QOL of the mentally disabled and support for community living

2006年，我们对2005年收集的量化数据进行了重新分析，通过与大学生的比较，掌握了智力障碍者的生活质量，并明确了影响其生活质量的因素。这是因为问卷收集滞后的27名受试者的数据没有纳入2005年的分析范围，而这次我们加入了这些数据，并再次对298名受试者的数据进行了分析。与以往一样，精神障碍者的生活质量和生活满意度明显低于大学生，生活满意度、自我决定力和希望与生活质量显著相关。此外，我们通过对精神障碍者及其家属和服务于精神障碍者的专业人员的访谈，再次回顾了2005年收集的有关精神障碍者及其家属和服务于精神障碍者的专业人员的生活质量改善机会和过程的定性数据。这一次，我们在听证会、检查和研讨会中纳入了国内外专业人士提供的信息。来自50多人的数据显示，如果有适当的支持，即使是严重精神残疾的人也有可能生活在社区中，而且有康复的希望。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、了解邻里居民并与他们保持良好关系的支持、同伴支持、对新体验和新活动的支持以及对承诺的意愿/希望/信心。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.