ArticleConsortium psychiatricum2022
Recent Developments in Community-Based Mental Health Care in Japan: A Narrative Review.
Article in Consortium psychiatricum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mental illness stigma and treatment-seeking willingness in Japan: a national survey study.International journal for equity in health · 2026Article
- Association of community welfare resources and outpatient occupational therapy with psychiatric length of stay: A nationwide analysis in Japan.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Psychological Experiences and Support Needs of Volunteer Psychiatric Interpreters in Japan: A Qualitative Study.Cureus · 2025Article
- A stepped care approach to mental health in Singapore: challenges and opportunities.BMC global and public health · 2025Review
- Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the 1950s, mental health care in Japan has been hospital-centered. A set of legislative initiatives were undertaken in 1995, emphasizing the importance of community-based mental health care. However, despite these attempts to develop a community-based mental health care system, the rate of inpatient-based treatment has remained high and the shift from hospital-centered care to community-based has still not fully materialized.
aimThis study aims to conduct a review of the available literature on the development of community-based mental health care in Japan between 2010 and 2020.
methodsWe conducted a standardized literature search in the electronic database Igaku Chuo Zasshi, aiming to identify original studies published between 2010 and 2020 that explored community mental health care in Japan. The included studies' outcomes were categorized as performance surveys, service user reports, service provider reports, and educational activities. A descriptive-analytical method was implemented in the current review.
resultsA total of 25 studies were examined. Six studies reported surveys assessing the performance of community-based mental health care on the assertive community treatment (ACT), compulsory treatment, home-visit nursing care, physical complications, and a welfare medicine collaboration on a remote islands. Four studies investigated the perspectives of service users or their families on home-visit nursing care, social participation, community program, and legislative revision. Ten studies focused on social withdrawal, service providers perspectives on local population needs, supporting skills, care programs, and the professional growth of psychiatric social workers. Five studies focused on educational approaches for future healthcare professionals and efforts to improve mental health literacy among adolescents.
conclusionThis paper provided the first comprehensive review of Japan's community-based mental health care. Between 2010 and 2020, community mental health care in Japan evolved in many directions, with the understanding that various needs should be met. Home-visit nursing care and ACT can be considered as the most thoroughly investigated and better developed. Research that adopt rigorous methodologies such as randomized controlled trials is required if the goal is to achieve solid conclusions.
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