Abstract
There are approximately 600 so-called "mobile SMID" patients such as children (persons) with severe/profound mental retardation and (severe) behavioral disorders, children (persons) with severe mental retardation and physical complications who are able to move by themselves, in the "mobile SMID" wards of nine National Hospital Organization psychiatric hospitals. In this study, we conducted a long-term inpatient survey in the Hizen Psychiatric Center "mobile SMID" ward and analyzed the patient's admission route, the patient's condition and their reason for admission. The results showed that a total of 73% of long-term inpatients had been admitted to our "mobile SMID" ward after difficulties in treatment at other SMID facilities, facilities for the mentally retarded, and psychiatric hospitals. In addition, there were also cases of inpatients coming directly to the Hizen Psychiatric Center from their home without being accepted by another facilities or hospitals. We believe that the "mobile SMID" wards will continue to play a specialist role in the future collaboration with facilities for mentally retarded children (persons) and other psychiatric hospitals as a place where patients can receive (1) developmental age-appropriate professional medical rehabilitation, (2) psychiatric care of emotional/behavioral disorders, and (3) treatment of physical complications.