Hospital based Naikan Therapy (introduction and method).
As used at Sapporo Ohta Hospital
Naikan training
institute

Cooperation with Naikan
Maintain health oftraining instituteinterviewer
All staff must
undergo Naikan
Doctor also must undergo Naikan
and actively participate inNaikan therapy
Desire to be a better
Open expression Naikan interviewerof own experienceof Naikan
Cooperation with Naikan
training instituteNaikan training
institute

Healthy
personImprovement of
hospital Naikan systemand teamwork①Conservation of objectivity and academic philosophy②System transparency③Ongoing program reviewPartnership with theentire hospital staff

Provide a Naikan staff room
Monthly time table for Naikan staff
Daily time table for staff activity

Pre-Naikan care
Post-Naikan care

Maintain statistics

Cooperation with nurse station

Publish results

Review the Naikan methodology

Nurses attend patient s roundOccasionally two Naikan interviewers

Seek patient s feedback

Fourth step of tenth grade
improvement method To decide the patient

Accurate Naikan reports
Family observationof patient s Naikan

position in clinical course

Regular meeting of the staff groups(Naikan, nursing, psychology)

Entire hospital staff must
Response to change of symptoms
Encouragement by a patient
support Naikan therapy
after Naikan introduction
who has completed Naikan
Interviewer should undergo periodic
Review the patient s
Staff conform to Naikan
assessment and have opportunities for
system and rules
Naikan notes daily
Ongoing program review
professional development
Group determine when
Maintain principles
Naikan training of Yoshimoto Naikan
Match the interviewer to the patient
to introduce Naikan
institute
Possibility to change theIncrease the number of patients Supervised morning Music in the morningphysical exercise
interviewer (age, sex)
Evening broadcast
undergoing Naikan

Improvement throughpractical experience

If students underwent Naikan,① they should grow up healthily② it might prevent their future mental maladjustment

Mildcase

Tomoda s
Naikan manual

Intermediate(mental・physical）
case

The meeting of medical conference
Accreditation
Maintain principles(①②③) from start
to finish of Naikan therapy
Post discharge follow up
Important are regular outpatient
visits to check the Naikan
personal notes

Severe case（hallucination・delusion・delirium）

To encourage whole family
Maintain principles of Yoshimoto Naikan
members to use physical contact Explanation andMaintain principles ofexperience presentation Naikan under restraint
The family should undergo
To apply Naikan method
Yoshimoto Naikan
from other patients
Naikan at the same timeby internet
Staff education about
Seek patient s feedback
Demonstrate Naikan
Explanation
toBodyparts Naikan
Naikansystem
andrulesTo apply Naikan method by telephone
to the familyCounseling by previous patient
the patient s teacher
Mother and children
Naikan interview in
Listen to the tape
Locked room Naikan,
The family should
Therapist/patients
Consultation with child welfare
undergo Naikan in thethe appropriate placeabout Naikan
flexibleinterview schedule
undergo Naikan
Naikan meetingor other authorities
same room
Occasionally twoFullNaikan
course in aPatients watch the video tape
Demonstrate Naikan
Possibility to change
Administrative health centers
Naikan interviewers
lockedroom
during outpatient interview
to the familyinterviewer (age, sex)
Possibility to change the Universities and colleges
Occasionally two Naikan interviewers
Possibility
to change theOn admission show Picasso sinterviewer (age, sex)
Own room Naikan
interviewer (age, sex)
painting and relate to the Naikan mind
Change of room
A Naikan
Nursing schools
Level up
To start daily Naikan in(two persons room orInthesamechamberNaikan
training institute the patients own room
Provide information books
Determine appropriate medication
four persons room)
mother and small children
Anti-alcoholic association
Explanation and experience
The hospital staff
Change of symptoms after
Discuss the time
Various Naikan introduction places
presentation from other patients
PTA, Patient s family association
should undergo Naikan：
Naikan introduction
when to introduce Naikan
It is important
Daily Naikan
Change of room
Provide information books
Choose the place whereOngoing program review
Choose the place whereDiscontinue, Level down
To show the The family also should Naikan during walking
to introduce Naikan
to introduce Naikan
Review of each caseStart using formal Naikan style
Daily Naikan
undergo Naikan
video tape
Ask patient s family for
their own Naikan experience

Explanation so the patient
fully understands Naikan
Introduction Ⅰ

Discuss the method of Naikan

Introductory steps
immediately before NaikanIntroduction Ⅱ

Elderly patients recollectearly memories helped bystimulation program

Change the management
during Naikan
Introduction Ⅲ

Flexible consideration for the patients spirit,
physical condition, symptoms and family situation

Communication and cooperation
with the family, local
authorities and society

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Personal maturity of
individual Naikan
interviewer

Layout of Naikan room
Place of Naikan therapy

We have been refining the method of Naikan therapy for more than twenty years: these patient s range from mild to severecases and include inpatients and outpatients. We have developed our own effective Naikan and kept close to the principleof Yoshimoto Naikan. We usually achieve our target to use the most effective way for each case. We believe schizophrenics
can also benefit by this Naikan method under medical control. We made this table to simplify understanding of our system
Sapporo Ohta Hospital Kohei Ohta