T U E N M U N S U B S T A N C E A B U S E C L I N I C

O C C U P A T I O N A L T H E R A P Y D E P A R T M E N T

C O L I N L A W ( S O T )

C A T H E R I N E L I ( O T I )

1 6 O C T O B E R 2 0 1 5

Beat Drugs Fund Project Sharing Seminar

Handy Occupational Therapy Service(HOTS)

偞僤 ⅏㔢䕌From Planning, Implementation to Evaluation

What isHOTS?

Planningof

HOTS

Planningof

HOTS

喳㝄㖍⟙ 2015⸜04㚰25㖍(ᶨ)

http://hk.apple.nextmedia.com/realtime/news/20150425/53671601

Unemployment Rate

(Central Registry of Drug Abuse, 2014; Census and Statistics Department , 2015)

Clients withSubstance Abuse 46%

General Population 3.3%

Framework of HOTS

Vocational Exploration

冒ㆹ借傥㍊䨞Skill Enhancement

借傥墅⁁ℐ㓣䔍

Vocational Engagement

㏝ⶍ忚ᾖ㉵ỷᶲ

4 weeks

(Individual

Session)

8 weeks

(Group

Session)

4 weeks

(Individual

Follow Up)

Time Frame

Increase self

awareness & work

motivation

Enhance vocational

abilities & confidence

towards employment

Provide support to

implement vocational

plan

Stage 1 Stage 3Stage 2

Pre-Contemplation /

Contemplation StagePreparation /

Action Stage

Action Stage

Promotion of HOTS

• HUGS & Enlighten Centre

Early liaison with 2 CCPSAs

• 8 CCPSAs & 4 DTRCs

Distribution of leaflet

• 8 participants from 7 DTRCs

Tuen Mun Probation Officers

Design &development

ofvocational

trainingmanual

� How to implement HOTS?

mp a n

Vocational Assessment

Importanceof

vocationalassessment

for drug

rehabilitees

� At Pre-contemplation /Contemplation stage,

� Increase participants’ selfawareness & understanding

� Promote reflection

� Identify participants’ strengths &weaknesses for setting up realisticvocational goal

l tio /

� Assessment areas include

� Vocational interest, vocational readiness & barriers,work-related personality

Physical & cognitive assessment

� Motor function(bilateral handcoordination,dexterity, reactiontime)

� Cognitive function(memory, executivefunction, attention,verbal fluency)

� Exploring: values and goals

� Exploring discrepancy through brief reflection onpresent life

� Explore potential life goals (ST / LT)

� 1 year later

� 5 years later

-

� Focus on:

beautiful & achievable future life with

vocational goal

� What has been done?

� What should be done?

� Evoking participants’ motivation

� Overcome:

� Ambivalence

� Pros & Cons for the change

� Clear planning with SMART goal(s)

� Taking steps

� Strengthening confidence

� Commitment

Modular based

training

� Vocational aspects

� Life skills & Self management

To starta job

Tosustain

a job

 

Modular-based training group

Life skills & Self management� Work-related Social Skill

借⟜Ṣ㯋䌳䦀䪰

� Stress Management

㈿⡻㈨ⶏℐ㍍妠

� Emotion Management

ᾳね䵺㎠ FitṢ

� Financial Management

忂忼䎮屉↮ṓ䪁

� Balance of Life

㦪⛐䓇㳣⸛堉溆

� Memory tips

姀ㅞ 妻䶜⮷層 ⢓

Tosustain

a job

Modular-based training group

Vocational aspects� Job Market Understanding

⯙㤕ⶪ⟜䛯䛇 D� Job Hunting Preparation

㯪借㈨ⶏℐ墅⁁

� Vocational Training Direction

忚ᾖ屯妲㊯⋿憅

� Vocational Goal Setting

怩⎹ⶍἄ㕘䚖㧁 Tostart a

job

Vocational Engagement Program

CounselingJob coachingSupport

Output Evaluation

Output indicators Target Outputachieved

No. of community agenciesconnected

12 16 (133%)

No. of Vocational Assessmentconducted

200 200 (100%)

No. of service sessionsconducted

666 679 (102%)

No. of modular-based traininggroups conducted

24 25 (104%)

Outcome Evaluation

For the 125 recruited participants:

79.2% showed significant improvement in DrugAvoidance Self-Efficacy Scale (p<0.01).

Employment rate

EmploymentRate

Employed /Study

Unemployed

Pre Post(sustained for atleast one month)

24 (19.2%) 113 (90.4%)

101 (80.8%) 12 (9.6%)

Difference

� 89 (71.2%)

� 90 (71.2%)

80.8% showed significant improvement in the Quality ofLife Questionnaire Scale (p<0.01).

85.6% showed significant improvement in theEmployment Readiness Questionnaire Scale(p<0.01).

100% completed the vocational goal setting sheet.

Reflectionof project

� Reasons for effectiveimplementation:� Mutual trust with participants� Integration of MI with manualized

training� Job matching with vocational

assessment and personal goal� Job coaching & support� Close collaboration with referrers

� Feedback from participants:� More follow up sessions to tackle with

difficulties & challenges in workplace� Extended support & coaching� Work-life balance

Conclusion and way forward

� Handy Occupational Therapy Service (HOTS)was effective to promote recovery of substance abusers.Participants could enhance their vocational readinesswith more concrete vocational goal and planning.

� Lifestyle redesign program was commenced on 1st

September, 2014 with the purpose of facilitating youngsubstance abusers and rehabilitants to build a healthyand active lifestyle through meaningful engagement invocational, leisure and daily life activities.

Handy Occupational Therapy Service(HOTS)偞僤 ⅏㔢䕌 ġ

QUESTION TIME