PMID- 34743415 OWN - NLM STAT- MEDLINE DCOM- 20220503 LR - 20220514 IS - 1751-7893 (Electronic) IS - 1751-7885 (Linking) VI - 16 IP - 5 DP - 2022 May TI - An integrated youth mental health service in a densely populated metropolitan area in Japan: Clinical case management bridges the gap between mental health and illness services. PG - 568-575 LID - 10.1111/eip.13229 [doi] AB - AIMS: A global movement, including in Asia, is seeking to establish integrated youth mental health services that provide early intervention in the continuum from mental health to mental illness. Clinical case management (CCM), in which a case manager becomes not only a coordinator of services but also a provider of psychosocial support, can establish a 'one-stop network' that supports youth in densely populated areas with various social resources. In 2019, we opened a community-based centre called 'SODA' in front of a metropolitan railway station, which was designed to be highly accessible, stigma-free and youth-friendly to provide CCM. We aimed to clarify its services and effectiveness of CCM. METHODS: Data from 105 youths were investigated in a case-controlled study, dividing them into two groups: those who had received CCM for 6 months, and those whose needs were met in fewer sessions. RESULTS: Twenty-one subjects who received CCM for 6 months had difficulties in more domains than the others. The mean of the total service minutes for the subjects who received CCM for 6 months was 491.3 min: psychological support (accounted for 24.8% of the time), support for community living (31.2%), work support (13.8%), family support (10.5%) and support for cooperation with other organizations (19.8%). Global Assessment of Functioning (GAF) score improved significantly, from 46.6 at baseline to 59.3 at 6 months. CONCLUSION: Even in metropolitan areas with numerous medical facilities, young people can face high barriers to access. CCM can be effective as an early intervention for subjects developing mental illness. CI - (c) 2021 John Wiley & Sons Australia, Ltd. FAU - Uchino, Takashi AU - Uchino T AUID- ORCID: 0000-0001-5812-1727 AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Kotsuji, Yumi AU - Kotsuji Y AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Kitano, Tomoji AU - Kitano T AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Shiozawa, Takuma AU - Shiozawa T AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan. FAU - Iida, Satomi AU - Iida S AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Aoki, Akiko AU - Aoki A AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. FAU - Iwai, Momoko AU - Iwai M AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. FAU - Shirahata, Masanori AU - Shirahata M AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Seki, Akihiko AU - Seki A AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Mizuno, Masafumi AU - Mizuno M AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. AD - Tokyo Metropolitan Matsuzawa Hospital, Setagaya, Japan. FAU - Tanaka, Kuniaki AU - Tanaka K AD - SODA, Youth Mental Health Council, Adachi, Japan. AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. AD - Tokyo Adachi Hospital, Adachi, Japan. FAU - Nemoto, Takahiro AU - Nemoto T AUID- ORCID: 0000-0002-7318-7377 AD - Department of Neuropsychiatry, Toho University Faculty of Medicine, Ota, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211107 PL - Australia TA - Early Interv Psychiatry JT - Early intervention in psychiatry JID - 101320027 SB - IM MH - Adolescent MH - Case Management MH - Humans MH - Japan MH - *Mental Disorders/therapy MH - Mental Health MH - *Mental Health Services OTO - NOTNLM OT - at-risk mental state OT - clinical case management OT - early intervention OT - one-stop care OT - youth EDAT- 2021/11/08 06:00 MHDA- 2022/05/04 06:00 CRDT- 2021/11/07 20:56 PHST- 2021/09/03 00:00 [revised] PHST- 2021/06/01 00:00 [received] PHST- 2021/10/19 00:00 [accepted] PHST- 2021/11/08 06:00 [pubmed] PHST- 2022/05/04 06:00 [medline] PHST- 2021/11/07 20:56 [entrez] AID - 10.1111/eip.13229 [doi] PST - ppublish SO - Early Interv Psychiatry. 2022 May;16(5):568-575. doi: 10.1111/eip.13229. Epub 2021 Nov 7.