Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study

Abstract Aim This study aims to investigate how the coronavirus disease (COVID‐19) pandemic impacted service provision of peer‐supported addiction services, such as self‐help groups or recovery houses and government‐owned addiction healthcare services, in Japan, as well as the quality of their inter...

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Main Authors: Munenori Katayama, Sou Fujishiro, Kanna Sugiura, Jun Konishi, Ken Inada, Norihito Shirakawa, Toshihiko Matsumoto
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:PCN Reports
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Online Access:https://doi.org/10.1002/pcn5.70012
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author Munenori Katayama
Sou Fujishiro
Kanna Sugiura
Jun Konishi
Ken Inada
Norihito Shirakawa
Toshihiko Matsumoto
author_facet Munenori Katayama
Sou Fujishiro
Kanna Sugiura
Jun Konishi
Ken Inada
Norihito Shirakawa
Toshihiko Matsumoto
author_sort Munenori Katayama
collection DOAJ
description Abstract Aim This study aims to investigate how the coronavirus disease (COVID‐19) pandemic impacted service provision of peer‐supported addiction services, such as self‐help groups or recovery houses and government‐owned addiction healthcare services, in Japan, as well as the quality of their interaction. Methods An online survey was distributed to all 69 public regional healthcare facilities (Mental Health and Welfare Centers [MHWCs]) across the 47 prefectures of Japan annually from 2021 to 2023, totaling three surveys. The survey asked about: (1) the current status of addiction healthcare services at each center, (2) the current status of peer‐supported addiction services within each center's area, and (3) changes in connectivity between centers and peer‐supported addiction services. Results All 69 centers participated in the survey each year. Following the second year of the pandemic, both MHWCs and peer‐supported services experienced service closures and restrictions; however, peer‐supported services were notably more affected nationwide, such as downsizing of services, decreased number of users, shortage of operation funds, and inability to connect with other services being widely reported (p < 0.0001). Despite the easing of most restrictions by the fourth year, MHWCs in 18 out of 47 prefectures reported at least one sustained negative impact on their service provision, while peer‐supported services struggled to recover, with 40 out of 47 prefectures still observing difficulties. Conclusion The COVID‐19 pandemic significantly affected both types of service, with peer‐supported services facing greater challenges in recovery. Additional support is essential to restore these services to normal operation.
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spelling doaj-art-9ff69ddf97474136bb0eba2ef412bfdf2025-08-20T02:46:05ZengWileyPCN Reports2769-25582024-12-0134n/an/a10.1002/pcn5.70012Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort studyMunenori Katayama0Sou Fujishiro1Kanna Sugiura2Jun Konishi3Ken Inada4Norihito Shirakawa5Toshihiko Matsumoto6Mental Health and Welfare Center City of Yokohama Kanagawa JapanAichi Prefectural Mental Health and Welfare Center Aichi JapanMental Health and Welfare Center City of Yokohama Kanagawa JapanMental Health and Welfare Center City of Yokohama Kanagawa JapanDepartment of Psychiatry, School of Medicine Kitasato University Kanagawa JapanIndependent ScholarDepartment of Drug Dependence Research Institute of Mental Health, National Center of Neurology and Psychiatry Tokyo JapanAbstract Aim This study aims to investigate how the coronavirus disease (COVID‐19) pandemic impacted service provision of peer‐supported addiction services, such as self‐help groups or recovery houses and government‐owned addiction healthcare services, in Japan, as well as the quality of their interaction. Methods An online survey was distributed to all 69 public regional healthcare facilities (Mental Health and Welfare Centers [MHWCs]) across the 47 prefectures of Japan annually from 2021 to 2023, totaling three surveys. The survey asked about: (1) the current status of addiction healthcare services at each center, (2) the current status of peer‐supported addiction services within each center's area, and (3) changes in connectivity between centers and peer‐supported addiction services. Results All 69 centers participated in the survey each year. Following the second year of the pandemic, both MHWCs and peer‐supported services experienced service closures and restrictions; however, peer‐supported services were notably more affected nationwide, such as downsizing of services, decreased number of users, shortage of operation funds, and inability to connect with other services being widely reported (p < 0.0001). Despite the easing of most restrictions by the fourth year, MHWCs in 18 out of 47 prefectures reported at least one sustained negative impact on their service provision, while peer‐supported services struggled to recover, with 40 out of 47 prefectures still observing difficulties. Conclusion The COVID‐19 pandemic significantly affected both types of service, with peer‐supported services facing greater challenges in recovery. Additional support is essential to restore these services to normal operation.https://doi.org/10.1002/pcn5.70012addictionaddiction healthcare serviceimpact of COVID‐19Japanresource allocation
spellingShingle Munenori Katayama
Sou Fujishiro
Kanna Sugiura
Jun Konishi
Ken Inada
Norihito Shirakawa
Toshihiko Matsumoto
Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
PCN Reports
addiction
addiction healthcare service
impact of COVID‐19
Japan
resource allocation
title Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
title_full Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
title_fullStr Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
title_full_unstemmed Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
title_short Greater impact of COVID‐19 on peer‐supported addiction services than government‐owned services for addiction in Japan: A nationwide 3‐year longitudinal cohort study
title_sort greater impact of covid 19 on peer supported addiction services than government owned services for addiction in japan a nationwide 3 year longitudinal cohort study
topic addiction
addiction healthcare service
impact of COVID‐19
Japan
resource allocation
url https://doi.org/10.1002/pcn5.70012
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