METROPOLITAN EMERGENCY Information Center FOR THE MENTAL ILLNESS (MEICMI) Japanese   Association of Mental Health Services (NPO)
2
7000 6000 5000 ITriaged as the primary emergent case ITriaged as the secondary 200 emergent case 150 ⇒Number of called 100 →Triaged as the psycho somatically complicated 3
number / hour 4
5
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 7
■ 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 →Attempted suicide / desire to suicide →Paranoid-hallucinatory state/strange behavior –Excitement/distraction →Anxiety and depression / sleeping 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  12 complicated
10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 60.0% —Triaged as the psycho somatically complicated ☞ Triaged as the secondary emergent case →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 -Listening and giving some advice 40.0% 20.0%
Triaged as the psycho- somatically complicated Triaged as the secondary emergent case Triaged as the primary emergent case ■ out-patient ■ voluntary admission ■ involuntary admission with consent by family ■ canceled by patient or his/her family 0 50 100 300 350 400 200 150 250 number of patients
■ Unspecified ■ FO: Dementia ■ F1: Mental and behavioral disorders due to psychoactive substance use ■ F2: Schizophrenia ■ F3: Mood disorder ■ F4: Neurotic disorder ■ F5: Eating disorder / sleeping disorder ■ F6: Personality disorder ■ F7/8: Mental retardation ■ F9: behavioral and emotional disorders 400 ■ G4: Epilepsy 15 Triaged as the psycho somatically complicated Triaged as the secondary emergent case Triaged as the primary emergent case number of patients
■ Others

■ 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
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 10.0% 8.0% 6.0% 4.0% 2.0% 0.0%