Annual Report 2011
METROPOLITAN EMERGENCYINFORMATION CENTER
FOR THE MENTAL ILLNESS (MEICMI)

Japanese Association of Mental Health Services（NPO）

THE RESULTS OF 2011
4
Number ofthe phonecalls
Primary
emergent
Secondaryemergent
Psychosomaticallycomplicated56789101112121109 1370 1140 1202 1205 1215 1244

910982 1141

3Total967 1116 13601

8103121310813610109112

284028364535343035332833405

100012231610172

NUMERICAL CHANGE IN PHONE CALLS
7000

39.6/day 350
36.8/day 37.0/day

3000

33.7/day33.8/day 33.0/day 32.6/day
300
36.1/day
30.8/day
34.8/day
34.3/day
29.0/day33.2/day
32.3/day250
32.1/day
31.1/day
31.1/day30.2/day29.5/day
212
202
198
193
193
192
192
200
184
177
170
170
167
164
161
154
150
141 148
150
127

2000

81

6000
5000
4000

1000
071 6940 44 40 37
13 11 16 21 7

47
25

13 8

8

33461
54 47
50
46 46

67

13 9

963

66

100
56 56
50
13 4

Triaged as theprimary
emergent case
Triaged as thesecondaryemergent caseNumber ofcalledTriaged as thepsycho
somaticallycomplicated1303

Latter half of '11

Former half of '11

Latter half of '10

Former half of '10

Latter half of '09

Former half of '09

Latter half of '08

Former half of '08

number / hour

Latter half of '07

Former half of '07

Latter half of '06

Former half of '06

Latter half of '05

Former half of '05

Latter half of '04

Former half of '04

Latter half of '03

Former half of '03

Latter half of '02

CHANGE IN THE CALLSACCORDING TO TIME

3.5

3.0

2.5

2.0
0:00-6:00

1.5
6:00-9:00

1.0
9:00-17:00

0.5
17:00-22:00

22:00-24:00

0.0

4

CHANGE IN MALE / FEMALE RATIO
70.0%
60.0%
50.0%
40.0%
30.0%

men

20.0%

female10.0%

uncertain

0.0%

5

DISTRIBUTION OF AGE

OF THE PATIENTS

0500

1000

number of the cases
2000
1500

uncertain
70～
60～

Age

50～
40～
30～
20～

uncertain

16～１９female～15male6

WHO MADE THE EMERGENCY CALLTO MEICMI ?
13258 31 29 34 144
128
12He/She by him/herself
Family member who lives with the patient
Family member who does not live with the patient

749

Family member uncertain about living with him/her483
106

Other acquaintance

527

PoliceEmergency staff of the Fire Department

1052

Psychiatric institution (public)

7344
2691

Psychiatric institution (private)
Physical institution (general hospital & clinic)
Other public institution
Rehabilitation facilities
Institution for the welfare of the aged people
Others
Uncertain

7

WHERE IS THE PATIENT?
179
590
67

754
in his/her own housein his/her acquaintance house572

on the street

29324

At the police station

501236283

Admitted to the physical hospitalIn the ambulance car

Admitted to the mental hospital10066

Out-patient of the physical hospital or clinic
Out-patient of the mental hospital or clinic
Others
Uncertain

8

HISTORY OF TREATMENT (OUT-PATIENT)

FOR MENTAL ILLNESS

6%

being a out-patient of mental
clinic15%

being a out-patient ofpsychiatric hospital

4%
49%
26%

having been out-patients but
not being out-patient now
having no history of treatment
uncertain

9

MAJOR REASONFOR PHONE CALL TO MEICMI
Request to get consultation
Request to introduce medical facilities

655

204

769

1520

Disorder of consciousness
Epileptic seizure902

15047925262
1172

Violence
Attempted suicide / desire to suicide
Paranoid-hallucinatory state/strange behavior
Excitement/distraction
Anxiety and depression

1624
4109

Eating disorder / sleeping disorder
Running out of medicine

776

Side effect of medicine
Others10

CHANGE IN MAJOR REASONFOR PHONE CALL TO MEICMI

45.0%

Disorder of consciousness

40.0%

Epileptic seizure

35.0%

Violence

30.0%

Attempted suicide / desire to suicide

25.0%
20.0%

Paranoid-hallucinatory state/strange
behavior
Excitement/distraction

15.0%

Anxiety and depression / sleeping disorder

10.0%

Eating disorder

5.0%

Running out of medicine

0.0%Side effect of medicine
Request to introduce medical facilities
Request to get consultation

11WHAT MEICMI DID FOR

THE EMERGENCY PHONE CALLS

110
207

783

325

408
Listening and giving some advice

17

Introduction of medical facilities

742

Introduction of counseling facilities
Advice to call police
Advice to call fire department
3184

7825

Advice by the triage-doctor
Triaged as the primary emergent case
Triaged as the secondary emergent case
Triaged as the psycho somaticallycomplicated12CHANGE IN WHAT MEICMI DID
FOR THE EMERGENCY PHONE CALLS
Triaged as the psycho
somatically complicated

20.0%

60.0%

18.0%

50.0%

16.0%

40.0%

14.0%

30.0%

12.0%

20.0%

Triaged as the primaryemergent case

10.0%

10.0%

Advice by the triage-doctor

8.0%

0.0%

6.0%

-10.0%

4.0%-20.0%

2.0%-30.0%

0.0%-40.0%

Triaged as the secondary
emergent case

Advice to call police
Advice to call fire
department
Introduction of counselingfacilities
Introduction of medical
facilities
Listening and giving someadvice

13

WHAT DECISION WAS MADE FINALLYFOR THE PATIENTTriaged as the psychosomatically complicatedout-patientvoluntary admission

Triaged as the secondary
emergent caseinvoluntary admission
with consent by family

Triaged as the primaryemergent casecanceled by patient or
his/her family
050 100 150 200 250 300 350 400
number of patients

14

DISTRIBUTION OF DIAGNOSESOF PATIENTS
Unspecified

Triaged as
the psycho
somaticallycomplicatedF0: Dementia
F1: Mental and behavioral disorders
due to psychoactive substance use
F2: Schizophrenia

Triaged asthesecondary
emergent…

F3: Mood disorder
F4: Neurotic disorder
F5: Eating disorder / sleeping
disorderF6: Personality disorder

Triaged as
the primaryemergent
case

F7/8: Mental retardation

050

100 150 200 250 300 350 400

number of patients

F9: behavioral and emotional
disorders
G4: Epilepsy
Others15

MEASURE OF TRANSPORTATION
55

Public transportation
facilities

11 15

By car79

By taxi
170

127

Ambulance car of the fire
department
Patrol car of the police
department
Ambulance car of the privatetransportation company

122

OthersUnknown
16

REASON OF NOT BEING REFERREDTO MEDICAL FACILITIES

85

39
no need of emergent treatment1160

no beds (beds saved for emergency having been consumed)272

still in the process of consulting

561
169
242

refered to the somatical emergency
high possiblity of hurting himself /herself or others becauseof mental disoder
diorders due to psycho-active substance use

851
566

being not accompanied by the person responsible forprotetion of the patient with mental disorder
not having measures of transportation

3809308

not having medical insurance cardpatient outside of Tokyoothers

17

CHANGE IN REASON OF NOT BEINGREFERRED TO MEDICAL FACILITIES

20.0%

100.0%

18.0%

90.0%

16.0%

80.0%

14.0%

70.0%

12.0%

60.0%

10.0%

50.0%

8.0%

40.0%

6.0%

30.0%

4.0%

20.0%

2.0%

10.0%

0.0%

0.0%

no beds (beds saved for emergency having been
consumed)
still in the process of consulting
refered to the somatical emergency
high possiblity of hurting himself /herself or others
because of mental disoder
diorders due to psycho-active substance use
being not accompanied by the person responsible forprotetion of the patient with mental disorder
not having measures of transportation
not having medical insurance cardpatient outside of Tokyo
othersno need of emergent treatment

18