QOL of the mentally disabled and support for community living

2006年，我们对2005年收集的定量数据进行了重新分析，通过与大学生的比较来掌握精神残疾人的生活质量，并明确影响其生活质量的因素，这是因为2005年的分析中没有包括27名落后于问卷收集的受试者的数据，而这次，我们将这些数据相加，重新分析了298名受试者的数据。与以往研究结果一样，精神残疾人的生活质量和生活满意度均低于大学生，生活满意度、自我决定和希望与生活质量显著相关。以及为智障人士服务的专业人士。这次，我们在听证会、检查和研讨会上纳入了国内外专业人士提供的信息。来自50多人的数据表明，如果得到适当的支持，即使是严重的精神残疾人也有可能生活在社区中，并有康复的希望。对他们的重要支持包括住房服务、经济支持、工作支持、日常生活支持、家庭支持、获得邻里理解和保持良好关系的支持、同伴支持、对新经验和活动的支持以及对未来的意愿/希望/信心。我们认为，提高精神残疾人的生活质量是必要的，因此，应准备广泛的方案和干预措施，包括个人支持和环境安排。最后，我们提出了关于服务的建议。

In 2006, we reanalyzed the quantitative data collected in 2005 to grasp the QOL of the mentally disabled through comparison with the university student and to clarify factors to have influences on it. This is because data of the 27 subjects who were behind with the collection of the questionnaire were not included in analysis of 2005, and this time, we added these data and analyzed the data of 298 subjects again. As same as before, it became clear that the QOL and life satisfaction of the mentally disabled were lower than those of the university students, and that life satisfaction, self-determination, and hope were significantly related to QOL.In addition, we reviewed again the qualitative data on opportunities and process of the QOL improvement that were collected in 2005 through interview with the mentally disabled, their family members, and the professions who served the mentally disabled. This time, we included the information that had been provided by the domestic and foreign professions in hearing, inspection, and a workshop. The data from more than 50 people showed that it was possible for even the severely mentally disabled to live in community if there was appropriate support, and there was hope of recovery. The important supports for them included housing services, financial support, working support, daily living support, family support, support to get the understanding of the people of the neighborhood and maintain good relations with them, peer support, support for new experience and activity and will / hope / confidence for being promising.From these results, we concluded that it was necessary to improve the QOL of the mentally disabled and as for that a wide range of programs and interventions including both an individual support and an arrangement of the environment should be prepared. At last, we suggested the proposal about services.