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Concept of Visions in Reform
Concept of "Visions in Reform of Mental Health and Medical Welfare"
Recent Developments in Mental Health and Medical Welfare Administration
"Visions in Reform of Mental Health and Medical Welfare"
The "Visions in Reform of Mental Health and Medical Welfare" is a report by the Headquarters for Mental Health and Welfare of the Ministry of Health, Labour and Welfare with the Minister serving as the Director-General. The report generally indicates the goals that must be realized over the next 10 years in order to reform the focus of Japan? mental health and medical welfare from "hospitalized medical treatment to living in the community". Recent developments including the "Visions in Reform of Mental Health and Medical Welfare" are as follows.
Recent Developments in Mental Health and Medical Welfare Administration
December 2002 Report by the Subcommittee on the Status of Persons with Mental Disorders of the Social Security Council Committee on the Status of Persons with Disabilities:
"Regarding Future Mental Health and Medical Welfare Policies"
May 2003 Interim Report by the Headquarters for Mental Health and Welfare:
"Direction of Future Measures toward the Reform of Mental Health and Welfare"
---- Identifies public education, psychiatric treatment reform, support for living in the community, and "measures for the 72,000 patients who could be discharged upon the preparation of their acceptance conditions" as priority policies to be addressed by the Ministry of Health, Labour and Welfare, and decides on the establishment of three investigative commissions on public education, psychiatric hospital beds, etc., and community care, etc.
September 2003 Report by the Department of Health and Welfare for Persons with Disabilities of the Ministry of Health, Labour and Welfare:
"Direction of Future Measures toward the Reform of Mental Health and Welfare"
March 2004 Report by the Department of Health and Welfare for Persons with Disabilities of the Ministry of Health, Labour and Welfare:
"Report of the Investigative Commission on Public Education for Improved Understanding of Mental Health Problems"
August 2004 Report by the Department of Health and Welfare for Persons with Disabilities of the Ministry of Health, Labour and Welfare:
"Final Report of the Investigative Commission on the Approach to Community Support Services for Persons with Mental Disorders"

Report by the Department of Health and Welfare for Persons with Disabilities of the Ministry of Health, Labour and Welfare:
"Final Report of the Investigative Commission on Psychiatric Hospital Beds"
September 2004 Report by the Headquarters for Mental Health and Welfare of the Ministry of Health, Labour and Welfare:
"Visions in Reform of Mental Health and Medical Welfare"
---- Sets the goals for changing the awareness of all classes of society and for reorganizing and strengthening the foundation of the outdated mental health and medical welfare system over the next 10 years to advance the basic policy of shifting Japan? mental health and medical welfare from hospitalized medical treatment to living in the community. At the same time, plans to resolve the issue of "patients (approximately 70,000) who could be discharged upon the preparation of their acceptance conditions."
October 2004 Report by the Department of Health and Welfare for Persons with Disabilities of the Ministry of Health, Labour and Welfare:
"Regarding Future Health and Welfare Policies for Persons with Disabilities" (proposed grand design for the reform)
---- Arrange comprehensive health and welfare policies for persons with disabilities. (Arrange unified systems transcending age, type of disability, and disease, primarily at the municipal level, and achieve community welfare).
---- Make the transition to independence support type systems. (Shift to frameworks that promote living in the community through independence support in accordance with the needs and adaptability of persons with disabilities, and advance the "self-realization and social participation" of persons with disabilities).
---- Secure the sustainability of the system. (The framework for maintaining and managing the system is extremely fragile, and a fundamental review toward prioritizing and bringing greater equity to benefits as well as making the system more efficient and transparent is essential).
June 2005 Revision of the Law for Employment Promotion, etc. of the Disabled
---- Strengthens employment measures for persons with mental disorders. (Applies the employment quota system for persons with disabilities, applies the levy and grant system for the employment of people with disabilities).
---- Provides support for persons with disabilities employed at home.
---- Arranges organic linkage with welfare policies for persons with disabilities.
November 2005 The "Law to Support the Independence of People with Disabilities"
Revision of the Mental Health and Welfare Law
April 2008 - Sessions organized by the Social Welfare and War Victims? Relief Bureau of the Ministry of Health, Labour, and Welfare: ?nvestigative Commission on the Approach to Future Mental Health and Medical Welfare Systems.?
----Evaluating the effects of reform during phase 1 (first five years) of the Visions in Reform program.
----Setting policy measures for phase 2 (second five years) beginning in September 2009.
(1) Enhancing the community life support system
(2) Reconstructing the mental health and medical systems
(3) Deepening public understanding of mental illness
Related Reports
Study Visit on Community Mental Health in Japan
Dr. Chee Ng, Clinical Associate Professor of the Department of Psychiatry, University of Melbourne, visited Japan from January 6 to 19, 2008. He is the Director of the International Unit at St Vincent's Mental Health; Co-Director of the Asia-Australia Mental Health; Site Director of WHO Collaborating Centre in Mental Health which cooperates with other international WHO centres. He is a Fellow of the Royal Australian and New Zealand College of Psychiatrists;Secretary-General of the Pacific Rim College of Psychiatrists; Member of the Advisory Committee of the China-Australia Community Mental Health Reform; and Coordinator of the Asia-Pacific Community Mental Health Development Project, which involves 14 countries to promote best practice in community mental health care. Serving in these positions, he is making a significant contribution to mental health development in Australia and Asian countries.
Above is his report on the study visit.
Clark Report
WHO dispatched Dr. Clark, Director of Fulbourn Hospital in the UK, to Japan, from November 1967 to February 1968, in response to a request made by the Japanese Government.
Above is the full text of his report (known as the Clark Report) on community mental health in Japan.