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

本研究探讨本地居家照护支援中心的照顾者及工作人员应具备的家庭适应支援技能，以及如何从建筑师、物理治疗师等专业人士转移到他们身上，并开发技能转移方案。在北海道的深川医疗中心地区建立专家的后备系统来支持这些项目。这些项目在一个城市和五个城镇进行了测试，并讨论了技能转移的效率。这些项目由以下四个部分组成：第一部分，实际案例研究——在每个城镇组建支持团队，其成员应该接受这些技能，专家们通过一起访问样本来支持他们。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进行房屋改造。第四，案例研究会议——了解各种不同的案例，提供他们的一些经验。实际案例研究分为两组，第一组只需要评估，第二组需要真正的房屋适应。在第一组中，团队成员被转移到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。每四个项目都有各自独立的目标，而且四组是相互联系的，要有效地实践第一个项目，他们需要从第二个到第四个项目。最后，本研究不包括支持系统来激励不需要住房适应的样本。在这种情况下，我们需要另一个项目来转移适应技能给日常连续的看护人。

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.