Placement: HBUK@ Hospital Tanjung Rambutan, Perak Department: Psychology & Counseling University sv: Dr. Hazalizah bt Hamzah Field sv: Mdm. Suraya Banu bt Sallehudin

1. HOSPITAL BAHAGIA
ULU KINTA
Student : Siti Fairuz binti Latip
University Supervisor : Dr. Hazalizah bt Hamzah
Field Supervisor : Mdm Suraya Banu binti Sallehudin

2. Organizational Background
 Location : Tanjung Rambutan, Perak
 Originally known as Federal Lunatic Asylum
 Dr. W. F. Samuel was the first medical superitendant
 Establish in 1909, and started to function in 1911
 The largest psychiatric hospital in Malaysia
 and it is the major referral centre for the northern states of Malaysia.
 (Kuala Lumpur, Selangor, Terengganu, Kelantan, Kedah, Penang, Perlis)

3. Treated 45 patients at early
establishment
3 medical officers from Europe, were
assisted by the local staffs
The name Federal Lunatic Asylum
changed to Central Mental Hospital
another three mental institution in
Malaysia :
a) Hospital Permai, Tampoi (Johor)
b) Hospital Sentosa, Kuching
(Sarawak)
c) Hospital Mesra, Bukit Padang
(Sabah)

4. MAPS

5. ORGANIZATIONAL CHART

6. Organizational Chart for Department
of Psychology & Counselling
Mdm. Suraya
Banu Binti
Sallehudin
Psychology
Officer S48
(Counselling)
Miss Tunku Saraa
Binti Tunku Badli
Psychology
Officer S41
(Clinical)
Mdm. Ross
Anizza Binti
Ramlan
Psychology
Officer S44
(Counselling)

7. VISION
 To improve individual, family, and community’s mental health through efficient,
and innovative services. Besides, organization is customer friendly by improving
responsibilities and community participating towards improved quality of life.
 HBUK offers progressive training and education experience including innovative
research efforts for treatment, care, and maintaining good qualities among
patients.

8. MISION
 To offer mental health promotion services, professional, high quality and efficient
cure and treatment for client’s needs and satisfaction

10. Clinical Services

11. • Out-patient
• In-patient
• Community Psychiatry Treatment
• Psychiatry Specialist Visit to district hospital and clinics
• Promotion to Mental Healthcare
• Training in Psychiatry Field

12. Out-patient
‘’Klinik Pakar
Psikiatri’’ OPD Clinic Walk-in Clinic

13. In-patient
 Do evaluation and psychiatry treatment
 Psychology treatment
 Counselling
 Psycho-education
 Rehabilitation

14. Patient Admission to HBUK

15. Promotion To Mental Healthcare
(Campaign)

16. Responsibilities/
Activities/
Experiences
 In-patient case referral
 Out-patient counselling / psycho-therapy
 Home Visit (under Community Psychiatry unit)
 Ward Round with Psychiatry Specialist & team
 CME
 ECT
 Trip to JPN (under SWO unit)
 Psycho-Education (under Health Education
unit)
 Attend Courses/ Workshops / Sports
 Social Visit to Domestic Industrial Workshop
(Supported Employment)
 TCAs record and Checking
 Management and Administrative Works

17. Out-patient counselling
 Join, observe, and dealing with patients
under supervision
 3 to 5 patients per day
 20 to 30 patients per week
 Deep breathing technique : frequently
apply to OCD, Anxiety, Panic Attack/
Disorder, Stress/Depression, Insomnia

18. In-Patient Case Referral
 Major case referral for counselling : schizophrenia, substance-induced psychosis
 Major case referral for psychology : IQ test
 WAIS IV is used (at HBUK)
 After conducted IQ test, C-L Psy need to write case report
 10-15 case per week
 Intervention : conflict resolution,, anger management, addiction therapy,
decision-making skill, problem solving skill, grift therapy, relapse prevention etc.

19. Home Visit
 Under Psychiatry Community Unit, PPKs
and doctor may also join the home visit
 Follow up case for patient who did not
come for appointment
 As a social support for them
 Psycho-educate the patients as well their
family members on the patients’
diagnosis, medication, how to handle the
patients during their active phase etc.

20. Ward-Round
 Follow Psychiatry Specialist & team
 WKP & WKL
 Compulsory clinical activity among team
of Psychiatrist
 It started at 8.00 a.m. until 10.00 a.m
except for Tuesday and Friday (because
the need to attend CME and present in
clinical meeting)
 The purposes of Ward-Round is the same
as other doctors in general hospital did
 To review the clinical record of the
patients, to discuss any medication
complication, needs to refer to any
department of mental healthcare,
consideration to change to in-patient
ward or anti-psychotic drugs
 (no photo taking is allowed)

21. Continuous Medical Education (CME)
 Conducted at every Tuesday morning, 8.00
am
 Lecture-based session comprises of
presentation in a form of LCD display and
Q&A session at the end of CME
 Chances for the staffs to improves
knowledge especially about mental health
care
Week Topic Speaker Date
1.
2. Jaundice Dr. Mohd Hafiz bin Mohamad 10th February, 2015
3. Love Dr. Fabian Sunil Dass 17th February, 2015
4. Disorders Of The Ear 24th February, 2015
5.
6. Hepatitis Dr. See Bon Hwa 10th March, 2015
7. Health Promotion in Community Pn. Nasuha bt Jais 17th March, 2015
8. Adult Life Support Dr Nurul Nadiah bt Zakaria 24th March, 2015
9. Food & Treatment Dietician & Food Services Unit 31st March, 2015
10. Stigma in Mental Health Dr. Natasha Subhas 7th April, 2015
11. Clinical Pratice Guidelines :
Management of Schizophrenia in
Adults
Dr. Sharmaein 14th April, 2015
12.
13.
14.
15. Fluid Management & Electrolytes Dr. Lau 12nd May, 2015
16.

22. Electro-Convulsive Therapy
 Conducted at every Monday, Wednesday, and
Friday morning 8.00 a.m. until 9.30 a.m.
 In average,10 patients per day having ECT
 Example, chronic schizophrenia, severe Major
Depression, acute mania, catatonia,
 Not all the patients can be treated through ECT
such as,
 The patients are having hypertension, pregnant
women
 Team : ETC Psychiatrist, Anesthesia Provider, ECT
nurse or assistant, recovery nurse

23. Trip to Jabatan Pendaftaran Negara (JPN)
 Under Social Work unit
 Handling patient charity such as IC, BR1M,
salary, document loss, etc.
*no need Degree qualification in Psychology
to become SWO, BUT it is an advantage if you
are psychology student especially when
dealing with patients/clients or patient’s
family who traumatized/illegal mother/else

24. Psycho-Education
 For in-patient Schizophrenia patient who
are referred from doctors (in process to
discharge)
 5 modules (Monday to Friday)
Day Module Speaker
Monday Module 1 : Mengenali Penyakit Anda Nursing unit
Tuesday Module 2 : Memahami Rawatan Anda Pharmacy unit
Wednesday Module 3 : Mencegah Penyakit Berulang
atau Relapse
Occupational Therapy
unit
Thursday Module 4 : Mengelak dan Mencegah
Krisis
Medical Assistance unit
Friday Module 5 : Cara Hidup Sihat Dietetic & Serving unit

25. Course/ Workshop/ Activities
 Attended course :
 Introduction to Psychiatry
 PFA course
 Gaya Hidup
 Organ Donation
 Pra-Persaraan (committee)
8 hours attended course = 1 time
Must complete 7 times course/year
Almost course is held in HBUK
 Dewan Bahagia
 Dewan Anggerik
 Dewan Forensik Akut

26. Social Visit to Industrial Training
Workshop
 Patients are recommended by doctors, which is
okay to do work
 One of efforts to divert attention away from
hallucinating and so forth
 Patients work from 8 am until 2pm
 Punch card same as other working system
 They take their meals 6 times same as other in-
patients
 Their work will repay with amount of
incentives(how much they did settle the tasks)

27. Recommendation
 1) NEVER RESIST WHEN ASKED TO DO ROLE PLAY (**As Mr. Mujeeb frequently
assigned us in class)
 It Trains Us When Dealing With Patient
 Some Courses Such As Introduction To Psychiatry And Psychosocial Training And
Psychological First Aid Emphasize On Role Play Activities
 2) DO FOLLOW UP BEFORE AND AFTER SUBMIT THE APPLICATION LETTER
 Don’t Assume They Will Read Your Email! Alert Them!

28.  3) REVIEW AND UNDERSTAND ABOUT PSYCHIATRIC DIAGNOSIS
 Schizophrenia (Hallucination & Delusion)
 Bipolar Mood Disorder
 Major Depression
 Drug-Induced Psychosis
 And……
 Stress Management
 Anger Management
 Relaxation Technique
 Deep Breathing Technique++ +