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Clinical practice and research activities for early psychiatric intervention at Japanese leading centres
Author(s) -
Mizuno Masafumi,
Suzuki Michio,
Matsumoto Kazunori,
Murakami Masaaki,
Takeshi Kiyoaki,
Miyakoshi Tetsuo,
Ito Fumiaki,
Yamazawa Ryoko,
Kobayashi Hiroyuki,
Nemoto Takahiro,
Kurachi Masayoshi
Publication year - 2009
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/j.1751-7893.2008.00104.x
Subject(s) - intervention (counseling) , psychiatry , neuropsychiatry , service (business) , medicine , psychology , economics , economy
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 endai A t‐risk Mental State and F irst E pisode (SAFE) service (Sendai), and the Il Bosco of Toho University Omori Medical Center (Tokyo) have unique and active psychiatric programmes. Eachcentre 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.