title: [The Present Status of, and Issues Related to, Mental Health Activities in the Ishinomaki Region, with a Focus on Outreach Activities].
abstract: The Great East Japan Earthquake was a colossal event, registering a magnitude of 9.0 and causing huge tsunami that in some places were more than 40 meters in height. As of March 31, 2014, the number of dead nationwide stood at 15,882, while 2,668 persons were listed as missing; 3,089 other deaths have also been classified as being disaster-related. There were 5,500 victims in the Ishinomaki area alone. The disaster, comprising the earthquake itself, the subsequent tsunami, fires, and the nuclear power plant accident, was a combined natural and man-made catastrophe of epic proportions, affecting a broad, underpopulated region. Those hit by the disaster were affected not only by the loss of life, but also the loss of homes and livelihoods. These people experience psychological stress, fear, and anxiety as a result of lifestyle and environmental changes associated with moving from evacuation areas to prefab temporary housing, or the homes of parents, siblings, relatives, friends, or acquaintances, followed by attempts to rebuild their own homes. Other changes, such as the loss of employment, the transition to new workplaces, or having to change schools, also take a psychological and emotional toll. Delays in the construction of new housing and the resulting prolongation of life as evacuees only serve to increase anxiety and the sense of stagnation. With the above as a backdrop, the author will report on activities being conducted by his organization, particularly outreach efforts.
authors.forename: Keizo
authors.initials: K
authors.lastname: Hara
mesh_terms: D001007:Anxiety / Q000523:psychology*; D004190:Disasters; D062406:Fukushima Nuclear Accident; D006801:Humans; D007564:Japan; D001523:Mental Disorders / Q000175:diagnosis* / Q000534:rehabilitation; D008603:Mental Health; D013315:Stress, Psychological / Q000209:etiology*; D057192:Tsunamis