Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T07:42:20.518Z Has data issue: false hasContentIssue false

A Comparative Study of Psychiatric Services in Japan and England

Published online by Cambridge University Press:  02 January 2018

Yoshio Mino
Affiliation:
Department of Public Health, Kochi Medical School, Japan
Ryosei Kodera
Affiliation:
Kochi Prefectural Motoyama Health Centre, Japan
Paul Bebbington*
Affiliation:
MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London
*
Correspondence

Extract

Psychiatric services in Japan and England are compared using government statistics. In Japan, the number of in-patients per 100 000 population has increased from the 1950s, while that of England has decreased since 1954. Since 1972 the prevalence of in-patients has been higher in Japan than in England. The admission rate is lower in Japan than in England, and there are more long-stay patients. Most Japanese in-patients are admitted compulsorily, whereas most are admitted voluntarily in England. The attendance at out-patient clinics is higher in Japan than in England, but there are far fewer day-hospital places in Japan. Differing government policies are the main reason for these differences.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aoyama, H. (1983) Public health and medical practice and psychiatric administration (in Japanese). Seishin-iryo, 11, 414.Google Scholar
Audit Commission (1986) Making a Reality of Community Care. London: Her Majesty's Stationery Office.Google Scholar
Cohen, D. (1988) Forgotten Millions. London: Paladin Grafton Books.Google Scholar
Department Of Health And Social Security. In-patient Statistics from the Mental Health Enquiry for England (and Wales) (1960–1984). London: Her Majesty's Stationery Office.Google Scholar
Fahy, T. (1987) Japan, liberty & lunacy. The Bethlem and Maudsley Gazette, 34, 1315.Google Scholar
Gelder, M., Gath, D. & Mayou, R. (1986) Psychiatric services. In Oxford Textbook of Psychiatry (eds M. Gelder, D. Gath & R. Mayou). Oxford: Oxford University Press.Google Scholar
Harding, T. W., Schneider, J. J., Visotsky, H. M., et al (1986) Human Rights and Mental Patients in Japan. Geneva: International Commission of Jurists.Google Scholar
House Of Commons (1985) Second Report from the Social Services Committee, Session 1984–1985: Community Care. London: Her Majesty's Stationery Office.Google Scholar
International Commission Of Jurists' Mission To Japan (1988) Preliminary Report and Recommendations. Geneva: ICJ.Google Scholar
Kato, M. (1969) Psychiatric epidemiology surveys in Japan: The problem of case finding. In Mental Health Research in Asia and the Pacific (eds W. Caudill & T. Lin). University of Hawaii: East-West Center Press.Google Scholar
Koseisho, (1983) Seishin Eisei Jittai Chosa Hokoku no Gaiyo (in Japanese). Tokyo: Koseisho.Google Scholar
Koseisho Seishin Hoken Ka (1988) Wagakuni no Seishin Hoken (in Japanese). Tokyo: Kosei Kanko Mondai Kenkyukai.Google Scholar
Koseisho Tokei Joho Kyoku (1960–1984) Kanja Chosa (Patient Survey) (in Japanese). Tokyo: Koseisho.Google Scholar
Nishizono, M. (1984) Overview of mental hospitals in Japan (in Japanese). Nisseikyo-Zasshi, 3, 4755.Google Scholar
Ogawa, K., Miya, M., Watari, A., et al (1987) A long-term follow-up study of schizophrenia in Japan – with special reference to the course of social adjustment. British Journal of Psychiatry, 151, 758765.Google Scholar
Okagami, K. & Wada, S. (1985) Community mental health services in Japan: the role of public health centers, mental health centers, and the National Institute of Mental Health. Journal of Mental Health, 32, 141146.Google Scholar
Salokangas, R. K. R., Der, G. & Wing, J. K. (1985) Community psychiatric services in England and Finland. Social Psychiatry, 20, 2329.Google Scholar
Totsuka, E., Mitsuishi, T. & Kitamura, Y. (1986) Mental health and human rights: illegal detention in Japan. In Psychiatry Law and Ethics (eds A. Carmi, S. Schneider & A. Hefez). Berlin: Springer-Verlag.Google Scholar
Wing, J. K. (1972) Principle of evaluation. In Evaluating a Community Psychiatric Service: The Camberwell Register, 1964–1971 (eds J. K. Wing & A. M. Hailey). Oxford: Oxford University Press.Google Scholar
Wing, J. K. (1985) Mental health services in United Kingdom. In Psychiatry, The State of the Art 7, Epidemology and Community Psychiatry (eds P. Pichot, P. Berner, R. R. Wolf & K. Thau). New York: Plenum Press.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia, A Comparative Study of Three Mental Hospitals 1960–1968. London: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.