[Practice of Community Psychiatry for the Treatment of XXXX ].

@entity1 @entity308 @entity146
The practice in the @entity146 division of Kitasato University East Hospital and Kitasato University Hospital has been emphasizing community psychiatry. The problems and proposed solutions are discussed. 1. Both hospitals are core hospitals located in Sagamihara City (Kanagawa Prefecture), which has no municipal hospital. 2. Kitasato University East Hospital has 94 beds in two closed wards and is one of the hospitals designated for @entity146 emergencies in Kanagawa Prefecture. 3. Over the last 10 years aroud Sagamihara City, cooperation between @entity146 hospitals and outpatient clinics, the treatment of @entity1 with mental and physical diseases, improvement of the quality of @entity146 practice, emergency psychiatry, and imbalances in the incomes and workloads of psychiatrists have been problematic. 4. Problems that need to be solved in practice to treat @entity308 involve inappropriate pharmacotherapy, disease mongering (the practice of widening the diagnostic boundaries of illnesses in order to expand the markets for drug treatment), clinical skills of psychiatrists, profitability, and medical institutions which cannot cope with regular @entity1 in an emergency. 5. Up to now, we have established a consulting service ("Second opinion" clinic) at Sagamihara Mental Health and Welfare Center (Municipal institution), recommended @entity1 ' consultation with family pharmacists, and increased the frequency of conferences for doctors without the support of pharmaceutical companies. 6. In order to develop community @entity146 services for @entity1 with @entity308 , the author is preparing a community-based critical path for @entity308 as well as community-based treatment network in the Sagamihara area. 7. The author believes that the urgent issue necessitates transparency and the increased visibility of @entity146 services.
