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

在日本，社会福利制度正处于被称为“社会福利基本结构改革”的改进过程中。为了实现福利服务的高质量和高效率，卫生、劳动和福利部将制定提供服务的过程和评估标准，并引入第三方技术组织对服务的评估和披露与福利服务有关的信息。本研究旨在探讨智障儿童设施第三方评价标准的基本思想，并为智障儿童设施的评价制定初步标准。a)我们研究了“尊重自决”和“改善生活质量”的理念。为了促进智障人士的自决和自我宣传，有人认为有必要向他们提供教育和培训的机会，以行使其权利。对于生活质量，在定义和测量方面存在很多问题需要解决。b)研究了第三方技术机构评价服务和福利服务信息披露的现状。调查发现，有少数城市正在执行评估和披露。其中，介绍了北九州市智障儿童设施第三方评价体系，作为领先模式进行了评价。c)初步制定了智障儿童设施服务评价标准。我们的政策是通过为儿童提供的项目的质量来确定设施的特点。因此，我们的标准包括许多项目来评估设施提供的教育和培训项目。

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.