Purpose: This article aims to show common educational needs in a psychiatric hospital with an emergency ward.　Methods: We conducted a semi-structured interview with 10 manager class staff.　Results: Categories that emerged from the results were “Organization structure and function” , “Psychiatric work” , “How to interact with patients and families” and “Maintenance of mental health” .　Conclusion: Educational needs have been identified as learning points on which many professionals did not receive sufficient education before graduation. However, it is difficult for many professionals to recognize the utilization of evidence.

At Kuki Suzunoki Hospital, an incentive system was implemented to help maintain a good therapeutic environment and to improve morale among hospital staff and increase self-awareness of their role. This article describes the implementation and evaluation of this employee targeted reward system. A committee system was adopted to achieve system operation. Members of the promotion committee comprised personnel from many different fields of work who formulated and operated the system. Members of the handbook committee consisted of supervisors or staff from each department who liaised and coordinated with staff in their own departments. Each staff member was responsible for contributing topics for a progress report leading to therapeutic initiatives for patients and their families and also to raising questions relating to medical treatments and answering these questions, which were contributed via the hospital’s intranet. Some of the best contributions were acknowledged every month, and further selections throughout the year were made and awarded. Every submission and commendation earned points in accordance with set guidelines, and staff could exchange their accumulated points with a reward of their choice. This system enhanced the employees’ morale, and because cases of successful treatment and valuable ideas were collected, the booklet that was created to summarize this system was used to further educate the staff and also to campaign outside the hospital.