[A manual for community mental health activities for a public health center in Japan].
A system for treatment of persons with chronic mental disease such as schizophrenics in the present structure of the Japanese public Health Center is proposed. Presently, while cases are handled by responsible staff members, incorporation into the health center system with full utilization of its personnel and resources is seldom accomplished. There is a necessity for a systems approach in order to organize essential programs that would provide care for the mentally diseased. Health centers would have three main roles in this system: as a coordinator of mental health resources in the community, as a specialized agency for case management, and responsibility for public relations in its service area. For proper administration of its system, health centers should follow a team concept. The team would consist of a director of health centers, physicians, part-time psychiatrists, public health nurses, psychiatric social workers and clerical staff. At case conferences discussion of whether a prospective case should be registered, assessment of the needs, and development of management plans for all of the registered cases would be conducted. The files and documents of each case would be deleted or re-registered 5 years after initial registration. Cases would have a case-manager to coordinate public health care, including home visits, family care, psycho-educational consultation and crisis intervention. Health centers would be responsible for bringing together available social resources such as sheltered workshops and transient residential programs. The goal of health centers' mental health activities would be to facilitate the normalization of the mentally diseased within the community.
Goto
R
R
Hokkaido Tobetsu Public Health Center.
Sato
T
T
Imakita
T
T
Hattori
T
T
Yaguchi
T
T
Ooi
T
T
Heki
N
N
Sone
I
I
Kuwabara
H
H
D003151:Community Health Centers / Q000458:organization & administration*; D003156:Community Mental Health Services / Q000458:organization & administration*; D006801:Humans; D007564:Japan; D008370:Manuals as Topic; D001523:Mental Disorders / Q000628:therapy