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4 Treatment in local communities
A person who is given a disposition of outpatient treatment or is allowed discharge from the hospital (disposition to allow the person discharge from the hospital and have him/her receive outpatient treatment) shall, for three years in principle, go to a designated medical institution for outpatient treatment (meaning institutions designated by the Minister of Health, Labor and Welfare, selected from hospitals and clinics that meet criteria stipulated by the Ordinance of the Ministry of Health, Labour and Welfare) to receive outpatient treatment and be subject to mental health supervision by probation offices. Mental health supervision aims to ensure on-going medical care for persons in question by supervising their hospital visits and living conditions through direct interviews and reports from related organizations, and giving them necessary guidance. In addition to on-going medical care, appropriate utilization of other supports for mentally disabled persons (support provided by prefectures and municipalities based on the Act for Supporting Independent Living for Persons with Disabilities) is important so that they can live a stable life in local communities. Therefore, probation offices prepare treatment plans through talks with designated medical institutions for outpatient treatment and prefectures and municipalities, trying to maintain close relationships between related organizations for effective implementation of the plans.
Rehabilitation coordinators (psychiatric social workers or other certified social workers who have experience in support work for mentally disabled persons) engage in clerical work at probation offices under the Act on Medical Care and Treatment for Insane Persons or Persons with Diminished Capacity.
Termination of treatment (excluding expiry of term) and re-hospitalization to designated medical institutions for hospitalization is determined through hearings at courts.