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Executive Summary

               There is no health without mental health

               In 2018, Our Hong Kong Foundation (OHKF) published the policy paper
               Fit for Purpose: A Health System for the 21st Century that put forward the imperative
               need for Hong Kong to transform its health system to meet emerging healthcare
               needs of the city’s rapidly ageing population. Hong Kong must move towards a
               fit-for-purpose health system that can meet emerging needs in an ever-changing
               context which necessitates accompanying system changes. Hong Kong needs to
               reorient towards a health system that is primary care-led and person-centred, and
               provides integrated care to optimise citizens’ health—a state the paper understood
               as not just the absence of disease, but “of complete physical, mental, and social
               well-being” (WHO, n.d.-a).

               While mental health conditions span a spectrum of severity, the population can
               broadly be categorised into three groups: (1) persons with severe mental illness (SMI),
               (2) persons with common mental disorder (CMD), and (3) the general population,
               including those at risk.

                  Figure A.  Categorisation of population mental health across
                           a spectrum of severity

               Less severe                                                       More severe

                     General population          Common                   Severe
                     (“well” and at-risk)  mental disorder (CMD)     mental illness (SMI)

                  Examples:                Examples:                 Examples:
                  •   School leavers       •   Anxiety disorders     •   Psychotic disorders
                  •   Teenage mothers      •   Depression            •   Bipolar disorder
                  •   Isolated elderly
                  •   People with chronic
                  •   People with lower
                   socioeconomic status

                Source: FHB, 2017

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