METROPOLITAN EMERGENCY Information Center FOR THE MENTAL ILLNESS (MEICMI) Japanese   Association of Mental Health Services (NPO)
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number / hour 0 atter half of mer half of atter half 04 atter half of ormer half of 05 '06 07 0 atter half of mer half of atter half of mer half of ormer half of atter half ormer half of of mer half of atter half of atter half of mer half atter half  of -22:00-24:00 17:00-22:00 -9:00-17:00 06:00-9:00 PO:00-6:00 4
70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 6
■He/She by him/herself ■Family member who lives with the patient ■ Family member who does not live with the patient ■Family member uncertain about living with him/her ■Other acquaintance ■Police ■Emergency staff of the Fire Department ■Psychiatric institution (public) ■Psychiatric institution (private) ■Physical institution (general hospital & clinic) ■Other public institution ■Rehabilitation facilities ■Institution for the welfare of the aged  people ■Others ■Uncertain
■in his/her own house ■in his/her acquaintance house ■on the street ■At the police station ■In the ambulance car ■Admitted to the physical hospital ■Admitted to the mental hospital ■Out-patient of the physical hospital or clinic ■Out-patient of the mental hospital or clinic ■Others ■Uncertain
	being a  out-patient  of mental clinic ◾being a  out-patient  of psychiatric hospital 	having been out-patients  but not being out-patient now 	having no history of treatment ■uncertain
■ Request to  get consultation ■ Request to  introduce medical  facilities ■ Disorder of consciousness ■ Epileptic seizure ■ Violence ■ Attempted suicide / desire to suicide ■ Paranoid-hallucinatory state/strange  behavior ■ Excitement/distraction ■ Anxiety and depression ■ Eating disorder / sleeping disorder ■ Running out of medicine ■ Side effect of medicine ■ Others
Disorder of consciousness 30.0% •Attempted suicide /  desire to suicide Paranoid-hallucinatory state/strange behavior Excitement/distraction Anxiety and depression / sleeping disorder Running out of medicine Side effect of medicine Request to introduce  medical facilities Request to get consultation Others 11
■ Listening and  giving some  advice ■ Introduction of medical facilities ■ Introduction of counseling facilities ■ Advice to call police ■ Advice to call fire department ■ Advice by the triage-doctor ■ Triaged as the primary emergent case ■Triaged as the secondary emergent case ■ Triaged as the psycho somatically complicated 12
60.0% Triaged as the psycho somatically complicated 50.0% 40.0% •Triaged as the secondary emergent case 30.0% 20.0% →Triaged as the primary emergent case Advice by the triage-doctor –Advice to call police Advice to call fire department Introduction of counseling facilities - Introduction of medical facilities 13 Listening and giving some advice 10.0% 8.0% 6.0% 4.0% 2.0% 0.0%
Triaged as the psycho- somatically complicated Triaged as the secondary emergent case Triaged as the primary emergent case 0 100 150 200 250 300 350 400 50 number of patients 	out-patient ■ voluntary admission ■ involuntary admission with consent by family ■ canceled by patient or his/her family
Triaged as the psycho somatically complicated Triaged as the secondary emergent... Triaged as the primary emergent case
■ Unspecified ■FO: Dementia ■ F1: Mental and behavioral  disorders ue to psychoactive substance use ■ F3: Mood disorder ■ F4: Neurotic disorder ■F5: Eating disorder / sleeping : Personality disorder ■ F7/8: Mental retardation F9: behavioral and emotional G4: Epile ■Others number of patients
■ Public transportation facilities ■ By car ■ By taxi ■ Ambulance car of the fire department ■ Patrol car of the police department ■ Ambulance car of the private transportation company ■ Others ■ Unknown
■ no need of emergent treatment ■ 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 for protetion of the patient with mental disorder ■ not having measures of transportation ■ not having medical insurance card ■ patient outside of Tokyo ■ others
10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 100.0% =no beds (beds saved for emergency having been consumed) 90.0% —still in the process of consulting 80.0% 70.0% —refered to the somatical emergency 60.0% ***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 for protetion of the patient with mental disorder not having measures of transportation not having medical insurance card patient outside of Tokyo =others no need of emergent treatment