Abstract

Concern about mental health issues and the treatment of mentally disordered offenders attracts considerable public attention. This study aimed to gather the experiences and opinions of people who have experienced admission to a psychiatric ward in order to grasp their reaction to, and understanding of, the legislation behind the involuntary admission of psychiatric patients. A web-based questionnaire survey was conducted with a total of 379 participants, using a cross-sectional, exploratory design. The data were analyzed using a chi-squared test, Fisher’s exact test, and a logistic regression analysis. According to the results, many patients were satisfied with their treatment during psychiatric admission; however, only few participants said that they had been given an adequate explanation for their involuntary treatment. Most participants expected qualified assistance after discharge, although the prospect of a regular visit from an official was not entirely supported by the participants. Patient satisfaction was relevant to the discussion of their needs after discharge and in developing a crisis plan during admission. These findings suggest that psychiatric patients accept inpatient treatment as long as they receive an adequate explanation. More qualified care such as relapse prevention would be expected to lead to better satisfaction. For them to welcome regular visits from an official, patients may need more information and discussion.

Highlights

  • In recent years, mental health has become one of the most devastating health concerns faced by societies globally, including both mental health professionals and the general public

  • The present study aims to clarify the opinions of Japanese psychiatric patients who have had experiences of psychiatric ward admission about the mental health care system and the care they have received, and to understand whether the kind of mental health care that would be provided based on the reforms in the Mental Health and Welfare Act (MHWA) would suit their needs and preferences

  • We were concerned about the opinions of ex-inpatients with a mental disorder about the mental health care they had received and about a mental health care scheme like the one that would have emerged under the MHWA amendment

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Summary

Introduction

Mental health has become one of the most devastating health concerns faced by societies globally, including both mental health professionals and the general public. The World Health Organization (WHO) considers several mental disorders to result in living through a damaging disability-adjusted life years (DALYs) [1]. Public attention has been caught by the rise of mental disorders and the need to find effective treatments for them [2].

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