LIHSC Focuses on Clinical Training Excellence

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KM ped rehab 3Kunming LIH SkyCity continued to focus on clinical training opportunities for hospital staff and clinicians across the region throughout the summer, with special events in developmental pediatrics, neuropsychology, and pain management.


On August 5, international and domestic specialists were invited to attend a workshop at LIHSC on the topics of “parenting and behavioral development of premature infants,” “development, behavior, and parenting,” “child life, recreational therapy, and social involvement,” and “strategies to prompt child communication.” Special guest Joanne Ennion, Audiologist, M. Aud, B.Sc, held a lecture on “the development of audiology in pediatric rehabilitation.”


Dr Morse 2Also in early August, Dr. Phil Morse, a neuropsychologist from the US specialized in acquired brain injury and stroke rehabilitation, held three lectures. Topics were focused on anxiety and depression after stroke; stroke in right side of the cerebral hemisphere; memory loss and the elderly.


Dr. Morse has extensive experience in cognitive rehabilitation and education in the United States. Playing a significant role in American Congress of Rehabilitation Medicine (ACRM) and serving as the Chair of Stroke ISIG, he was recently honored as a Distinguished Member of ACRM. During the past three years, Dr. Morse has been cooperating closely with New Zealand Government on acquired brain injury rehabilitation.


Dr Boxu Chen 1Dr. Boxu Chen visited LIH SkyCity Hospital to provide a workshop on chronic pain management and rehabilitation from 9-11 August. Dr. Chen is the director of the rehabilitation department at Taipei Chang Gung Memorial Hospital, as well as the PHD counselor at Taiwan University and Chang Gung University. The training he provided to physicians and allied health professionals focused on musculoskeletal problems and neuropathic pain.

Intensive Training in Evaluation and Diagnosis of ASD in Kunming

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by Alice Fok-Trela, PsyD, Clinical Psychologist at Olivia's Place

by Alice Fok-Trela, PsyD, Clinical Psychologist at Olivia’s Place

Rehabilitation services, which in China include speech therapy, physical therapy, and occupational therapy, are growing fields. Over the past few years, more resources have been devoted to improving the quality of rehabilitation services for the local Chinese population. Olivia’s Place Pediatric Therapy Center has been instrumental in providing professionals to support the development of rehabilitation services in China.

This was the purpose of the trip to Kunming, China, from February 1st to 3rd, 2015. During these three days, I provided intensive training on conducting comprehensive evaluations for autism spectrum disorder to a group of therapists, doctors, and special education teachers. We discussed how doctors currently assess for and diagnose autism spectrum disorder, and engaged in some terrific discussions on how the Chinese method of evaluation and assessment differs from a more Western approach. Several assessment instruments commonly used in America were demonstrated. Cultural suitability of the instruments was also discussed. This point was particularly salient during our discussion on interpreting the results. It was a learning experience for all involved to dialogue about how behaviors that may be viewed as maladaptive or problematic may be viewed in a different light in a different culture.

On the second and third days of training, participants observed full assessments conducted in Chinese. We then held a collaborative discussion to consider the results and determine a diagnosis. In a sense, this discussion was really an interdisciplinary team approach as the participants came from different professional backgrounds. For example, having the input of physical therapists, medical doctors, and special education teachers allowed us to review and consider the client from multiple therapeutic perspectives and generated several lively discussions.

Finally, it was fascinating to discuss pertinent recommendations. Many of the recommendations that would be appropriate in a Western country cannot be implemented in China. Other recommendations are simply not culturally relevant. We worked together as a team to identify more culturally relevant recommendations and to consider how to creatively adapt good recommendations to the Chinese culture.

One of the main takeaways is that conducting evaluations and assessments for autism spectrum disorder is a culturally-sensitive endeavor. As such, it becomes extremely important for clinicians to have a thorough understanding of the client’s cultural and family background, to be hesitant in pathologizing behaviors, and to work collaboratively with local therapists and medical professionals to validate diagnoses and recommendations. Utilizing a collaborative approach allows the best of both Western and Eastern worlds to be combined to ensure treatment is in the best interest of the client.

Alice Fok-Trela, PsyD, is a registered clinical psychologist from Canada. She holds PsyD and Masters degrees in Clinical Psychology from Azusa Pacific University in California, and a BA in Business Administration from the Richard Ivey School of Business at the University of Western Ontario, Canada. Dr. Fok-Trela has worked in a variety of settings including pediatric therapy centers, schools, community counseling centers, and hospitals in Canada and the U.S. She has specific training in assessing and treating children with severe emotional and behavioral disorders. One of her special interests is working with cross-cultural issues, including immigrants and expatriates. Language: English, Cantonese, Mandarin