2023 Fiscal Year Final Research Report

Investigation for the acquisition of social health of people with mentally disabilities and the present conditions and a support system about working continuation

Research Project

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Project/Area Number	19K11226
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Osaka Shin-Ai Gakuin University (2022-2023) 八戸学院大学 (2019-2021)
Principal Investigator	Nishimura Miya 大阪信愛学院大学, その他部局等, 教授 (00436015)
Co-Investigator(Kenkyū-buntansha)	石崎智子日本赤十字北海道看護大学, 看護学部, 教授 (50113783) 古川照美青森県立保健大学, 健康科学部, 教授 (60333720) 則包和也香川県立保健医療大学, 保健医療学部, 教授 (00342345)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	精神障害者 / 地域生活 / 就労 / 健康
Outline of Final Research Achievements	To enhance opportunities for individuals with mental disabilities to attain social well-being, we conducted a qualitative study and literature review on their current daily lives and employment status, with a focus on the sustainability of both. In the qualitative study, we investigated the issues of present conditions, community life, and employment. We identified several issues, including the significant impact of symptoms on daily life and employment, the difficulty of modifying daily routines during severe symptom phases, and the community's lack of understanding of the illness. The literature review indicated that while the employment prospects for them are broadening, there is a substantial risk of job cessation due to the nature of their disabilities. Additionally, the impact of social conditions, such as the COVID-19 pandemic, exacerbates the difficulty in maintaining mental and social stability, underscoring the necessity of ongoing support to achieve social well-being.
Free Research Field	地域保健
Academic Significance and Societal Importance of the Research Achievements	障害者の雇用対策が進められるなか、精神障害者はその障害の特性から、社会的健康という側面では健康な状態にあるとは言い難い状況にある。また、国際生活機能分類（ICF）からすると、精神障害者は特に、活動制限や参加制約という障害をも担うことが多く、加えて、偏見も大きく、回復し機能障害はないものの、活動や参加が制限される場合も少なく、健康全般に影響するものである。これより、精神障害者の精神的・身体的・社会的健康を目指すためには、社会的健康の確立は非常に重要である。本研究において、雇用促進から社会的健康を考えるため、精神障害者が抱える生活や就労の現状について検討したことは、社会的に意義深い。