2023 Fiscal Year Final Research Report

Model development and evaluation for interprofessional collaboration between welfare and medical professionals to support the home life of older adults with mental disorders without dementia

Research Project

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Project/Area Number	20H01596
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Review Section	Basic Section 08020:Social welfare-related
Research Institution	Osaka Metropolitan University (2022-2023) Osaka City University (2020-2021)
Principal Investigator	OHNISHI Jiro 大阪公立大学, 大学院生活科学研究科, 教授 (20388797)
Co-Investigator(Kenkyū-buntansha)	岡田進一大阪公立大学, 大学院生活科学研究科, 教授 (20291601) 坂下玲子兵庫県立大学, 看護学部, 教授 (40221999)
Project Period (FY)	2020-04-01 – 2024-03-31
Keywords	多職種連携 / 協働 / 認知症 / 精神障害 / 在宅 / 医療福祉 / 医療ソーシャルワーク / 精神保健福祉
Outline of Final Research Achievements	In this study, we developed and evaluated a practical model for interprofessional collaboration to support the home life of older adults with mental disorders without dementia. The results highlighted: 1) the importance of welfare professionals' understanding and appropriate response to the presence of mental disorders, not including dementia, as well as the significant role of mental health social workers as a bridge to medical professionals; 2) meso-level community social work spanning within and between medical institutions and micro-level family relationship adjustments as key to team approaches; 3) the necessity of engagement with the criminal justice system and involvement in educational aspects by professional organizations to address the growing number of older adults in conflict with the law; and 4) the possibility of the perspective of nurturing the younger generation, along with the perspective of caring for the older generation, contributing to the stability of home life.
Free Research Field	社会科学
Academic Significance and Societal Importance of the Research Achievements	専門職連携は双方向的なアプローチであり，生活支援と医療に値打ちの差はない。むしろ非認知症高齢精神障害者の容態は，漸次進行性の認知症者と比べてコントロールしやすい面もあり，福祉職による円滑な生活支援がQuality of Life の鍵を握る。非認知症高齢精神障害者にはしばしば，定期的な通院・服薬が求められる。本研究を通して非認知症高齢精神障害者における医療職の関与は，医学的管理から離れられない重しというより，医療を包括した生活支援の大切さの表れであるという共通認識をチームに育むことができ，在宅生活を支える福祉職と医療職の対等な連携の促進へ寄与すると考えられる。