Respect for the Aged Day


Respect for the Aged Day (敬老の日, Keirō no Hi) is a Japanese designated public holiday celebrated annually to honour elderly citizens.

Annually, Japanese media take the opportunity to feature the elderly, reporting on the population and highlighting the oldest people in the country.

Brief History

  • This national holiday traces its origins to 1947, when Nomadani-mura (later Yachiyo-cho, currently Taka-cho), Hyōgo Prefecture, proclaimed 15 September Old Folks’ Day (Toshiyori no Hi).
  • Its popularity spread nationwide, and in 1966 it took its present name and status, becoming a national holiday and officially being held on every 15 September.
  • Since 2003, Respect for the Aged Day is held on the third Monday of September due to the Happy Monday System.

Commemorative Silver Sake Cups

  • Since 1963, the Japanese government has given a commemorative silver sake cup to Japanese who reach the age of 100.
  • In 1963 the number was 153, but with numbers increasing, in 2009, the government decided to reduce the size of the cup to cut costs.
  • In 2014, 29,357 received a cup.
  • The cost increase from this led to the government considering making the cups from a different material or simply sending a letter.


On this holiday, people return home to visit and pay respect to the elders. Some people volunteer in neighbourhoods by making and distributing free lunch boxes to older citizens. Entertainments are sometimes provided by teenagers and children with various keirokai performances. Special television programmes are also featured by Japanese media on this holiday.

Is It Important that Health Promotion be a Focus that Permeates the Entire Organisation of Mental Health Care?

Research Paper Title

Mental health nurses’ experience of physical health care and health promotion initiatives for people with severe mental illness.


Health care for people with severe mental illness is often divided into physical health care and mental health care despite the importance of a holistic approach to caring for the whole person.

Mental health nurses have an important role not only in preventing ill health, but also in promoting health, to improve the overall health among people with severe mental illness and to develop a more person-centred, integrated physical and mental health care.

Thus, the aim of this study was to describe mental health nurses’ experiences of facilitating aspects that promote physical health and support a healthy lifestyle for people with severe mental illness.


Interviews were conducted with mental health nurses (n = 15), and a qualitative content analysis was used to capture the nurse’s experiences.


Analysis of the interviews generated three categories:

  • To have a health promotion focus in every encounter;
  • To support with each person’s unique prerequisites in mind; and
  • To take responsibility for health promotion in every level of the organisation.


The results show the importance of a health promotion focus that permeates the entire organisation of mental health care.

Shared responsibility for health and health promotion activities should exist at all levels:

  • In the person-centred care in the relation with the patient;
  • Embedded in a joint vision within the working unit; and
  • In decisions at management level.


Lundstrom, S., Jormfeldt, H., Ahlstrom, B.H. & Skarsater, I. (2020) Mental health nurses’ experience of physical health care and health promotion initiatives for people with severe mental illness. International Journal of Mental Health Nursing. 29(2), pp.244-253. doi: 10.1111/inm.12669. Epub 2019 Oct 29.