小學校本課程發展組

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(1)

教育局

小學校本課程發展組

2016年 9月24日

(2)

< 分享嘉賓 >

陳作耘醫生

(香港兒科基金主席)

陳永生校長

(國際基督教優質音樂中學暨小學)

柴瑞恩主任

(香港扶幼會則仁中心學校)

(3)

Adolescent Health in Hong Kong 2016 Update

Dr. Chok-wan CHAN

Chairman, Joint Committee for Promotion of Child Health in Hong Kong Board Chairman, Hong Kong Pediatric Foundation

President, International Paediatric Association (2007 to 2010)

6/10/2016

(4)

Outlines of My Talk

• Concept of Global Child Health

• Adolescent Health in Hong Kong

• Youth Issues for Hong Kong

• The Child Health Policies for Hong Kong

• The Way Ahead

(5)

Child Health

• The Child (0 to 18 Years – United Nations) covering Fetus, Newborn, Childhood and Adolescence

• Sectors (Medical, Social and Education)

• Domains (Family, School, Community)

• Definitions

– Freedom from Diseases (1946)

– A state of physical, social, mental and spiritual well-being (1988)

– Attainment of highest potential in life and development (2008)

6/10/2016

(6)

Continuum of Care

Mother

Newborn

Child Under 5 Child 5 - 11

Adolescent

(7)

Child Health

Providers: (Transdisciplinary Team)

• Healthcare Professionals – Medical Doctors

– Nurses / Midwives

– Allied Health Professionals

• Social workers

• Education – teachers, health nurses

• Others

6/10/2016

(8)

United Nation (UN) Convention on the Rights of the Child 1989

• Equity

• Quality

• Rights

• Welfare

• Protection

• Others

(9)

Adolescent Health Service in Hong Kong

6/10/2016

(10)

At mid-2014,

the population of Hong Kong was 7.24 million

– 0–14 years 804 400 people 11.1%

– 15–24 years 835 200 people 11.5%

Around 20% of Hong Kong population are children and youth

Census and Statistics Department Website: http://www.censtatd.gov.hk

(11)

Organization of Child & Adolescent Health Service in Hong Kong

Organization Hospital

Authority (Public Service)

Department of Health

Private doctor Social Welfare Dept

Health Education    

Health Surveillance 100%

Immunization 90% 10%

School health services 100%

Adolescent health   ½  

Child Assessment   ½ 

Primary medical care 5% 5% 90%

Secondary & tertiary care 90% 10%

Rehabilitation  

6/10/2016

Majority of primary health care is provided in private setting but preventive care is mainly provided in the public health system

(12)

Adolescent Health Service (HA)

• Adolescent Medical Center (QEH) started in 1995

• Adolescent service gradually set up in many pediatric units

– Out-patient adolescent service:

– In-patient admission: up to 18 yrs (2002)

 Chronic illness

 Eating disorders

 Psychosomatic disorders

 Drug overdose/abuse

 Sexual/physical abuse

 Behavioural and emotional problems

(13)

6/10/2016

Student Health Service D epartment of Health

• Target at

– primary school P1-6 (aged 6-11 yrs) &

– secondary school S1-7 (aged 12-18 yrs) students

• Provide comprehensive and preventive health

screening for physical and psychological health

(14)

Health Program at Student Health Center

Screening for Secondary School Students

– Obesity – Scoliosis

– Mental Health

(15)

6/10/2016

• Outreach service set up in 2001

• For secondary school students, parents & teachers

• Basic Life Skills Training

– emotion and stress management, interpersonal communications – smoking, drinking and substance abuse, healthy lifestyle

http://www.studenthealth.gov.hk/english/resources/resources_bl/files/shs_lefleat.pdf

(16)

Hong Kong Society for Adolescent Health (HKSAH)

• A multidisciplinary society set up in 2006

• Members including doctors, nurses, social workers, occupational therapists, physiotherapists, clinical psychologists and other youth workers

• The Society is committed to improving the physical and psychological health and well-being of

adolescents and to enabling adolescents to develop

and realize their potential

(17)

6/10/2016

New Health Challenges

for Children and Adolescents in 21

st

Century

• Non-communicable diseases and Chronic illnesses

– Unhealthy life style

– Exposure to environmental toxins – Risk exposure

• e-Era

– Overwhelming information from cyber world with new sets of social values and culture

– Overuse of electronic media leading to new health hazards

• Increasing mental health problems

– Competitive world – Academic stress

– Parental expectation

• Inequity (poverty, physical insufficiency, learning disability)

(18)

Common Mental Health Issues in Adolescents

• Suicide

• Self-harm behaviour

• Psychosis

• Depression

• Panic attack

• Eating disorder

• Psychosomatic disorder

(19)

Suicide (WHO Mortality Database in 2012)

• A major global public health issue

• Every year, about a million suicidal cases are recorded

• Global age-standardized suicide rate of 11.4 / 100 000 persons per year (>50% cases occur in Asia)

• For youths between 15 to 29 years of age, suicide accounted for 8.5% of all deaths & ranked 2

nd

leading cause of death

(WHO, 2014)

• 2/3 of suicidal cases did not receive any mental health care in the year before their deaths

6/10/2016

(20)

Youth Suicide Rate in Hong Kong (10-19 years)

Year 1981-2012

(21)

Students at breaking point: Hong Kong announces emergency measures after 29 suicides

since the start of the academic year 2015/2016

• High-pressure education system in Hong Kong

• Virtual world in the internet and lack of interpersonal skills

• The new generation has less resilience against stresses and problems

• Lack of Family Support

– both parents have to work, so having less quality time interacting with their children

6/10/2016

(22)

Professional and Public Education

on Adolescent Health on 23-26 Apr. 2016 organized by HKPS and HKPF

• Multidisciplinary Seminar

– Review and update on the hot topics on adolescent health

• Professional Forum on HPV

– Update on recent evidences on HPV vaccine for adolescents

• Adolescent Health Survey and Press Conference

– Health Literacy

– Risk Behaviour

(23)

Sing Pao

「香港中學生健康素養及高危健康行為狀況調查」

新聞發佈會

• 情緒問題嚴重 六成稱不開心 27%中學生擬自殘自殺

27/4/2016《成報》

• Suicidal Thoughts of Students Uncovered 27/4/2016 The Standard

6/10/2016

(24)

調查:六成學生有情緒病先兆

• 26/4/2016 《Now新聞》

(25)

Online Survey on

Health Literacy & Risk Behaviours of Hong Kong Secondary School Students

THE HONG KONG

PAEDIATIC SOCIETY THE HONG KONG

PAEDIATRIC FOUNDATION

(26)

Methodology

Survey

background To understand the level of health literacy and risk behavior of Hong Kong secondary school students so as to provide relevant public health education Survey duration 17 March, 2016 - 10 April,2016

Target audience Secondary school students Methodology Questionnaire

Total number of

respondents 1,685

(27)

Respondent profile

6/10/2016 Valid Sample : 1,685

Gender Percentages

Male 39.47%

Female 60.53%

有效樣本: TBC

Grade Percentages

Form 1 21.84%

Form 2 13.83%

Form 3 31.10%

Form 4 13.95%

Form 5 18.87%

Form 6 0.42%

Valid Sample : 1,685

(28)

78% of secondary school students think they are healthy

48% are not satisfied with their body shape and weight

(29)

In the past 6 months,

62% felt sad or cried for no reason

63% encountered sleeping disorders

6/10/2016 Valid Sample : 1,685

62%

63%

62%

72%

(30)

27 % had considered harming themselves or committing suicide in the past 6 months

27%

(31)

8% had been cyber bullied in the past year, - 40% of them felt depressed and

- 18% wanted to commit suicide

6/10/2016 Valid Sample : 1,685 Valid Sample: 141

(32)

Health Literacy 健康素養

HE

(33)

35% think that they are not kids anymore, they could search information in the web

for self treatment when feeling sick

6/10/2016 Valid Sample : 1,685

35%

Do you agree/ disagree with the following statement?

(34)

66%

prefer to handle health issues by searching information from internet instead of seeking medical help Top 3: 1) Weight management, 2) mental health problems and

3) acne/skin care problems

66%

(35)

79% think that recommendation from medical professionals are reliable

34% think that online information is reliable

6/10/2016 Valid Sample : 1,685

34%

(36)

40%

consider that even without doctor’s prescription, they can still try other remedies

38%

consider their friends’ experiences are more reliable than doctors’ recommendations

38%

29%

28%

Do you agree/ disagree with the following statements?

40%

(37)

Examples of

Inadequate Health Literacy

Among Young People

(38)

Less than 40% of secondary school students know

that teenagers should receive HPV vaccine (39%) and

meningococcal vaccine

(20%) for their own protection

(39)

41% refuse to be vaccinated even if

the government provides free HPV vaccine

No, Yes, 41%

59%

If the government provides HPV vaccine, will you vaccinate it?

6/10/2016

Valid Samples : 1,685

Valid Sample: 694

(40)

Reasons for not vaccinating HPV vaccine indicate inadequate health literacy in youngsters

• Many youngsters do not understand the benefit of vaccination

• Taking HPV vaccine as an example

• 41% expressed refusal on HPV vaccination even if the government provides it free

• Reasons includes

• “Don’t want to be vaccinated for no reason”

• “The vaccine is useless”

• “Only for female while I am not”

• This shows health literacy among youngsters is inadequate

=> miss the chance to protect their long-term health

(41)

Mental health problems, low health literacy and yet

high prevalence of self-management of health issue among HK

secondary school students may lead to disastrous consequences

6/10/2016

Almost 30% of secondary school students have considered harming themselves or committing suicide in the past 6 months

• 65% has mental health concerns

Many considered handling health issues by themselves by searching information from internet instead of seeking medical help when sick

Nearly 40%consider their friends’ experiences are more reliable than doctors’

recommendations

Despite they perceive recommendation by medical professionals are trustworthy

Yet, count on on-line information and recommendations from friends over doctors

If they handle health issues inappropriately, result can be disastrous

(42)

DR. CHARLES E. IRWIN, JR.

DIRECTOR OF THE DIVISION OF ADOLESCENT &

YOUNG ADULT MEDICINE & DIRECTOR OF HEALTH POLICY IN THE DEPARTMENT OF PEDIATRICS AT THE UNIVERSITY OF CALIFORNIA,

SAN FRANCISCO (UCSF)

IRIS LITT VISITING PROFESSOR ON ADOLESCENT HEALTH RESEARCH 2016

Comments made at the Press Conference

as a world expert on Adolescent Health

(43)

• Globally, mental health disorders (especially depression) are the number one cause of disease burden on adolescents.

• Increasing adolescents and young adults are gaining their information from web-based sources of information or through chat rooms that discuss a number of health issues.

• These new sources of gaining information on health and well-being provide both opportunities and risks for reaching young people.

Opportunities

– E.g. adolescents can recognize mental health disorders in their peers and recommend their peers to seek appropriate health care

Risks

– E.g. eating disorders websites to promote dieting & abnormal eating

6/10/2016

(44)

• We need to engage schools, community groups, health

professionals, media, business sector and the government to

educate and support our young people to develop adequate health literacy and identify appropriate and useful health information

• Successful example: Tobacco campaigns

• We need to extend these activities beyond tobacco and provide

similar approaches to both health promoting and damaging issues

(45)

How to identify mental health problems in youngsters?

– Teenagers during this period are struggling for physical, cognitive, psychological as well as self-esteem development

– Teenage behaviours are often affected by physical changes, peer relationships, high risk behaviours, environmental factors, and social trends

It is important to identify the underlying causes for their emotional and behavioural issues

6/10/2016

Adolescent is a period of rapid behavioral, cognitive and brain development, teenagers are prone to emotional and behavioral challenges

(46)

How to evaluate internet information and resources?

Is the source credible? Information in a journal or on the Web should have an identifiable source or an author. If the information is medical, credibility is

generally enhanced if it is provided by a medical institution, an entity that brings together medically knowledgeable professionals, or a government health agency.

Accuracy of information Try to determine whether the information is supported by evidence from scientific studies, other data or expert opinion.

Judge whether the information is mere personal experience or supported by a few cases

Analyze whether the information is based on evidence from a study, on expert opinion or is it merely the opinion of the writer, especially when obtaining information through instant messaging, internet forums, chat rooms and bulletins.

Is the information up-to- date?

Given that health information is constantly changing as new discoveries are made, it is important to make sure that the information is current.

Is there a conflict of interest?

Be aware of any commercial element or product related information that has been included in the health information. This may not fully reflect the real situation or there may be biased information. Analyze if the information is fair and objective.

(47)

Comments on Government’s Actions for Youth Suicide

• Committee on Prevention of Student Suicides

 Set up at the end of March 2016

 Chaired by Professor Paul Yip, Director of the Centre for Suicide Research and Prevention at the University of Hong Kong

 Members comprising schools, parents, youth and student representatives;

professionals from the healthcare and social welfare sectors, and representatives of different government bureaus and departments

 Only a psychiatrist and a clinical psychologist were involved

 No pediatricians or primary healthcare workers

 Only reactive to recent suicidal cases but no long term strategic plans on adolescent health

6/10/2016

(48)

Suggestions from HKPS and HKPF

1. Build up Core Value in Life

 Encourage young people to identify personal interests and to develop one’s own talents rather than focusing on materialistic enjoyment or academic achievements

 Life education for youngsters to review the value and goals in life

2. Training on resilience and positive youth development

 Workshops or games to train up resilience

 Training on problem solving skills and stress coping

3. Training on health literacy

 Advocate the concept on Preventive Health Care to have early identification and intervention of any health issues

 Empower young people to have self-identification and identification of peers who have mental health issues and refer them to seek professional help

 Teach the skills on searching for reliable and correct health information and applying the information for making health decisions

(49)

Suggestions from HKPS and HKPF

4. Establish multiple channels to listen to youth voices

 Channels at schools

 Channels at families

 Channels from peers

 Channels from communities

 Channels from professionals

5. Support parents to have effective communication with youth

 Workshop for parents and youth to train up communication skills and enhance understanding of each other

6. Use of media for dissemination of positive messages and life stories and for training on health information literacy

6/10/2016

(50)

Youth Suicide is only the tip of an iceberg There are many other emerging youth

problems

 Poverty

 Young people (15-24 yrs) in receipt of CSSA accounting for 5.4% of the population

 Youth living in low-income households increased from 16.1% in 2005 to 17.5% in 2011

 Youth unemployment

 2-5 times greater than overall population

 In 2013, unemployment rates for 15-19 year-olds (17.8%) and 20-24 year-olds (8.3%)

 Substance abuse

 Duration of undetected substance abuse increases among youngsters

 Use of methylamphetamine (Ice) and cocaine has been rising in the recent few years

 Housing issue

 Education issue

(51)

Major Adolescent Health Issues in Hong Kong

• Social movements

• Youth suicides

• Substance abuse

• Social problems – Housing

– Employment

– National identity issues

6/10/2016

(52)

Underlying Root Causes

• Pressure from study

• Lack of core values for existence

• Pressure of life and work

• Too much concern on materialistic enjoyment

• No spiritual target in life

(53)

Solutions

• Re-establishment of Core Value in Life for Youth

• Revamp the whole education system in Hong Kong

• Start Health School Nurse system at schools

• A child-friendly community for youth health

• A Child Health Policy for Hong Kong

• A Children's Commissioner for Hong Kong

6/10/2016

(54)

A CHILD-CENTERED

COMPREHENSIVE CHILD HEALTH POLICY IS

NEEDED

(55)

Reality of Children in Hong Kong

6/10/2016

Be successful from the beginning Environmental

pollution

Enormous pressure from school

Pressure from parents

No time for playing and

sleeping

(56)

Economic Perspective

Prevention Early

Intervention

Cost- effective

An effective health policy should follow this framework

Study indicates that early intervention can save up to 75% of health costs that

will be needed later in life

(57)

In the past 3 years (from 2012), the Hong Kong Pediatric Society and the Hong Kong Pediatric Foundation focus on

Child Health Policy

HKPS and HKPF gathered over hundreds of healthcare professionals, economists, educators and social welfare

professionals to review the child health problems in our community and develop the first ever

Child Health Policy Proposal for Hong Kong

6/10/2016

(58)

Policy priorities in different perspectives

Medical

Nursing and Allied Health

Youth’s voice Social Education

Environmental

Parents

(59)

6/10/2016

(60)

The Children's Commission

• As advised by the United Nations Committee on the Rights of the Child

• To supervise, implement, assess and measure outcome deliverables of the Child Health Policy

• It should be chaired by a Children's Commission who will look after the welfare and advocacy issues of the children

• It should be above-bureau and should be financially independent of government bureaus

• The policy should be implemented across different government

departments with appropriate resource allocation and holistic approach

• Together with the establishment of a Children’s Commission to investigate, monitor and implement the policy

(61)

Indicator Value World

Ranking

Median (Average) Age 43.22 years 7th

Life Expectancy (Male) 81.16 years 1st

Life Expectancy (Female) 87.23 years 2nd Total Fertility Rate 1.214 children/woman Lowest Infant Mortality Rate 1.688 deaths/1,000 live births Lowest Under Five Mortality 2.432 deaths/thousand Lowest

Hong Kong Population Indicators

6/10/2016

World Population Prospects - Global demographic estimates and projections by the United Nations

(62)

Health Statistics for Hong Kong best in the world

• Lowest Childhood Statistics

(Infant Mortality and Below-5 Mortality)

• Highest Literacy Rate

• Highest Longevity Rate

• Highest Gross Domestic Product

(63)

World Happiness Report 2016

• Hong Kong only ranks the 75 th happiest among 156 countries

• 2013 – 64 th in the world

6/10/2016United Nations (UN) Sustainable Development Solutions Network (SDSN)

(64)

Something has to be done for our children in Hong Kong

before it is too late!

(65)

Conclusions

• Children make up 20% of our population but represent 100% of our future!

• Integrated Child Health (Medical, Social, Education and others) is essential for their attainment of

highest potential in life

• We need a Joint Powerful Voice for our Children

• A Child Health Policy and a Children's Commissioner are urgently in need for HK

• Goal for Child Health - “Healthy Youth for Healthy World!”

6/10/2016

(66)

Visit our Website for more information at hkpf.org.hk

Thank you for your attention!

Dr. Chok-wan CHAN

(67)

不一樣的學習體驗 不一樣的生命歷程

陳永生校長

國際基督教優質音樂中學暨小學

6/10/2016

(68)
(69)

不一樣的音樂教育 學習音樂的意義

音樂教育的重要性,

是在培育人類一顆美善的心靈 鈴木鎮一

6/10/2016

(70)

不一樣的音樂教育 音樂對人的影響

• 音樂是上帝給人類最美的恩賜,它可使人 完全離開愁煩的重擔,又可排除惡念和迷 惑,又可振奮人心。

除神學外,音樂是最值得推動的

馬丁路德

(71)

不一樣的音樂教育 你也可以享受音樂

6/10/2016

(72)

• Edvard Grieg - Morning Mood (Peer Gynt Suite No. 1, Op. 46)

• Händel Messiah - Hallelujah Chorus

• Jules Massenet - Meditation from Thais for

Violin and Piano

(73)

不一樣的價值取向

每位孩子都是有價值的

神就照著自己的形像造人,

乃是照著他的形像造男造女。

創1:27 各樣美善的恩賜和各樣全備的賞賜都是從上 頭來的,是眾光之父那裡降下來的。

雅各書1:17

6/10/2016

(74)

不一樣的價值取向 愛裡沒有懼怕

• 愛裡沒有懼怕,愛既完全,就把懼怕除去。

約翰一書4:18

(75)

不一樣的價值取向

讓孩子進入豐盛的生命

• 我來了,是要叫人得生命,並且得的更豐盛 約翰福音10:10

6/10/2016

(76)

服務

• 本地社區

• 澳門

• 泰南

(77)

不一樣的學習體驗 學習階段的更新

6/10/2016

(78)

學習階段的更新

Restore Junior Section G.1-G.4 (6-9歲)

Return Middle Section G.5-G.8 (10-13歲)

Revive

Senior

Section

G.9-G.12

(14-17歲)

(79)

不一樣的學習體驗 你也可以夢想成真

6/10/2016

(80)

柴瑞恩 (訓輔主任–小學部)

(81)

6/10/2016

(82)

自 尊

08-09 09-10 10-11 11-12 12-13

安全感

盡本份、

展所能、

建和諧

真英雄、

欺不容、

和諧校園樂融融 和諧約章 和諧校旗、班旗

Twemlow, BMSB

和平戰隊 和諧約章 和諧校旗、班旗

BMSB 彩

虹 計 劃

獨特感

盡本份 尋「寶」之旅 真英雄

聯繫感 (師生關係)

集體相 v1 集體相 v2 Puzzle 1, 2, 3

集體相 集體相

和平戰隊 並肩作戰 二人三足 併桌上課 集體相

大 家 落

互 勉 計 劃

能力感

盡本份、

展所能 計劃

真英雄 武林 盛會

大本型 完成任務

勁 爆

方向感

與社工定行為目標 與社工定行為目標升級

英雄升級 與社工定行為目標

升官階 與社工定行為目標

自 治

選擇

選擇權/爭取

減少獎罰

減少留堂班日數

取消說話篇 白表、紅表、後果

領導才能

風紀、班長、班委員、小士多、笑容哥哥、展所能 計劃

增加內在動機

提升集隊形象 閱兵片段 集隊片段

個人

自我管理

自尊  自治  自立 框架

(83)

自 尊

08-09 09-10 10-11 11-12 12-13

自 治

選擇

選擇權/爭取

自 立

自尊  自治  自立 框架

6/10/2016

(84)

自 尊

08-09 09-10 10-11 11-12 12-13

自 治

選擇 選擇權/爭取

減少獎罰

減少留堂班日數

取消說話篇 白表、紅表、後果

自 立

自尊  自治  自立 框架

(85)

自 尊

08-09 09-10 10-11 11-12 12-13

自 治

選擇 選擇權/爭取

減少獎罰

減少留堂班日數

取消說話篇

白表、紅表、後果

領導才能

風紀、班長、班委員、小士多、笑容哥哥、展所能 計劃

自 立

自尊  自治  自立 框架

6/10/2016

(86)

自 尊

08-09 09-10 10-11 11-12 12-13

自 治

選擇 選擇權/爭取

減少獎罰

減少留堂班日數

取消說話篇

白表、紅表、後果

領導才能 風紀、班長、班委員、小士多、笑容哥哥、展所能 計劃 增加內在動機

提升集隊形象 閱兵片段 集隊片段

自 立

自尊  自治  自立 框架

(87)

自 尊

08-09 09-10 10-11 11-12 12-13

彩 虹 計 劃

自 治

自 立

自尊  自治  自立 框架

6/10/2016

(88)

有用的人—陳國榮

路要自己走—秀蘭瑪雅

(89)

謝謝 !

6/10/2016

(90)

聯絡本校方法:

學校網址:www.cycschool.edu.hk 學校電話:2778 5178

小學部社工:

www.tsoicn@cycschool.edu.hk(蔡姑娘)

www.leunglm@cycschool.edu.hk(梁姑娘)

聯絡講座:2776 7206(沈姑娘)

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