A Study on Developing Program of Transfering Skills in House Adaptation for the Disabled

本研究探讨居家照顾支援中心的照顾者及当地人员应具备的居家适应支援技能，以及如何将其从建筑师、物理治疗师等专业人员转移至照顾者，并发展技能转移计画，并在北海道的川保健中心地区建立支援计画的专业人员支援系统。这些方案包括以下四个部分：第一，实际案例研究--在每个镇建立支持小组，其成员应该接受技能，专家通过访问样本收集来支持他们。第二，帮助团队成员自己找到主题是什么。第三，他们发现他们需要激励当地居民和木匠做房屋改造。第四，案例研究会议--了解各种不同的案例，补充他们的一些经验，实际案例研究分为两组，第一组只需要进行评估，第二组确实需要进行房屋调整。在第一组中，团队成员被转移如何找到样本的需求和评估观点。在第二组中，他们学习如何协调“需求”和“需要”，这在第一组中是找不到的，他们还学习如何以及何时与专家联系来解决这些问题。每四个程序都有独立的目标，而且四个组是相互关联的，为了有效地实践第一个程序，他们需要从第二个程序到第四个程序。本研究不包括激励不需要房屋适应的样本的支持系统。在这种情况下，我们需要另一个程序来将适应技能转移到日常连续照顾者身上。

The study discusses the house adaptation supporting skills, which the caretakers and the stuff of the local in home care supporting center should have, and how to transfer it from the specialists such as architects and physical therapists to them and also the study aims at developing the program of transfering skills.Making the back up system of the specialists at Fukagawa health center area in Hokkaido to support these programs. The programs are examined at one city and five towns and discussed efficiency of transfering skills.These programs are consisted of following four parts : The first, practical case studies-making the supporting teams, whose menbers are supposed to accept the skills, in each towns and the specialists back them up by visiting samples togather. The second, helping team members themselves to find what the the subjects are. The third, they find they need to motivate the local residents and carpenters to do house adaptation. The fourth, case study conference-knowing various defferent cases is supplying their few experience is added.The prctical case studies are divided into two groups, the first group needs only the assecement and the second group really needs house adaptation. Within the first group, the team menbers are transferd how to find the sample's needs and assesment view point. Within the second group, they study how to coordinate "demans" and "needs", which cannot be found in the first group, and also they study to know how and when to relate with the specialist to solve these subjects.Each four programs has independent aim and also four groups are mutually related and to practice the first program effeciently, they need from the second to the fourth programs.The last of this, this study does not include the supporting system to motivate the samples who do not demand house adaptation. In this case, we need another program to transfer the adaptation skills to the daily continuous caretakers.