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Building Trust in Elderly Services: Challenges and Collaborations at St. James' Settlement

Mr. Michael Lai, CEO of St. James' Settlement, highlights the essential challenges and collaborative opportunities in elderly services amidst Hong Kong's aging population. With an increasing number of seniors, innovative strategies are necessary to enhance service quality, share expertise, and optimize resources. St. James' Settlement participates in various projects to improve elderly care through partnerships with health authorities and NGOs. The focus is on building trust, ensuring sustainability, and addressing the diverse needs of elderly individuals while overcoming resource limitations.

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Building Trust in Elderly Services: Challenges and Collaborations at St. James' Settlement

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  1. Building Trust: Challenges and Obstacles Mr. Michael Lai Chief Executive Officer St. James’ Settlement

  2. An Experience: Collaboration in Elderly Services St. James’ Settlement an illustration

  3. The Ageing Population 資料來源：香港政府統計處香港人口推算1999-2029

  4. 1971年 182,300 (4.5 %) 1981年 344,300 (6.6 %) 1991年 502,400 (8.7 %) 2000年 759,200 (11.2%) 2021年 1,322,500 (15.7%) 2029年 1,792,000 (19.8%) Population of aged over 65 資料來源：香港政府統計處香港人口推算1999-2029

  5. 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 24-29 20-24 15-19 10-14 5-9 0-4 400 300 200 100 0 0 100 200 300 400 Hong Kong：2000年 Male Female Population (‘000) 資料來源：香港政府統計處香港人口推算1999-2029

  6. 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 24-29 20-24 15-19 10-14 5-9 0-4 400 300 200 100 0 0 100 200 300 400 Hong Kong : 2029年 Male Female Population (‘000) 資料來源：香港政府統計處香港人口推算1999-2029

  7. Chronic Disease • Aged over 65: • 75% • Aged 45-64: • 45% with 1 or more than 1 chronic disease 資料來源： 生福利局2000年長者及中年人之生活、健康及經濟狀況統計調查

  8. The society is becoming older and more frail

  9. Frail Elders Home Institution Hospital Collaboration NGOs

  10. Purpose of Collaboration • To fill the gap and meet the need (aging population) • Service enhancement • Quality improvement • Expertise sharing and building • $ saving: to do more with less money • Synergy: 1 + 1 > 2

  11. SJS-HA Collaboration • A multi-service NGO that HQ situated in Wanchai • Serve the community in HK East and HK West • Joined the HKEC Elderly Service Liaison Committee in 2000 and participated in 10 projects of elderly services • Joined similar platform in HKWC and is now participating in 4 projects of elderly services • Beneficiaries and targets include the elders with mild to moderate impairment, the carers, discharged patients, volunteers, youth, community people etc

  12. Other collaboration projects • For other target groups include: • Referral of adolescent and youth from SSW to Department of Paediatrics and Adolescent Medicine, PYNEC • Projects with  QMH  U Psy U  on  Psycho-geriatric Service and Child & Adolescent Mental Health Service • Weight control and dietetic programme for children and adolescent with HKEC

  13. Types of collaboration • (A) Joint services- for the same clients • (B) Extension of services to community • (C) Service Promotion and Referral • (D) Health Promotion and Prevention • (E) Training and Expertise Sharing

  14. Success factors • From “Policy” to “Practice” • Well-defined structure for integration and governance • Communication and collaboration platform • Facilitator- e.g. PRC • Excellent partners- HA and NGOs • Trust built through many years • Feasible and win-win-win projects

  15. Challenges • Resources limitations • Sustainability of projects • Patient information exchange • Communication and mutual trust • Engagement of GPs and community partners • Long-term holistic planning by HA, SWD and HWFB • Strategic direction and leadership • Outcome measurement (on NGO side)

  16. Thank you

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