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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Iwao Oshima, PhD, Department of Mental Health, University of Tokyo, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan, 81-3-5841-3612, i-oshima@aurora.dti.ne.jp, Yoshio Mino, MD, PhD, School of Social Work, Osaka Metropolitan University, 1-1 Gakuencho, Sakai, Osaka-fu, Japan, Yukako Nakamura, MA, Zenkaren Research Institute, Zenkaren, 1-4-5 Shitaya, Taito-ku, Tokyo, Japan, Masahiro Goto, MD, School of Health Science, Niigata University Faculty of Medicine, 2-746 Asahmachi-dori, Niigata City, Japan, and Shimpei Inoue, MD, Kohchi Medical University, Department of Psychiatry, Okatoyocho Shoren, Nangoku City, Japan.
Objectives: Family intervention is an evidence-based practice. However, it is known that such psycho-social interventions aren't sufficiently provided to people who need the services. In this study, we demonstrate the implementation rates of the programs in psychiatric facilities in Japan, and analyze promoting factors. Method: Mail surveys were sent to all Japanese psychiatric hospitals in 1995 and 2001, and all clinics belonging to the Japanese Psychiatric Clinic Association in 2001. Totals of 765 (45.8%), 944 (56.3%) and 442 (44.6%), respectively, responded. We categorized family programs into four models (types A-D). Type A programs were the most well-structured. Results: Implementation rates in 2001 surveys were 35.9% in hospitals and 14.5% in clinics. The rates for type A were 11.4 and 2.7, respectively. Among type A, 57% used the existing models such as MacFarlane's for reference. As compared to the 1995 survey, the overall implementation rate increased by 2%, and that of type A by 5%. 78% of the programs were less than 10 years old. The factors related to high implementation rate were public hospitals, larger numbers of psychiatric beds and high activities of the facilities. Respondents indicated the most important condition determining whether they implemented programs was reimbursed by the health insurance. Conclusion: Implementation rates depend on the capacities of the facilities. Many facilities have started programs and implementation rates have increased. However, there is little financial support available for the programs. If we find a way to finance these programs, we can disseminate programs more widely.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to
Keywords: Mental Health Services, Health Education
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.