{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:22:31Z","timestamp":1777749751852,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:p>Aims: In Japan psychiatric hospitals and family play the predominant roles in caring for people with serious mental illness. This study explored how the introduction of community-based care has changed this situation by examining living arrangements of individuals with schizophrenia who were treated in one of the most progressive systems in Japan (Kawasaki) compared with national norms.<\/jats:p>\n                  <jats:p>Methods: The proportion of clients with schizophrenia in the community versus hospital and living arrangements for those in the community were compared between the Kawasaki and national treated population, using data from the Kawasaki psychiatric service users survey in 1993 and two national surveys in 1993 and 1983. The variation in living arrangements was examined across five different age cohorts.<\/jats:p>\n                  <jats:p>Results: The estimated national population was 36.7, which was similar to 32.7 clients per 10,000 population in Kawasaki. Some 71% of the Kawasaki clients were treated in the community compared with 55% nationally. The difference between the Kawasaki and national populations was the largest among clients aged 40 to 59. The Kawasaki community clients had a higher proportion of clients living alone.<\/jats:p>\n                  <jats:p>Conclusions: The community mental health services available in Kawasaki appeared to reduce hospitalisation and help clients to live alone in the community.<\/jats:p>","DOI":"10.1177\/0020764006061249","type":"journal-article","created":{"date-parts":[[2006,2,2]],"date-time":"2006-02-02T07:43:09Z","timestamp":1138866189000},"page":"55-64","source":"Crossref","is-referenced-by-count":7,"title":["Living Arrangements of Individuals with Schizophrenia in Japan: Impact of                 Community-Based Mental Health Services"],"prefix":"10.1177","volume":"52","author":[{"given":"Iwao","family":"Oshima","sequence":"first","affiliation":[{"name":"Department of Mental Health, Tokyo University Graduate School of                         Medicine, 7\u20133-1 Hongo, Bunkyo-ku, Tokyo, 113\u20130033,                         Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eri","family":"Kuno","sequence":"additional","affiliation":[{"name":"Center for Mental Health Policy and Services Research, Department of                         Psychiatry, University of Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,1,1]]},"reference":[{"key":"atypb1","volume-title":"Mental Health and Welfare in Japan in the Future","author":"AMANO, M.","year":"1998"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1037\/h0079535"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a033446"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/21.4.631"},{"key":"atypb5","first-page":"561","volume":"14","author":"IKEGAMI, N.","year":"1980","journal-title":"Social Science and Medicine"},{"key":"atypb6","volume-title":"Social Welfare for People with Mental 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Countries","author":"OECD -Organisation for Economic Co-operation and Development-","year":"2002"},{"key":"atypb15","volume-title":"People with Mental Disablement in Japan: Their Life and Family","author":"OKAGAMI, K.","year":"1988"},{"key":"atypb16","first-page":"204","volume":"89","author":"OSHIMA, I.","year":"1987","journal-title":"Psychiatria et Neurologia Japonica"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1007\/978-4-431-68514-2_21"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/0160-2527(91)90001-4"},{"key":"atypb19","volume-title":"Annual Report on Current Population Estimates","author":"STATISTICS BUREAU","year":"1999"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1176\/ps.47.12.1364"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1037\/h0079695"},{"key":"atypb22","volume-title":"Zenkaren Health and Welfare Institute Monograph No.26","author":"ZENKAREN HEALTH AND WELFARE RESEARCH INSTITUTE -ZHWRI-","year":"2000"}],"container-title":["International Journal of Social Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764006061249","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764006061249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:53:13Z","timestamp":1777463593000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0020764006061249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1177\/0020764006061249"],"URL":"https:\/\/doi.org\/10.1177\/0020764006061249","relation":{},"ISSN":["0020-7640","1741-2854"],"issn-type":[{"value":"0020-7640","type":"print"},{"value":"1741-2854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,1]]}}}