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To identify students who are struggling with mental distress and provide them with early and appropriate support, a valid and reliable multidimensional measure is required. The aim of this study was to investigate the convergent validity and the test–retest reliability of the Counseling Center Assessment of Psychological Symptoms‐Japanese (CCAPS‐Japanese). For the validity examination, 1,627 undergraduate students were randomized into five groups. Each group completed one of five questionnaires, comprised of the CCAPS‐Japanese along with one, two, or three validation scales depending on the group. For the reliability examination, a total of 184 and 106 students completed the CCAPS‐Japanese at one‐week and two‐week intervals, respectively. In the validity study, the highest correlation for each CCAPS‐Japanese subscale was found to exist with its referent measure except for the Generalized Anxiety subscale. In the reliability study, correlations for subscale scores at test and retest were significant, ranging from.66 to.88. These findings suggest that the 55‐item CCAPS‐Japanese is applicable for use with Japanese university students. [ABSTRACT FROM AUTHOR]

Mental health problems among children present an important public health issue worldwide. Early detection, assessment, and support in schools might have a significant impact on mental health outcomes and child health and wellbeing. The purpose of this article is to show the mental health support system and its historical transition in Japan. In general, Japanese schools have a Yogo teacher (a school nurse) who works full time, as well as three types of mental health specialists who work part time: school counselors, advisors, and social workers. The regularity of visits from the three types of specialists depends on schools and regions. In general, school counselors visit schools more often than do other specialists, for approximately 4 h per week. The other specialists either visit the schools rarely or not at all because they are sometimes not hired. The strengths of the Japanese system included much provision of psychological consultations and a small budget compared to Western countries. Almost all school counselors are clinical psychologists with master's degrees who are skillful at handling students' mental problems. Moreover, they are capable of providing intensive psychological counseling in school settings in Japan. The weakness is that there is no specialist available who supports students' academic or school life. General teachers take on the role of the Western countries' "school counselors." There are also few specialists who can be approached for social support compared to Western countries. [ABSTRACT FROM AUTHOR]

School‐based mental health interventions are considered to have potential for the promotion of mental health in developing countries. We held a workshop to discuss the promotion of mental health in schools in southeast Asian countries. This review report aimed to summarize the current situation of school mental health in Association of Southeast Asian Nations (ASEAN) countries as reported by their representatives in this workshop. To summarize the current situation of ASEAN countries in relation to school mental health, we qualitatively analyzed the content of the discussions from four perspectives: (i) laws and regulations: (ii) mental health services; (iii) teacher training on mental health; (iv) mental health education for students. With regard to school mental health laws and regulations, this report could not provide clear conclusions because the laws were reported through the personal understanding of the public officers. Our results show that mental health services in schools are centered on professionals such as guidance counselors, although the coverage varied among the different ASEAN countries. Only Singapore conducted mental health training for teachers in a comprehensive way, and the number of people who were actually trained in other countries was very limited. Cambodia, Malaysia, Myanmar, Philippines, Singapore, and Thailand included mental health education for students in health education or life skills subjects. [ABSTRACT FROM AUTHOR]

Aim Many studies have reported that the prevalence of mental illness and cognitive disability is higher among homeless individuals compared to the general population, and the rates of mental illness among the homeless population have recently increased. This study: (i) compares causes of homelessness or barriers to escaping homelessness for people with/without mental illness/cognitive disability; (ii) reveals problems with the Japanese homeless policy; and (iii) proposes an effective and necessary support system. Methods The participants were 114 homeless individuals. A psychiatric diagnostic interview and the Wechsler Adult Intelligence Scale, version III were used to measure participants' mental health and cognitive abilities. A questionnaire was administered comprising 17 items related to the causes of their homelessness and barriers to escaping from it. Participants were divided into four groups - with/without mental illness or cognitive disability - and Fisher's exact test was used to compare the questionnaire results. Results Individuals with cognitive disabilities considered bad relationships with their family members to be the cause of their homelessness. Conversely, normal individuals considered their homelessness to be the result of debt more so than did individuals with mental problems. Individuals with mental illness had more difficulties escaping homelessness than did either normal individuals or individuals with cognitive disability. This tendency was observed most strongly among individuals with both mental illness and cognitive disability. Conclusion Most homeless individuals considered economic problems to be the cause of their homelessness; however, difficulties with human relationships were also important factors and were more difficult for participants to acknowledge. Furthermore, these difficulties were exacerbated among those individuals with mental problems. [ABSTRACT FROM AUTHOR]

Aim While it has been reported that the prevalence of mental illness is higher in homeless people than in the national population, few studies have investigated the prevalence of intellectual and developmental disability among the homeless. In this study, we conducted a survey to comprehensively assess these mental problems among homeless people in Nagoya, Japan. Methods The subjects were 18 homeless men. Mental illness was diagnosed with semi-structured interviews conducted by psychiatrists. We used the Wechsler Adult Intelligence Scale III to diagnose intellectual disability. Discrepancies between Wechsler Adult Intelligence Scale III subtest scores were used as criteria for developmental disability. Results Eleven of the 18 participants were diagnosed with mental illness: six with mood disorder, two with psychotic disorder, and six with alcohol problems. The mean IQ of all subjects was 83.4 ± 27.4. The 95% confidence interval ( CI) was 96.2-69.1. Seven participants were found to have intellectual disability. Three men showed discrepancies of more than 10 between subtest scores, and all of them were diagnosed with a mental illness. We divided the participants into four groups: those with mental illness only; those with intellectual disability only; those with both problems; and those without diagnosis. The men with intellectual disability only were significantly younger and had been homeless since a younger age than the other groups. Participants diagnosed with a mental illness had been homeless for longer than those without mental health problems. Conclusion Although the sample size was limited, this study revealed the high prevalence of mental illness and intellectual disability, 61% (95% CI, 35-83%) and 39% (95%CI, 17-64%), respectively, in homeless people in Nagoya, Japan. [ABSTRACT FROM AUTHOR]

Aims: The relationship between suicide and disaster is an important problem but it's not clear. We conducted this study to determine whether a natural disaster affects suicide rates. Methods: We collected data on suicides during the 84 months before and the 60 months after the earthquake and compared the suicide rate in Kobe to that in Japan as a whole. We also examined what groups were significantly affected. Results: Compared with Japan as a whole, the suicide rates in Kobe significantly decreased in the 2 years after the earthquake. Conclusions: An influence on suicide rate after the disaster clearly appeared in middle-aged men. [ABSTRACT FROM AUTHOR]

There is currently no reliable and valid multidimensional instrument for measuring psychological symptoms among Japanese university students. The purpose of this pilot study was to translate the Counseling Center Assessment of Psychological Symptoms‐62 (CCAPS‐62) into Japanese and evaluate its validity and reliability. Following robust translation procedures, the CCAPS‐Japanese was created. In the validation study, 2,758 undergraduate students from 11 universities (mean age = 19.08 ± 1.85 years) completed the CCAPS‐Japanese. The results of confirmatory factor analysis supported the theoretical eight‐factor structure model of the CCAPS‐Japanese with the exclusion of seven items. The decision to retain/remove items was made by evaluating factor loadings and model fit indices while considering cultural equivalence and structural validity. Using the finalized 55‐item CCAPS‐Japanese, further analyses demonstrated that the eight subscales had acceptable to good internal consistencies (α =.61–.89). Thus, the tool's validity and reliability were established. The CCAPS‐Japanese may be appropriate for assessing the psychological concerns of Japanese university students. [ABSTRACT FROM AUTHOR]

Aims/Introduction: The diabetes status of homeless people has not been elucidated because of the limited access to this population. We carried out a survey of the prevalence of diabetes and prediabetes among homeless men in Nagoya, Japan, and assessed the associations between diabetes prevalence and sociodemographic characteristics. Materials and Methods: Interviews relating to individuals' sociodemographic background, mental illness and cognitive ability, and blood sampling were carried out for 106 homeless men (mean age 54.2 ± 12.7 years). Diabetes, prediabetes and normoglycemia were diagnosed according to the individual's hemoglobin A1c level: ≥6.5%, 6.4–6.0% and ≤5.9%, respectively. Mental illness and cognitive disability were diagnosed using the Mini‐International Neuropsychiatric Interview and Wechsler Adult Intelligence Scale‐III, respectively. Associations between the prevalence of diabetes/prediabetes and mental illness/cognitive disability or sociodemographic background were analyzed using the χ2‐test. Results: Seven (6.6%) and 12 (11.3%) participants were diagnosed as having diabetes and prediabetes, respectively, which was a similar trend to that of general populations in Japan National Health and Nutrition Survey data. There was a significant difference in the prediabetes prevalence between groups with and without a history of having social support; however, no significant associations were found between the diabetes/prediabetes prevalence and mental illness/cognitive ability or participants' sociodemographic background. Conclusions: The incidence of diabetes in Japanese homeless men was similar to that in the general population, and the prediabetes incidence was lower in the group with social support than in that without. Early intervention for preventing diabetes and social support that focuses on diabetes management is important for homeless people. [ABSTRACT FROM AUTHOR]