FY2020Activity Report● FY2020 Activity Report by project item

● FY2020 Miyagi Mental Health Care Forum Implementation Report● FY2020 Children’s Mental Health Care Community Base Project Report● Activity Report of each Division
Kesennuma Regional Center Community Support Division
Ishinomaki Regional Center Community Support Division
Stem Center Community Support Division
Stem Center Planning and Research Division●Research Report1. FY2020 results and total number of activities (Table 1)
Table 1 Number of activities by affiliation
Community Support Division of eachPlanningRegional CenterSecondedKesennuma

IshinomakiStemto local
government

Residentsupport
Support forsupporters
Raising publicawareness
Human resource
development

andStem CResearchmanagers

Department

Parttime /Supporters,
etc.

contract

Total

2,255

1,320

421

2,186

3741

1216,282

86

206

190

286

227042839

188

2920431531

11033728512612170888

2010

10004010035009428

350

128425116

19001,466

Support forvariousactivities
Research
Meeting contact
coordination

2. By project item
(1) Resident support (Table 2) (Table 3)
Table 2

Total number of managed cases by support method (excluding letters; N=6,191)
Support method

Number of cases

Home visit

1,519

Walk-in visitors (including those at counseling booths)

1,937

Telephone counseling

2,398Counseling in group activities

170

Case conference (when subject is attending)28

Accompanying consultation

56

Other

83
TotalTable 3

6,191

Routes to initial support by this center (multiple selections; N=684)
Consultation route

Number of cases

Health survey / all-household visits

223

From administrative agency

215

From individuals themselves

130

From family / relatives

109

From support center / temporary housing supporters

0From medical / welfare institutions

22

Other (neighbors, workplace, unknown, other)65- 11 -

① Support recipientsa. Gender, age, and employment status (Fig. 1)
1,500
Unknown gender

0Female

10608

1,000

Male0593

500

1252

521

0

1

289

351

Work / self-employed(including on leave)

639

Student

544

14500

422

316

213

178

590

Unemployed

73
850Unknown

Fig. 1 Support recipients by gender and age group (total number of cases; N=6,191)

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

0200

600

400

543

ParentBereavement
presentSpouse

123

Child74

Brother / sister

60

Grandparent

Bereavement
absent108
9Grandchild

558

Relative other than that above
388

FriendFig. 2 Bereavement status(Total number of cases; N=6,191)

292

Neighbor

Fig. 3 Details of bereavement (total number of cases; multipleselection; N=1,601)

Injury present

0100

200

300

400

Individual
ParentSpouse
Child

Unknown

Brother / sister

Injury absent

Grandparent
Grandchild
Relative other than that above
FriendNeighbor

Fig. 4 Presence or absence of injury in individual orclose relative(total number of cases; N=6,191)

Fig. 5 Details of injuries (total number of cases; multipleselection; N=403)- 12 -2,0000
UnknownCompletelydestroyed

No damage toresidence

Damage to residence

Partially destroyed

292

Partially damaged

371

Forced evacuation from
home21

Voluntary evacuation

26

Unknown

4,000
2,327688

Fig. 6 Presence or absence of housing damage(total number of cases; N=6,191)
Fig. 7 Details of housing damage(total number of cases; N=3,725)

c. Living conditions (Table 4; Figs. 8, 9)
Table 4 Current living environment (total number of cases; N = 6,191)
Living environment

Number of cases

Home03,654

Container-type temporary housing

31

Apartment-type rental housing

38

Public housing

2,302

Other / unknown

166

1,000

2,0003,000

Kesennuma C Community
Support Division

0

1,000

2,000

3,0004,000

Living alone

Co-living

Other / unknown

HomeIshinomaki C Community
Support Division
Stem C Community SupportDivision

Container-type temporaryhousing

Secondment
Apartment-type rental
Planning and Research
Department
Disaster public management

Stem C managers
Part-time / contract

Other / unknown

Supporters’ clubs, etc.

HomeContainer-type
temporary housing

Disaster publicmanagement

Other / unknown

Apartment-type
rentalFig. 9 Living environment and household situation(total number of cases; N = 6,191)

Fig. 8 Current living conditions for each supervising
division (total number of cases; N = 6,191)‐ 13 -d. Consultation background (Fig. 10)
40.0%

20.0%

0.0%
Psychiatric shifts

39.6%
31.1%

Family / household
23.9%

Health problems
12.2%

Interpersonal relationships
Addiction

10.8%

Utilization of social resources10.5%

Unemployment / work

6.2%

Anxiety about the future

5.8%

Concerns at work

5.8%

Changes in living environment

5.5%

Economic / life-rebuilding problems

5.3%
3.8%

Education / childcare / school transfer

3.3%

Loss of close relative
Problems due to aging
Radiation

2.5%
0.0%

Other / unknown
None in particular

60.0%

7.3%
1.0%

Fig. 10 Percentages relative to number of valid responses in consultation background(total number of cases; multiple responses; N=6,191)

e. Psychiatric shifts (Fig. 11)

Fig. 11 Percentages relative to number of valid responses according to psychiatric shifts(total number of cases, multiple responses; N=6,191)

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 cases; N = 6,191)
History of psychiatric counselingNumber of cases

History of medical examination

Ongoing treatment

2,443

Treatment concluded

217

Treatment interrupted

434

No treatment

43

Unknown treatment status11

No history of medical examination2,213

Unknown history of medical
examination

830- 14 -1,200

Onset before disaster
Onset after disaster

Onset time unknown

Fig. 12 Number of cases by disease classification for those with a history of medical examination or diagnosed witha disease (total number of cases, multiple responses; N=3,148)② Support content
ａ. Number of cases by support method for each supervising division (Fig. 13)

Home visit

Walk-in visitors

Telephone counselingCounseling in group activities

Case conference (when subject is attending)

Accompanying consultation

OtherFig. 13 Number of cases by support method for each supervising division(total number of cases; N = 6,191)- 15 -

ｂ. Breakdown of counseling recipients (Fig. 14)

Fig. 14 Number of cases by counseling recipient (N=6,191)ｃ. Attendance by other institutions (Fig. 15)

Fig. 15 Percentages relative to number of valid responses of other attending institutions(total number of cases, multiple selection; N=747)- 16 -

ｄ. Characteristics of each supervising division (Fig. 16)

Local government

Welfare-related

support center / temporary housing
supporters, etc.

Medical institution■

Health centerOtherFig. 16 Breakdown of other attending institutions according to supervising division(total number of cases, multiple selection; N=747)③ Support conclusion status (Table 6, Fig. 17)
Table 6 Otcomes (N=6,191)
Response status

Ongoing (total)

Regular interview

3,659

Interview when needed

1,777

OtherConclusion (actual number)

Number of cases

0

Status improvement

570

Referral to other institutions

155

Refusal of support
Other624

Fig. 17 Percentages relative to number of valid responses in referrals to other institutions(total number of cases, multiple selection; N=155)- 17 -(2) Support for supporters① Support implementation status
ａ. Number of support cases (Table 7)ｂ. Content for professional guidance / advice (Table 8)
Table 8 Details of professional guidance / advice (N=219)

Table 7 Support for supporters implementation
status (total number of cases; N=839)(Total number of cases, multiple selections)

Number of

Number ofDetails of professional guidance /cases

participants

adviceｃ. Support
recipients
Supportcontent (Fig. 18)

Number of cases

Report after visit / interview

4958

Alcohol problems

9Professional guidance / advice

219

808

Gambling problems

0Community issues

29118

Drug problems

1Workplace mental health care

939

Depression

6186

1,039

Complicated grief1

Case conference (when subject isnot attending)Establishment of mental health3335

Medical examination support

124481

Office work support

168

203

Other

2240

839

2,821

counseling service booth

TotalPTSD

4Abuse

29

Other

182

Fig. 18 Details of support recipients (total number of individuals; N=2,821)- 18 -② Breakdown of implementation of support for supporters according to supervising division (Fig. 19)

Report after visit / interview
Guidance / advice from professional standpoint
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

OtherFig. 19 Status of implementation of support for supporters according to supervising division(total number of cases, multiple selection; N=839)③ Breakdown of professional advice and guidance according to supervising division (Fig. 20)

Alcohol problems
Gambling problems
Drug problems
Depression
Complicated grief

Abuse
Other

Fig. 20 Details of professional guidance and advice according to supervising division(total number of cases, multiple selection; N=219)(3) Raising public awareness① Issuance of public awareness materials (Table 9)
Table 9 Status of creating materials, such as pamphlets
Distribution area

Entire prefecture

Title / content
Information about
consuming alcohol
Symptoms and illnesses
that occur with alcohol
consumption
Self-care that can evenbe conducted by children:poster- 19 -New / reprint

Number of copies

Reprint

2,000

Reprint

500

New600② Training for raising public awareness (Table 10)
Table 10 Details of training for raising public awareness (N=32)
Psychological reaction after earthquake
Mental illness
Basic listening techniques (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 our center

Number of times
12

Number of participants
5032243

1916010133
120
171090③ Salon activities (Table 11)
Table 11 Salon activities (N=64)
Community Support Division of each center
Kesennuma

Ishinomaki

StemSecondment

OtherTotal

161780115200012012

Sponsored / cosponsored salons
Cooperation withsalons of otherinstitutions(4) Human resource development (Table 12)
Table 12 Human resource development implementation status (N=88)
Content

Number of times

Number of participants

Earthquake exchange meeting

00Media conference00

Addiction-related problems

49(Alcohol)

(4)

(9)

(Other addictions)

(0)

(0)

Support skills training

43546(Attentive listening)

(3)

(110)

(Stress and mental health care / self-care)

(1)

(10)

(other)

(39)

(426)

150

Mental health training for supporters
Workplace mental health training

488

Mental health training for children

15428

Mental health training for seniors

140

Training for suicide-related problems

5226

Training for mental illness / disorders

4105

Disaster area status and activities of our center

4142

Case study

219

Other

5127

Total

88

1,780

- 20 -

(5) Research (Table 13)
Table 13 Research
Activityyear

Activity monthSupervisor

Research name

Details
Presented remotely at the disaster-related session of the 38th
Meeting of the Japanese Society of PsychosomaticPediatrics (held online, conference in Kurume City,Fukuoka Prefecture, from September 11–13, 2020).
Delivered remotely at the 19th Japanese Society forTraumatic Stress Studies Meeting (held online, conferencein Kobe City, Hyogo Prefecture (Hyogo University),
September 21–October 20, 2020. Symposium “Mental
health of mothers after the Great East Japan Earthquake:
Disaster area in the present day as seen from the‘Michinoku Children’s Cohort’” (symposium conductedfrom September 22–October 20).
Presented at the 19th Japanese Society for Traumatic StressStudies Meeting (held online, conference in Kobe City,
Hyogo Prefecture (Hyogo University), from September
21–October 20, 2020). Poster Session as “Longitudinal
support study for children born after the Great East Japan
Earthquake and their families (1): From the relationshipbetween cognitive development, problematic behaviors,and family damage status in children in Miyagi Prefecture”(poster session conducted from September 22–October 20).
Presented at the 19th Japanese Society for Traumatic StressStudies Meeting (held online, conference in Kobe City,
Hyogo Prefecture (Hyogo University), from September
21–October 20, 2020). Poster Session as “Longitudinal
support study for children born after the great East Japanearthquake and their families (2): Damage status of parents
and progress of each cluster due to past traumaticexperiences” (poster session conducted from September
22–October 20).
Delivered remotely at the 116th Meeting of the JapaneseSociety of Psychiatry and Neurology (held online,conference in Sendai City, Miyagi Prefecture, from
September 28–30, 2020). Symposium “Current status andissues of the Miyagi Disaster Mental Health Care Center.”Presented at the 116th Meeting of the Japanese Society ofPsychiatry and Neurology (held online, conference inSendai City, Miyagi Prefecture, from September 28–30,2020). General presentation (poster) session as “What isneeded in community support after a major disaster?: Whatcan be seen from activity analysis of the Miyagi Disaster
Mental Health Care Center” (poster session conducted fromSeptember 28–30).
Presented at the 11th Miyagi Convention of the Tohoku
Mental Health and Welfare Society (held in print,
conference in Sendai City, Miyagi Prefecture, session on
October11,2020).
Generalpresentation
as“Implementation of joint projects with self-help groups(Danshukai) and support toward autonomy: Reflecting on
activities at the Ishinomaki Regional Center of the MiyagiDisaster Mental Health Care Center.”
FY2019 Bulletin No. 8 created and published. Distributed
to 883 locations.
Official activity record created and published. Distributed
to 960 locations.

2020

September

Naru Fukuchi

Various effects of the spreadof COVID-19 in Japan on
children’s physical andmental health

2020

September

Naru Fukuchi

Mental health of mothers andcommunity support practiceNaru Fukuchi

Longitudinal support study
for children born after theGreat East Japan Earthquake
and their families (1): From
the relationship between
cognitive
development,
problematic behaviors, andfamily damage status inchildren in Miyagi Prefecture

2020

September

2020

September

Shusaku
Chiba

Longitudinal support study
for children born after thegreat East Japan earthquake
and their families (2):Damage status of parents andprogress of each cluster due
to past traumatic experiences

2020

September

Naru Fukuchi

Status and issues of Miyagi
Disaster Mental Health CareCenter

Naru Fukuchi

What is needed in community
support after a majordisaster?: What can be seenfrom activity analysis of theMiyagi Disaster Mental
Health Care Center2020

September

2020

October

2020

October

2021

MarchShigeru
OkazakiIzumi
Watanabe
MiyokoKubotaImplementation of joint
projects with self-help groups(Danshukai) and support
toward autonomy: Reflecting
onactivities
attheIshinomaki Regional Centerof the Miyagi Disaster
Mental Health Care Center
Creation of FY2019 Bulletin
No. 8
Creation of official activity
record (2011–2020)(6) Support for various activities (Table 14)
Table 14 Support for various activities
Implementation
date

Activity name

Details

2020/7/22

Support for members of Natori City Health Salon(Temperance Society)

Current director and vice director of Natori City Health Salon(Temperance Society) planned to convert this to a voluntarygroup. They thus consulted us regarding rules and regulations,and we provided support.

2020/8/22

Participation in bereaved family support activity"Wakachiai-no-kai" (sponsored by Sendai Grief Care
Study Group)

Investigated how the Wakachiai-no-kai should be operated,facilitated a lecture by Mr. Namerikawa (Chairman, Sendai
Grief Care Study Group). Cooperated in the operation of the
Wakachiai-no-kai.

2020/12/26

2021/1/12

Participation in bereaved family support activity"Wakachiai-no-kai" (sponsored by Sendai Grief CareStudy Group)
Response to Great East Japan Earthquake Support
Group Questionnaire based on request from Kyodo
News- 21 -Cooperated in the operating of the Wakachiai-no-kai, andsubsequently held a meeting for the next fiscal year.
Provided an online response to a questionnaire for Great East
Japan Earthquake support groups requested by the editorial
department of the Kyodo News Sendai branch office.