Social Behavioral Disorders and Current State of Community Support

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  • Takezawa Nobuo
    Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine. Kyoto prefectural Support Center of Rehabilitation

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  • 社会的行動障害と地域支援の現状

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<p>  We analyzed 139 continuous cases of higher brain dysfunction patients from April 1, 2007 to March 31, 2016. There were 81 cases (58.3%) without social behavioral disorders, 38 cases (27.3%) with social be havioral disorders which are problematic in social life, and 20 cases (14.4 %) who social life became difficult due to social behavioral disorders. Characteristics of difficult cases are young at a mean age of 35.9, male is four times that of women, traumatic brain injury was more frequent as a causative disease. In difficult cases, there were 16 cases with strong impulsivity, 6 cases with impulsivity and intellectual decline, and 4 cases with hallucination and delusion. In difficult cases, drug therapy and coordination with psychiatry were conducted, group training and employment support etc were offered. In more severe cases, psychiatric inpatient treatment, psychiatry day care, visiting nursing, public health nursing etc. were cooperated.<br>  In addition, difficult cases in the consultation project of the support center are found in 1.9%, and in the psychotic disorder following traumatic brain injury there is a report of several%, which is not rare at all.</p>

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