{"id":1107,"date":"2026-07-23T13:32:34","date_gmt":"2026-07-23T11:32:34","guid":{"rendered":"https:\/\/bfap-fbpa.org\/2026\/07\/23\/bfap-and-japanese-psychiatrists-join-forces-for-more-community-based-mental-health-care\/"},"modified":"2026-09-18T16:36:02","modified_gmt":"2026-09-18T14:36:02","slug":"bfap-and-japanese-psychiatrists-join-forces-for-more-community-based-mental-health-care","status":"publish","type":"post","link":"https:\/\/bfap-fbpa.org\/en\/2026\/07\/23\/bfap-and-japanese-psychiatrists-join-forces-for-more-community-based-mental-health-care\/","title":{"rendered":"BFAP and Japanese psychiatrists join forces for more community-based mental health care"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><\/p>\n\n<p class=\"wp-block-paragraph\">What do Belgium and Japan have in common, besides a friendship spanning more than 160 years? \ud83c\udde7\ud83c\uddea\ud83e\udd1d\ud83c\uddef\ud83c\uddf5 <\/p>\n\n<p class=\"wp-block-paragraph\">More than meets the eye. Both countries struggle with a significant gap between inpatient and outpatient mental health care. Engaging in this debate without increasing the tension between these two forms of care is not easy. That is precisely why BFAP chooses a constructive approach.   <\/p>\n\n<p class=\"wp-block-paragraph\">In Belgium, approximately half of the people with a genuine need for specialized mental health care do not receive appropriate treatment or must wait for months or even years. At the same time, Belgium has the highest psychiatric bed density in the European Union; Japan has the highest within the OECD. This is not the result of &#8220;good&#8221; or &#8220;bad&#8221; choices, but of historically developed funding models. The strong inpatient tradition in Belgium even dates back to the mid-19th century.   <\/p>\n\n<p class=\"wp-block-paragraph\">Today, outpatient psychiatry is still reimbursed significantly lower than inpatient care. The consequences are clear: according to national figures, approximately one in five psychiatrists is over the age of 65, while young colleagues are increasingly less likely to choose an outpatient career and are more often attracted by the higher remuneration within hospitals. Not because outpatient care is less valuable, but because the current system makes it increasingly difficult to remain viable.  <\/p>\n\n<p class=\"wp-block-paragraph\">BFAP identifies three important building blocks for the future:<\/p>\n\n<p class=\"wp-block-paragraph\">\u2192 <strong>Balanced funding<\/strong> for outpatient care, protected living, mobile teams, and inpatient psychiatry, fully in line with the objectives of Article 107.<\/p>\n\n<p class=\"wp-block-paragraph\">\u2192 <strong>Timely access to specialized outpatient care<\/strong>, so that patients receive care that aligns with their needs from the very beginning.<\/p>\n\n<p class=\"wp-block-paragraph\">\u2192 <strong>Management of the care pathway by outpatient providers<\/strong> \u2013 psychiatrists, psychotherapists, and specialized nurses \u2013 so that admission only occurs when clinically necessary, and is not influenced by available beds or financial incentives.<\/p>\n\n<p class=\"wp-block-paragraph\">Inpatient psychiatry naturally remains indispensable for acute crises and complex or therapy-resistant conditions. The goal is therefore not to dismantle hospital care, but to restore the balance between both forms of care. That debate can only be conducted fairly when both sectors are supported in an equivalent manner.  <\/p>\n\n<p class=\"wp-block-paragraph\">Mental health conditions currently cost Belgium an estimated <strong>28 billion euros per year<\/strong> \u2013 approximately <strong>5% of GDP<\/strong>. According to the <strong>WHO<\/strong> and <strong>The Lancet<\/strong>, every euro invested in mental health care yields an average of four euros in social and economic profit. The time to invest is now.  <\/p>\n\n<p class=\"wp-block-paragraph\">The <strong>UN Convention on the Rights of Persons with Disabilities (UN CRPD)<\/strong> also emphasizes that people have the right to treatment as well as inclusion in their own community. A society that recognizes unbearable psychological suffering must also guarantee that quality care is accessible in a timely manner. <\/p>\n\n<p class=\"wp-block-paragraph\">BFAP is particularly honored that this vision could be presented during the congress of the <strong>Japanese Society of Psychiatry and Neurology (JSPN)<\/strong> in Yokohama. International cooperation and knowledge exchange are essential to building a more accessible, person-centered, and future-proof mental health care system together. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>What do Belgium and Japan have in common, besides a friendship spanning more than 160 years? \ud83c\udde7\ud83c\uddea\ud83e\udd1d\ud83c\uddef\ud83c\uddf5 More than meets the eye. Both countries struggle with a significant gap between inpatient and outpatient mental health care. Engaging in this debate without increasing the tension between these two forms of care is not easy. That is [&hellip;]<\/p>\n","protected":false},"author":246655427,"featured_media":1105,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[20162],"tags":[],"class_list":["post-1107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- 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While public debate often focuses on long-term disability, control mechanisms, or the role of health insurance funds, the core question remains neglected\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/06\/knack-belgische-federatie-ambulante-psychiatrie-bfap-ggz.jpg?fit=332%2C232&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1097,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/03\/24\/mental-health-care-networks-and-the-missing-secondary-care-bfap-position-paper\/","url_meta":{"origin":1107,"position":1},"title":"Mental health care networks and the missing secondary care: BFAP position paper","author":"Thomas Van der Poorten","date":"24 March 2026","format":false,"excerpt":"Community-based care in Belgium is stagnating In recent years, Belgian mental health care has taken clear steps toward providing more care within the patients' own living environments. Since the introduction of mental health care networks in 2010, with Article 107 serving as a lever for community-based care, there has been\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2025\/12\/Logo-van-de-Belgische-Federatie-kopie.png?fit=434%2C393&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1162,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/10\/02\/bfap-in-discussion-with-politico-mental-health-care-within-eu-institutions-deserves-equal-reimbursement\/","url_meta":{"origin":1107,"position":2},"title":"BFAP in discussion with Politico: mental health care within EU institutions deserves equal reimbursement","author":"Thomas Van der Poorten","date":"2 October 2026","format":false,"excerpt":"Politico highlights a question BFAP has been asking for years: is mental health care given the same priority as physical care? Within the European institutions, this is currently not the case. Belgian outpatient psychiatrists treat a large portion of EU institutional staff and see the consequences firsthand. In our clinical\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/10\/Schermafbeelding-2026-10-02-101148.png?fit=410%2C407&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":974,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/04\/30\/bfap-in-federal-parliament-on-the-future-of-outpatient-mental-health-care\/","url_meta":{"origin":1107,"position":3},"title":"BFAP in Federal Parliament on the future of outpatient mental health care","author":"Thomas Van der Poorten","date":"30 April 2026","format":false,"excerpt":"The Belgian Federation for Outpatient Psychiatry (BFAP) was received today at the Federal Parliament for a substantive exchange of views with Member of Parliament Kathleen Depoorter (N-VA) regarding the future of outpatient mental health care in Belgium. The meeting focused on the growing pressure on outpatient psychiatry and the need\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/05\/unnamed-1.jpg?fit=900%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/05\/unnamed-1.jpg?fit=900%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/05\/unnamed-1.jpg?fit=900%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/05\/unnamed-1.jpg?fit=900%2C1200&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":1100,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/02\/03\/gps-in-the-ghent-region-embrace-collaborative-care\/","url_meta":{"origin":1107,"position":4},"title":"GPs in the Ghent region embrace collaborative care","author":"Thomas Van der Poorten","date":"3 February 2026","format":false,"excerpt":"It is inspiring to see that GPs involved in the Tussen de Lijnen project are advocating for breaking down the walls between primary and secondary care. The Ghent General Practitioners Association, together with mental health networks and psychiatrists, is already actively working on a model that strengthens primary care while\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Medisfeer-Tussen-De-Lijnen-BFAP-Huisartsen-Psychiatrie-Eerstelijn.png?fit=422%2C422&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1181,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/10\/20\/bfap-in-de-specialist-reforms-leave-patients-out-in-the-cold-as-long-as-mental-health-care-lacks-a-dedicated-budget\/","url_meta":{"origin":1107,"position":5},"title":"BFAP in De Specialist: Reforms Leave Patients Out in the Cold as Long as Mental Health Care Lacks a Dedicated Budget","author":"Thomas Van der Poorten","date":"20 October 2026","format":false,"excerpt":"On October 19, the General Council of the NIHDI rejected the 2027 budget; the government will finalize it independently in December. 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