Initiative to Build a Community-Based Mental Health System Including Assertive Community Treatment for People With Severe Mental Illness in Japan
Initiative to Build a Community-Based Mental Health System Including Assertive Community Treatment for People With Severe Mental Illness in Japan
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DOI：
10.1080/15487760903066404
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发表时间：
2009-01-01
期刊：
影响因子：
--
通讯作者：
Kuno, Eri
中科院分区：
文献类型：
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作者：
Ito, Junichiro;Oshima, Iwao;Kuno, Eri
在日本，虽然护理中心仍然主要是精神病医院，但越来越多的精神卫生服务提供者已开始参与促进严重精神病患者融入社区。本文介绍了一个正在进行的倡议，以建立一个心理健康和社会服务系统，这被视为一个模式，为其他日本社区创造支持严重精神疾病的人。这一举措包括两个项目：在东京郊区建立和评价一个自信的社区治疗小组，以及在同一社区开展一个更广泛的社区支助项目。ACT团队对消费者结果的试点评估表明，ACT在日本社会和文化背景下是可行和有效的。社区支助项目在个案管理、住宅和支助就业服务的启动示范方案中取得了成功。ACT和其他社区为基础的服务在日本的扩展所面临的挑战进行了讨论。
In Japan, although the locus of care is still predominantly in psychiatric hospitals, a growing number of mental health service providers have become engaged in promoting community integration of people with severe mental illness. This paper describes an ongoing initiative to build a mental health and social services system, which is viewed as a model for other Japanese communities in creating support for people with severe mental illness. This initiative consists of two projects: development and evaluation of an assertive community treatment (ACT) team located in a suburb of Tokyo and a broader community support project in this same community. A pilot evaluation of consumer outcomes for the ACT team demonstrated that ACT is feasible and effective in the Japanese social and cultural context. The community support project was successful in start-up demonstration programs of case management, residential, and supported employment services. Challenges to the expansion of ACT and other community-based services in Japan are discussed.