Literature Research on the Practice and Support of Medications by People with Mental Disorder in the Field of Mental Health and Welfare in Japan

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  • 日本の精神医療保健福祉分野における精神障害当事者が主体となる服薬の実践や支援に関する研究―減薬・断薬の潮流をふまえた文献研究を中心として―
  • ニホン ノ セイシン イリョウ ホケン フクシ ブンヤ ニ オケル セイシン ショウガイ トウジシャ ガ シュタイ ト ナル フクヤク ノ ジッセン ヤ シエン ニ カンスル ケンキュウ : ゲンヤク ・ ダンヤク ノ チョウリュウ オ フマエタ ブンケン ケンキュウ オ チュウシン ト シテ

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Abstract

Objective: This study aimed to conduct literature research to clarify the recent changes and trends in Japanese statements concerning psychotropic drug administration conducted mainly by people with mental disorders. Recent trends will also focus on “reducing drugs” and “cutting off drugs.” Method: The literature targeted for the method was determined using CiNii Research, a paper search site of the National Institute of Informatics. First, four literature were searched for “psychiatry × medication × self-determination,” 26 for “psychiatry × drug reduction,” 37 for psychiatric × drug reduction, and 15 for “mental disorder adherence.” Finally, this review included 45 research papers and 3 books. Result: The contents associated with the research purpose in the target literature were summarized and explained in five points, including “progress and new trends leading to drug reductions in Japan,” “diverse views on psychotropic onions,” “positive clinical experience of doctors in reducing drugs,” “support for taking drugs with respect for the parties’ independence,” and “reduction/disruption as a right.” Conclusions: The concept of the parties involved in psychiatric treatment is an embodiment of the concept of “Recovery.” Reducing and cutting off psychotropic drugs has become a worldwide act in conjunction with the party movement. In the future, more activities will be conducted in Japan to encourage people to take medicines and treatments independently and to restore their rights. Psychiatric nurses and mental health social workers need to explore how they can engage and contribute to their activities.

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