This is a website for promoting, disseminating, and learning about the tool "Crisis Plan - Japanese version (CP-J)," which is used by patients and users of mental health, medical care, and welfare services, as well as their supporters, to work collaboratively towards their hopes and goals. The site currently has 1252 members (as of November 2024).
We also share information on Facebook.
The Crisis Plan (CP-J) is a plan created based on an agreement between the individual and their supporters, outlining how to maintain stability and deal with signs of worsening symptoms when the illness is stable (Nomura, 2017). It has recently gained attention in the field of mental health care and welfare in Japan. While research is also being accumulated in Japan, a meta-analysis (1) on interventions to reduce involuntary hospitalization rates conducted overseas compared randomized controlled trials of several intervention methods, including self-management, CBT for psychosis, and ACT (Assertive Community Treatment), and concluded that Crisis Plan was the most promising intervention to prevent involuntary hospitalization.
This is thought to be due to the Crisis Plan's effectiveness as a specific and practical tool in collaborative symptom management between individuals and their supporters. However, it is important to note that "symptom management" is not the individual's goal, and that Crisis Plan can be useful as a means to maintain stability and work towards their own goals and aspirations.
At our association, we aim to foster Crisis Plan as a tool for individuals and their supporters to work together towards the individual's life goals. We invite you to learn, engage, and grow with us.
1) Bone, J. K., McCloud, T. L., Scott, H. R., et al. (2019). Psychosocial interventions to reduce compulsory psychiatric admissions: a rapid evidence synthesis. EClinical Medicine, 10, 58-67.
The above format can also be shared when you become a member of our group
1.Exchange and sharing of information through a mailing list.
・Sharing of formats and templates
・Sharing of information related to training sessions
・Sharing of practical and research reports
・Exchange of opinions and ideas
and more.
2.Holding training sessions.
・Local study groups and workshops
・National workshops conducted by members of the association
・Introduction of workshop instructors
and more.
3.Research support
Establishment of research teams
Introduction of literature
Advice on research ideas and methods
and more.
4.Promoting awareness and understanding of mental health care and welfare
・Development of workbooks
・Training for instructors and outreach personnel
・Approaches towards reimbursement for healthcare services
and more.
Membership fees, including registration and annual fees, are free of charge. There are no costs associated with joining. Please register using the form below.
In 2014, the Crisis Plan was included as a reference material in the "Textbook on Collaboration between Medical and Welfare Services in the Revised Mental Health and Welfare Law for the Enhancement of Personnel Development in Prefectures" (Chapter 2: Collaboration between Medical and Welfare Services in the Revised Mental Health and Welfare Law) in order to promote collaboration between medical and welfare services and facilitate discharge from psychiatric hospitals. The Crisis Plan was incorporated into the flowchart for promoting discharge.
In 2016, the Japan Medical Association included the Crisis Plan as a mandatory component in the plan for outreach and community transition for patients with long-term mental illness hospitalizations, as stated in their report on "Approaches to community transition, including outreach, for long-term hospitalized individuals with mental illness".
In 2018, the "Guidelines for Post-Discharge Support for Persons with Mental Disabilities by Local Governments" included a recommended item for "response measures in case of worsening symptoms." Although the name is different, this is essentially the same as the crisis plan introduced in the material on the revised Mental Health and Welfare Act and is introduced as a useful tool for multi-agency and multi-professional collaboration.
In 2020, in the "FY 2020 Revision of Medical Fees" in Japan, the "Joint Guidance Fee for Psychiatric Discharge" and the "Guidance Addition Fee for Living Environment Improvement in Medical Treatment" include the requirement that the "Comprehensive Support Management Practice Guide" be referenced, and this guide includes a crisis plan (emergency visit/consultation interview plan) - the crisis plan is introduced as a tool for emergency response in multi-agency, multi-professional cooperation.
In 2022, in the "FY 2022 Revision of Medical Service Fees," the "Continuing Support for Living" additional fee included a requirement to refer to the "Comprehensive Support Management Practice Guide" when creating support plans, and this guide includes a Crisis Plan (Emergency Consultation and Counseling Interview Plan). The Crisis Plan is introduced as a tool for emergency response in multi-agency and multi-professional collaboration.
President
Teruyuki Nomura
Deputy Director of the Psychotherapy Division (Licensed Psychologist, Clinical Psychologist, Ph.D.)
Saigata Medical Center
Vice President
Shunsuke Kano
Iwate Prefectural University, Faculty of Social Welfare, Lecturer (Licensed Psychologist, PhD)
Contact information
crisisplannetwork(at symbol)gmail.com
since 2017