The effects of declining birthrates and an aging population are affecting psychiatric hospitals. In recent years, nearly 90% of newly admitted patients have been discharged within one year. The vacancy rate of hospital beds in psychiatric hospitals continues to rise. However, long-term hospitalized patients have a high rate of physical complications, and many psychiatric hospitals struggle to accommodate them.
 Aisei Century Hospital has an Orthopedics Department with an operating room, a Rehabilitation Department with a physiotherapy room, and an Internal Medicine Department and Dentistry Department that can handle dysphagia and oral hygiene. As a result, many inpatients who are currently referred to our hospital are patients with physical complications. Furthermore, in the autumn of 2021, an internal medicine doctor was selected as director of Aisei Century Hospital.
 In recent years, there has been a lot of discussion about community-based integrated care systems. The length of hospitalization has become shorter; however, about one-third of patients are re-hospitalized within a year after being discharged. Physical complications and medical fees in psychiatric hospitals are specific problems.
 In order for patients with mental disorders to live in the community, it is necessary to have a general hospital with a psychiatric department or a psychiatric hospital like ours that can treat physical complications.
 Author's abstract