ICCP Tallinn 2012 The Beginning of Hospital Play in Japan Looking back these five years what we have achieved Chika Matsudaira Hiroki Mori (, Junior College)
1. What is Hospital Play? For children, play is the most familiar presence, and the quality of play is tied to the growth and development of all children. It is not an exception even for sick children, Hospital play is exactly, there is a role convey the power of play and value in child health care.
Definition of Hospital Play (1) Hospital Play is Play for children who are sick and who will live with continually medical condition. (2) Hospital Play is Play for children who are sick and have disabilities to make their medical experiences more positive to protect their personalities and to give them safety, control and trust. (3) Hospital Play is Play for medical staff to understand not only children s medical condition but their feelings and emotion to their condition. (4) Hospital Play is Play to advocate sick children s right which can easily be violated by the name of saving the child s life.
2. Do we all know about how children in Hospital are treated? I don t think so We think we know about children but do we know about sick children who are treated in Hospitals. < How are sick children treated in Japanese Hospitals? > >Limited hours for parents to meet their child/ Restraint during procedures/no parents while treatment/ Hardly any Play Not enough understanding of who children are.
3. Japanese recognition to play Question towards doctors and nurses in Japan. Play is children s right. Why cannot children who are sick play? > Because they are sick not healthy. Play is for healthy children who can move note for children they are too sick. < Why is it like this? > Medicine and Play is in Scale/Medicine is seen a very serious matter but Play/No teaching of Play in Japanese medical universities /Doctors and Nurses don t know about Play/Medical Staff are treating the sickness and not the sick child.
4. What is the mission of Hospital Play Specialist (HPS)..? Hospital Play Specialist will help the child by play during their stay in Hospital and their experience with medicine. More and more children will be treated at home but that can cause strong stress to the child because home is no longer a safe place. HPS in Japan are providing home visits as well.
The Mission of Hospital Play Specialist (1) HPS will try to provide Play to all children no matter their condition are. (2) By using the healing power of Play, HPS will support the children who are treated with medicine. (3) HPS will prepare the child with Play so that they will not lose their sense of control while been treated. (4) HPS will support the child during procedures with Play so that the child will not feel pain or fear more than they need. (5) HPS will support the child with Play after the procedure so that the child can reflect on what happened. (6) HPS will make a individual Play Program so that sick children will continue to develop. (7) HPS will support the siblings of the sick child so that siblings will still feel that they belong to the family. (8) HPS will feed their information about the sick child to other medical staff and work within the pediatric team. (9) HPS will support the child s life for their traumatic experience will live with them throughout their lives. Supporting a sick child is to make a social included adult in the future. (10) HPS will effort to make the society understand more about the meaning of Play.
5. HPS Program in Japan Junior College has been granted by the Japanese Ministry of Education to train Hospital Play Specialist Japan since August 1 st, 2007. This education Program has been carried about with Japanese educationalist and with the cooperation of National Association of Hospital Play and Hospital Play Staff Education Trust of UK. Each year we have been training approximately 15 to become an HPS. Cohort period applicants students graduates auditor hours(h) First Cohort Second Cohort Third Cohort Fourth Cohort Fifth Cohort Sixth Cohort Seventh Cohort 2008.2.25~ 2008.3.24 2008.9.1~ 2008.10.9 2009.2.16~ 2009.3.19 2009.9.7~ 2009.10.13 2010.2.15~ 2010.3.18 2010.11.30~ 2011.3.18 2011.11.1~ 2012.3.9 10 10 8 8 145.5 34 15 15 8 155 17 12 12 16 156.5 30 13 13 22 155 29 14 14 17 156 28 13 11 13 211 41 16 16 11 213 Total 189 93 89 95 -
6. As a member of the pediatric care team >The difficulty our graduates have faced in establishing Play in Hospital; The staff lack of understanding the importance of Play. Also the HPS themselves found it difficult to speak the value of play for sick children to pediatricians. Medical environment and staff seek for too much safety so nothing new can come in. Medical staff emphasis much on what they have to do on time and small flexibility.
Overall Structure of Hospital Play Specialist >HPS are the advocators of the need of Play in Hospitals. To place an HPS in the pediatric team and to make a multidisciplinary team will make the care richer and satisfaction of the sick child and family will increase. Family Centered Care will be achieved.
7. Change in Japan Result of Hospital Play Activity Small but positive change is happening since 2007 in Japan. Children s welfare and children s right to play is understood more and medical staff are using Play as a media to connected to the child. More and more sick children have chances to express their feelings through play. (1) Change in every day
(2) Change in Playroom
(3) Change in treatment room (4) Change in a blood sample
8. Conclusion and Future 1. Use the power of play and make it easier not just for the child but for the staff who treat. 2. Make trust between the doctor and child so that he can participate in the treatment. 3. To promote play for more understanding in the society and in the field of medicine. 4. More universities to run the HPS course in Japan for all the children in Japan.
Appendix: Smile Project by Hospital Play Specialist after the Tsunami Attack Every Child Matters