Clinical practice and research activities for early psychiatric intervention at Japanese leading centres
Clinical practice and research activities for early psychiatric intervention at Japanese leading centres
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DOI：
10.1111/j.1751-7893.2008.00104.x
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发表时间：
2009-02-01
影响因子：
2
通讯作者：
Kurachi, Masayoshi
中科院分区：
文献类型：
--
作者：
Mizuno, Masafumi;Suzuki, Michio;Kurachi, Masayoshi
目的：描述日本早期精神病学干预的临床实践和研究活动，日本是一个拥有大量精神病学床位和长期住院医院精神病学历史的国家。方法：描述了日本四所主要机构早期干预研究和实施的特点、方法和活动。结果：东京青年俱乐部（东京）、富山大学医院神经精神科（富山）、bar endai (A) (S) bar endai (A) (F) bar第一(E) bar发作（SAFE）服务（仙台）和东宝大学大森医学中心（东京）的Il Bosco都有独特而活跃的精神病学项目。每个中心都有自己的临床研究方案和治疗策略。成立于1996年的日本精神疾病预防协会为其成员提供了一个论坛，以促进早期干预的最佳做法，并举办年度会议讨论研究和治疗，从而对精神疾病护理做出了稳定的贡献。结论：日本精神病学服务正在继续从以医院为基础的精神病学向以社区为基础的精神病学过渡。尽管有这些困难的情况，日本公布的关于精神病治疗持续时间的数据，以及早期发现决定结果的证据，鼓励了促进早期精神病学干预的新尝试。
Aim: To describe clinical practice and research activities for early psychiatric intervention in Japan, a country with a huge number of psychiatric beds and a history of long-stay, hospital-based psychiatry.Methods: The characteristics, methods and activities of early intervention studies and implementation at four leading institutions in Japan are described.Results: The Tokyo Youth Club (Tokyo), the Department of Neuropsychiatry of Toyama University Hospital (Toyama), the (S) under bar endai (A) under bart-risk Mental State and (F) under bar irst (E) under bar pisode (SAFE) service (Sendai), and the Il Bosco of Toho University Omori Medical Center (Tokyo) have unique and active psychiatric programmes. Each centre has its own clinical research programme and treatment strategies. The Japanese Society for the Prevention of Psychiatric Disorders, founded in 1996, has made a steady contribution to psychiatric care by providing a forum for members to promote best practices for early intervention and by hosting annual meetings to discuss research and treatment.Conclusions: The Japanese psychiatry service is continuing its transition from hospital-based psychiatry to community-based psychiatry. Despite these difficult circumstances, the publication of data on the duration of untreated psychosis in Japan along with evidence that early detection determines outcome has encouraged new attempts to promote early psychiatric intervention.