The 130th Annual Meeting of APHA

3322.0: Monday, November 11, 2002 - Board 2

Abstract #43727

Implementation and Dissemination of Family Psychoeducation and Family Education Programs in Japan (report 1):Nationwide Survey on Public Health Centers and Municipal Mental Health Authorities

Yoshio Mino, MD, PhD, School of Social Welfare, Osaka Prefecture University, 1-1 Gakuencho, Sakai, Osaka-fu, Japan, Iwao Oshima, PhD, Department of Mental Health, University of Tokyo, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan, Japan, 81-3-5841-3612, yoshmino@sw.osakafu-u.ac.jp, Yukako Nakamura, MA, Zenkaren Research Institute, Zenkaren, 1-4-5 Shitaya, Taito-ku, Tokyo, Japan, Masahiro Goto, MD, School of Health Science, Niigata University Faculty of Medicine, 2-746 Asahimachi-dori, Niigata City, Japan, and Shimpei Inoue, MD, Kohchi Medical University, Department of Psychiatry, Okatoyocho Shoren, Nangoku City, Japan.

Objectives: In Japan, needs for family intervention for schizophrenia have been recognized very crucial. In response to it, family psycho-educational approach has been conducted in many Public Health Centers and Municipal Mental Health Authorities. Although it is thought that the number of the Centers and Authorities which run the family intervention have increased recently, an implementation proportion of the programs has not been clarified. Method: Nationwide questionnaire surveys of family intervention were conducted for all Public Health Centers and all Municipal Mental Health Authorities in 2001. Out of 594 Public Health Centers 485 (81.5%) responded satisfactorily, and 2336 Municipal Mental Health Authorities (71.8%) did. The implementation proportions in 2001 were compared to those in 1994. We categorized family education programs into four typical models (types A-D). Type A was the most well-structured program. Proportions of the types were also compared. Results: The implementation proportions among the Public Health Centers were 75.5% in 2001, and 68.6% in 1994. The proportion among the Municipal Mental Health Authorities was 10.8% in 2001. Among the Centers which were conducting the programs, proportion of type A was 48.6% in 2001, which was larger than that in 1994 (18.9%). The reasons why the centers could not run the programs in the centers were 1) insufficient information of the programs, 2) shortage of the staff for the programs, and 3) insufficient budget. Conclusion: In Japan, the implementation proportion of family interventions has been increasing among Public Health Centers. The implementation has started in Municipal Mental Health Authorities.

Learning Objectives:

Keywords: Mental Health Services, Family Involvement

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Mental Health Posters I: Services for Children and Families

The 130th Annual Meeting of APHA