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The Strategy of Early Intervention for Psychiatric Patients and Their Families

Research Project

Project/Area Number 19592621
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionTokyo Metropolitan Organization for Medical Research

Principal Investigator

TANOUE Michika  Tokyo Metropolitan Organization for Medical Research, 東京都精神医学総合研究所, 主任研究員/チームリーダー (70227247)

Co-Investigator(Kenkyū-buntansha) NIIMURA Junko  財団法人東京都医学研究機構, 東京都精神医学総合研究所, 研究員 (90360700)
糸川 昌成  東京都精神医学総合研究所, 副参事研究員・プロジェクトリーター (40332324)
榛葉 俊一  東京都精神医学総合研究所, 副参事研究員・プロジェクトリーター (80175398)
Co-Investigator(Renkei-kenkyūsha) ITOKAWA Masanari  財団法人東京都医学研究機構, 東京都精神医学総合研究所, 参事研究員/プロジェクトリーダー (40332324)
SHINBA Syunichi  財団法人東京都医学研究機構, 東京都精神医学総合研究所, 副参事研究員/プロジェ外リーダー (80175398)
NISHIDA Atsushi  財団法人東京都医学研究機構, 東京都精神医学総合研究所, 研究員 (20510598)
Research Collaborator 末安 民生  慶應義塾大学, 看護医療学部, 准教授/日本精神科看護技術協会長
仲野 栄  日本精神科看護技術協会, 専務理事
有本 妥美  日本精神科看護技術協会, 教育部長
小成 祐介  村上病院, 看護部長
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2008: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2007: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords精神疾患患者 / 家族 / 早期支援 / 早期介入
Research Abstract

The purpose of this study was to understand psychiatric patients and their families' experience throughout the process of early intervention leading to medical care, as well as seeking the kind of support and service that are appropriate and beneficial for the patients and families, in order to create and provide an improved early psychiatric care and support. In addition, this study also investigated the direction of the care for psychiatric patients and families, which is required for psychiatric patients to have life within a community, as well as to improve patients' and families' Quality Of Life (QOL). More specifically, families of patients with psychiatric disorder, mainly schizophrenia, were interviewed in order to understand the process of early psychiatric disorder, as well as to analyze and investigate the framework and needs of early care in the field of mental health and mental health nursing.
The patients were divided into three main groups ; a group that had short time period between an onset and a treatment, a group that had a large time period between an onset and a treatment, and a group that had warning symptoms such as truancy, which resulted in onset. Within all the groups, majority of care are still done by the families, since stable medical service is unavailable. Families spent a lot of time and effort to seek precise diagnosis and treatment, yet were hurt and or misled by medical caregivers' behaviors. Some family members mentioned that medical caregivers would lead families by the nose by saying words such as "This is not a medical issue", or "This is not schizophrenia".

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (4 results)

All 2009 2008

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (3 results)

  • [Journal Article] 思春期のひきこもり・軽度非行のある不登校に対するグループ親ガイダンス.2009

    • Author(s)
      田上美千佳, 新村順子, 皆川邦直, 三宅由子, 野津眞, 川関和俊
    • Journal Title

      精神科治療学 24

      Pages: 1397-1403

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Presentation] 精神疾患患者の早期支援の促進に関する基礎的分析:診断が明確になるまでの患者・家族状況とケアニーズ.2009

    • Author(s)
      田上美千佳, 新村順子
    • Organizer
      日本精神保健看護学会第19回総会・学術集会
    • Place of Presentation
      慶應義塾大学
    • Year and Date
      2009-06-21
    • Related Report
      2009 Final Research Report
  • [Presentation] 精神疾患患者の早期支援の促進に関する基礎的分析:診断が明確になるまでの患者・家族状況とケアニーズ2009

    • Author(s)
      田上美千佳, 新村順子
    • Organizer
      日本精神保健看護学会第19回総会・学術集会
    • Place of Presentation
      慶應義塾大学日吉キャンパス
    • Year and Date
      2009-06-21
    • Related Report
      2009 Annual Research Report
  • [Presentation] 精神障害者の地域生活を促進する家族への援助に関する研究:受診に至るまでの家族の体験. プログラム・抄録集:54-552008

    • Author(s)
      新村順子・田上美千佳
    • Organizer
      日本精神保健看護学会総会・学術集会
    • Place of Presentation
      東京女子医科大学
    • Year and Date
      2008-06-21
    • Related Report
      2008 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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