Kondo Naoji, Sakai Motohiro, Ishikawa Shin-ichi, Niimuras Junko, Tanoue Michika
Yamanashi Prefectural Mental Health Welfare Center.
Seishin Shinkeigaku Zasshi. 2008;110(7):536-45.
Home visits are one of the intervention and assistance methods anticipated to be useful in cases of social withdrawal. This study aims at investigating the current status of home visits that are carried out in the regional mental health and child welfare sectors, targeting socially withdrawn adolescents, and at examining the efficacy of this method. We conducted a survey using questionnaires targeting 59 institutions, such as public health centers, health and welfare offices, and child guidance centers, and found that home visits were carried out by public health nurses and child welfare personnel in about 20% of the adolescent social withdrawal cases. Answers to the question sheets were obtained for 54 cases, and investigation revealed that some form of improvement was seen as a result of these visits in 22 cases, or 40.7%. Typical answers included: "the visit encouraged the adolescent to go to a medical institution and/or a consultation agency for examination or consultation," and the "incidence of domestic violence by the adolescent declined." The survey also revealed that 19 of the social withdrawal cases, or 35.2%, inflicted acts of violence on family members; however, 8 cases, or 42.1% showed the improvement of violence through home visits.
家访是预期对社交退缩案例有用的干预和援助方法之一。本研究旨在调查针对社交退缩青少年在区域心理健康和儿童福利部门进行家访的现状，并检验该方法的效果。我们针对59个机构（如公共卫生中心、健康与福利办公室以及儿童指导中心）开展了问卷调查，发现约20%的青少年社交退缩案例中，公共卫生护士和儿童福利人员会进行家访。我们获取了54个案例的问卷回复，调查显示其中22个案例（占40.7%）因这些家访出现了某种形式的改善。典型回复包括：“家访鼓励青少年前往医疗机构和/或咨询机构进行检查或咨询”以及“青少年实施家庭暴力的发生率下降”。调查还显示，19个社交退缩案例（占35.2%）对家庭成员实施了暴力行为；然而，8个案例（占42.1%）通过家访暴力行为得到了改善。
