FY2022 ActivityReport● FY2022 Activity Report by project item
● Activity Report of each division
Stem Center Community Support Division
Ishinomaki Regional Center Community Support Division
Kesennuma Regional Center Community Support Division
Efforts toward “handing down”● Papers published in other journals

FY2022 Activity Report by project item
We report on the performance of the MDMHCC in the projects implemented in FY 2022.
The composition ratios in the following figures are rounded to the second decimal place; as such, the totals
may not necessarily add up to 100.
1. FY2022 results/total numbers (Table 1)
Table 1. Number of activities by affiliation
Community Support Division
Kesennuma Ishinomaki
StemResident
supportSupport forsupporters
Raising publicawarenessSupport forvariousactivities
Meeting
contact
coordination

Stem C Supporters,
managers
etc.

Total

2,190

365

193

102,749

105

155

37

20299

155

2231

220

230

000

101222306

178

160722

2. By project item
(1) Resident support (Tables 2 and 3)
Table 2. Total number of people supported, by support method (excluding letters, N = 2,716)
Support method
Home visit
Walk-in visitorsTelephone counselingCounseling in group activities
Case conference (when subject is attending)
Accompanying consultation
OtherTotal

Number of people
451
1,269904
39162892,716

Table 3. Routes to initial support by the Center (multiple selections; N = 153)
Consultation route
Health survey/all-household visits
From administrative agency
From individual themselves
From family/relatives
From support center/temporary housing supporters
From medical/welfare institutions
Other (neighbors, workplace, unknown)− 11 −

Number of people
131065161650①Support recipientsa. Sex, age, and employment status (Fig. 1)(people)1000

Unknown sex
FemaleMale0500
00267
093

191

75

0
109

133

141

185

0224

214

242

331

0

Work/self-employed (including on leave)

Student

285
0127

Unemployed87
12Unknown

Fig. 1 Support recipients by sex and age group (total number of people, N = 2,716)
b. Damage status
Bereavement status and subject (Figs. 2, 3), injury status (Figs. 4, 5), housing damage (Figs. 6, 7)
100

0Unknown
863
31.8%

ParentBereavement
present666
24.5%

Spouse1082392

Grandchild 0352Relative or friend other thanabove
FriendFig. 2 Bereavement status (total numberof people, N = 2,716)
Damage toresidence
1.556
57.3%

No damageto residence
208
7.7%

400(people)

12180

NeighborUnknown
952
35.1%

300

Child 1
SiblingGrandparent

Bereavement
absent
1,187
43.7%

200163Fig. 3 Details of bereavement (total number of people, multiple
selection, N = 666)

0100

Individual 8Parent
14
Spouse 1
Child 5Sibling 1
Grandparent
34
Grandchild 044
Relative or friend other than above

FriendNeighbor− 12 −

7189

200

300400(people)

Fig. 4 Presence or absence of injury inindividual or close relative (total number ofpeople, N = 2,716)

Fig. 5 Details of injuries (total number of people, multiple
selection, N = 208)

(people)10.2%

No damage toresidence
1,045
38.5%

4,000

2,000

0

Unknown
277766

Completely destroyed
223

Partially destroyed

Damage toresidence
1,394

156

Partially damaged

51.3%
Forced evacuation from home

26

Voluntary evacuation

17206

Unknown

Fig. 6 Presence or absence of residential
damage (total number of people, N = 2,716)

Fig. 7 Details of residential damage (total number ofpeople, N = 1,394)

c. Living conditions (Table 4, Figs. 8, 9)
Table 4 Current living environment (total number of people, N = 2,716)
Living environment
Home
Container-type temporary housing
Apartment-type rental housing
Public housing
Other/unknown
01,000

Number of people
1,936
00715
65

3,000

2,0000(people)

Kesennuma C Community Support Division

HomeIshinomaki C Community Support Division

Container-type
temporary housing

Stem C Community Support Division

Apartment-type rentalStem C managers

Disaster publicmanagement

Supporters’ club members, etc.

Other/unknown

Home
Disaster publicmanagement

Container-type
temporary housing

Apartment-type rental

1,000

Living
alone

2,000

Cohabitation

Other/unknown

Other/unknown

Fig. 8 Current living conditions for eachoverseeing division (total number ofpeople, N = 2,716)− 13 −

3,000

Fig. 9 Living environment andhousehold situation (total numberof people, N = 2,716)(people)d. Consultation background (Fig. 10)

0%
Psychiatric shifts
Health problems
Family/household
Interpersonal relationshipsConcerns at work
Education, childcare, school
Utilization oftransfer
socialAnxiety about thefuture
resources
Addiction
Unemployment,
Problems duetowork
Economic, life-rebuilding
aging
Changes in living environment
problems
Radiation
Loss of close relative
Other/unknown
None in particular

20%

40%
39.1%
33.1%
27.7%

12.6%
8.4%
8.3%
7.7%
6.4%
4.4%
3.9%
2.9%
1.9%
1.3%
1.2%
1.1%
4.2%
0.4%

60%

Fig. 10 Percentages relative to the number of valid responses to items on consultation
background (total number of people, multiple responses, N = 2,716)
e. Psychiatric shifts (Fig. 11)
0%
Mood and emotional symptoms
Anxiety symptoms
Physical symptoms
Sleep problems
Obsessive-compulsive symptoms
Behavioral problems
Hallucinations and delusions

40%

20%

60%

23.3%
8.7%
6.4%
6.3%
3.8%
3.5%
3.3%

Addiction problems
1.9%
Epileptic seizures 0.2%
Symptoms unique to children 0.0%
Disturbance of consciousness 0.0%
Dissociation and conversion 0.0%
Other symptoms
symptoms 0.3%
No symptoms

46.1%

Fig. 11 Percentages relative to the number of valid responses according to psychiatric shift(total number of people, multiple responses, N = 2,716)
f. Presence or absence of psychiatric counseling, disease name, onset time, current treatment history (Table 5,Fig. 12) Table 5 Medical history and current treatment status (total number of people, N = 2,716)

History of psychiatric counseling
Ongoing treatment
Treatment concluded
History of medical
Treatment interrupted
examination
No treatment
Unknown treatment status
No history of medical examination
Unknown history of medical examination− 14 −

Number of people
1,21349236
814852344

0200400600

F0: Organic, including symptomatic, mental disorders(people)F1: Mental and behavioral disorders owing 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 disturbancesand physical factors
F6: Disorders of adult personality and behavior
F7: Intellectual disability
F8: Disorders related to psychological development

Onset before disasterF9: Behavioral and emotional disorders with onset typically occurring inchildhood and adolescence
G4: Epilepsy

Onset after disaster
Onset time unknown

No disease name
Disease name unknown

Fig. 12 Number of cases by disease classification for those with a history of medical
examination or with a named disease (total number of people, multiple responses, N = 1,520)②Support content

a. Number of cases by support method for each overseeing division (Fig. 13)
0

1,000

2,000

Kesennuma C Community
Support Division

3,000(people)
Home visit
Walk-in visitors

Ishinomaki C CommunitySupport Division

Telephone counseling

Stem C Community Support
DivisionCounseling in group activities
Case conference (when subject is attending)

Stem C managers

Accompanying consultation
Other

Supporters’ club members, etc.

Fig. 13 Number of cases by support method for each overseeing division (total number ofpeople, N = 2,716)− 15 −

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

0

3,000 (people)

2,000
2,400

Individual303

Family/relative
Neighbor

2

Acquaintance/friend0

Workplace2

Government

0Supporters for temporary housing0

Local welfare officer/ward mayor0Other supporter

8

Other

1

Fig. 14 Number of cases by counseling recipient (N = 2,716)

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

0%

40%

24.3%

Welfare related

5.8%

Health center

4.1%

Support center

2.7%

Other ()

80%

59.9%

Local government

Medical institution

60%

15.4%

Fig. 15 Percentages relative to the number of valid responses of other attending institutions(total number of people, multiple selection, N = 292) “Other” includes educational institutions, neighborhood association officers, and lifestyle support centers.

− 16 −d. Characteristics of each overseeing division (Fig. 16)0100200300 (people)

Kesennuma C Community Support
Division

Ishinomaki C Community Support
Division

Stem C Community Support
Division

Stm C managers
MedicalLocal
Welfare related
institution
government
Support center/temporary housing
supporters, etc

Supporters’ club members, etc.

Health center
OtherFig. 16 Breakdown of other attending institutions according to overseeing division (total
number of people, multiple selection, N = 292)
③Support conclusion status (Table 6, Fig. 17)

Table 6 Outcomes (N = 2,716)
Response statusRegular interview
Ongoing (total)Interview when needed
OtherStatus improvement
Conclusion
Referral to other institutions(actual number)
Refusal of support
Other0%

20%

41.7%
30.6%

Medical institution

19.4%

Local government

Work related

Other60%

40%

Welfare institution

Judicial related

Number of people
1,816604
0256
36
40

2.8%
0.0%
8.3%

Fig. 17 Percentages relative to the number of valid responses in referrals to other institutions(total number of people, multiple selection, N = 36)− 17 −

(2) Support for supporters①Support implementation statusa. Number of support cases (Table 7)
Table 7 Support for supporters implementation status (total number of cases, N = 299)
Number Number ofof cases
subjects

Support content

2830
Report after visit/interview
115183
Professional guidance/advice
130
Community issues
116
Workplace mental health care
Case conference (when subject is not
33323attending)Opening of mental health counseling
2425
service booth
38262
Medical examination support
57
Office work support
Other (PFA training1, support skills
54428
training2, business management
cooperation, etc.)
299
1,304
Total
1 2 Recorded as a human resource development project until FY 2020.

b. Content for professional guidance/advice (Table 8)
Table 8 Details of professional guidance/advice (N = 115)
(total number of cases, multiple selection)
Details of professional
Number of cases
guidance/advice
Alcohol problems
12
Gambling problems
0Drug problems
0Depression
8
Complicated grief
0PTSD
1
Abuse
12
Other94
Total
127− 18 −

Fig. 18 Breakdown and percentages of the 94 cases under the “Other” item in Table 8.
Municipal projects

Education

44.3%

22.1%

Disability/disease2425.5%Maternal and child health

64
68.1%

Fig. 18 Details of “Other” support recipients (N = 94)− 19 −

c. Support recipients (Fig. 19)
01,000 (people)
829

Administrative officials

146

Disability welfare

89
66

Educators
Private organization
Child welfare
Community Comprehensive Center
Local welfare officer/ward mayor
Medical personnel
Older adult welfare
Council of Social Welfare
Self-Defense Force
Firefighter
Public organization
Self-help G
Residents' association officer
Health promoter
Other community positions

Support center
Supporters for temporary housing
Judiciary official
PoliceFire brigade
CorporateProfessional association
Volunteer
Other403529252284110000000000009Fig. 19 Details of support recipients (total number of people, N = 1,304)− 20 −

② Breakdown of implementation of support for supporters according to the overseeing division(Fig. 20)0100

Kesennuma C Community
Support Division

200(Cases)
Report after visit/interview
Professional guidance/advice

Ishinomaki C Community
Support Division

Community issues
Workplace mental health care

Stem C Community SupportDivision

Case conference (when subject is notattending)Opening of mental health counselingservice booth
Medical examination support

Stem C managers

Office work support
OtherSupporters, etc.

Fig. 20 Status of implementation of support for supporters according to overseeing division(total number of cases, multiple selection, N = 299)
③ Breakdown of professional advice and guidance according to overseeing division (Fig. 21)
0100

Kesennuma C Community
Support Division

200(Cases)
Alcohol problems
Gambling problems
Drug problems

Ishinomaki C Community
Support Division

Depression
Complicated grief

Stem C Community SupportDivisionPTSD
Abuse
OtherStem C managers

Supporters, etc.

Fig. 21 Details of professional guidance and advice according to overseeing division (total
number of cases, multiple selection, N = 115)
 See Fig. 18 for details on “Other”− 21 −

(3) Raising public awareness① Issuance of public awareness materials (Table 9)

Table 9 Distribution status of public awareness goods
Distribution area

Title/content

New/reprint

Entire prefecture

Orange ribbon (child abuse prevention) ballpoint pen
Orange ribbon (child abuse prevention) highlighter
Orange ribbon (child abuse prevention) eco bagNewNewNew

Number ofitems505050②Training for raising public awareness (Table 10)

Table 10 Training for raising public awareness (N = 16)
Number oftimes
Mental reaction after earthquake
0
Mental illness
1
Basic techniques for listening (attentive listening,3
dealing with bereaved families, etc.)
Addiction problems (alcohol problems, etc.)2
Impact of the earthquake on children
1
Stress and mental health care/self-care8
Physical health1
Workplace mental health0
Disaster area status and activities of our center0

Number ofparticipants
011932197206
50
00③ Research/conference presentations, etc. (Table 11)

Table 11. Research
Implementation Activity
datemonth

2022

2023

JulyMarchPrincipal
researcherResearch title

Details

Naru
Fukuchi

Study of factors associated withthe prolongation of mental
health problems in mothers whogave birth after the Great EastJapan Earthquake

July 14–15, 2022: A poster
presentation was delivered at
the 19th Annual Meeting of theJapanese Society of Mood
Disorders (hybrid format: OitaPrefecture).

Naru
FukuchiAnalysis of characteristics ofpeople in need of support
among resident support after theGreat East Japan Earthquake:
Insights from the activities ofthe Miyagi Disaster Mental
Health Care CenterMarch 16–17, 2023: A poster
presentation was delivered atthe 41st Annual Meeting of theJapanese Society for Social
Psychiatry (hybrid format:
Hyogo Prefecture).

④Salon activities (Table 12)

Table 12 Forum activities (N = 22)
Community Support Division of each center
Kesennuma
Ishinomaki
StemSponsored/cosponsored
Cooperation withforums of otherinstitutions

OtherTotal

506011380011− 22 −(4) Support for various activities (Table 13)
Implementation date
May 2, 2022

Table 13. Support for various activities
Activity nameDetails
Consultation with
We provided advice to representatives of an
representatives of association association of parents of children withof parents of children withdelinquency issues on how to operate thedelinquency issues
association and how to respond to individual
counseling.

− 23 −