"M utual Support" under Services and Supports for Persons with Disabilities Act

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  • 障害者自立支援法の下での「支え合い」
  • ショウガイシャ ジリツ シエンホウ ノ モト デノ ササエアイ

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Abstract

This paper examines through case studies based on hearings the efforts of Takuto Kobe, a non-profit organization which has supported disabled people after the Great Hanshin Earthquake, and especially the "mutual support" under the Services and Supports for Persons with Disabilities Act. After the full-scale implementation of the act, a problematic situation has been occurring in the lives of disabled people and at facilities that offer supports for the disabled. It is the conflict between the theory of self-reliant independence and "mutual support. " In addition, there is another problematic situation at Takuto, which is caused by the expansion of the size of operation; conflict between the theory of business and mission. Aware that it is facing a crisis against these two problematic situation s, Takuto is currently working on what it calls "Counteraction. " The first step of "Counteraction" is to transfer its care insurance service and home care service to a social welfare corporation that Takuto has a partnership with. This transfer is a streamlining of business while securing the organic link between the separated operations and Takuto ( "superimposition" ). It is a reorganization of business domains through the partnership with the social welfare corporation to "avoid" that Takuto single-handedly takes care of the problematic situations. The second step of "Counteraction" is the plan of putting small sheltered workshops "under" an NPO and building networks. This is an idea of building networks while securing independence of workshops and indirectly integrating them through an NPO as an agent. On that basis, the important issue for Takuto after the operational transfer as well as for workshops is how to "cultivate and develop" new businesses/activities.

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