A study on the right of Self-determination of intellectual disabilities and attitudes toward "human rights" of disabilities.

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In Japan, the social welfare system is now under the improvement process called "The Basic Structural Reform of Social Welfare". To achieve the high-quality and efficiency of welfare services, the Ministry of Health, Labour and Welfare is to establish the standards for the offering process and evaluation of services and to introduce the evaluation of services by the third-party technical organizations and the disclosure of information concerning welfare services.The purpose of this research was to examine the ideas underlying the standards for the third-party evaluation and to make tentative standards to evaluate facilities for the intellectual disabled children.a) We examined the ideas of "Respect for Self-determination" and "Improving QOL". To promote self-determination and self-advocacy by intellectually disabled, it was argued to be necessary to provide them opportunities of education and training to exercise their rights. As for QOL, there ware many problems about the definition and measurement to be resolved.b) The present condition of the evaluation of services by the third-party technical organizations and the disclosure of information concerning welfare services was researched. It was found that there ware a few cities where the evaluation and the disclosure were being enforced. Among them, the system of the third-party evaluation of facilities for intellectually disabled in Kita-Kyushu City was introduced and evaluated as a leading model.c) The standards for the evaluation of services of facilities for the intellectual disabled children were tentatively developed. Our policy was to characterize facilities by the quality of programs provided for children. So, out standards included many items to evaluate education and training programs provided in facilities.