incentives have been introduced to encourage admission of patients directly to mental health care facilities in an effort to reduce this delay prefectures develop regional medical care plans including for mental health for the region provide guidance and supervise health care providers prefectures also have a central role in the administration of the mental health and welfare law and are responsible for locating the two designated psychiatrists required to sign off on an involuntary admission and are responsible for locating a hospital place for these involuntary admissions