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A Study for Establishing the Outcome Measure of Hospitalization for Assessment in the Scheme of Medical Treatment and Supervision Act

Research Project

Project/Area Number 16K10242
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionChiba University

Principal Investigator

Shiina Akihiro  千葉大学, 社会精神保健教育研究センター, 特任准教授 (70436434)

Research Collaborator Sato Aiko  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords医療観察法 / 鑑定入院 / 司法精神医学 / アウトカム / 評価指標 / アウトカム評価 / 鑑定
Outline of Final Research Achievements

The subjects of Medical Treatment and Supervision Act are to be hospitalized for assessment. This scheme has been criticized for the lack of concrete and qualified outcome evaluation. We had developed the series of outcome measures for hospitalization for assessment in the previous study. In this study, we aimed at examine the validity and usability of this measurement. After gaining informed consent from 20 patients, we accessed several relevant persons such as psychiatrists and lawyers, to gather a total of 160 answer sheets from each examiner. As well, we conducted a questionnaire survey for examining the usability of the outcome measures, collecting 45 answers. As a result, 34 of all 139 items were proven as validated. However, the inter-tester reliability was not high. It was suggested that the opinions of the patients and their family should be respected. Also, we need to listen to hospitals accepting the patients after discharge from hospitalization for assessment.

Academic Significance and Societal Importance of the Research Achievements

我が国では司法精神医学分野の学術研究はこれまで乏しく、特に医療観察法鑑定入院についてはほぼ皆無の状況が続いていた。本研究は鑑定入院の質の評価方法を確立させた初めての研究である。本研究成果により、個々の鑑定入院事例において、その処遇が適切であったか否かを第三者が検証することが可能となった。この評価基準は客観的であり、処遇に携わる者すべてが共有でき、多職種連携という司法精神医療の特徴とも親和的である。評価指標を参照することにより、施設は現在の医療水準と改善すべき点を明確に認識することができ、将来の医療水準の向上、施設間格差の縮小に資する。また将来的には医療経済的な活用にも応用可能である。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (12 results)

All 2019 2018 2017 Other

All Int'l Joint Research (1 results) Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (6 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Book (1 results) Remarks (1 results)

  • [Int'l Joint Research] VU University Medical Center(オランダ)

    • Related Report
      2018 Annual Research Report
  • [Journal Article] The recognition and expectations of ex-inpatients of mental health services: A web-based questionnaire survey in Japan2018

    • Author(s)
      Akihiro Shiina, Yasatka Ojio, Aiko Sato, Naoya Sugiyama, Masaomi Iyo, Chiyo Fujii
    • Journal Title

      PlosOne

      Volume: 13(10) Issue: 10 Pages: 1-12

    • DOI

      10.1371/journal.pone.0197639

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of educational intervention on attitudes toward the concept of criminal responsibility2017

    • Author(s)
      Akihiro Shiina, Tomihisa Niitsu, Aiko Sato, Soichiro Omiya, Takako Nagata, Aika Tomoto, Hiroyuki Watanabe, Yoshito Igarashi, Masaomi Iyo
    • Journal Title

      World Journal of Psychiatry

      Volume: 7(4) Issue: 4 Pages: 197-206

    • DOI

      10.5498/wjp.v7.i4.197

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differences between British and Japanese perspectives on forensic mental health systems: A preliminary study2017

    • Author(s)
      Akihiro Shiina, Aika Tomoto, Soichiro Omiya, Aiko Sato, Masaomi Iyo, Yoshito Igarashi
    • Journal Title

      World Journal of Psychiatry

      Volume: 7(1) Issue: 1 Pages: 8-11

    • DOI

      10.5498/wjp.v7.i1.8

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 司法精神医学教育と啓発に関する研究2018

    • Author(s)
      椎名明大
    • Organizer
      第14回日本司法精神医学回大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 「精神科臨床における「グレーゾーン事例」の設定に関する研究題」2018

    • Author(s)
      椎名明大
    • Organizer
      第26回日本精神科救急学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] International Comparison of the Opinion regarding Forensic Mental Health between the US, UK and Japan.2018

    • Author(s)
      Akihiro Shiina
    • Organizer
      International Conference on Crisis, Coercion and Intensive Treatment in Psychiatry.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 医療観察法における鑑定入院アウトカム指標の確立と検証に関する研究 第3報2018

    • Author(s)
      椎名明大
    • Organizer
      第14回医療観察法関連職種研修会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 医療観察法における鑑定入院アウトカム指標の確立と検証2017

    • Author(s)
      椎名明大
    • Organizer
      第13回日本司法精神医学会大会
    • Related Report
      2017 Research-status Report
  • [Presentation] Impact of the Medical Treatment and Supervision Act: A new Legislation of Forensic Mental Health Scheme in Japan2017

    • Author(s)
      Akihiro Shiina
    • Organizer
      XXXVth International Congress on Law and Mental Health
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 刑事精神鑑定ハンドブック2019

    • Author(s)
      五十嵐禎人、岡田幸之 編
    • Total Pages
      288
    • Publisher
      中山書店
    • ISBN
      4521747426
    • Related Report
      2018 Annual Research Report
  • [Remarks] 国際シンポジウム ~触法精神障害者のリスクアセスメントをめぐって~

    • URL

      http://www.m.chiba-u.ac.jp/class/shakai/jp/about/doc/20190217.pdf

    • Related Report
      2018 Annual Research Report

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Published: 2016-04-21   Modified: 2020-03-30  

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