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 White paper on crime 2006 Part 3/Chapter 4/Section 3/3 

3 Hearings pertaining to discharge or continuation of hospitalization

  When a person who has been hospitalized upon disposition of hospitalization under the Act on Medical Care and Treatment for Insane Persons or Persons with Diminished Capacity becomes no longer needing to be hospitalized, the manager of the designated medical institution has to apply for the permission of discharge of said person to a district court. Meanwhile, when recognizing it necessary to continue hospitalization, the manager is required to apply to a district court to confirm continuation of hospitalization every six months. A person who has been hospitalized upon disposition of hospitalization and his/her guardians can apply for the permission of discharge or the termination of medical care at any time.
  As of the end of 2005, one application for the permission of discharge was filed but the decision has not yet made for it (Source: Annual Report of Judicial Statistics).