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Difficult cases handled by social welfare commissioners and their role stress: Differences over time and across regions.

Research Project

Project/Area Number 22K01951
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 08020:Social welfare-related
Research InstitutionTokyo Metropolitan University

Principal Investigator

Sugihara Yoko  東京都立大学, 都市環境科学研究科, 教授 (80311405)

Co-Investigator(Kenkyū-buntansha) 杉澤 秀博  桜美林大学, 大学院 国際学術研究科, 教授 (60201571)
Project Period (FY) 2022-04-01 – 2025-03-31
Project Status Completed (Fiscal Year 2024)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2024: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2023: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2022: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Keywordsセルフ・ネグレクト / 8050問題 / 民生委員 / 役割ストレス / 支援者支援 / 地域包括ケアシステム / 重層的支援体制 / 重層的支援 / コロナ禍 / 孤立防止 / 経年変化
Outline of Research at the Start

民生委員等の地域住民による対人支援活動への期待が高まっているが、専門職でない住民が対応するには負担の重い課題も多く、対人支援に関わる地域住民を支えるための体制を整える必要がある。本研究は、東京都の民生委員を対象に調査を行い、10年前に実施した調査結果と比較することで、民生委員の状況や彼らが対応する困難事例の経年変化と変化の要因を明らかにする。その結果を基に、公的・私的支援を得にくい人を地域で支えるための施策と、そのような人を支える住民ボランティアを支援するための施策を考察することを目的とする。

Outline of Final Research Achievements

Individuals exhibiting self-neglect often require medical or nursing care due to dementia or mental illness. Support such as monitoring by community welfare officers and home help services has been effective in improving their situation. The 8050 problem, which arises in households with older parents and socially withdrawn adult children, was more commonly observed in households consisting of a mother and her child. Regular monitoring by community welfare officers and counseling by social withdrawal support centers have contributed to improvement. In both cases, collaboration with local residents played a key role in early detection. Compared to the results of a 2012 survey, visit refusals have increased, making it more difficult to identify issues. Community welfare officers experienced stress mainly from role ambiguity and conflict, rather than role overload. Support from professionals at community support centers and other institutions has been effective in reducing this stress.

Academic Significance and Societal Importance of the Research Achievements

(1)支援を得にくい人の実態把握と支援策への示唆:公的支援と私的支援のいずれも得ることができず,支援の谷間に落ちる人への対応が急務となっている。このような問題の中でセルフ・ネグレクトと8050問題に着目し,都市における実態と要因,及び経年変化や地域差を把握し,支援策を検討した。
(2)地域住民による対人支援活動を支える体制への示唆:支援を得にくい人を早期に発見し,専門的な支援につなげたり,見守り等を行うことが地域住民に期待されている。地域住民の中でも特に重要な役割を果たしている民生委員に着目し,彼らの負担やストレスの要因,経年変化や地域差等を把握し,継続意欲を高める支援体制について検討した。

Report

(4 results)
  • 2024 Annual Research Report   Final Research Report ( PDF )
  • 2023 Research-status Report
  • 2022 Research-status Report
  • Research Products

    (23 results)

All 2025 2024 2023 2022

All Journal Article (7 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 7 results,  Open Access: 6 results) Presentation (16 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] 介護保険サービスの自己負担割合とサービス利用状況および介護者の負担感との関連 -要介護度と認知症の有無による違い-2025

    • Author(s)
      杉原陽子
    • Journal Title

      社会福祉学

      Volume: ー

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Perceived Age Discrimination has Different Effects on Japanese People's Wellbeing Based on Age Groups2024

    • Author(s)
      Sugisawa Hidehiro、Harada Ken、Sugihara Yoko、Yanagisawa Shizuko、Shinmei Masaya、Kitajima Hiromi
    • Journal Title

      The International Journal of Aging and Human Development

      Volume: - Issue: 4 Pages: 426-449

    • DOI

      10.1177/00914150241297395

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Psychosocial mediators between socioeconomic status and oral health among urban-dwelling older adults2023

    • Author(s)
      Yanagisawa, S., Sugisawa, H., Harada, K., & Sugihara, Y.
    • Journal Title

      Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

      Volume: 70 Issue: 7 Pages: 433-441

    • DOI

      10.11236/jph.22-100

    • ISSN
      0546-1766, 2187-8986
    • Year and Date
      2023-07-15
    • Related Report
      2023 Research-status Report 2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Trends in informal and formal home help use among older adults with disabilities in Japan: from 1999 to 2017.2023

    • Author(s)
      Sugisawa, H., Sugihara, Y., Kobayashi, E., Fukaya, T., & Liang, J.
    • Journal Title

      International Journal of Social Welfare

      Volume: なし Issue: 1 Pages: 220-236

    • DOI

      10.1111/ijsw.12596

    • Related Report
      2024 Annual Research Report 2023 Research-status Report 2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Influence of medical care tasks on subjective burden and gain among older adults’ family caregivers: structural equation modeling for testing the role of formal and informal support2023

    • Author(s)
      Sugihara, Yoko, & Sugisawa, Hidehiro
    • Journal Title

      BMC geriatrics

      Volume: 33(1) Issue: 1 Pages: 628-628

    • DOI

      10.1186/s12877-023-04348-5

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Big Five Personality Traits, Social Networks, and Depression Among Older Adults in Japan: A Multiple Mediation Analysis.2022

    • Author(s)
      Harada, K., Sugisawa, H., Sugihara, Y., Yanagisawa, S., & Shimmei, M.
    • Journal Title

      The International Journal of Aging and Human Development

      Volume: - Issue: 1 Pages: 111-128

    • DOI

      10.1177/00914150221109893

    • Related Report
      2023 Research-status Report 2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sugisawa H, Harada K, Sugihara Y, Yanagisawa S, Shinmei M。Mediators of Life-Course and Late-Life Financial Strain on Late-Life Health in Japan: Based on a Cross-Sectional Survey2022

    • Author(s)
      Sugisawa H, Harada K, Sugihara Y, Yanagisawa S, Shinmei M
    • Journal Title

      Journal of Multidisciplinary Healthcare

      Volume: 15 Pages: 883-896

    • DOI

      10.2147/jmdh.s356760

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Stress and support for family caregivers of older adults during the COVID-19 pandemic: Impact of social capital in Japanese communities.2024

    • Author(s)
      Yoko Sugihara, Jung-nim Kim.
    • Organizer
      The 27th Nordic Congress of Gerontology.
    • Related Report
      2024 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Death anxiety at the home of older people with care needs: Family caregivers living with older people during the COVID-19 pandemic in Japan.2024

    • Author(s)
      Jung-nim Kim, Yoko Sugihara.
    • Organizer
      The 27th Nordic Congress of Gerontology.
    • Related Report
      2024 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 都市における8050問題の特徴と対応:東京都民生委員の調査結果より2024

    • Author(s)
      杉原陽子
    • Organizer
      第83回日本公衆衛生学会総会
    • Related Report
      2024 Annual Research Report
  • [Presentation] 要支援・要介護認定者の自然災害時の避難に関する課題と避難困難者の特性2024

    • Author(s)
      杉原陽子
    • Organizer
      日本老年社会科学会第66回大会
    • Related Report
      2024 Annual Research Report
  • [Presentation] Information and information sources that caregivers would like to know about advance care planning: differences by level of care need.2023

    • Author(s)
      Sugihara, Yoko, & Kim, Jung-nim.
    • Organizer
      International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] コロナ禍における家族介護者のストレスとサポート:地域のソーシャル・キャピタルの効果2023

    • Author(s)
      杉原陽子, 金貞任
    • Organizer
      日本社会福祉学会第71回秋季大会
    • Related Report
      2023 Research-status Report
  • [Presentation] 特別養護老人ホームの入所要件に関する検討:要介護度別にみた入所希望者の特徴2023

    • Author(s)
      杉原陽子
    • Organizer
      第82回日本公衆衛生学会総会
    • Related Report
      2023 Research-status Report
  • [Presentation] 60歳以上男性における職業満足度の雇用形態による格差2023

    • Author(s)
      杉澤秀博, 原田謙, 杉原陽子, 柳沢志津子, 新名正弥
    • Organizer
      日本老年社会科学会第65回大会
    • Related Report
      2023 Research-status Report
  • [Presentation] コロナ禍での人生の最終段階における医療選択の会話2023

    • Author(s)
      金貞任, 杉原陽子
    • Organizer
      日本老年社会科学会第65回大会
    • Related Report
      2023 Research-status Report
  • [Presentation] コロナ禍における家族介護者の在宅での看取りケアの不安:コロナ禍の制限・変化と地域による違いに着目して2023

    • Author(s)
      金貞任, 杉原陽子
    • Organizer
      日本社会福祉学会第71回秋季大会
    • Related Report
      2023 Research-status Report
  • [Presentation] The association between performing medical/nursing tasks at home for older adults and caregiver well-being: The moderation effect of support.2022

    • Author(s)
      Yoko Sugihara
    • Organizer
      22nd World Congress of Gerontology and Geriatrics
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 要介護認定者における介護保険サービスの未充足ニーズの状況と関連要因.2022

    • Author(s)
      杉原陽子
    • Organizer
      日本老年社会科学会第64回大会
    • Related Report
      2022 Research-status Report
  • [Presentation] 介護保険サービスの自己負担割合増額が利用者の負担感とサービス利用に及ぼす影響.2022

    • Author(s)
      杉原陽子
    • Organizer
      第81回日本公衆衛生学会総会
    • Related Report
      2022 Research-status Report
  • [Presentation] 新型コロナウィルス禍における過疎地域の家族介護者のACPに対する認知度.2022

    • Author(s)
      金貞任, 杉原陽子, 藤田幸司.
    • Organizer
      日本老年社会科学会第64回大会
    • Related Report
      2022 Research-status Report
  • [Presentation] 中高年男性による職場における年齢差別の評価に影響するミクロ・メゾ・マクロ要因.2022

    • Author(s)
      杉澤秀博, 原田謙, 杉原陽子, 柳沢志津子, 新名正弥.
    • Organizer
      日本老年社会科学会第64回大会
    • Related Report
      2022 Research-status Report
  • [Presentation] ネガティブな被養育経験を有する母親に対する保健師の支援プロセス.2022

    • Author(s)
      並木陽子, 杉原陽子.
    • Organizer
      第81回日本公衆衛生学会総会
    • Related Report
      2022 Research-status Report

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Published: 2022-04-19   Modified: 2026-01-16  

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