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Medical Community Network and Discharge Planning

The Department of Medical Community Network and Discharge Planning provides assistance to outpatients referred from local medical institutions, to inpatients being discharged to their homes, and to inpatients being transferred to local medical institutions.

Outlines

In April 1997, plans for the Department of Medical Social Service and Welfare were initiated by the University Hospital with the aim of supporting inpatients upon discharge. The Department was officially authorized in April 2000, the first among national universities. In April 2005, the Department began providing assistance to outpatients referred from other hospitals and was renamed the Department of Medical Community Network and Discharge Planning.

Assistance to patients receiving medical treatment

The Department provides assistance to outpatients referred from local medical institutions. Staff helps patients make appointments and follow procedures to receive medical treatment. The Department assists new outpatients in arranging
general consultations, helps outpatients schedule specialized treatment, and provides assistance to patients who have been referred to a specific physician.

Assistance to inpatients upon discharge

The Department provides assistance to patients for whom transfer to a local medical institution or discharge to home if need arises. Many of such patients are highly dependent on medical care due to the severity of their condition. For those receiving medical care at home, our department staff arranges home visits by primary care doctors and nurses. For patients being transferred to local institutions, our staff provides assistance both to general hospitals and hospice care units.

Home Care Support (Home Care Support Clinic)

Our Home Care Support Clinic, which offers home care support to our out-patients, has been running since January 2003. The clinic supports the implementation and coordination of home care services, and refers out-patients requesting hospital admission to other hospitals or facilities.

Consultation by Social Worker (Consultation on Recuperation)

Our consultation service provided by social workers has been running since 2012. Our social workers mainly consult enquiries regarding patient recuperation.

Activities

The number of inpatients requiring support upon discharge has increased since the establishment of the Department, reaching more than 13,000 as of April 2016. Approximately half returned home, and the remaining half transferred to other hospitals or facilities. The number of patients who we have supported has exceeded 24,000 as of April 2016.

Kiyoto Kasai

Kiyoto Kasai

Departments/Divisions

Neuropsychiatry, Medical Community Network and Discharge Planning

Titles

M.D. , Ph.D.

Expertise/Specialties

Clinical Psychiatry, Early intervention and rehabilitation for schizophrenia, Community mental health

Research Interests

Neuroimaging in psychiatric disorders, Mental health and neuroscience in adolescence

Languages

Japanese / English

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