A Study of Care Management in Mentally disabled; cooperation among multiple care providers in community

在第一年，以澄清参与社区支持的精神残疾人的多个护理提供者之间的合作的状态，我们进行了半结构化的访谈调查和定性分析，共11个主题组成的工作人员在社区工作坊，在社区支持中心，和专业人员在社区。这项调查澄清了当精神残疾者表现出症状加重、难以管理或寻求就业时他们的合作状况，并揭示了以下需求：1）一个系统，允许工作人员向专业人员咨询有关精神残疾者症状和行为问题的解释，2）加强日托中心/社区支持中心与社区相关医疗福利组织之间的网络。根据这些结果，我们评估了参与男性护理管理的工作人员的教育/支持现状和问题， ...更多信息 残疾人和护士的角色。在该社区的5个社区工作室和1个社区支持中心的工作人员中，16名参加了由保健中心主办的交流会的工作人员作为受试者进入本研究。根据转录记录进行定性分析，并获得以下结果。交流会促使他们分享他们的困难和问题，建立机构间网络，并定期举行交流会/学习会，公共卫生护士应提供机会给员工建立自己的网络。今后，应在该网络的基础上建立继续教育支援体系，通过护理大学等医疗福利教育机构等跨学科、跨机构、跨职业支援，利用社区资源，加强对精神残疾者的照顾管理基础。少

On the first year, to clarify the status of cooperation among multiple care providers involved in community support for the mentally disabled, we performed a semi-structured interview survey and qualitative analysis in a total of 11 subjects consisting of staff members at community workshops those in a community support center, and professionals in a community. This survey clarified the status of their cooperation when the mentally disabled showed aggravation of symptoms , were difficult to manage, or sought employment , and revealed the following needs: 1) a system that allows staff members to consult with professionals about the interpretation of symptoms and behavioral problems in the mentally disabled, 2) strengthening of the network between day-care centers /community support centers and associated medical welfare organizations in the community.Based on these results, we evaluated the status and problems of education/support for staff members involved in care management of the men … More tally disabled and the roles of nurses. Of the staff members in 5 community workshops and 1 community support center in this community, 16 who participated in an exchange meeting sponsored by the health care centerwere entered into this study as subjects. Qualitative analysis was performed based on the transcribed records, and the following results were obtained. The exchange meeting motivated them to share their difficulties and problems and establish inter-institutional network, and hold regular exchange meetings/study meetings, and public health nurses should provide opportunities to staff members for the formation of their own network. In the future, based on this network, a system to provide continuous education/support should be established, and support by interdisciplinary inter-institutional/inter-occupational support such as that by medical welfare educational institutions including nursing universities for the use of community resources may be useful for strengthening the basis of care management of the mentally disabled. Less