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 Crisis Plan(CP-J) Study Group in Japan

About this study group

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 1000 members (as of April 2024).


<Announcements>

- The number of members exceeded 800 on June 16, 2023.

- Updated the information on the training seminar on April 15, 2023 (1 item) -> The application has been closed as the maximum capacity has been reached (April 20, 2023).

- The number of members exceeded 700 on February 16, 2023.

- Updated the information on the training seminar on August 11, 2022 (1 item).

- Conducted a training seminar by Dr. Shunsuke Karino on June 23, 2022.

- Updated the information on the training seminar on May 28, 2022 (1 item).

- Mr. Teruyuki Nomura of our association will give a presentation at the "118th Annual Meeting of the Japanese Society of Psychiatry and Neurology" on June 17, 2022.


On June 17, a symposium titled "Therapeutic Techniques in Medical Treatment under Medical Treatment and Supervision Act: Toward Generalization and Reduction to General Clinical Practice" will be held. The main coordinator is Tamiko Taguchi, and the sub-coordinator is Yoshito Igarashi. The moderators are Tamiko Taguchi and Yoshito Igarashi, and the symposium speakers are Koji Takeda, Ayako Kubo, Teruyuki Nomura, and Seiji Shimosato. They will discuss Crisis Plans as a means of generalizing medical treatment under the Medical Treatment and Supervision Act to general psychiatric care.

On March 30, 2022, a training seminar titled "Creating and Utilizing Crisis Plans (CP-J) -Basic Level-" was held, and about 70 members participated.

On March 29, the membership has exceeded 500. 

The association was established in 2017 and reached 500 members in just 5 years. Thank you very much for your support. We look forward to your continued support in the future.

On March 12, the revision of the medical fees for fiscal year 2022 includes a description related to Crisis Plans.

In the "Fiscal Year 2022 Revision of Medical Fees," there is a description of the "Continued Support for Living and Rehabilitation" addition, which recommends referring to the "Comprehensive Support Management Practice Guide" when creating support plans. The guide includes Crisis Plans (emergency consultation and interview plans), but a plan that includes "maintenance of stability" and "use as a tool for everyday communication," which is promoted by Crisis Plan study group, may be more effective than a plan that specializes in deterioration of symptoms.

On February 15, 2022, a paper by Teruyuki Nomura and Kenji Murasugi was published.

Nomura, T., Morita, N., Murasugi, K., Oya, Y., Saito, T., & Hirabayashi, N. (2022). Development and evaluation of a crisis plan training program for medical treatment under the medical treatment and supervision act. Seishin Igaku (Clinical Psychiatry), 64(2), 219-230.

2022.1.27 Nomura Teruyuki and Taku Otsuru's paper was published.

Nomura, T., & Otsuru, T. (2022). Collaborative symptom management through Crisis Plan in medication adherence for schizophrenia. Clinical Psychopharmacology, 25(2), 139-147.

On November 27, 2021, a paper by Shunsuke Karino (Iwate Prefectural University) and Teruyuki Nomura (Saigata Medical Center) was published.

Kano, S., & Nomura, T. (2021). A study on the importance of Crisis Plan items recognized by psychiatric hospitals and community support organizations. Seishin Igaku (Clinical Psychiatry), 36(11), 1335-1342.

On April 16, 2021, a paper by Shunsuke Kano (Iwate Prefectural University) and Teruyuki Nomura (Saigata Medical Center) was published. Furthermore, the association has updated its training program information on November 1, October 6, June 9, and May 31, 2021.

Kano, S., & Nomura, T. (2021). Survey on the implementation of crisis plans in community life support for people with mental illness. Bulletin of Hachinohe Gakuin University, 62, 153-171.

Karino, S., & Nomura, T. (2021). Categorization of case examples using crisis plans for support of individuals with mental disorders and their effectiveness. Seishin Igaku (Clinical psychiatry), 63(4), 515-526.

We also share information on Facebook.

FACEBOOK

What is Crisis Plan (CP-J)?

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 difference between the Crisis Plan in WRAP and the Crisis Plan (CP-J) introduced by our association.

  WRAP (Wellness, Recovery, Action, Plan) is an acronym that stands for a behavior plan designed to promote daily wellness and a positive approach to recovery. It aims to increase awareness of situations that can trigger emotional distress and create an action plan to support recovery. The plan includes a Crisis Plan as well.

WRAP was created in 1997 by a group of mental health service users led by Copeland in the United States, and has gained attention within the recovery movement. WRAP is a systematic approach to self-care, which involves understanding one's own mental and physical states, using personalized coping strategies to reduce and prevent distressing symptoms, and working towards personal goals. Although the WRAP Crisis Plan overlaps with the Crisis Plan (CP-J) introduced here, the Crisis Plan presented here has developed from a tool for rights advocacy by a user-led group in the UK.

 The most significant difference between WRAP's Crisis Plan and the Crisis Plan (CP-J) introduced here is that WRAP's Crisis Plan is a self-care tool primarily designed for individual use, and sharing it with medical or welfare professionals is not necessary. On the other hand, the Crisis Plan (CP-J) introduced here is collaboratively created and shared with medical or welfare professionals. In other words, while WRAP's Crisis Plan is the "I" plan for the individual, the Crisis Plan (CP-J) is positioned as the "We" plan for the user and their supporters, who confirm and implement appropriate responses according to the situation. There is no superior choice between the two, as both WRAP and the Crisis Plan (CP-J) can be suitable options for patients or users.

The above format can also be shared when you become a member of our group

the activity of the study 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

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 Information

Membership fees, including registration and annual fees, are free of charge. There are no costs associated with joining. Please register using the form below.

Membership Application Form

Recent trends on crisis plans in Japan.

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.

Contact

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