病院外の中間宿舎における生活訓練の効果 : 公的精神科リハビリテーション専門施設の経験から

概要

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We reported the activities in the psychiatric specialized halfway-house (Setagaya Rehabilitation Center). Demonstration of the case : 41 years old female with schizophrenia. After graduation from a high school, she was working normally as an office-lady for 3 years. But, by some schizophrenic hallucinations and delusions, she gave up her jobs and entered a mental hospital 4 times until now. The reason of frequent admissions was mainly the deficit of adaptability, especially self-supportion in her social life. They are concretely, for example, selfish stop of taking tranquilizers, abnormal wasting money, and easy abandoning jobs by any slight trouble etc. After the entrance in this center, we prepared her for the following system. On the first step, the patient stayed at a small group room (so-called a "Ward" as a Pre-halfway-house). She was trained there about some necessary programs to improve social deficits above mentioned by personal care. On the second step, the patient moved to a personal room (so-called a "Hostel" as a literally Halfway-house) and she was trained continuously or more severely for the same purpose. After 1 year, she finally left our institution, and removed to an apartment house with her own occupational jobs. We think, those mentioned effective results show more expectation of psychiatic rehabilitation outside hospital in future.
社団法人日本リハビリテーション医学会の論文
1980-06-18