[The intermediate and long-term supports for the suffered places of the Higashi-Nihon Huge earthquake. From the point of view of the community living and psychiatric rehabilitation].

The intermediate and long-term supports for suffered places of the Higashi-Nihon Huge Earthquake were discussed from the viewpoint of the community living and psychiatric rehabilitation. It might be useful to prevent from exacerbation of psychiatric disorders that gathering information, communication skills, relation with neighborhood, and joining training for disaster defense, and so on are acquired by persons with psychiatric disorders in the community living. If persons with psychiatric disorders are cared as disabled against disaster without empowering them with these skills, they cannot contribute to new society after disaster and worse estrangement from the society might appear. The Japanese Association of Psychiatric Rehabilitation proposed two models of one-stop service combining psychiatric service, mental health, and welfare from the viewpoint to support the community living; multi-disciplinary outreach team based temporary psychiatric clinic focusing psychiatric services, and comprehensive community living support center focusing mental health and welfare. It depends on demands of the suffered places which model is better adjusted, and hybrid model is possible. The important need to build long-term support system for people of supporting suffered persons from this huge earthquake was mentioned.