Alteration and problems of occupational therapy for psychiatric reform in Japan Yumi Nakamura 1 , Hiroshi Yamane 2 , Sumie Yamada 3 1Psychiatric Day Care Unit, Kyoto University Hospital 2Society of Human and Occupation-Life 3Human Health Sciences, Graduate School of Medicine, Kyoto University Keyword: 精神科作業療法 , プログラム , (機能分化) , Psychiatric occupational therapy , Program , Clinical specialization pp.359-370
Published Date 2016/8/15
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 To clarify both alteration and problems of occupational therapy programs for psychiatric reform in Japan, a questionnaire was carried out at 32 participating hospitals. General hospitals with less than 100 beds for patients with mental health concerns were found to have acute-phase occupational therapy programs, while private psychiatric hospitals with more than 100 beds offered primarily recreational programs for large groups of long-term patients. The number of acute-phase occupational therapy programs and discharge promotion programs was less in the latter type of hospital. In addition, there was no system in place for occupational therapists to discuss rehabilitation programs with other professionals in more than half of the facilities. About 80% of the occupational therapists reported these problems, but no changes have yet been implemented, possibly due to problems of profitability in the private hospitals, remuneration for occupational therapy, hospital structures and systems, the recognition and skills of occupational therapists, and cooperation with other professionals.

Copyright © 2016, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会