Authors (including presenting author) :
Chan KF(1), Sin WK(1), Lai FY(1), Man LY(1), Ting KS(1), Cheng WS(1)
Affiliation :
(1)Department of Child and Adolescent Psychiatry, Castle Peak Hospital
Introduction :
Patients with Intellectual Disability may be vulnerable to have sexual assault or harassment due to their impaired judgment, social isolation, poor communication skills, low self-esteem and limited intelligence. Sexuality is an important feature in the life of individuals, including those with disabilities. Many disabilities can greatly affect a person’s sexuality. Hence, the Program of Preventing Indecent Assaults in Psychiatric Services for Intellectual Disability (PSID) is implemented.
Objectives :
1. To prevent indecent assault in the clinical areas. 2. To monitor the implementation of indecent assault prevention program in PSID. 3. To improve staff competency in the implementation of sex education and indecent assault prevention.
Methodology :
Working group meeting was held monthly to develop program to prevent indecent assault in PSID. There are two aspects in the program including patient and ward nurse. In patient’s education, the sex education session are held monthly to PSID patients with duration of about 30 minutes per session. The content included video, role play and teaching material from the Family Planning Association of Hong Kong. A self-designed questionnaire with 4 point rating scales was used to evaluate patients’ ability to prevent indecent assault. Questionnaire score were compared between the initial stage and final stage of participants. In staff aspect, a staff information kit was developed for ward nurses including sex education training material, rundown of sex education program in PSID wards, guidelines and workflow in management of preventing indecent assault in PSID. Also ward nurses were trained to run the sex education for patients. The Sexually Attitudes and Beliefs Instrument (SABS) were used in March, 2018 and January, 2019 in order to reflect their attitude and belief change in the program.
Result & Outcome :
There are total 346 participants attended the sex education talk from Sept 2017 to Dec 2018 in PSID. The average score of patients was 2.42 at the beginning of program and increased to 3.66 after sex education provided. It reflected patients had knowledge increased in protecting themselves from indecent assault. In staff aspect, there were 50 nurses completed the questionnaires (SABS) in March, 2018 and January, 2019. Score mean in March, 2018 is 45.36 and mean in January,2019 is 50.56. Respondents reported having greater levels of attitude and belief change in the program. Independent T-test on the collected data was performed producing a t-value of -3.927 and a p-value of p=0.00016 (<0.05, confidence level 95%). The p-value, smaller than 0.05, excludes the probability of the mean difference between the 2018 scorings and the 2019 scorings being due to a statistical error. Reliability statistics was done with Cronbach’s Alpha 0.784.
Co-location with:
