Japan has just enacted a national law for alcohol, that named "Basic Act on Measures Against Alcohol-related Health Harm".
This article includes 5 topics; i) General psychiatrists have the roles and responsibilities in this law, ii) All psychiatrists need to know about alcohol-related health harm and alcohol-related problem, iii) Alcohol dependence is attributed to change of neurotransmitter in the brain, iv) Mood disorder is more likely to be complicated by alcohol dependence and/or hazardous drinking. Some of the patients with the above-mentioned complicated disease have alcohol-induced mood disorder, v) If the patient has alcohol-induced mood disorder, it will place priority on alcoholism treatment and will be important to quickly resolve with abstinence.
Finally, the proposals are made as follows; i) Making a guideline, ii) Physicians skilled at SBIRT (Screening, Brief Intervention, and Referral to Treatment) should be qualified as a certifying physician, and having the qualification should allow reimbursing medical institutions for the alcohol related service provided.
<Authors' abstract>
The Basic Act on Measures against Alcohol-related Health Harm and Role of General Psychiatrists -With focus on SBRIT and Deadly Triangle-
1 Kasumigaura Clinic
2 Zikei hospital
3 Higashi-Fuse Clinic
4 Fukko-kai Tarumi Hospital
5 National Hospital Organization, Hizen Psychiatric Center
6 Narimasu Kosei Hospital
7 University of Tsukuba, Faculty of Medicine
8 Miki Mental Clinic
9 National Hospital Organization Kurihama Medical and Addiction Center
2 Zikei hospital
3 Higashi-Fuse Clinic
4 Fukko-kai Tarumi Hospital
5 National Hospital Organization, Hizen Psychiatric Center
6 Narimasu Kosei Hospital
7 University of Tsukuba, Faculty of Medicine
8 Miki Mental Clinic
9 National Hospital Organization Kurihama Medical and Addiction Center
Psychiatria et Neurologia Japonica
117: 646-654, 2015
<Keywords:Basic Act on Measures Against Alcohol-related Health Harm, at risk drinking, alcohol dependence syndrome, SBIRT, deadly triangle>