ミネソタ州における精神遅滞者サービス供給戦略 : 脱施設化の展開とその後の動向について

概要

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Until the 1960s, the state was the primary provider of care to mentally retarded in Minnesota. The number of mentally retarded persons in state institutions peaked at 5,800 in 1963. Since then, the state's role in serving mentally retarded persons has steadily changed. At the same time, Minnesota has invested significant resources to develop privately operated, community systems of residential care and training. The state has become a major purchaser of services. In the past 25 years, several forces have changed Minnesota's state institution programs for mentally retarded people. As in many other states, litigation has been one of the most important forces. In 1972, parents of Minnesota state institution residents successfully challenged the programs and care provided at the institution in a federal court suit. The case now known as Welsch V. Levine, has continued to this day. In 1980, the parties ended one phase of the case by agreeing to a consent decree. The state agreed to make program and staffing changes at the institution and to reduce the number of mentally retarded residents from 2,710 to 1,850 by 1987. The decree will expire on July 1, 1987 if the states is in substantial with its terms at that time. This paper was written with the purpose of providing readers with a understanding of the carrent stutus of services for mentally retarded people in state of Minnesota.
一般社団法人日本社会福祉学会の論文
1987-10-01