52 , 2016-09-12 , 金沢大学大学院人間社会環境研究科 = Graduate School of Human and Socio-Enviromental Studies Kanazawa University
The program for protecting rights in community-based welfare (currently implemented as the support program for self-reliance in daily life and hereafter referred to as "the program") has come into force in the wake of the Basic Structural Reform of Social Welfare. It has been 15 years since its enforcement; however, the question remains as to whether we have substantially achieved the goal of ensuring the rights of target persons. Few studies focus on ensuring the rights of target persons and necessary conditions for achieving this in the program. Therefore, it seems that most previous studies fail to fully capture the problems of the program. In this study, the program was evaluated from the viewpoint of ensuring rights and the ideal implementation based on the Basic Act for Persons with Disabilities. Furthermore, a countermeasure is proposed. Results indicate that this study identified various effects of the program as well as critical problems such as: (1) extremely low rate of utilization, (2) lack of a policy for people refusing to use the program, and (3) welfare service provision system that needs a personal guarantor for recipients who has no relatives. These problems mean that some cannot effectively access welfare services because their judgment ability is impaired. This study emphasizes solutions to these problems such as: (1) expanding the range of persons targeted for the program, (2) implementing life consultation for all citizens, (3) developing a "Mimamori" network system for those who refuse to use the program, and (4) developing a welfare service provision system that does not need a personal guarantor.