENDIX 11
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 Vocational Training Council
Dr C C LUK Mr Kevin KO
Education Department Labour Department
Mrs Gigi MANSUKHANI Mr SIU Lap-kei
Social Welfare Department Transport Department Department of Health
Miss Ophelia CHAN Mr Daniel CHUNG Dr Monica WONG
(up to April 1998) Dr Constance CHAN
(April 1998) Dr Thomas CHUNG
Secretary Assistant Secretary
Health and Welfare Bureau Health and Welfare Bureau Health and Welfare Bureau
(from May 1998) Miss Natalie LI Miss Amanda HO 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 Mr Panny CHAN Ms Cindy CHENG Sister Theresa CHIEN Mrs Natalie CHOW Ms KWAN Wai-fong Miss LAU Kwai-ying Mr LEUNG Kau Mr LIU Choi-hung Prof Arthur MAK Miss Angela NG Miss Rachel SZETO Mrs Pauline TONG Mr Andrew TSE Mr WONG Chak-tong Miss Mary WONG Mrs Winnie WONG
Mrs Grace CHAN JP Mr Stephen CHAN Mrs Goretti CHEUK Mrs C S CHONG JP Miss Kimmy HO Mr LAI Boon-lap Mrs Julie LEE Mrs Mary LEUNG Mrs LO CHU Yin-kwan Mr Augustine MOK Mrs Bessie PANG Ms Maureen TAM Miss TSANG Chi-hung Ms TSUI Hok-ling Ms Elaine WONG Miss Phyllis WONG Mr YEUNG Tak-wah
Mr Joseph CHAN Ms Mabel CHAU Mr CHEUNG Kin-fai Mr CHONG Chan-yau Mrs HO YEUNG Sau-chun Mr Louis LAI Mr LEE Koon-hung Dr Simon LEUNG Miss Lisa LUK Mr Kim MOK Prof Jonathan SHAM Mrs Amelia TING Miss Nancy TSANG JP Ms Deborah WAN JP Miss WONG Ka-ling Prof Virginia WONG
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 andor development outside the context of the major review
APPENDIX 12
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 13
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
plus
(b) Waiting list
plus
(c) New application
Actual enrollment as at 1497
Actual number of people on the waiting list as at 1497
Average number of new applications in 1994 95 1995 96 and 1996 97
Total provision ie B(a) at the end of the preceding year
Projected shortfall if any in the preceding year
Projected number of
new applications ie A(c) in
the preceding year
x
Target population in
the year
Target population in the preceding
year
(B) Provision factors
(a) ExistinglPlanned Provision
plus
(b) Projected Annual Discharge
Provision as at 31398
Average annual discharge rate in 1995 96 and
1996 97
x
Actual enrollment as
at 1497
ie A(a)
Total provision at the end of the year
Average annual discharge rate in 1995 96 and
1996 97
x
Projected enrollment at the beginning of the year ie 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 14
Public Expenditure on Rehabilitation Services in terms of Cost of Services1 (1999-2000)
Organisation Recurrent
Expenditure
($ million)
Non-
Recurrent Expenditure
($ million)
Total Expenditure
($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 137 49 186
(b) Mental Health Guardianship Board 47 02 49
(c) Environmental Advisory Service 16 -- 16
(d) Vocational Training 1473 52 1525
Hospital Authority 46563 634 47197
Department of Health
Education Department
1211 -- 1211
(a) Departmental Services 2346 76 2422
(b) Subvention2
Social Welfare Department
13365 819 14184
(a) Departmental Services 1975 -- 1975
(b) Subvention 16887 -- 16887
(c) Comprehensive Social Security Assistance to People with Disabilities
46618 -- 46618
(d) Disability Allowance 14285 -- 14285
Labour Department 389 -- 389
Transport Department 298 35 333
Total 145610 1667 147277
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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
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 andor development outside the context of the major review
APPENDIX 12
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 13
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
plus
(b) Waiting list
plus
(c) New application
Actual enrollment as at 1497
Actual number of people on the waiting list as at 1497
Average number of new applications in 1994 95 1995 96 and 1996 97
Total provision ie B(a) at the end of the preceding year
Projected shortfall if any in the preceding year
Projected number of
new applications ie A(c) in
the preceding year
x
Target population in
the year
Target population in the preceding
year
(B) Provision factors
(a) ExistinglPlanned Provision
plus
(b) Projected Annual Discharge
Provision as at 31398
Average annual discharge rate in 1995 96 and
1996 97
x
Actual enrollment as
at 1497
ie A(a)
Total provision at the end of the year
Average annual discharge rate in 1995 96 and
1996 97
x
Projected enrollment at the beginning of the year ie 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 14
Public Expenditure on Rehabilitation Services in terms of Cost of Services1 (1999-2000)
Organisation Recurrent
Expenditure
($ million)
Non-
Recurrent Expenditure
($ million)
Total Expenditure
($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 137 49 186
(b) Mental Health Guardianship Board 47 02 49
(c) Environmental Advisory Service 16 -- 16
(d) Vocational Training 1473 52 1525
Hospital Authority 46563 634 47197
Department of Health
Education Department
1211 -- 1211
(a) Departmental Services 2346 76 2422
(b) Subvention2
Social Welfare Department
13365 819 14184
(a) Departmental Services 1975 -- 1975
(b) Subvention 16887 -- 16887
(c) Comprehensive Social Security Assistance to People with Disabilities
46618 -- 46618
(d) Disability Allowance 14285 -- 14285
Labour Department 389 -- 389
Transport Department 298 35 333
Total 145610 1667 147277
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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 12
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 13
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
plus
(b) Waiting list
plus
(c) New application
Actual enrollment as at 1497
Actual number of people on the waiting list as at 1497
Average number of new applications in 1994 95 1995 96 and 1996 97
Total provision ie B(a) at the end of the preceding year
Projected shortfall if any in the preceding year
Projected number of
new applications ie A(c) in
the preceding year
x
Target population in
the year
Target population in the preceding
year
(B) Provision factors
(a) ExistinglPlanned Provision
plus
(b) Projected Annual Discharge
Provision as at 31398
Average annual discharge rate in 1995 96 and
1996 97
x
Actual enrollment as
at 1497
ie A(a)
Total provision at the end of the year
Average annual discharge rate in 1995 96 and
1996 97
x
Projected enrollment at the beginning of the year ie 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 14
Public Expenditure on Rehabilitation Services in terms of Cost of Services1 (1999-2000)
Organisation Recurrent
Expenditure
($ million)
Non-
Recurrent Expenditure
($ million)
Total Expenditure
($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 137 49 186
(b) Mental Health Guardianship Board 47 02 49
(c) Environmental Advisory Service 16 -- 16
(d) Vocational Training 1473 52 1525
Hospital Authority 46563 634 47197
Department of Health
Education Department
1211 -- 1211
(a) Departmental Services 2346 76 2422
(b) Subvention2
Social Welfare Department
13365 819 14184
(a) Departmental Services 1975 -- 1975
(b) Subvention 16887 -- 16887
(c) Comprehensive Social Security Assistance to People with Disabilities
46618 -- 46618
(d) Disability Allowance 14285 -- 14285
Labour Department 389 -- 389
Transport Department 298 35 333
Total 145610 1667 147277
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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 13
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
plus
(b) Waiting list
plus
(c) New application
Actual enrollment as at 1497
Actual number of people on the waiting list as at 1497
Average number of new applications in 1994 95 1995 96 and 1996 97
Total provision ie B(a) at the end of the preceding year
Projected shortfall if any in the preceding year
Projected number of
new applications ie A(c) in
the preceding year
x
Target population in
the year
Target population in the preceding
year
(B) Provision factors
(a) ExistinglPlanned Provision
plus
(b) Projected Annual Discharge
Provision as at 31398
Average annual discharge rate in 1995 96 and
1996 97
x
Actual enrollment as
at 1497
ie A(a)
Total provision at the end of the year
Average annual discharge rate in 1995 96 and
1996 97
x
Projected enrollment at the beginning of the year ie 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 14
Public Expenditure on Rehabilitation Services in terms of Cost of Services1 (1999-2000)
Organisation Recurrent
Expenditure
($ million)
Non-
Recurrent Expenditure
($ million)
Total Expenditure
($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 137 49 186
(b) Mental Health Guardianship Board 47 02 49
(c) Environmental Advisory Service 16 -- 16
(d) Vocational Training 1473 52 1525
Hospital Authority 46563 634 47197
Department of Health
Education Department
1211 -- 1211
(a) Departmental Services 2346 76 2422
(b) Subvention2
Social Welfare Department
13365 819 14184
(a) Departmental Services 1975 -- 1975
(b) Subvention 16887 -- 16887
(c) Comprehensive Social Security Assistance to People with Disabilities
46618 -- 46618
(d) Disability Allowance 14285 -- 14285
Labour Department 389 -- 389
Transport Department 298 35 333
Total 145610 1667 147277
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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 14
Public Expenditure on Rehabilitation Services in terms of Cost of Services1 (1999-2000)
Organisation Recurrent
Expenditure
($ million)
Non-
Recurrent Expenditure
($ million)
Total Expenditure
($ million)
Health and Welfare Bureau
(a) Rehabilitation Division 137 49 186
(b) Mental Health Guardianship Board 47 02 49
(c) Environmental Advisory Service 16 -- 16
(d) Vocational Training 1473 52 1525
Hospital Authority 46563 634 47197
Department of Health
Education Department
1211 -- 1211
(a) Departmental Services 2346 76 2422
(b) Subvention2
Social Welfare Department
13365 819 14184
(a) Departmental Services 1975 -- 1975
(b) Subvention 16887 -- 16887
(c) Comprehensive Social Security Assistance to People with Disabilities
46618 -- 46618
(d) Disability Allowance 14285 -- 14285
Labour Department 389 -- 389
Transport Department 298 35 333
Total 145610 1667 147277
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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 15
Public Expenditure on Rehabilitation Services in terms of Cost of Services1
from 1989-90 to 1999-2000
Financial Year Recurrent Expenditure (excluding payments
under CSSA2
and DA3)
($ million)
Payments under CSSA and DA to
People with Disabilities
($ million)
Non-
Recurrent Expenditure
($ million)
Total Public Expenditure
on Rehabilitation
Services
($ million)
Total Public Expenditure4
($ million)
Public Expenditure on Rehabilitation Services as a Percentage of Total Public Expenditure
()
1989-90 1637 583 163 2383 83600 285
1990-91 2032 728 202 2962 100190 296
1991-92 2319 894 249 3462 112990 306
1992-93 3254 1112 211 4577 127300 360
1993-94 3732 1728 164 5624 158500 355
1994-95 4448 2045 83 6576 170850 385
1995-96 5314 2600 90 8004 195245 410
1996-97 5959 3541 96 9596 217195 442
1997-98 6749 4194 81 11024 243905 452
1998-99 7885 5276 155 13316 275125 484
1999-20005 8471 6090 167 14728 290130 508
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 Governments 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 (eg 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 16
Improvements in the Provision of Rehabilitation Services between 31395 and 311298
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
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
Centre Place 910 1 270 360
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 (a) Hearing Impaired Place 740 640 (100) (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 (a) Hearing Impaired Place 80 60 (20) (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 Mentally Handicapped
Bed 825 800 (25)
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 as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
Rehabilitation Services Unit of Provision
Provision as at
31395
Provision as at
311298
Increased (Decreased)
Provision Day Services
1 Day Activity Centre Place 2 715 3 526 811 2 Activity Centre for Discharged Mental
Patients Day Training Place
160 180 20
3 Home based Training Place 380 350 (30) 4 Community Rehabilitation Network Regional
Centre 0 3 3
5 ParentslRelatives Resources Centre Centre 6 6 0 6 Social and Recreational Centre Centre 22 18 (4)
Residential Services
1 Halfway House Place 857 1 217 360 2 Long Stay Care Home Place 200 570 370 3 Hostel for Moderately Mentally
Handicapped Persons Place 993 1 444 451
4 Hostel for Severely Mentally Handicapped Persons5
Place 1 472 2 143 671
5 Care and Attention Home for Severely Disabled Persons
Place 240 490 250
6 Hostel for Severely Physically Handicapped Persons6
Place 331 406 75
7 Home for the Aged Blind Place 143 296 153 8 Care and Attention Home for the Aged
Blind Place 182 669 487
9 Supported Hostel Place 90 154 64 10 Supported Housing Place 17 17 0 11 Small Group Home for Mildly Mentally
Handicapped Children Place 53 96 43
Notes
1 The provisions of early education and training centres include 65 places designated for hearing impaired children
2 The provisions as at 31395 and 311298 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 31395 and 311298 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 311298 includes 150 places for severely physically handicapped persons with mental handicap that have been provided since October 1997
APPENDIX 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 17
Summary on the Existing Supply and Demand and Additional Funded Provision of Rehabilitation Services
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Pre-school Service
1 Early Education and Training Centre
Place 1 555 180 1 735 420
2 Special Child Care Centre Place 1 179 210 1 389 433
3 Integrated Programme in Child Care Centre
Place 1 270 48 1 318 825
4 Occasional Child Care Place 40 0 40 NA
Special Education3
1 Integrated Programme in Kindergarten
2 Special Education Class
Place 168 36 204 78
(a) Hearing Impaired Place 90 0 90 0 (b) Visually Impaired
3 Special School - School Section
Place 120 0 120 0
(a) Hearing Impaired Place 640 70 710 0 (b) Mentally Handicapped
(Type I) Place 3 060 320 3 380 8
(c) Mentally Handicapped (Type II)
Place 1 870 60 1 930 3
(d) Mentally Handicapped (Type III)
Place 784 56 840 11
(e) Physically Handicapped Place 780 20 800 2 (f) Visually Impaired
4 Special School - Boarding Section
Place 225 0 225 0
(a) Hearing Impaired Place 60 10 70 0 (b) Mentally Handicapped
(Type II) Place 190 40 230 9
(c) Mentally Handicapped (Type III)
Place 422 70 492 0
(d) Physically Handicapped Place 166 14 180 0 (e) Visually Impaired
5 Hospital School Place 175 0 175 0
(a) Psychiatric units Place 120 8 128 NA (b) Non-psychiatric units Place 345 75 420 NA
Vocational Rehabilitation
1 Vocational Assessment3 Assessment4 430 0 430 45
2 Skills Centre3 Place 1 001 156 1 157 33 3 Selective Placement5
4 Supported Employment Registration 3 598 191 3 789 NA
(a) Operated by SWD6 Place 60 (b) Operated by NGO7 Place 1 010 (c) Overall
5 Sheltered Workshop Place 1 070 0 1 070 NA
(a) Operated by SWD Place 685 (b) Operated by NGO Place 5 530 (c) Overall Place 6 215 2 020 8 235 2 179
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
984 3246 148 (per annum)
955 10085 354 (per month)
930 4203 NA
271 5145 64 (per day)
788 2908 NA
590 6602 NA 362 4420 NA
754 9823 NA 886 5757 NA
887 10882 NA
890 15481 NA
873 13770 NA 680 10228 NA
831 8071 728 11590
825 11207 440 (per month)
807 11620 731 8274
950 8435 NA 872 4356 NA
1080
1000 NA
933 930
32764 (per
assessment)
7848 NA
3058 2000
NA
NA NA
NA NA
1073 997
3079 3347
NA NA
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
Utilisation Rate in 1997-98
()
Unit Cost per
Month in 1997-981
($)
Service Fee in
1997-98
($)
Medical Rehabilitation
1 Hospital Bed for Profoundly and Severely Mentally Handicapped
Bed 800 0 800 about 150 889 21528 NA
2 Hospital Bed for Mentally Ill Patients
Bed 5 068 704 5 772 NA 908 27250 68 (per day)
3 Day Hospital for Mentally Ill Patients
Place 599 120 719 NA NA 21250 55 (per day)
Day Services
1 Day Activity Centre (a) Operated by SWD Place 140 960 6528 NA (b) Operated by NGO Place 3 386 939 6141 NA (c) Overall
2 Activity Centre for Discharged Mental Patients
Place 3 526 160 3 686 838
(a) Day Training Place 180 50 230 62 980 NA NA (b) Social Club Place 800 200 1 000 NA NA NA 21
(per annum)
(c) Overall Centre 4 1 5 NA NA 182068 3 Home-based Training 4 Community Rehabilitation
Network
Places 350 0 350 NA 889 2760 NA
(a) Regional Centre Centre 3 0 3 NA NA 465580 NA (b) Clearing House Centre 1 0 1 NA NA 153508 NA
5 ParentsRelatives Resources Centre
6 Social amp Recreational Centre
Centre 6 0 6 NA NA 116871 21 (per family per annum)
(a) Operated by SWD Centre 1 NA 101398 21 (b) Operated by NGO Centre 17 NA 93579 (per annum)
(c) Overall Centre 18 0 18 NA
Residential Services8
1 Halfway House (a) Ordinary Place 775 943 7704 1169 (b) With Special Provision9 Place 442 947 11778 (per month)
(c) Overall Place 1 217 200 1 417 396 2 Long Stay Care Home
3 Hostel for Moderately Mentally Handicapped Persons
Place 570 800 1 370 1 258 965 9103 1500 (per month)
(a) Operated by SWD Place 180 999 8272 1427 (b) Operated by NGO Place 1 264 966 4458 (per month)
(c) Overall 4 Hostel for Severely Mentally
Handicapped Persons1O
Place 1 444 750 2 194 1 308
(a) Operated by SWD Place 50 1000 11543 1603 (b) Operated by NGO Place 2 093 982 10023 (per month)
(c) Overall Place 2 143 460 2 603 1 521 5 Care and Attention Home for
Severely Disabled Persons11
6 Hostel for Severely Physically Handicapped Persons1
Place 490 150 640 229 925 12843 1603 (per month)
(a) Operated by SWD Place 20 1603 (b) Operated by NGO Place 386 (per month)
(c) Overall Place 406 50 456 156 986 10517
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
Rehabilitation Services Unit of Provision
Existing Provision
as at 311298
Additional Funded
Provision by 31303
Total Provision by 31303
Waiting List as at 311298
7 Home for the Aged Blind Place 296 0 296 73
8 Care and Attention Home for the Aged Blind
9 Supported Hostel
Place 669 0 669 222
(a) Mentally Handicapped Place 100 (b) Mentally Ill Place 20 (c) Physically Handicapped Place 24 (d) Visually Impaired with
Mild Mental Handicap Place 10
(e) Overall Place 154 100 254 96 10Supported Housing Place 17 0 17 3
11Small Group Home for Mildly Mentally Handicapped Children
Place 96 0 96 27
Utilisation Unit Cost Service Rate in per Fee in 1997-98 Month in
1997-981 1997-98
() ($) ($)
815 3550 1427 (per month)
949 9023 1603 (per month)
838 6664 938 3681 993 5605 851
(per month) 1000 8001
910 3757 500 (per month)
915 10693 NA
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 eisting provision as at 311298 and additional funded provision by 31303 are the eisting provision in the school year
199899 and the additional funded provision by the school year 200203 respectively The utilisation rate and unit cost per month in 1997-98 are the figures in the school year 199798
4 The number of vocational assessments provided is epressed in terms of comprehensive assessments designed for comple cases Each comprehensive assessment takes 6-8 weeks and is euivalent to four specific assessments each of which takes 1-2 weeks
5 The eisting provision as at 311298 and the additional funded provision by 31303 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 personsinclude 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 18
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 1010 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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
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
Vocational Rehabilitation
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
anpoer 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 19
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 supportedopen 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 110
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
Lung diseases
27 490
Chronic bronchitis 2 373 Emphysema and asthma 8 171 Bronchiectasis 1 105 Other chronic obstructive airway disease 9 975 Pneumoniosis due to silica
Heart diseases
136
Chronic rheumatic heart disease 1 854 Hypertensive heart 5 383 Other ischaemic heart 9 043 Other forms of heart disease
Liver disease
14 275
Chronic liver disease and cirrhosis
Renal disease
1 890
Nephrotic syndrome 453 Chronic glomerulonephritis and other nephrosis
Metabolicendocrine diseases
4 741
Diabetes Mellitus 10 071 Other endocrine metabolic and immune disorders
Blood disease
5 359
Other diseases of blood and blood forming organs
Miscellaneous
1 698
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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 111
Major Improvements and Initiatives undertaken by Public Transport Operators and the Progress as at December 1998
I Railay Services
(a) Kowloon-Canton Railway
Proposed Iproveents Proress Epected opletion Date
Provision of grab poles in luminescence contrast in 29 trains
Completed in 17 trains December 1999
Provision of audible devices for escalators Completed NA
Enlargement of signboards Completed NA
Provision of Braille location map Provided in seven stations December 1999
Provision of tactile guide path Completed NA
Provision of call bells at barrier lines and fare adjustment offices
Completed NA
Installation of visual display units in 29 trains
Completed in 17 trains December 1999
Installation of Electronic Display Board at all stations entrances and platforms
Completed NA
(b) Light Rail Transit
Proposed Iproveents Proress Epected opletion Date
Provision of digitised announcers in light rail vehicles
Completed NA
Provision of tactile yellow line on platforms Completed NA
Provision of electronic information display in light rail vehicles
Completed NA
Provision of Braille Plates on all platform Octopus processors and add value machines
Completed NA
Provision of induction loops in customer services centres
Provided in two customer services centres
December 1999
Widening 14 platforms for wheelchair users Completed NA
Production of Braille user guide books and cassette tapes on the use of Light Rail ticket vending machines and Octopus facilities and distributed to welfare organisations serving visually impaired persons
Completed NA
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
(c) Mass Transit Railway
Proposed Iproveents Proress Epected opletion Date
Provision of tactile platform yellow line Completed NA
Provision of tactile guide path Completed NA
Provision of audible devices for escalators Completed in 38 stations December 1999
Provision of tactile and braille information On trial at Shek Kip Mei Station
December 1999
Modification of litter bins telephone booths and information units to avoid causing obstruction to people with disabilities
Completed NA
Provision of Wheelchair Aids at 22 stations where there were no options to step between ground level and concourse
Completed NA
Provision of a lift at Tai Koo Station Completed NA
Provision of entrance ramps at seven selected stations
Completed NA
Conversion of staff lifts between concourse and platform for public use
Completed NA
Stair lift trial Provided at Shek Kip Mei Station
NA
Installation of induction loop at stations Provided at the customer service centres in 38 stations
NA
Provision of electronic information display at entrances of underground stations
Completed NA
Provision of electronic information display at concourses and platforms
In progress April 2000
Provision of Electronic Information Boards on trains
The provision would be considered as part of the train modernisation project
December 2002
Provision of a new internal lift in Kowloon Tong Station
Completed NA
Provision of a new internal lift in Lai King Station
Completed NA
Provision of new external lifts in Central and Lai King stations
Completed NA
Provision of bi directional wide ticket gates Completed NA
Provision of wheelchair parking space in modernised trains
In progress December 2002
Provision of wheelchair parking space in trains of the Tung Chung Line and the Airport Express Line
Completed NA
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
Proposed Iproveents Proress Epected opletion Date
Provision of induction loop in public pay phones
Completed NA
Provision of Active Line Diagrams in trains of the Airport Express Line
Completed NA
Modification of Octopus Card Add Value Machines with the provision of Braille plates
Completed NA
II us Services
(a) Citybus
Proposed Iproveents Proress Epected opletion Date
Trial of kneeling bus Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Provision of bright textured hand poles step edging with contrasting colours low easy access steps clear easy reading destination blinds in all existing buses
Completed NA
Trial provision of bus stop announcement system
Trial being conducted NA
(b) Kowloon Motor Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1996 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
(c) Long Win Bus
Proposed Iproveents Proress Epected opletion Date
Provision of 150 low floor double deckers which are incorporated with the specifications recommended by the DPTAC
Completed NA
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(d) New Lantao Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC as appropriate
Three single deckers are in service
NA
Trial provision of bus stop announcement system
Trial will be conducted NA
(e) New World First Bus
Proposed Iproveents Proress Epected opletion Date
Provision of new buses which are incorporated with the specifications recommended by the DPTAC
All new buses procured since 1998 are low floor vehicles with features recommended by the DPTAC Completed
NA
Production of Braille route guide A Braille route guide was produced and 100 copies were distributed to associations and schools for visually impaired persons Completed
NA
Provision of Braille information plate inside compartment
With effect from September 1998 all new buses are equipped with Braille information plates Completed
NA
Trial provision of bus stop announcement system
Trial being conducted NA
(f) China Motor Bus
Ceased operation on 1 September 1998
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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)
III Tram Service
Proposed Iproveents Proress Epected opletion Date
Installation of new upper deck seats with back handrails
Completed in 150 trams December 1999
Installation of emergency evacuation sign and audible warning
Completed in 42 trams December 2000
Installation of audible warning to denote rear gates closing
Completed in 42 trams December 2000
Provision of clearer coloured destination blinds
Obtaining quotations December 1999
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 112
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 Eliabeth 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 aor 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 112
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 Eliabeth 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 aor 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)