1998 rehabilitation programme plan review committee · ms deborah wan, jp miss wong ka-ling prof...

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APPENDIX 1.1 1998 Rehabilitation Programme Plan Review Committee I. �embership Chairman: Commissioner for Rehabilitation Mr CHOI Chi-wa, A, JP �ember: Hong Kong Council of Social Service Miss Virginia CHAN, JP Mr Philip YUEN Hospital Authority 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

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Page 1: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 2: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 3: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 4: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 5: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 6: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 7: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 8: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 9: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 10: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 11: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 12: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 13: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 14: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 15: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 16: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 17: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 18: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 19: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 20: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

(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)

Page 21: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 22: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

(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)

Page 23: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)

Page 24: 1998 Rehabilitation Programme Plan Review Committee · Ms Deborah WAN, JP Miss WONG Ka-ling Prof Virginia WONG. II. Termsof Reference 1. To review the progress ofimplementation of

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)