Japanese Outreach Model Project for patients who have difficulty maintaining contact with mental health services: Comparison of care between higher‐functioning and lower‐functioning groups

Tsunoda, Aki; Kido, Yasumasa; Kayama, Mami

doi:10.1111/jjns.12183

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…At present there are no formal plans to introduce mobile teams to prevent hospitalisation (crisis teams) and, apart from a very few exceptions, no clear plans to introduce intensive outreach services or early intervention (“first episode”) services. Recently, the Ministry has encouraged the development of specialist outreach clinics with an approximation to assertive community treatment services, using home-visiting nursing services (Tsunoda et al , 2018). This is what the Seikatsu Rinsho approach (SRA) is built upon.…”

Section: Background To Japanese Mental Health Servicesmentioning

confidence: 99%

“Seikatsu Rinsho” – a values-based approach to supporting recovery in Japan

Ogawa

Hasegawa³

et al. 2021

MHSI

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Purpose This paper aims to introduce Seikatsu Rinsho, a values-based approach to supporting recovery based on identifying service user values and aspirations that have been developed since 1958 in Japan where mental health services are still hospital-based and user involvement is not well-developed. This paper believes this will be of great implications for future practices around the world. Design/methodology/approach Hope is essential to recovery and that hope is dependent on identifying what service users really want for themselves (aspirations) and then ensuring that these are communicated to – and supported by – professionals and carers. This is achieved through examining the life events, which are likely to trigger relapse for a specific individual, the important choices that the person has made throughout his/her life course and the reasons behind them. Through a process of “co-production”, an attempt is made to understand the values expressed in these choices in the context of family history over several generations. Findings The attempt to examine both life events throughout the life course and family history over generations was found to be an effective way to understand a service user and his/her family and then support recovery. The cases where even people with severe and persistent mental health problems have successfully achieved full recovery have been accumulated. Research limitations/implications The limitations of the approach in the context of Japanese mental health services, and the necessity of additional evidence are acknowledged and some thoughts shall be given to future development. Originality/value Seikatsu Rinsho approach can provide a new angle to understand service users and family and a new way to support recovery.

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Section: Background To Japanese Mental Health Servicesmentioning

confidence: 99%

“Seikatsu Rinsho” – a values-based approach to supporting recovery in Japan

Ogawa

Hasegawa³

et al. 2021

MHSI

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“…Also, a very small number of ACT and other programs for people with severe mental illness have been implemented in Japan, and have shown positive results in reducing psychiatric symptoms 23 and hospitalization 24 , 25 , 26 or improving functioning. 23 , 24 , 27 In particular, the services of medical support for psychiatric symptoms and assistance with daily living tasks were more common in previous studies of outreach focused mainly on people with a psychiatric diagnosis (severe mental illness) who discontinued or did not receive long‐term treatment. 26 , 27 However, these services seldom provide services to people with undiagnosed mental health problems.…”

Section: Introductionmentioning

confidence: 99%

“… 23 , 24 , 27 In particular, the services of medical support for psychiatric symptoms and assistance with daily living tasks were more common in previous studies of outreach focused mainly on people with a psychiatric diagnosis (severe mental illness) who discontinued or did not receive long‐term treatment. 26 , 27 However, these services seldom provide services to people with undiagnosed mental health problems. In addition, many existing services are provided not by the community public health sector, but by individual medical facilities of private corporations in the Japanese medical insurance system that focus on treating people already diagnosed with a psychiatric illness.…”

Section: Introductionmentioning

confidence: 99%

Service intensity of community mental health outreach among people with untreated mental health problems in Japan: A retrospective cohort study

Iwanaga,

Yamaguchi,

Sato

et al. 2023

PCN Reports

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AimThis study aimed to clarify the association between treatment status (untreated or treated) at the start of community mental health outreach services and service intensity.MethodsThis retrospective cohort study was conducted using the Tokorozawa City mental health outreach service users' data. Treatment status at the start of service (exposure variable) and the service intensity (outcome variables) were taken from clinical records. Poisson regression and linear regression analyses were conducted. The frequency of medical or social service use 12 months after service initiation was also calculated. This study was approved by the Research Ethics Committee at the National Center of Neurology and Psychiatry (No. A2020‐081).ResultsOf 89 people, 37 (42%) were untreated. Family members in the untreated group were more likely to be targets or recipients of services than in the treated group (b = 0.707, p < 0.001, Bonferroni‐adjusted p < 0.001). Compared to the treated group, the untreated group received fewer services themselves (b = −0.290, p = 0.005), and also fewer services by telephone (b = −0.252, p = 0.012); by contrast, they received more services at the health center (b = 0.478, p = 0.031) and for family support (b = 0.720, p = 0.024), but these significant differences disappeared after Bonferroni adjustment. At least 11% of people in the untreated group were hospitalized and 35% were outpatients 12 months after service initiation.ConclusionFamily involvement may be a key service component for untreated people. The service intensity with and without treatment may vary by service location.

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Community Mental Health Services in Japan:

Miura,

Takei,

Sato

et al. 2023

kmj

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Background & Aims: Community mental health services, particularly home visit services, are essential for facilitating the integration of psychiatric patients into the community. However, the number of home visits by Japanese administrative agencies has not increased past five years. This study investigates the factors influencing number of home visits. Methods: In June 2022, a survey was conducted among 250 mental healthcare staff working at administrative agencies in the Gunma Prefecture. It sought insights into their work experiences and attitudes related to their roles. Multiple regression analysis was employed to assess the factors impacting number of home visits as the dependent variable. Results:The study revealed a negative correlation between mental health work experience and both the total number of visits, and the number of visits conducted by respondents within their respective institutions. Positive correlation was observed between the number of home visits and the perception of how much their work contributed to the patientʼs recovery. Conclusions: Work experience and psychological factors among mental healthcare staff play a significant role in determining the frequency of home visits. Enhancing the quality of mental health work may be achieved through the development of work systems, staff education, and the promotion of recovery-orientation approach.

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Japanese Outreach Model Project for patients who have difficulty maintaining contact with mental health services: Comparison of care between higher‐functioning and lower‐functioning groups

Abstract: The type and amount of care can positively influence good functional outcomes for those in the community who find it difficult to maintain contact with mental health services.

Cited by 3 publications

References 17 publications

“Seikatsu Rinsho” – a values-based approach to supporting recovery in Japan

“Seikatsu Rinsho” – a values-based approach to supporting recovery in Japan

Service intensity of community mental health outreach among people with untreated mental health problems in Japan: A retrospective cohort study

Community Mental Health Services in Japan:

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