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A report on the government project to promote hospital discharge for patients with mental disorders in Hiroshima prefecture Yukie Tabata 1 1Faculty of Health and Welfare,Prefectural University of Hiroshima Keyword: 精神科作業療法 , 退院 , 作業療法士 , Psychiatri coccupational therapy , Hospital discharge , Occupational therapist pp.69-76
Published Date 2006/2/15
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 A Government project called "Seishin-shougaisha Taiin Sokushin Jigyou", promoting hospital discharge for patients with mental disorders, was started in Japan from the year 2003, intended to encourage social independence. The subjects are patients with mental disorders who have stable symptoms and can be discharged from hospitals under a suitable environment. From the viewpoint of an occupational therapist, the author reports on the first-year results of this project, which has been in operation in Hiroshima Prefecture from May of 2004. The target number of subjects was 20, and 20 patients were indeed considered to be suitable for this project. 5 of the 20 subjects completed the project, and 4 of them were discharged. An individual support plan was designed for 8 subjects. When the patients had not been discharged from the hospitals because of their families, or had no families or relatives and such circumstances stood in the way of their hospital discharge, this project appeared to be useful.

 Of all the subjects, 8 were receiving occupational therapy. Occupational therapy is very useful for solving their problems of activities of daily living and improving their social skills, which helps them to live in their community. However, because the purpose of the therapy was not written in the project documents, proof of the effectiveness of occupational therapy in this project has not been presented. It is desirable that occupational therapists participate actively in this project; therefore, better understanding of occupational therapy, development of a medical system for individualized occupational therapy and learning the theory and practice of care-management are required.


Copyright © 2006, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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