Vivian Lou, Director, Senior Citizen Home Safety Association

Good morning, everyone. I'm Vivian, Director of the Senior Citizen Home Safety Association and Professor in the Department of Social Work and Social Administration at The University of Hong Kong. Today, I’m going to share a little bit about a critical challenge facing Hong Kong's rapidly ageing population - the depression among older adults.

As you may be aware, Hong Kong is becoming an ageing society. More than 20% of our population is now 65 years  old or above, and this percentage is expected to keep growing in the coming years. This demographic shift is creating significant challenges for our community, especially for our public health. One of the major issues is the high rate of depression among our senior citizens. Studies show that around 11% of Hong Kong's older adults suffer from at least one common mental health problem, and depression is a big part of that.

Why is this happening? The high rates of depression among older adults can be attributed to several key risk factors. Older adults often face multiple health challenges, ranging from chronic illnesses to physical limitations, which can significantly impact their mental well-being. Additionally, financial concerns, such as poverty and low income, can create significant stress and anxiety. Social isolation is another major contributor. Furthermore, the cognitive and functional declines associated with ageing can exacerbate feelings of helplessness and diminish an individual's ability to cope effectively. Even social culture could also be a factor that worsens the situation by discouraging older adults from seeking help. These factors can significantly impact an older adult’s overall well-being and quality of life.

Depression in older adults often presents differently than in younger populations. They may have common symptoms such as persistent sadness, anxiety, and difficulty concentrating. However, older adults are more likely to display cognitive changes and physical symptoms such as chronic pain or digestive problems, rather than the emotional symptoms we often associate with depression. This can make depression harder to diagnose and treat. 

The good news is that there are effective ways to address depression in older adults. In addition to medication, community-based interventions and traditional practices like Qigong are often found to be effective approaches to treat depression in older adults. In Hong Kong, various local organisations are providing community-based mental health support to older adults. Let's take the Senior Citizen Home Safety Association's comprehensive 24/7 support service “Care-on-Call” as an example. This service has a team of registered social workers to take care of users’ emotions and mental well-being. We offer crisis assessment, emotional support, counselling, and information on community mental health resources. Through early screening and intervention, this service aims to prevent or alleviate the onset of major depression among older adults.

However, there's still a lot more that needs to be done. Given the rapid ageing of Hong Kong's population, the government may need to increase the availability of free or low-cost mental health services for older adults, so that more of those in need can access professional support. More resources for training social workers and healthcare professionals are also essential to better identify and manage mental health issues. Furthermore, the government should strengthen its collaboration with community organisations to focus on the mental well-being of our seniors. For example, they could encourage community centres and other groups to regularly host mental health talks and support groups, where older adults can come together, share, and find comfort in one another.

Ultimately, helping with depression in Hong Kong's ageing population is going to take a lot of different efforts. We need to make mental health less "shameful", empower communities, and ensure our seniors have the resources and care they need. It's a big challenge, but an important one we have to keep working on.

And to end on a positive note, I’d like to dedicate this song to all of you as I am a strong believer in the power of love. With love, we can! It’s called Ping Zhuo Ai by Julie Sue.