Proposed Initiatives for Local Governments to Encourage Citizens

Proposed Initiatives for Local Governments to Encourage Citizens’ well-being: A Case Study of Kobe KOBE MUNICIPAL FUKIAI HIGH SCHOOL SACHIKO SHIRAI

Contents 1. Introduction 2. Background Information 3. Research Question 4. Present Initiatives 5. Discussion 6. Suggestions 7. Conclusion 8. References

Introduction Good Welfare Stres s Depression Suicide （WHO, 2018）

Background Information 1 More than 300 million people around the world suffer from depression Country Depressive disorder ％ of population India 56 675 969 4, 5％ ・ ・ ・ Japan 5 058 124 4, 2％ ・ ・ ・ Mexico 2 408 700 5, 2% （WHO, 2018）

Background Information 2 Process of depression treatment Depression recurrence rate by number of recurrence 1 st 2 nd 3 rd （Agency for Healthcare Research and Quality (US), 2015 Dec. ） (Japanese Society of Mood Disorders, 2004)

Background Information 3 Economic Loss due to Mental Health Issue in Japan per year 3 2, 5 0, 8 2 1, 5 1 [値]trillion yen 0, 5 0 Depression Schizophrenia （Ministry of Health, Labor and Welfare, 2010） （The Japan Institute for Labor Policy and Training, 2013）

Background Information 4 Companies where employees fill out a stress-check-list in Japan use it but not analyze 21% 63% 10% 6% use and analyze it but not feedback use, analyze and feedback it do not use it （Ministry of Health, Labor and Welfare, 2018）

Research Question What actions can be taken by the local government in Kobe in regards to citizen’s mental health?

Present Initiatives 1 Kobe STRESS MOUNTAIN in Kobe ・visualize your stress online ・suggest what to do next Ex. improve sleep quality ask a doctor for help （Mental Health and Welfare Center in Kobe, 2011）

Present Initiatives 1 Kobe Statistics regarding the use of consultation services for mental health in Kobe Whole Consultation Number of People 5400 5200 5000 4800 4600 4400 4200 Consultation of Mental Health 700 5270 5128 635 600 4963 Need to Visit for Mental Issue 70 60 456 500 50 40 300 30 200 62 20 121 100 15 10 1 0 0 4000 ■ 2012 ■ 2014 ■ 2016

Educating 13 -14 year-old children in public schools about GATE-KEEPER since 2019 Present Initiatives 4 Kobe Suicide Depression “Be a GATEKEEPER” initiative Stress Good Welfare ・aims at 13 -14 year olds in public schools in Kobe ・conducted as school visit once a year ・gives children knowledge how to treat with friends who think to suicide ・started in 2019 by Mental Health and Welfare Center in Kobe

Discussion Preventative measures for stress are necessary welfare stress depression suicide ・Current preventative measures are for depression or suicide ・Reactive action ・Not focused on maintaining mental health

Suggestion 1 MY CONDITION KOBE (Health and Welfare Center in Kobe, 2019)

Suggestion 2 MY CONDITION KOBE Mental health goals Physical goals Social goals

Conclusion Tracking own goals Local events for activity MY CONDITION KOBE welfare Connection of medical care Preventative measures of stress and to keep mental health good for all citizens stress depression suicide

References World Health Organization. (2014, August). Mental health: a state of well-being. Retrieved September 22, 2019 from https: //www. who. int/features/factfiles/mental_health/en/ World Health Organization. (2017, April 7). Depression: let’s talk. Retrieved October 10, 2019 from https: //www. who. int/mental_health/management/depression/en World Health Organization. (2018, March 22). Depression. Retrieved September 10, 2019 from https: //www. who. int/en/news-room/fact-sheets/detail/depression World Health Organization. (2017). Depression and Other Common Mental Disorders. Retrieved August 6, 2019 from https: //www. who. int/mental_health/management/depression/prevalence_global_health _estimates/en/

References Agency for Healthcare Research and Quality in United States. (2015, December). Nonpharmacological Versus Pharmacological Treatments for Adult Patients with Major Depressive Disorder. Retrieved October 10, 2019 from https: //www. ncbi. nlm. nih. gov/books/NBK 338234/figure/introduction. f 1/ The Japan Institute for Labor Policy and Training. (2012). Survey on Mental Health Measures in Workplace. Retrieved August 12, 2019 from https: //www. jil. go. jp/institute/research/2012/100. html Ministry of Health, Labor and Welfare. (2010, September). Social Impact of Suicide and Depression. Retrieved August 12, 2019 from https: //www. mhlw. go. jp/stf/houdou/2 r 9852000000 qvsy. html Ministry of Health, Labor and Welfare. (2018. November). Survey of Occupational Safety and Health. Retrieved October 10, 2019 from https: //www. mhlw. go. jp/toukei/list/dl/h 30 -46 -50_kekka-gaiyo 01. pdf

References Mental Health and Welfare Center in Kobe. (2017). Bulletin by Mental Health and Welfare Center in Kobe. Retrieved October 10, 2019 from http: //www. city. kobe. lg. jp/life/health/kokoro/center/31041001. pdf Mental Health and Welfare Center in Kobe. (2011). STRESS MOUNTAIN. Retrieved September 17, 2019 from http: //stressmountain. jp/index. html Health and Welfare Center in Kobe. (2019). Health Creation City: KOBE. Retrieved October 10. 2019 from http: //www. city. kobe. lg. jp/life/health/kenkousouzoutoshi/index. html