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International Journal of Social Psychiatry
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A Historical Review of Mental Health Services in Hong Kong (1841 To 1995)

Kam-Shing Yip

Department of Applied Social Studies, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong

This paper is a historical review of mental health services in Hong Kong. The development of mental health services in Hong Kong can be roughly divided into several stages: the pre-asylum period (1841-1924), the asylum period (1925-1948), the organization period (1948-1965), the initial rehabilitation period (1966-1973), the centralized rehabilitation period (1974-1981) and the civic control vs community care period (1982-1995). From the development of mental health services in Hong Kong, it is clearly demonstrated that the aims and the trends of mental health services had gradually progressed from a detention model, to a treatment model and finally to a rehabilitation model. Nevertheless, under a shortage of governmental resources and the severe opposition of public stigmatization, community based rehabilitation existed in the form of institution-like service units. In comparison with the international de-institutionalization and community care movement, mental health services in Hong Kong are not affected by any de-institutionalization movement. Instead, the unique political and social context nurtured a parallel development of both institutional care and community care for mental patients.

International Journal of Social Psychiatry, Vol. 44, No. 1, 46-55 (1998)
DOI: 10.1177/002076409804400105
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This article has been cited by other articles:


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 International Social WorkHome page
K.-s. Yip
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