FY 2021 ActivityReport

FY 2021 Activity Report by project item
● Activity Report of Divisions

Community Support Division, Stem Center
Business Management Division, Stem Center

Community Support Division, Ishinomaki Regional Center
Community Support Division, Kesennuma Regional Center● Practice Report● Papers published in other journals

FY 2021 Activity Report by project item
We report on the performance of resident support, support for supporters, public awareness campaigns, and otherprojects that were implemented in FY 2021 by the MDMHCC in accordance with the Second Operation Plan.
1. FY 2021 performance and overall numbers (Table 1)
Table 1. Number of activities by affiliation

Business
Stem C
Part-time/ Supporters,
Management
Totalmanagers
contractetc.
Kesennuma Ishinomaki StemDivision
Resident support
3,130556
19415720 3,904
Support for
190
266
137
8600 607
supporters
Public awareness
166
1516111000 218
campaigns
Support for
00000000
various activities
Meeting contact
313
367
38
100
1300 831
coordination
Community Support Division

2. By project item
(1) Resident support (Tables 2 and 3)
Table 2. Total number of people supported, by support method(excluding support method “letters”; N = 3,853)
Number of
Support methodpeople
Home visit
657
Walk-in visitors (responses by service booths, etc.)
2,034
Telephone counseling
1,101Counseling in group activities
21
Case conference (when subject is attending)
7
Accompanying consultation
16
Other
17
Total

3,853

Table 3. Routes to initial support by the center(multiple selections; N = 339)
Number ofpeople

Consultation route
Health survey/all-household visits
From administrative agency

104

From individuals themselves

90

From family/relatives

41

From support center/temporary housing supporters

1

From medical/welfare institutions

11Other (neighbors, workplace, unknown, other)

60−

1146−

(1) Support recipientsa. Sex, age, and employment status (Fig. 1 )People1000
Unknown sex
FemaleMale500
Work/self-employed(including on leave)
Student
UnemployedUnknown

0

Fig. 1. Support recipients by sex and age group (total number of people; N = 3,853)b.

Damage status

Bereavement status and subject (Figs. 2, 3), injury status (Figs. 4, 5), housing damage (Figs. 6, 7)
0200

ParentUnknown

1.249
32.4%

600

400

People238

Spouse31
13Brother/sister
33

Bereavement
present

Child

970
25.2%

Grandparent

104

Grandchild

Bereavement
absent0

Other relative

1.634
42.4%

484

Friend231

Neighbor

131

Fig. 2. Bereavement status

Fig. 3. Details of bereavement (total number of people, multiple(total number of people; N = 3,853)

selection; N = 970)

Injurypresent

200

300

400

Individual
Parent365
9.5%

Spouse 1
Child 13

Unknown

1.442
37.4%

1000

Brother/sister 1
Grandparent
Injury absent

2.046
53.1%

47

Grandchild 0
Other relative
FriendNeighbor

155
142
106

Fig. 4. Presence or absence of injury in individual or

Fig. 5. Details of injuries (total number of people, multiple

close relative (total number of people; N = 3,853)

selection; N = 365)

−12−People

2,0000

4,000People

1,028

UnknownCompletely destroyed

490
12.7%

Partially destroyed

328

Damage toresidence

Partially damaged

261

1,964
51.0%

Forced evacuationfrom home11

Voluntary evacuation

15

No damage toresidence

1,399
36.3%

Unknown

321

Fig. 6. Presence or absence of residential damage

Fig. 7. Details of residence damage (total number of(total number of people; N = 3,853)

people; N = 1,964)

c. Living conditions (Table 4, Figs. 8, 9)
Table 4. Current living environment (total number of people; N = 3,853)
Living environment

Number of people

Home0Kesennuma C Community
Support Division

2,732

Container-type temporary housing

34

Apartment-type rental housing

4

Public housing

956

Other/unknown

127
0

1,00 2,000 3,000 4,000People
0Ishinomaki C Community
Support Division

1,000

2,000

3,000People

Home

Container-type temporaryhousing

Stem C Community SupportDivision
Business ManagementDivision

Apartment-type rental

Stem C managers
Part-time/contract

Disaster publicmanagement

Supporters’ clubmembers, etc.

Other/unknown

Home

Container-type
temporary housing

Disaster publicmanagement

Other/unknown

Apartment-type
rentalLivingalone

Fig. 8. Current living conditions for each overseeing
division (total number of people; N = 3,853)−

13Co-living

Other/unknown

Fig. 9. Living environment and household situation(total number of people; N = 3,853)−

d. Consultation background (Fig. 10)
0%20%

Psychiatric shifts
Family/household
Health problemsInterpersonal relationships
11.0%
Concerns at work
9.7%
7.4%
Anxiety about the future
Utilization of social resources
6.4%
Education/childcare/school transfer
5.6%
Addiction
5.6%
Unemployment/work
3.9%
Economic/life-rebuilding problems
3.7%
Loss of close relative
2.6%
Changes in living environment
1.8%
Problems due to aging
1.5%
Radiation 0.3%
Other/unknown
8.3%
None in particular 0.9%

40%

60%

38.7%
30.5%
25.3%

Fig. 10. Percentages relative to the number of valid responses in consultation background(total number of people, multiple responses; N = 3,853)
e. Psychiatric shifts (Fig. 11)
0%
Mood and emotional symptoms
Anxiety symptoms
Sleep problems
Physical symptoms
Hallucinations and delusions
Obsessive-compulsive symptoms
Behavioral problems
Addiction problems
Dissociation and conversion symptoms
Symptoms unique to children
Epileptic seizures
Disturbance of consciousness
Other symptoms
No symptoms

20%

40%

60%

27.2%
9.1%
7.7%
7.0%
4.0%
3.3%
3.3%
3.0%
0.4%
0.2%
0.1%
0.0%
0.2%
46.1%

Fig. 11. Percentages relative to the number of valid responses according to psychiatric shifts(total number of people, multiple responses; N = 3,853)

f. Presence or absence of psychiatric counseling, disease name, onset, current treatment history(Table 5, Fig. 12)
Table 5. Medical history and current treatment status (total number of people; N = 3,853)
History of psychiatric counseling(ongoing treatment)
History of medical
examination

Number of people
1,355(treatment concluded)

112(treatment interrupted)

235(no treatment)

7(unknown treatment status)

29

No history of medical examination

1,465

Unknown history of medical examination−14650−0400200600800People

F0 Organic, including symptomatic mental disorders
F1 Mental and behavioral disorders due to psychoactive substance use
F2 Schizophrenia, schizotypal, and delusional disorders
F3 Mood (affective) disorders
F４ Neurotic, stress-related, and somatoform disorders
F5 Behavioral syndromes associated with physiological disturbances andphysical factors
F6 Disorders of adult personality and behavior
F7 Mental retardation
F8 Disorders of psychological development
F9Onset before disasterBehavioral and emotional disorders with onset typicallyoccurring in childhood and adolescence

Onset after disaster
Onset time unknown

G4 Epilepsy
No disease name

Disease name unknown

Fig. 12. Number of cases by disease classification for those who have a history of medical
examination or with a named disease (total number of people, multiple responses; N = 1,738)(2) Support content
a. Number of cases by support method for each overseeing division (Fig. 13)
0

2,000

4,000People

Kesennuma C Community
Support Division

Home visit

Ishinomaki C Community
Support Division

Walk-in visitorsStem C Community
Support Division

Telephone counselingBusiness Management DivisionCounseling in group activities
Case conference (when subject is attending)

Stem C managers

Accompanying consultation

Part-time/contract

Other
Supporters’ club members, etc.

Fig. 13. Number of cases by support method for each overseeing division(total number of people; N = 3,853)−15−

b. Breakdown of counseling recipients (Fig. 14)
1,000

0

2,000

3,000

4,000 People
3,481

Individual359

Family/relative
Neighbor 0
Acquaintance/friend 1
Workplace 3
Government 1
Supporters for temporary housing 0Local welfare officer/ward mayor 2
Other supporter 5
Other 1

Fig. 14. Number of cases by counseling recipient (N = 3,853)

c. Attendance by other institutions (Fig. 15)
20%

0%

40%

80%
62.5%

Local government

20.9%

Welfare-related

8.3%

Health center
Medical institution

2.0%

Support center

1.0%

Other (*)

60%

13.4%

Fig. 15. Percentages relative to the number of valid responses of other attending
institutions (total number of people, multiple selection; N = 397)
* “Other” includes educational institutions, police, local welfare officers−16−

d. Characteristics of overseeing divisions (Fig. 16)0100

200400 (People)

300

Kesennuma C Community
Support Division
Ishinomaki C Community
Support Division
Stem C Community
Support Division
Business Management Division
Stem C managers
HealthLocal
Welfare-related
centergovernment
Support center/temporary housing
supporters, etc

Part-time/contract

Supporters’ club members, etc.

Medical institution
OtherFig. 16. Breakdown of other attending institutions according to overseeing
division (total number of people, multiple selection; N = 397)

(3) Support conclusion status (Table 6, Fig. 17)
Table 6. Outcomes (N = 3,853)
Response status
Ongoing (total)

Number of people

Regular interview

2,606Interview as needed

829

OtherConclusion (actual number)

0

Status improvement373

Referral to other institutions

39

Refusal of support

5

Other

0.0%

1

40.0%

20.0 %

38.5%

Local government
Medical institution

28.2%

Welfare institution

25.6%
10.3%

Work-related
Judicial-related
Other

60.0%

2.6%
10.3%

Fig. 17. Percentages relative to the number of valid responses in referrals toother institutions (total number of people, multiple selection; N = 39)−17−

(2) Support for supporters(1) Support implementation status
a. Number of support cases (Table 7)
Table 7. Support for supporters, implementation status (total number of cases; N = 607)
Support content

Number of cases

Number of subjects

Report after visit/interview
Professional guidance/advice
Community issues
Workplace mental health care
Case conference (when subject is not attending)Opening of mental health counseling service booth
Medical examination support
Office work support
Other (PFA* training*1, self-care training*2,
business management cooperation, etc.)

100188406108226022113493
298
72728
22426
2661603

Total

607

2,781

*1 *2 Recorded as human resource development project until FY 2020.
* PFA：Psychological First Aidb. Content of professional guidance/advice (Table 8)
Table 8. Details of professional guidance/advice (N = 188)
(total number of cases, multiple selection)
Details of professional guidance/advice

Number of cases

Alcohol problems
Gambling problems
Drug problems
Depression
Complicated grief
PTSD
Abuse
Other2100
130320160

Total217

Figure 18 shows the breakdown and percentages of the 160 cases under the “Other” item.
Education

138%
Municipal
projects
Maternal andchild health

2616%

6943%

Disability/disease

5233%

Fig. 18. Details of professional guidance/advice for “Other” (N = 160)

−18−

c. Support recipients (Fig. 19)

0Administrative officials
Disability welfare
Private organization
Educators
Elder welfare
Medical personnel
Council of Social Welfare
Community Comprehensive Center
Child welfare
Support center
Supporters for temporary housing
Local welfare officer/ward mayor
PoliceHealth promoter
Volunteer
Professional association
Residents’ association officer
Judiciary official
Firefighter
CorporatePublic organization
Self-help group
Other community positions
Self-Defense Force
Fire brigade
Other2,000(People)

1,000
1,707
215
162132
120
107
9960
49
47
22
131065321111000018

Fig. 19. Details of support recipients (total number of people; N = 2,781)(2) Breakdown of implementation of support for supporters by overseeing division (Fig. 20)

0200

100300(Cases)
Report after visit/interview

Kesennuma C Community
Support Division

Guidance/advice fromprofessional standpoint

Ishinomaki C Community
Support Division

Community issues

Stem C CommunitySupport Division

Workplace mental health careBusiness Management Division

Case conference(when subject is not attending)

Stem C managers

Opening of mental healthcounseling service booth
Medical examination support
Office work support

Part-time/contract
OtherSupporters, etc.

Fig. 20. Status of implementation of support for supporters by overseeing division(total number of cases, multiple selection; N = 607)−19−

(3) Breakdown of professional advice and guidance by overseeing division (Fig. 21)0200(People)

100

Kesennuma C Community
Support Division

Alcohol problems
Gambling problems

Ishinomaki C Community
Support Division

Drug problems

Stem C Community
Support Division

Depression
Complicated griefBusiness Management
Division

PTSD
Abuse

Stem C managers
Other
Part-time/contract

Supporters, etc.

Fig. 21. Details of professional guidance and advice by overseeing division (total numberof cases, multiple selection; N = 188)(3) Public awareness campaigns(1) Issuance of public awareness materials (Table 9)
Table 9. Distribution status of public awareness goods
Distribution area Title/content

New / reprint Number of items

Orange ribbon (child abuse prevention)
ballpoint pen
Entire prefecture Orange ribbon (child abuse prevention) highlighter
Orange ribbon (child abuse prevention)
reusable bag

New150 pens

New150 pens

New150 bags

(2) Training for raising public awareness (Table 10)
Table 10. Training for raising public awareness (N = 18)

Mental reaction after the earthquake
Mental illness
Basic techniques for listening (attentive listening, dealing
with bereaved families, etc.)
Addiction problems (alcohol problems, etc.)
Impact of the earthquake on children
Stress and mental health care/self-care
Physical healthWorkplace mental health
Disaster area status and activities of the center−20−

Number oftimes
11

Number ofparticipants
15166166

206011274015408100

(3) Research and conference presentations (Table 11)
Table 11. Research
Implementation
dateActivity
month

Principal
researcher

July

MiyokoKubotaLooking back on the 10 years since
the Great East Japan Earthquake:
Issues revealed from health survey
results

2021

July

Yuichi
WatanabeReconsidering gathering places andconnections for people through theresumption of salon activities amid
the COVID-19 pandemic

2021

July

Mitsuaki
Katayanagi

From the experience of continuous
support in disaster-affected areas

2021Title

Details

Longitudinal support research forchildren born after the Great East
Japan Earthquake and their families(1): How does the mental health ofcaregivers affect children born afterthe Earthquake?
Longitudinal support research forchildren born after the Great East
Japan Earthquake and their families(2): Examination of individual
differences in parents’ mental
health and children’s problematic
behavior using a latent growth
curve model

July

Naru
Fukuchi

2021

July

Shusaku
Chiba

2021

October

Shigeru
OkazakiTohoku today, 10 years after theGreat East Japan Earthquake

2021

October

TakaoTanno

Creation of the FY 2020 Annual
Activity Report (Bulletin No. 9)

2021

NovemberYuichi
Watanabe“Thinking on reconstruction”:
10 years after the Great East JapanEarthquake

Akemi
Ozaki

Support for reducing alcohol
consumption in disaster-affectedareas: Salon initiatives anddevelopment of support for
reducing alcohol consumption

2021

2021

December

31st Tohoku Occupational Therapy Congress & Expo
(held online, based in Morioka City, Iwate Prefecture,on July 1–31, 2021), remote presentation at Great East
Japan Earthquake Symposium
20th Japanese Society for Traumatic Stress Studies
Meeting (held online, in Koriyama City, Fukushima
Prefecture, on July 17–18, 2021), remote presentation
at the symposium “What was the impact of COVID19 on disaster recovery support?”
20th Japanese Society for Traumatic Stress Studies
Meeting (held online, in Koriyama City, Fukushima
Prefecture, on July 17–18, 2021), remote presentation
at the symposium “Great East Japan Earthquake andrecovery of regions and communities: What should becommunicated to the next generation?”
20th Japanese Society for Traumatic Stress Studies
Meeting (held online, in Koriyama City, Fukushima
Prefecture, on July 17–18, 2021), presented in poster
session (on July 17–30)

20th Japanese Society for Traumatic Stress Studies
Meeting (held online, in Koriyama City, Fukushima
Prefecture, on July 17–18, 2021), presented in poster
session (on July 17–30)

National (Tohoku) Alcohol Abstinence Meeting 2021
(held online, based in Tokyo, meeting on October 10,2021), presentation
FY 2020 Annual Activity Report (Bulletin No. 9)
created and distributed to 920 locations
Ami National Community Life Support Council for
People with Mental Disabilities, “Ami 24th National
Meeting@online” (held online, based in Tokyo,
meeting on November 26–27, 2021), remotepresentation in panel discussion “10 years ofbusinesses and support: What is recovery?”
FY 2021 Japanese Alcohol, Nicotine & Drug
Addiction Conference (joint meeting by the 56thJapanese Medical Society of Alcohol and Addiction
Studies Meeting and 43rd Japanese Society of
Alcohol-Related Problems Meeting, event held at Mie
Prefectural General Cultural Center as hybrid venue,
administrative office was Nagoya City, Aichi
Prefecture, session held December 17–19, 2021), oralpresentation in online session*Research shown was that which was worked on in FY 2020 and presented in FY 2021.
(4) Salon activities (Table 12)
Table 12. Salon activities (N = 21)
Community Support Division
Kesennuma
Ishinomaki
StemCenterCenterCenter
Sponsored/cosponsored salons
Cooperation withsalons of otherinstitutions

OtherTotal

605011406010−

21−