title: Families' opinions about caring for patients with psychiatric disorders after involuntary hospitalization in Japan.
abstract: OBJECTIVE
  It is imperative to know families' opinions about where patients should live after discharge from involuntary hospitalization in the era of community mental health.
  
  
  METHODS
  Questionnaires were sent (March-May 2011) to 808 guardians of patients who were involuntarily hospitalized in Japan (response rate = 54.2%). The final sample size was 365 family members. Whether families wanted to live with the patient after discharge from the hospital was the primary outcome variable. The associations of the demographic characteristics of the patients and families with the outcome variable were tested using logistic regression analysis.
  
  
  RESULTS
  Approximately, 19% of the family guardians wanted to live with the patient after discharge from the hospital. Their wish to cohabit was positively associated with being a female (vs male) patient, having three or more cohabitants in the home and having lived together before hospitalization, after adjusting for the other covariates. Long-term hospitalization (10 years or longer) and siblings were significantly associated with the families not wanting to cohabit, after adjusting for the other covariates.
  
  
  CONCLUSIONS
  It is important to know families' opinions about patients' living situations after discharge from involuntary hospitalization to provide them with an effective support system.
authors.affiliation: Okayama Prefectural Mental Health and Welfare Center, Okayama, Japan nogumasa917@gmail.com.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Noguchi
authors.affiliation: Department of Mental Health Policy and Evaluation, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
authors.forename: Hisateru
authors.initials: H
authors.lastname: Tachimori
authors.affiliation: Department of Social Work, School of Health Sciences, Tokai University, Kanagawa, Japan.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Naganuma
authors.affiliation: Department of Mental Health Policy and Evaluation, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
authors.forename: Xianghua
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Forensic Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Kono
authors.affiliation: Department of Psychiatry, Zikei Hospital, Okayama, Japan.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Horii
authors.affiliation: Department of Mental Health Policy and Evaluation, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Takeshima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006801:Humans; D007564:Japan; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D008605:Mental Health Services; D008875:Middle Aged; D005791:Patient Care; D010351:Patient Discharge; D012111:Residence Characteristics; D011795:Surveys and Questionnaires
keywords: Involuntary hospitalization; caregiver burden; community; family; psychiatric disorder