Last Days in Japan: Tokyo

Our time in Japan is coming to an end. We are here in Tokyo to enjoy the sites and have one last meeting. We had the great privilege to talk with Dr. Ito and his staff at the National Institute of Mental Health of Japan and his staff about the benefits of incorporating peer specialists within mental health programs. I also had the opportunity to talk to different employment specialist and multiple researchers looking at the IPS model. The conversation was great. The staff were all excited about incorporating recovery models into their practice.

The next days we had the opportunity to explore Tokyo a bit more. Below are some photos from a couple of the sites! All in all the trip has been great. I learned a lot and I look forward to bring the information back to Chrysalis and the rest of the mental health community in Madison. Tomorrow back in the air and back to Madison.

 

Visiting with Dr. Ito and his staff.

Visiting with Dr. Ito and his staff.

Sushi from Tushkiji Fish Market.

Sushi from Tushkiji Fish Market.

We had the opportunity to see a Kabuki play, a classical Japanese theatre.

We had the opportunity to see a Kabuki play, a classical Japanese theatre.

Day 4 & 5: Obihiro

Our last days in Obihiro were spent visiting Miyajima Farms, a cooperative community just under an hour outside of Obihiro. The farm was started by a Nozomu Miyajima who got his dairy science degree in Madison and worked in a farm just outside of the city. His farm has award winning cheeses (that we luckily got to sample)! The community is very welcoming to people with disabilities and is seen as a therapeutic setting. You could really feel the healing energy just being there for a few hours. After the visit a few Madison folks and OE hospital staff checked out a local Onsen (Japanese natural hot spring). Later that evening we enjoyed a great goodbye dinner. The next day we left for Tokyo. 

Miyajima Farms. The setting was beautiful!

Miyajima Farms. The setting was beautiful!

 

Brown Swiss milk cows.

Brown Swiss milk cows.

 

So delicious.

So delicious.

 

Our trip the local Onsen.

Our trip the local Onsen.

 

Japanese breakfasts are a piece of art.

Japanese breakfasts are a piece of art.

 

Day 2 & 3: Obihiro

The last two days have been jam packed with site visits. We have meet many interesting people who are doing some really great thing in the city of Obihiro. Everyone is excited to share information about their programs. This morning was particularly interesting. We met with a newly formed Assertive Community Treatment (ACT) team. We talked about the importance of fidelity, evidenced practices and recovery. One of the ACT team staff was very focused on employment and had great information to share. He will be visiting Madison in July and will be coming to Chrysalis at that time. Below are some photos from the last two days.

Dinner is served!

Dinner is served!

Visiting an integrated hospital, nursing home care center.

Visiting an integrated hospital, nursing home care center.

Our view from lunch. Beautiful gardens.

Our view from lunch. Beautiful gardens.

Visiting a new outpatient day center and ACT team through OE hospital.

Visiting a new outpatient day center and ACT team through OE hospital.

IPS is something that the ACT team hopes to incorporate in the future. Work was a regular part of the discussion.

IPS is something that the ACT team hopes to incorporate in the future. Work was a regular part of the discussion.

Sitting in on the ACT team morning meeting.

Sitting in on the ACT team morning meeting.

Morning consumer check-in. We had a really nice discussion about what recovery meant for each person.

Morning consumer check-in. We had a really nice discussion about what recovery meant for each person.

Recovery was a large part of the day center model.

Recovery was a large part of the day center model.

Madison delegation in the news.

Madison delegation in the news.

Madison delegation in the news.

Madison delegation in the news.

Employment program supported by the city government were all over Obihiro.

Employment program supported by the city government were all over Obihiro.

Here the city contracts work to people with disabilities.

Here the city contracts work to people with disabilities.

Day 1: Obihiro

We made it to Obihiro! Since arriving this afternoon it has been a whirl wind of events. We have visited a group home, referral center, agricultural employment site, I gave a presentation on IPS, visited a cookie production employment site, and was interviewed by the local paper. Below are a series of photos from Day 1.

The pod I stayed in at the Haneda airport before catching a flight to Obihiro.

The pod I stayed in at the Haneda airport before catching a flight to Obihiro.

Flying into Obihiro. Looks a lot like Madison. Not pictured are the snow capped mountains in the distance, not so much like Madison.

Flying into Obihiro. Looks a lot like Madison. Not pictured are the snow capped mountains in the distance, not so much like Madison.

Visiting a group home. All consumers are working off-site.

Visiting a group home.

Next door to the group home was a client referral center.

Next door to the group home was a client referral center.

Here consumers work at an agricultural work site.

Here consumers work at an agricultural work site.

My presentation on IPS.

My presentation on IPS.

Visiting the cookie production factory. Very efficient and delicious!

Visiting the cookie production factory. Very efficient and delicious!

Getting interviewed by the local newspapers on my first impressions.

Getting interviewed by the local newspapers on my first impressions of Obihiro.

Tentative Japan Schedule

In just a few short days I will be leaving Madison and be traveling to Obihiro Japan to visit with different mental health treatment providers. Our trip guide, Jo Oyama Miller, just sent out a tentative schedule for our visit. We also have a final list of who will be making this trip.

Ed Erwin – Peer Specialist, Karen Milstein – Peer Specialist at Blacksmith House CSP, Michael Bahl – Blacksmith House CSP Case Manger, Jessica Ecker – Journey Mental Health Center

Tentative Agenda

5/5– Madison delegation arrives in Obihiro. Visit OE Hospital and part of their new ACT team.

5/6 – OE Hospital site visit at their Clinic with Kazu. Welcome party, meet and great with other people from previous trips to Madison.

5/7 – Chrysalis Executive Director, Dani, arrives in Obihiro. Presentation on Individual Supported Employment services to Mr. Sanuki and Mr. Hiwatari.

5/8 – Visit Mr. Hiwatari and his hospital.

5/9–  Spend the day with the new ACT team at the new clinic with Kazu. Visit many different work programs and work sites.

5/10 – OE hospital staff will take group to Miyajima Farms.

5/12- Tokyo, meeting with the National Health Institution at both the outpatient clinic as well as with Dr. Ito. 

But first, Moving for Mental Health this Sunday!

Japan Tickets Booked!

A delegation of Madison mental health providers will be traveling to Obihiro, Japan, May 5 – May 15, to learn about different mental health practices and other cultural topics. We will be visiting inpatient hospitals, outpatient settings, employment programs and collective communities. I am very excited to be representing Chrysalis as part of this delegation and look forward to sharing more about our travels from Japan!

Here is a map of Japan. I marked Obihiro in red.

Obihiro