著者

前原 和明 武澤 友広 八重田 淳 MAEBARA Kazuaki TAKEZAWA Tomohiro YAEDA Jun

出版者

秋田大学教育文化学部

雑誌

秋田大学教育文化学部研究紀要 教育科学 (ISSN:24334952)

巻号頁・発行日

no.75, pp.81-86, 2020-03-01

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職業リハビリテーションにおける精神障害者に対する自己理解を促す支援実施に対する専門性の影響を検討した。職業リハビリテーションの支援者(障害者職業カウンセラー及び就業支援担当者)155 人に対する自己理解を促す支援行動の調査結果を用い,支援行動に関する因子毎に算出した実施程度得点を目的変数,就労支援経験年数及び所持資格を説明変数とした重回帰分析を支援対象者の障害種別(統合失調症,気分障害)で実施した。障害毎に障害者職業カウンセラーと精神保健福祉士の資格が異なって影響していた。所持資格の影響力は精神保健福祉領域における知識及び視点,所属機関の支援内容の違いに依存すると考えられた。精神障害者の自己理解の支援実施に向けては,知識や視点の違いを踏まえた多職種連携が必要であり,今後は医療機関も含めた多職種連携の観点から調査及び具体的な事例の検討が必要である。The effect of the expertise on the support of the self-understanding for the psychiatric disorders in the vocational rehabilitation was examined. Using the results of a survey on support action to promote selfunderstanding among 155 vocational rehabilitation supporters (Vocational counselors for persons with disabilities and persons in charge of employment support), multiple regression analysis was conducted for each disorder category (Schizophrenia and mood disorders) of the support subjects, using the implementation level score calculated for each factor related to support action as an explanatory variable, years of employment support experience, and possession qualifications. The qualification of vocational rehabilitation counselor and Psychiatric social worker influenced each disorder differently. The effect of the possession qualification seemed to depend on the difference between knowledge and viewpoint in the mental health welfare field and support content of the belonging organization. In order to support the self-understanding of persons with psychiatric disorders, multidisciplinary cooperation based on differences in knowledge and viewpoints is necessary. In the future, it will be necessary to conduct surveys and case studies from the viewpoint of multidisciplinary cooperation including that of medical institutions.

著者

前原 和明

出版者

一般社団法人 Asian Society of Human Services

雑誌

Total Rehabilitation Research (ISSN:21881855)

巻号頁・発行日

vol.7, pp.22-33, 2019 (Released:2019-06-30)

参考文献数

21

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Support for self-understanding has been recognized as an important support activities in vocational rehabilitation. In this study, in order to clarify meanings of support for self-understanding, I analyzed the relationship of support activities for self-understanding and client's meaning about spports. As the results of analysis, I got the 4 meanings of support for self-understanding; “to understand own current situation” “to gain self-confidence and make challenges” “to obtain the coping skills” “to obtain broad perspectives” The results are expected to be utilized as a hint or guidance for institutions to make supporting programs.