published_or_final_version / Public Administration / Master / Master of Social Sciences

published_or_final_version / abstract / SPACE / Master / Master of Arts

Wong, Ngai Sze. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2008. / Includes bibliographical references (leaves 177-190). / Abstracts in English and Chinese. / ABSTRACT --- p.I / 論文摘要 --- p.II / ACKNOWLEDGEMENT --- p.III / TABLES OF CONTENTS --- p.V / LIST OF ACRONYMS --- p.IX / LIST OF TABLES --- p.X / LIST OF FIGURES --- p.XI / LIST OF APPENDICES --- p.XIII / Chapter CHPATER 1 --- INTRODUCTION --- p.1 / Chapter 1.1. --- BACKGROUND & CONTEXT --- p.2 / Chapter 1.1.1. --- Methadone Maintenance Treatment --- p.2 / Chapter 1.1.1.1. --- Definition of Methadone Maintenance Treatment --- p.2 / Chapter 1.1.1.2. --- The Role of Methadone Maintenance Treatment --- p.3 / Chapter 1.1.1.3. --- Methadone Maintenance Treatment in Hong Kong --- p.4 / Chapter 1.1.2. --- Utilization of Methadone Treatment --- p.6 / Chapter 1.1.2.1. --- Definition of Utilization --- p.6 / Chapter 1.1.2.2. --- Utilization Study in Methadone Treatment --- p.8 / Chapter 1.1.3. --- Geographic Information System Application --- p.10 / Chapter 1.2. --- STUDY AREA --- p.12 / Chapter 1.3. --- RATIONALE & SIGNIFICANCE OF STUDY --- p.15 / Chapter 1.4. --- RESEARCH QUESTIONS --- p.17 / Chapter 1.5. --- RESEARCH OBJECTIVES --- p.18 / Chapter 1.6. --- STUDY PROCEDURES --- p.21 / Chapter 1.7. --- STRUCTURE OF THE STUDY --- p.23 / Chapter CHAPTER 2 --- LITERATURE REVIEW OF METHADONE TREATMENT UTILIZATION STUDY --- p.25 / Chapter 2.1 --- METHADONE TREATMENT UTILIZATION STUDIES --- p.26 / Chapter 2.1.1 --- Individual Determinants --- p.27 / Chapter 2.1.1.1 --- Predisposing Factors --- p.27 / Chapter 2.1.1.1 --- Enabling Factors --- p.29 / Chapter 2.1.1.2 --- Illness Level --- p.31 / Chapter 2.1.2 --- Health Service System --- p.35 / Chapter 2.1.2.1 --- Resource --- p.35 / Chapter 2.1.1.1 --- Organization --- p.36 / Chapter 2.2 --- ANALYSIS METHODS IN METHADONE TREATMENT UTILIZATION STUDIES --- p.40 / Chapter 2.2.1 --- Common Measures --- p.40 / Chapter 2.2.2 --- Study Approach --- p.41 / Chapter 2.2.3 --- Analysis Methods --- p.42 / Chapter 2.2.4 --- Geographic Information System --- p.43 / Chapter 2.3 --- METHADONE TREATMENT UTILIZATION STUDY IN HONG KONG --- p.44 / Chapter 2.4 --- SUMMARY OF LITERATURE REVIEW --- p.45 / Chapter CHAPTER 3 --- METHODOLOGY --- p.46 / Chapter 3.1. --- DEFINITION OF UTILIZATION AND LOCAL UTILIZATION --- p.47 / Chapter 3.2. --- CONCEPTUAL FRAMEWORK FOR MMT UTILIZATION --- p.50 / Chapter 3.2.1. --- Framework Selection --- p.50 / Chapter 3.2.2. --- Components of Andersen & Newman，s Framework for Health Service Utilization --- p.52 / Chapter 3.3. --- DATA SOURCE --- p.54 / Chapter 3.3.1. --- Official Data --- p.55 / Chapter 3.3.2. --- Survey --- p.56 / Chapter 3.3.3. --- Interviews --- p.57 / Chapter 3.3.4. --- Case Study-Survey in a Methadone Clinic in Tai Po --- p.57 / Chapter 3.3.4.1. --- Survey Subject --- p.57 / Chapter 3.3.4.2. --- Rationale for the Survey --- p.58 / Chapter 3.3.4.3. --- Sampling Methods --- p.59 / Chapter 3.3.4.4. --- Questionnaire Design --- p.61 / Chapter 3.3.5. --- Digitized Maps --- p.62 / Chapter 3.4. --- DATA PROCESSING AND MANAGEMENT --- p.63 / Chapter 3.4.1. --- District Utilization and Local Utilization Calculation --- p.63 / Chapter 3.4.2. --- Questionnaire Data Processing --- p.63 / Chapter 3.4.2.1. --- Data Entry & Coding --- p.63 / Chapter 3.4.2.2. --- Digitizing a GIS Layer --- p.64 / Chapter 3.4.2.3. --- Estimated Location of User Home --- p.64 / Chapter 3.4.2.4. --- Sufficiency Level --- p.67 / Chapter 3.4.3. --- Database Management --- p.68 / Chapter 3.5. --- TECHNIQUES TO ANALYZE DATA --- p.70 / Chapter 3.5.1. --- Descriptive Analysis for Spatiotemporal Utilization Pattern --- p.70 / Chapter 3.5.2. --- Quantitative Analysis for Factor Exploration --- p.70 / Chapter 3.5.2.1. --- Assumptions for Correlation and Regression Analysis --- p.70 / General Assumptions --- p.70 / Data Assumptions --- p.72 / Factor Assumptions --- p.73 / Chapter 3.5.2.2. --- Factors Included in the Study Framework --- p.74 / Societal Determinants --- p.75 / Health Services System --- p.76 / Individual Determinants --- p.78 / Chapter 3.5.2.3. --- Pearson´ةs Correlation --- p.80 / Chapter 3.5.2.4. --- Multiple Stepwise Linear Regression --- p.81 / Chapter 3.5.3. --- Quantitative Analysis for Spatial Factor Study --- p.84 / Chapter 3.5.3.1. --- Catchments --- p.84 / Chapter 3.5.3.2. --- Spatial Autocorrelation --- p.89 / Chapter 3.5.4. --- Curve Estimation --- p.90 / Chapter 3.6. --- GIS Customized Tools --- p.90 / Chapter 3.6.1. --- GIS System Literature Review --- p.90 / Chapter 3.6.2. --- Customized Tools Design --- p.92 / Chapter CHAPTER 4 --- ANALYSIS OF MMT UTILIZATION: A CASE STUDY IN HONG KONG … --- p.95 / Chapter 4.1. --- GENERAL DESCRIPTION --- p.96 / Chapter 4.2. --- HEROIN ADDICTION IN HONG KONG --- p.98 / Chapter 4.2.1. --- Spatiotemporal Pattern of Heroin Addiction --- p.98 / Chapter 4.2.2. --- Characteristics of Heroin Users in Hong Kong --- p.103 / Chapter 4.3. --- MMT USERS IN HONG KONG --- p.107 / Chapter 4.3.1. --- Characteristics of Methadone Clinics --- p.107 / Chapter 4.3.2. --- Characteristics of MMT Users --- p.108 / Chapter 4.3.2.1. --- Predisposing Factors of MMT Users --- p.108 / Chapter 4.3.2.2. --- Spatial movement of MMT user --- p.108 / Chapter 4.3.2.3. --- Clinic Environment-Gathering Place --- p.108 / Chapter 4.3.2.4. --- Unique Clinics --- p.109 / Chapter 4.3.3. --- Spatiotemporal Patterns of MMT Users --- p.110 / Chapter 4.4. --- INDIVIDUAL UTILIZATION STUDY - SURVEY IN A METHADONE CLINIC IN TAIPO --- p.114 / Chapter 4.4.1. --- Methadone Clinic Users in Tai Po --- p.114 / Chapter 4.4.2. --- Characteristics of Respondents --- p.114 / Chapter 4.4.2.1. --- Demographic Characteristics --- p.114 / Chapter 4.4.2.2. --- Utilization Level --- p.115 / Chapter 4.4.2.3. --- Spatial Factors and Distribution --- p.116 / Chapter 4.4.3. --- Factors Affecting the Utilization of Tai Po Methadone Clinic --- p.120 / Chapter 4.5. --- CATCHMENTS OF METHADONE CLINICS IN HONG KONG --- p.122 / Chapter 4.5.1. --- Voronoi polygons --- p.123 / Chapter 4.5.2. --- Network Analysis based on travel time --- p.124 / Chapter 4.5.2.1. --- Catchments of Methadone Clinic in Tai Po --- p.125 / Chapter 4.5.2.2. --- Projected Catchments for All Clinics in Hong Kong --- p.126 / Chapter 4.6. --- SPATIOTEMPORAL PATTERN AND SPATIAL RELATIONS OF MMT UTILIZATION --- p.128 / Chapter 4.6.1. --- MMT Utilization --- p.128 / Chapter 4.6.2. --- MMT Local Utilization --- p.131 / Chapter 4.6.3. --- Spatial Relations of MMT Utilization --- p.133 / Chapter 4.7. --- PREDICTORS OF MMT UTILIZATION AND LOCAL UTILIZATION --- p.134 / Chapter 4.7.1. --- Health Care Systems --- p.135 / Chapter 4.7.1.1. --- Resource --- p.135 / Operating Hours --- p.135 / Nearest clinic distance --- p.137 / Distance between a clinic and its nearest clinic in other districts --- p.138 / Chapter 4.7.1.2. --- Accessibility --- p.138 / Chapter 4.7.2. --- Individual Determinants --- p.139 / Chapter 4.7.2.1. --- Predisposing Determinants --- p.140 / Age --- p.140 / Gender --- p.140 / Education --- p.141 / Chapter 4.7.2.2. --- Behavioral Determinant´ؤInjection --- p.141 / Chapter 4.8. --- FUTURE MMT UTILIZATION IN HONG KONG --- p.143 / Chapter 4.9. --- SERVICE GAPS --- p.144 / Chapter 4.10. --- SUMMARY OF STUDY RESULTS --- p.152 / Chapter CHAPTER 5 --- DISCUSSION --- p.153 / Chapter 5.1. --- DISCUSSIONS ON THE RELEVANCE OF UTILIZATION PREDICTORS --- p.154 / Chapter 5.2. --- DISCUSSIONS ON METHADONE CLINIC CLOSURE --- p.159 / Chapter 5.3. --- RESEARCH LIMITATION --- p.164 / Chapter 5.3.1. --- Data Limitation --- p.164 / Chapter 5.3.2. --- Time & Resource Limitation --- p.165 / Chapter 5.3.3. --- Technical Limitation --- p.165 / Chapter 5.4. --- RECOMMENDATIONS --- p.167 / Chapter 5.4.1. --- Recommendations for Methadone Treatment System --- p.167 / Chapter 5.4.2. --- For the Society --- p.169 / Chapter 5.4.3. --- For Further Study --- p.172 / Chapter CHAPTER 6 --- CONCLUSION --- p.174 / BIBLIOGRAPHY --- p.177 / APPENDICES --- p.191

published_or_final_version / Clinical Psychology / Master / Master of Social Sciences

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

by Tse Kam Fai. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1995. / Includes bibliographical references (leaves 216-228). / Abstract / Acknowledgements / Chapter Chapter 1: --- Introduction / Chapter 1.1 --- Contexts and Objectives of the Study --- p.1 / Chapter 1.2 --- Related Studies in Hong Kong --- p.9 / Chapter 1.3 --- "Identity, Role, and Social Behavior" --- p.13 / Chapter 1.4 --- Data and Methodology --- p.16 / Chapter 1.5 --- Outline of Chapters --- p.20 / Chapter Chapter 2: --- Literature Review / Chapter 2.1 --- Medical-Disease Model: Exposition and Critique --- p.22 / Chapter 2.2 --- Social Deviance Model --- p.24 / Chapter 2.2.1 --- On Etiology and Process of Drug Use / Chapter 2.2.2 --- On Cessation of Drug Use / Chapter 2.2.3 --- "Social Learning, Resocialization and Therapeutic Community" / Chapter 2.2.4 --- Resocialization as Social Learning: The Oversocialization Critique / Chapter 2.3 --- Identity Model --- p.32 / Chapter 2.3.1 --- Resocialization as Identity Transformation / Chapter 2.3.2 --- Types of Identity Transformation / Chapter 2.3.3 --- Resocialization as Conversion / Chapter Chapter 3: --- A Comparison Between SARD A and Operation Dawn / Chapter 3.1 --- "History, Services, and Social Position" --- p.43 / Chapter 3.2 --- Treatment Philosophy and Practice --- p.47 / Chapter 3.3 --- Treatment and Rehabilitation Programme --- p.48 / Chapter 3.3.1 --- Pre-admission Procedure / Chapter 3.3.2 --- In-patient Service / Chapter 3.3.3 --- Halfway House and Aftercare / Chapter 3.4 --- A Statistical Profile of Admission Cases: SKC vs Dawn Island Centre --- p.60 / Chapter Chapter 4: --- Pre-admission Stage / Chapter 4.1 --- "Addict Role-taking, Role-engulfment and Deviant Identity Formation" --- p.63 / Chapter 4.1.1 --- First Use and the Honeymoon; Taking the addict role / Chapter 4.1.2 --- "Addiction and Life as ""Junkie"": Developing the deviant self-identity" / Chapter 4.2 --- Addict Role-strain and Identity Crisis --- p.83 / Chapter 4.2.1 --- """Hitting the Bottom"" and Motivation to Change" / Chapter 4.2.2 --- Preliminary Attempts: Using Self-administered Methods / Chapter Chapter 5: --- Treatment and Rehabilitation Stage / Chapter 5.1 --- Role-conflict and Identity Negotiation --- p.92 / Chapter 5.1.1 --- "Accepting the ""patient"" or ""sinner"" role" / Chapter 5.1.2 --- The Intensity and Nature of Role Conflict / Chapter 5.1.3 --- Altercasting of Normal Identity / Chapter 5.1.4 --- "Strategies of Identity Negotiation: ""how actors react""" / Chapter 5.2 --- "Identity Transformation: ""how actors are transformed""" --- p.115 / Chapter 5.2.1 --- "Strategies, Materials, and Agents" / Chapter 5.2.2 --- Cognitive Base of Transformation / Chapter 5.2.3 --- Affective Base of Transformation / Chapter 5.2.4 --- Normative Base of Transformation / Chapter Chapter 6: --- Continued Rehabilitation and Social-Reintegration Stage / Chapter 6.1 --- Types of Identity Transformation --- p.140 / Chapter 6.1.1 --- Dawn Island Centre: Religious Conversion / Chapter 6.1.2 --- SKC: Alternation / Chapter 6.2 --- Identity Validation and Types of Role-Support --- p.144 / Chapter 6.2.1 --- Identity Validation and Legitimation / Chapter 6.2.2 --- Types of Role-Support / Chapter Chapter 7: --- Conclusion and Discussion / Chapter 7.1 --- "Identity Transformation, Role-Support and Abstinence" --- p.156 / Chapter 7.2 --- Drug Addicts' Recovery: An Interactive and Joint Accomplishment --- p.159 / Chapter 7.3 --- The Contingent Nature of Recovery Career --- p.161 / Chapter 7.4 --- SARD A and Operation Dawn: Two Different Pathways of Recovery --- p.163 / Chapter 7.4.1 --- Religious Conversion: Pathway to Christianity / Chapter 7.4.2 --- Alternation: Pathway to Normality / Chapter 7.5 --- Significance and Limitations of Study --- p.166 / Appendix I: A Socio-Demographic Profile of Informants --- p.169 / Appendix II: Tables --- p.173 / Appendix III: A Glossary of Hongkong Addicts' Argots --- p.190 / Appendix IV: Document and Questionnaire Samples --- p.192 / Appendix V: Photos of the Dawn Island Gospel Treatment Centre --- p.203 / Appendix VI: Interview Schedules --- p.209 / Bibliography --- p.216