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Abstract

第125巻第4号

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The Role of Psychiatry in the Inclusive Society
Chiyo FUJII
Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry
Psychiatria et Neurologia Japonica 125: 258-265, 2023
https://doi.org/10.57369/pnj.23-038

 The concept of the Inclusive Society is to create a community where people are connected to each other and society, beyond the boundaries of systems and conventional relationships, where each person has a purpose in life and a role to play, and where people can help each other. In Japan today, as the population ages and declines, it is said that the foundations for mutual support in communities, homes, and workplaces are becoming weak. For this reason, there is an urgent need to build the Inclusive Society as a national policy. To realize the Inclusive Society, the Social Welfare Act was revised and enforced in April 2021. Concurrently, in mental health and medical welfare, the construction of "the Community-based integrated Care System focusing on Mental Health Care" is being promoted. The target of support for this system is the entire local population, regardless of whether or not they have a mental disorder. It is important to promote this system from the perspective of residents' lives and community development; this philosophy is encompassed in the inclusive society. One of the important measures for building the Inclusive Society is "consultation support that does not refuse." In the consultation support services provided by municipalities, there are many cases where the problems are complex, and the needs are unclear. Such clients often have mental health issues to a greater or lesser extent, and we often encounter situations where psychiatric assessment and intervention are required. Mental health issues are common to all "problems," and the contribution of psychiatry to local communities will be a major force in building the Inclusive Society.
 Author's abstract

Keywords:inclusive society, community-based integrated care system, community mental health, psychiatry>
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