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The Government established the Review Committee on Mental Health in 2013, which
           subsequently released the Review Report in 2017 that set out key directions and
           suggested initiatives needed to enhance the local mental health service landscape.
           These efforts have been spearheaded by the Advisory Committee on Mental Health
           (ACMH). Notably, the Review Report called for more persons (particularly adults) with
           CMD to receive care at the primary care level, to offload pressure from PSY SOPCs.
           Our report leverages this momentum, explores how this can be actualised, and
           further considers how the focus of care can be broadened towards more upstream
           services, such as prevention and early intervention for the general population.

           A fit-for-purpose mental health system
           requires structural changes across sectors
           at all levels

           In line with OHKF’s advocacy for a fit-for-purpose health system, we envisage the
           city’s mental health system to be more person-centred, primary care-led, and
           integrated. Keeping with the Government’s latest efforts in strengthening and
           promoting a primary healthcare reorientation of the health system, mental health
           must also be anchored as a core component of primary healthcare. We
           propose that mental health system integration happens along four key axes:
           between primary and secondary care, psychosocial and medical services,
           public and private sectors, and physical and mental health. Realising the vision
           requires changes to existing system structures and innovating models of care.
           In particular, to leverage the momentum created by the ACMH, more timely and
           effective initiatives are needed to address ever-increasing mental health needs,
           especially among persons with CMD and the at-risk population. The Government
           should take on an evidence-based, innovative approach to mental health policy
           development. This involves proactively designing transformative solutions to meet the
           city’s mental health needs, conducting large-scale trials for promising projects, and
           rigorously evaluating such programmes for cost and clinical effectiveness.

           Through interviewing 77 key stakeholders across medical, social, academic,
           government and other sectors, conducting two focus groups with mental health
           service users, and collecting opinions from key service providers in the community
           through questionnaires, we map the landscape of mental health services, identify
           the service gaps and challenges in accessing suitable services, and analyse how
           capacity in the community particularly at the primary care level can be better
           leveraged for mental health service provision in Hong Kong. We put forward
           five policy directions and 14 key recommendations that contribute to the
           transformation towards a fit-for-purpose mental health system.

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