2023 Volume 83 Issue 5 Pages 301-308
Showa University Karasuyama Hospital, located in Setagaya Ward, Tokyo, Japan, plays the role of a core psychiatric hospital with close ties to the local community and has a 94-bed psychiatric emergency ward （hereinafter referred to as “super emergency”）. Occupational therapists provide group-based occupational therapy （OT） in and out of the super emergency unit. In this study, we summarized the inpatients in the super emergency unit over a 2-year period and discussed the role of OT in the acute phase based on the utilization of OT by inpatients. A total of 1,006 patients were admitted over the 2-year period, and approximately 80％ were involuntarily admitted. Of the 617 discharged patients, 434 （70.3％） received OT prescriptions and 536 （86.9％） were discharged within 90 days. Many discharged patients used OT. At the entrance to the psychiatric care, a super emergency, they organized themselves, made connections with others, and experienced small successes. The priority is to integrate naturally into OT, which is based on a group that can be called a simulated society to affirm one’s existence, to achieve a sense of recovery, and to be ready to continue the treatment in the future.
