Comprehensive research on the formation and development of support measures for patients with mental disorders in the Kyushu Region

通过对九州地区精神障碍患者支援的地域特征和措施形成的历史变化进行考察，发现导致患者集中在九州的因素复杂，而且观察到战争前后的连续性和非连续性。在延续性方面，特别是在建立以天皇为中心的现代国家的道路上，精神病学发展的基本特征一直持续到20世纪90年代。（一种以“和平”和“扶贫”为重点的庇护政策），这与产生日本性格的气候密切相关，维持中央政府直接控制下的地方政治制度，和自然气候，如南方温暖的天气，可以确定。关于非连续性方面，基于社会保障制度的准备，依赖私立精神病院在战后被提升为国家政策，由于该地区的各种社会变化，九州地区开始寻找新的工业基础，以摆脱经济欠发达地区的地位，并采取各种措施来适应这种情况。社会变革。由于产业和社会状况的原因，该地区在促进精神科病房床位增加方面做了比较充分的准备。作为今后的课题，必须建立不过分依赖住院费的咨询费制度，从数量上满足精神障碍患者康复设施等地方资源，组建ACT等社区支援团队，必须促进社区医务人员的重新安排，并提供培训支持。此外，加强家庭支援，以及推动由精神病患者组成的社区团体和协会，亦十分重要。

Upon examining historical changes in regional characteristics and measurement formation in the support of patients with mental disorders in the Kyushu Region, factors leading to the concentration of patients in Kyushu was found to be complicated, and both continuous and non-continuous sides between before and after the war were observed. On the continuous side, particularly on the way to establish a modern nation with the Emperor at the center, the fundamental characteristics in the development of psychiatry which lasted until the 1990s (a shelter policy focusing on "peace" and "poverty relief"), which was closely associated with the climate that produced the Japanese character, maintenance of a local political system under direct control of a central government, and the natural climate, such as the warm weather of the South, can be identified.Regarding the non-continuous side, based on the preparation of the social security system, dependence on private mental hospitals was promoted as a national policy after the war, due to various social changes in the region, the Kyushu Region began searching for a new industrial foundation to break away from being an economically underdeveloped region and had to apply different measures to adapt to such social changes. The region was relatively well-prepared to promote an increase in the number of beds in psychiatric wards due to industrial and social situations.As a future problem, consultation fee system that does not excessively depend on hospitalization fees must be established, local resources such as rehabilitation facilities for patients with mental disorders need to be quantitatively satisfied, community support teams such as ACT must be formed, re-arrangement of medical staff in communities must be promoted, and support for training must be provided. Enhancing family supports and promoting the establishment of community groups and associations formed by patients with mental disorders is also important.