Horiguchi Toshihiro
Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo.
No To Hattatsu. 2007 May;39(3):193-7.
To improve the support provided at facilities for persons with intellectual disabilities and children with motional disabilities, the author designed a questionnaire to be used for self-appraisal by the personnel of the relevant facilities. Twenty-one facilities participated; these facilities indicated that they needed to improve grievance procedures, the protection of privacy, staff training and collaborations with physicians, though they judged themselves to be able to respond appropriately to requests from individual users. Facilities for children answered that they supplied satisfactory supports, though other facilities such as workshops and community homes did not put regulations on staffs' abuse in statutory form. Grievance procedures and discussion with users are necessary to supply support based on needs of individual users.
为改善为智障人士和肢体残疾儿童提供的设施支持,作者设计了一份问卷,供相关设施的工作人员进行自我评估。21个设施参与了调查;这些设施表示,尽管他们认为自己能够妥善回应个体用户的需求,但仍需要改进申诉程序、隐私保护、员工培训以及与医生的合作。儿童设施表示他们提供了令人满意的支持,不过其他设施,如工坊和社区之家,并未以法定形式对员工虐待行为作出规定。申诉程序以及与用户的讨论对于根据个体用户需求提供支持而言是必要的。