An integrated youth mental health service in a densely populated metropolitan area in Japan: Clinical case management bridges the gap between mental health and illness services
| Autor: | Masafumi Mizuno, Momoko Iwai, Takahiro Nemoto, Tomoji Kitano, Kuniaki Tanaka, Takashi Uchino, Yumi Kotsuji, Takuma Shiozawa, Akihiko Seki, Akiko Aoki, Masanori Shirahata, Satomi Iida |
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| Rok vydání: | 2021 |
| Předmět: |
Service (business)
Mental Health Services Adolescent Family support Mental Disorders Global Assessment of Functioning At risk mental state Mental illness medicine.disease Metropolitan area Mental health Psychiatry and Mental health Mental Health Nursing Japan Intervention (counseling) medicine Humans Pshychiatric Mental Health Psychology Case Management Biological Psychiatry |
| Zdroj: | Early intervention in psychiatryREFERENCES. 16(5) |
| ISSN: | 1751-7893 |
| Popis: | AIMS A global movement, including in Asia, is seeking to establish integrated youth mental health services that provide early intervention in the continuum from mental health to mental illness. Clinical case management (CCM), in which a case manager becomes not only a coordinator of services but also a provider of psychosocial support, can establish a 'one-stop network' that supports youth in densely populated areas with various social resources. In 2019, we opened a community-based centre called 'SODA' in front of a metropolitan railway station, which was designed to be highly accessible, stigma-free and youth-friendly to provide CCM. We aimed to clarify its services and effectiveness of CCM. METHODS Data from 105 youths were investigated in a case-controlled study, dividing them into two groups: those who had received CCM for 6 months, and those whose needs were met in fewer sessions. RESULTS Twenty-one subjects who received CCM for 6 months had difficulties in more domains than the others. The mean of the total service minutes for the subjects who received CCM for 6 months was 491.3 min: psychological support (accounted for 24.8% of the time), support for community living (31.2%), work support (13.8%), family support (10.5%) and support for cooperation with other organizations (19.8%). Global Assessment of Functioning (GAF) score improved significantly, from 46.6 at baseline to 59.3 at 6 months. CONCLUSION Even in metropolitan areas with numerous medical facilities, young people can face high barriers to access. CCM can be effective as an early intervention for subjects developing mental illness. |
| Databáze: | OpenAIRE |
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