Presentation Information
[O-14-04]36years in depression treatment ward
*Yuichiro Tokunaga1, Michihiko Matsushita1, Reo Goto2,1, Hikaru Hori2 (1.Shiranui Hospital(Japan), 2.Department of Psychiatry, Faculty of Medicine, Fukuoka University(Japan))
Keywords:
ward for mood disorders,patient assessment,ambivalence of dependence
Introduction
Since 1989, the fully open ward for mood disorders at Shiranui Hospital has admitted 6,544 patients. The ward’s design incorporates natural sensory stimuli to activate the five senses and promote healing. I would like to report on the results so far.
1. Method
Treatment is not only medication, but also All 90 minutes of each week staff meeting, personal and group psychotherapy, family therapy, mindfulness, and so on.
2. results
2023 1 year, mean HAM-D scores improved from 24.7 at admission to 10.4 after one month, and 7.7 at discharge. These results were almost identical to those previously presented at APA .78% of patients had suicidal ideation at the time of hospitalization and it drops to 13% in one month. 15 persons committed suicide out of 6,544 people.
3. patient assessment
We conducted a comparative study of medical evaluations of inpatients in 2003 and 2022. The results were As for whether received the treatment you wanted, "Yes" it rose from 65% to 94%. As for treatment with guaranteed quality, "yes" it rose from 68% to 87%.
consideratoin
We believe that the following factors are responsible for the rapid recovery of symptoms and constant patient evaluation.
1. Emphasis on the treatment environment.
2. 90minutes weekly conferences.
3. Understanding the ambivalence of dependence of depressed people and the lack of security in relationships.
When patients expressed their repressed emotions, we accepted them as a team, even if they were aggressive.
Since 1989, the fully open ward for mood disorders at Shiranui Hospital has admitted 6,544 patients. The ward’s design incorporates natural sensory stimuli to activate the five senses and promote healing. I would like to report on the results so far.
1. Method
Treatment is not only medication, but also All 90 minutes of each week staff meeting, personal and group psychotherapy, family therapy, mindfulness, and so on.
2. results
2023 1 year, mean HAM-D scores improved from 24.7 at admission to 10.4 after one month, and 7.7 at discharge. These results were almost identical to those previously presented at APA .78% of patients had suicidal ideation at the time of hospitalization and it drops to 13% in one month. 15 persons committed suicide out of 6,544 people.
3. patient assessment
We conducted a comparative study of medical evaluations of inpatients in 2003 and 2022. The results were As for whether received the treatment you wanted, "Yes" it rose from 65% to 94%. As for treatment with guaranteed quality, "yes" it rose from 68% to 87%.
consideratoin
We believe that the following factors are responsible for the rapid recovery of symptoms and constant patient evaluation.
1. Emphasis on the treatment environment.
2. 90minutes weekly conferences.
3. Understanding the ambivalence of dependence of depressed people and the lack of security in relationships.
When patients expressed their repressed emotions, we accepted them as a team, even if they were aggressive.