Violence Towards Family Caregivers by Their Relative with Schizophrenia in Japan

This is a post-peer-review, pre-copyedit version of an article published in Psychiatric Quarterly. The final authenticated version is available online at: https://doi.org/10.1007/s11126-017-9537-4

Perceptions and attitudes of users and non-users of mental health services concerning mental illness and services in Japan

ObjectivesThere is a global movement to develop and implement community-based integrated mental health systems. The present study attempted to clarify the perceptions and attitudes of users and non-users of mental health services concerning mental illness and services in Japan.MethodsA new questionnaire was developed for this internet survey. Data from 500 outpatients with depression and 500 healthy subjects were sampled according to the demographics of the Japanese population.ResultsOver 90% of healthy subjects and over 70% of patients were unaware of the common age of onset or lifetime prevalence of mental illness. Over 90% of the healthy subjects and about 70% of the patients could not describe any services where they would feel comfortable discussing mental health problems. In both groups, “adolescents and young adults” were ranked first as a target population for mental health and illness policies. The top requirement for the integrated care systems was the promotion and awareness of correct knowledge of mental illness in both the healthy subjects and patients.ConclusionSocietal requirements could include disseminating correct knowledge, awareness-raising actions for society, and implementing services where people, especially young people, can easily consult and receive support in the community

An approach about subject matter of clothing life culture in Junior high school home economics field : Verification of the effects by experience of wearing Yukata

中学校新学習指導要領技術・家庭,家庭分野では,浴衣など和服について調べたり着用したりするなどして,和服と洋服の構成や着方の違いに気付かせたり,衣文化に関心をもたせたりするなど,和服の基本的な着装を扱うことが有効な手だてとなり得ることが述べられている。甚平製作が衣生活文化の題材として有意義であるという昨年の成果をふまえ,本研究では浴衣の着装体験を通して,和服と洋服の違いや近年の衣生活の変化を理解し,衣生活を豊かにするための工夫ができるような衣生活文化の題材開発を行い,その効果を検証した。本題材は,広島大学附属三原中学校にて平成23年度中学3年生を対象として行った。その結果,浴衣の着装体験を通じて,和服と洋服の違いや衣生活の歴史と現状を実感的に理解し,そのことによって衣生活文化に対する意識に変容がみられることが明らかとなった。特にこの着装体験授業では,ショートパンツの製作活動との関連付けを行ったことが,生徒たちの意識の変容に効果的であったと考えられる。今後の課題として,製作活動と着装体験によって得た刺激と,自分の生活知をつなげて,とらえなおす実感的な学びを得る場を持たせた題材展開を目指したい

Is intensive case management screening sheet score associated with service intensity?

Abstract Aims Since April 2020, the new Japanese mental health system has used the Intensive Case Management Screening Sheet (ICMSS) to identify patients’ needs for case management services. This study aimed to examine the association between ICMSS score and service intensity and compare the magnitude of association between ICMSS score and service intensity with other scales. Methods We recruited patients who received case management services from a staff member in a psychiatric outpatient service, psychiatric day‐care program, or outreach team based at one psychiatric hospital. Case management service needs and functioning were assessed using ICMSS, Global Assessment Functioning (GAF), and Personal and Social Performance (PSP). The case manager also documented all services received by the participant for 2 months. The association between each scale and service duration was examined. Furthermore, the magnitude of the association between each scale and service intensity was compared. Results Overall, 138 participants were included in the analysis. The most common diagnosis was schizophrenia. Mean total service duration was weakly but significantly correlated with ICMSS (Spearman's ρ = 0.320), GAF (ρ = −0.198), and PSP (ρ = −0.275) scores. Poisson's regression models and postestimation testing showed that the coefficient for ICMSS score (B = 0.144; 95% CI = 0.141, 0.148) was significantly larger than the coefficients for GAF (B = −0.017, 95% CI = −0.017, −0.016, χ2 = 15.70, P < 0.001) and PSP (B=−0.016, 95% CI = −0.017, −0.016, χ2 = 14.64, P < 0.001) scores. Conclusion ICMSS may provide preliminary information on case management service needs, but the level of service should be based on the individual needs of each patient and shared decision‐making between the patient and case manager