About

A home-visit nursing service affiliated with (or linked to) the psychiatric department of **Hakujuji Hospital**, a relatively large general hospital supporting the local community. Under the instructions of a psychiatrist, nurses with specialized knowledge visit the homes of users. It serves as a bridge to support the daily lives of those who are barely holding on—people who "aren't sick enough to be hospitalized, but cannot manage life alone as they are." [Target Conditions] - Invisible Struggles: From the outside, they seem to live a normal life, but they harbor intense anxiety and difficulty living. They struggle to manage daily chores, shopping, or personal care as they would like. - Fluctuating Mental and Physical States: They have good days, but sudden depressive episodes or poor health can leave them unable to move, resulting in a messy home or difficulty managing hospital visits and medication on their own. - Post-Hospitalization Transition: Supporting the delicate period immediately after being discharged from Hakujuji Hospital until they adjust to a new rhythm of life at home. [Frequency and Interaction] - Basic Pace (1–3 times a week): Normally, a nurse visits the home regularly 1 to 3 times a week. Without forcing anything, they support the rebuilding of daily life, medication/health management, and provide mental support through conversation at the user's own pace. - Increased Visits When Necessary: During periods of high anxiety immediately after discharge, or when a temporary decline in health makes staying home risky, the frequency of visits may be temporarily increased under the doctor's orders. [Hospitalization Decisions and Medical Coordination] While the primary goal is to continue living at home, if observations during visits show a worsening condition, the nurse will coordinate with the attending physician at Hakujuji Hospital. If it is determined that "further home care is difficult (or hospitalization is necessary for the user's safety)," they may arrange for hospitalization or medical intervention. [Stance and Premise of Use] This service provides a regular, supportive presence in the private space of those who have urgent circumstances where they "cannot manage life on their own, but cannot afford to be hospitalized." It is a system designed to gently watch over and support them so the threads of their life do not snap.