Establishing <i>Kakawari</i> Relationships between Psychiatric Social Workers in Social Support Centers for Persons with Disability and Long-term Inpatients in Mental Hospitals

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  • KUNISHIGE Tomohiro
    東洋大学大学院福祉社会デザイン研究科（博士後期課程） 東京通信大学人間福祉学部

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  • 長期入院精神障害者の退院支援における相談支援事業所に勤務する精神保健福祉士の「かかわり」のプロセス
  • チョウキ ニュウイン セイシン ショウガイシャ ノ タイイン シエン ニ オケル ソウダン シエン ジギョウショ ニ キンム スル セイシン ホケン フクシシ ノ 「 カカワリ 」 ノ プロセス

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Abstract

<p>This investigation aims to demonstrate the process of establishing kakawari or personal relationships between psychiatric social workers in social support centers for persons with disabilities and long-term inpatients in mental hospitals. Interviews were conducted with seven psychiatric social workers in area A. Data obtained from the dialogs were analyzed using a modified grounded theory approach. The results of the examination elucidated that the process of kakawari was formed in three phases. First, psychiatric social workers disregard their ongoing discharge planning and support duties so as to get to know the patients assigned to them and establish personal relationships with them. Consequently, a relationship of trust is built between the psychiatric social workers and their inpatients. Second, psychiatric social workers and inpatients come to trust each other as partners and work together to achieve discharge from the institution. Finally, psychiatric social workers establish a human connection or kakawari with their inpatients and continue to associate with former inpatients after their primary role to achieve discharge is no longer required.</p>

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