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

第一年，为了明确参与智障社区支持的多个照护提供者之间的合作状况，我们对社区工作坊的工作人员、社区支持中心的工作人员和社区专业人员共11人进行了半结构化访谈调查和定性分析。本调查明确了当智障人士出现症状加重、难以管理或找工作时，他们的合作情况，并提出以下需求：1)建立一个系统，让工作人员就智障人士的症状和行为问题的解释向专业人士咨询；2)加强日托中心/社区支援中心与社区相关医疗福利机构之间的网络。基于这些结果，我们评估了参与男性护理管理的工作人员的教育/支持状况和存在的问题。选取该社区5个社区工作坊和1个社区支持中心的工作人员，其中16人参加了由卫生保健中心主办的交流会，作为研究对象。根据转录记录进行定性分析，得到如下结果：交流会促使他们分享困难和问题，建立机构间的网络，定期举行交流会/学习会，公共卫生护士应该为员工提供机会，形成自己的网络。未来应在此网络基础上建立继续教育/支持体系，并通过包括护理大学在内的医疗福利教育机构的跨机构/跨职业的跨学科支持，利用社区资源，为加强智障人士的护理管理奠定基础。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