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1 藤井達也教授 職歴 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) 担当科目 ( ) ( ) ( ) ( ) A B A B ( )

2

3

4 追記

5 1 論文 要旨 : キーワード : Ⅰ 問題意識と研究目的 ) ( 2004a) 2012 ( ) 2015 ( )

6 ( 2017c) - ( 2017b) ( ) ( 2017) B B 2005 ( ) ( ) - 41 ( 2017a) Ⅱ 研究の視点と研究方法 ( 2004b) ( 1983) ( 2001)

7 ( 2003[ ]) ( 1995) 2 3 ( )

8 Ⅲ 精神保健福祉の成立と地域生活支援 ( ) ( ) ( ) ( ) ( 2001:145)

9 ( ) ( ) ( B ) ( ) 12 ( 7 )

10 ( ) ( ) ( ) 2 ( 2004a,2017b) ( ) ( ) ( ) ( ) ( 2004a:66) ( 1995) (1965 )

11 7 Ⅳ 精神保健福祉の変化 1. 保健 医療 福祉の歴史的変化の中での精神障害者福祉の発展 1978 (PHC) 1986 ( 2010) 4 ( ) PHC ( 2010b) 1980 ( 2004a) 2)

12 ( [ ] [ ] ) ( )

13 精神保健福祉からの精神障害者福祉の分離 (1) (ACT ) (2) (3) ( 7 ) ( )

14 ( )

15 11 ( ) ( ) (2010 ) ( ) ( 2015) 2012 ( ) ( 2016)

16 ( 2016:66) Ⅴ 地域生活支援の変化 1. 制度的変化等との関連 ( 1996) ( 2001)

17 13 ( 1997:16) ( 2004a: ) (2002 ) ACT ( 2004b: ) (ACT ) ACT (Assertive Community Treatment) ( 2004a:98-99) ACT

18 (ACT-J) ACT ( 2004b: )

19 精神障害者地域生活支援変化の問題点 4 ( 1996,1999,2004a,2017b) 1998 (Rapp =1998) (Saleebey 1996) (Rapp & Goscha =2008,=2014) ACT

20 [ ] 1996 ( 1996) 2004 ( 2001) ( 2004a:214)

21 17 ( 1999) ( 2004a) ( 2017) : 2015 ( 2015)

22 ( 2017:64) Ⅵ 地域生活支援の課題 ( 2010) 1978 ( 2009) (Davidson et al. 2010) IMHCN (International Mental Health Collaborating Network) Whole life-whole Systems Community Approach / ( 2014: ) < >

23 19 ( 2014: ) ( 2017:20-22) ( 2015,Seikkla & Arnkil =2016) < > ( 2017:25)

24 (Corrigan et al. 2008:54) (Real-World) (Corrigan 20016) (Corrigan 2016:49) (Person) ( ) (Real-World)

25 21 ( 2017a:55-56) ( 2017a:55-58;Rye 2016) (Doyle et al. 2013: ) (Doyle et al. 2013) ( 2017a) 2018

26 ( 2017) ( 2017:52-57)

27 23 付記 NPO NPO [ ] ( 注 ) ( 1989) ( 文献 ) Corrigan,Patrick W.(2016) Principles and Practice of Psychiatric Rehabilitation.Second ed.the Guilford Press. Corrigan,Patrick W.et al.(2008)principles and Practice of Psychiatric Rehabilitation.The Guilford Press. Davidson,L.et al.,(2010) A life in the community:italian mental health reform and recovery, Journal of Mental Health,19(5); Doyle,Alan et al.(2013) Fountain House: Creating community in mental health practice, Columbia University Press.

28 (1983) J.D (1989) Vol.4, (1996) 79, (1999) (2001) (2004a). (2004b) -. (2010a) (2010b) 2 ( ) PHC (2012) (2017a) (2017b) (2017c) (2010). (2017)?- 30? 30. (1999) (2017) -. (1997)

29 25 (2001) -. (2016) : 20(2), Leff,Julian,and Warner,Richard,(2006)Social Inclusion of People with Mental Illness,Cambridge University Press. Mandiberg,J.M.(2010)Another Way:Enclave Communities for People with Mental Illness,American Journal of Orthopsychiatry,80(2), Mandiberg,J.M.(2012)The Failure of Social Inclusion:An Alternative Approach Through Community Devepolment, Psychiatric Services,60(5), Mandiberg,J.M.and Warner,R.(2012)Business Development and Marketing within Communities of Social Service Clients,Journal of Business Research,65(12), Mandiberg,J.M.and Warner,R.(2013)Is mainstreaming always the answer? The social and economic development of service user communities,the Psychiatrist,37, (2010). 21 PHC,,PHC-Now more than ever (2014) -. (2016) 97 27(7), (2017) (3), (2003) (2001) (1997) -. (2009). (2004a) 4 1 -ACT ACT (2004b) 6 - ACT (2004) ACT -. (2015)

30 :. Rapp,Charles A.(1998)The Strengths Model:Case Management with People Suffering from Severe and Persistent Mental Illness. Oxford University Press.(=1998..) [ ] Rapp,Charles A.& Goscha Richard J.(2006) The Strengths Model: Case Management with People with Psychiatric Disabilities.Second ed. Oxford University Press.(=2008. :.) Rapp,Charles A.& Goscha Richard J.(2012) The Strengths Model:A Recovery-Oriented Approach to Mental Health Services.Third ed. Oxford University Press.(=2014. [ 3 ]:.) Rye,J.J.(2016) The Power of Peer Support:The Development of the Empowerment Center,Journal of Policy Practice,15(1/2), (2015) ( ). Saleebey,Dennis(1996) The Strengths Perspective in Social Work Practice, Social Work,41(3), (2013) No.182, (2015) -. Seikkula,Jaakko & Arnkil,Tom Erik(2006)Dialogical Meetings in Social Networks,Karnac Books. (=2016,.) (2015) F (2013) 70, (2014) (2001) -. (2004). (1995) - PSW. (2017) 2 :. (1995) (1996).

31 27 Changes in Mental Health and Social Services in Japan and Supports for Community Living Tatsuya Fujii Summary : This research aimed to clarify the relation between the changes in mental health and social services in Japan and supports for community living. The changes in supports for community living of persons with psychiatric disabilities were considered and future tasks of supports for community living were shown. Supports for community living of a broad sense must reform mental health including psychiatric services and social services comprehensively through the medium of development of psychiatric rehabilitation. Supports for community living of a narrow sense have to make social work and care work base on the life model comprehensive and make them connected with supports for community living of a broad sense. Key words : Persons with psychiatric disabilities, Mental Health and Social Services, Supports for Community Living

32 i ii iii 1549 iv 2017

33 29 5 v 2000 vi

34 R 直ちに行われた社会事業

35 vii viii

36 ix Doctrina x 2. その時信者は xi

37 ( 6 xii ) 6 xiii 3. 明治 昭和の修道会の社会事業を経て xiv

38 xv xvi

39 xvii xviii xix

40 xx 4. 明治以降の社会事業と修道会の事業 xxi

41 女子修道会の果たしたこと

42

43 39 xxii xxiii

44 = xxiv xxv xxvi

45 41 6. 上智大学の創設と社会事業 xxvii xxviii xxix

46 xxx (1930 ) ( ) ( ) xxxi SJ SJ xxxii xxxiii

47 xxxiv xxxv xxxvi NPO ~ OB

48 The 50-Year History of Sophia School of Social Welfare ( ( 27 ) 5 (1954 ) (1947 ) 1950 ( 25 )

49 45 xxxvii (131 ) xxxviii xxxix 社会事業から社会事業のための教育事業 ~ 学問性を重視したが故の教育とその実践 ~

50 xl 1953 xli 1954 xlii xliii knowledge domain( ) knowledge domain( ) 3 fact theory

51 xliv 2 xlv 3 xlvi

52 xlvii xlviii

53

54 xlix

55 51 l * Jonsson.

56 Jonsson ( 注 ) i ii the Smile of a Ragpicker iii

57 53 iv 177 GHQ 3 GHQ social welfare and security

58 v S. Hrsg. v.karl Gebriel und Hans-Richard Reuter(2017): Religion und Wohlfartsstaatlichikkeit in Deutschland Konfessionen-Semantiken-Diskurse

59 55 vi

60 vii viii ix x xi xii SOPHIA No

61 57 xiii xiv xv xvi xvii xviii xix misoricodia ,

62 xx xxi xxii (190 )

63 59 xxiii 57 xxiv 3 xxv xxvi xxvii 79 xxviii 50 J xxix xxx xxxi 51 xxxii / 190 xxxiii

64 xxxiv xxxv xxxvi ( )

65 xxxvii xxxviii xxxix 25 xl ( ) (86 ) xli

66 xlii xliii ( ) ( )

67 xliv xlv sozial Eingliederung xlvi JS xlvii A Memorial Issue of KARASHIDANE xlviii xlix

68 l SOPHIA SJ No.5 あとがき

69 65

70

71 67 論文 要旨 : 1507 キーワード : Ⅰ 緒言

72 Ⅱ 方法と対象 1. 所得段階別保険料に関する情報の収集 ~3 1, 分析手法

73 A B C 3 A B b b 2015

74 C b a Ⅲ 結果 表 1 市町村の介護保険料の段階設定の状況 % % % % % % % % 150 9% % 115 7% % 44 3% % 30 2% % 17 1% % 5 0% % 5 0% % 2 0% 1, % 1, %

75 表 2 保険料段階数を多く設定する市町村 ( 上位 3 段階 ) 18 68,200 1, ,200 60, ,000 59, ,200 58, , ,200 2, ,040 64,400 3, ,600 64,800 1, ,000 64,656 1, ,640 68,200 2, ,000 64,680 1, ,232 59, ,620 53, , ,800 3, ,960 69,480 1, ,320 69,000 1, ,400 69,000 1, ,400 62,040 2, ,508 66,400 1, ,100 67,932 1, ,036 67,932 1, ,036 63,340 1, ,180 63,720 1, ,880 65,880 1, ,524 59,520 1, ,800 56,480 1, ,200 61,180 1, ,720 67,800 1, ,990 62,400 1, ,280 59,160 1, ,060 65, ,520 62,400 1, ,800 46,700 1, ,800

76 表 3 基礎統計量 ( 分析 1) n=1,507 A 64,748 7, B , C 83, , (49%) 20 (1%) 47 (3%) 46 (3%) 609 (40%) 108 (7%) 23 (2%) 35 (2%) S.D.) % 4 5 VIF 3 3 A 1

77 73 表 4 相関係数行列 n=1, ***.15 *** -.25 ***.35 ***.20 ***.14 ***.11 *** -.16 ***.07 ** -.12 ***.06 *.05 *.12 *** *.05 * *** -.13 ***.06 * ***.15 ***.32 *** ***.17 ***.19 ***.12 *** -.14 ***.26 *** ***.25 ***.21 *** -.66 ***.13 ***.30 *** *** -.26 *** -.07 * -.31 *** ***.06 * *** -.15 *** -.23 *** -.21 *** -.41 *** -.09 *** -.64 ***.65 ***.23 ***.45 ***.07 **.09 ***.08 **.30 *** -.16 ***.15 *** ***.42 ***.52 ***.09 ***.19 ***.09 *** -.13 ***.06 * -.12 *** * *** *** -.27 *** -.14 *** -.31 *** * -.32 ***.15 *** *** -.28 *** -.22 *** -.32 *** *** *** * *** -.30 *** -.33 *** -.12 *** -.13 *** -.14 *** -.34 ***.16 *** -.16 *** *** -.39 *** -.46 ***.33 ***.33 ***.12 ***.11 ***.11 **.18 *** -.08 **.44 *** ***.61 ***.54 ***.21 ***.75 ***.28 ***.55 **.28 *** -.11 ***.19 *** ***.26 ***.34 ***.10 ***.09 *** *** -.05 *.08 ** ***.36 ***.35 *** **.12 *** ***.14 ***.12 ***.41 **.18 *** ***.11 ***.16 ***.18 *** ***.15 ***.14 *** -.27 *** -.13 *** -.15 ***.30 ***.23 ***.37 *** *** -.12 *** -.17 *** ***.35 ***.14 *** ***.85 ***.76 *** *** p<.001, ** p<.01, * p<.05 A B C

78 表 5 保険者の状況が保険料段階設定にもたらす影響の重回帰分析 ( 強制投入法 ) n=1,507 Step1 Step2 Step3 Step1 Step2 Step3 Step1 Step2 Step3 p p p p p p p p p A.12 ***.11 ***.10 ***.14 ***.12 ***.10 ***.12 ***.11 ***.10 *** 1.29 ***.22 ***.16 ***.30 ***.22 ***.16 ***.27 ***.21 ***.16 *** * * ***.22 ***.16 ***.51 ***.12 **.09 *.59 ***.34 ***.25 *** B.05 ** ***.07 ***.06 ** *** -.04 * -.07 ** *** -.08 *** ***.40 ***.52 ***.42 ***.26 ***.26 *** C.23 ***.18 ***.18 ***.09 ***.05 *.08 *** -.19 *** -.11 *** -.12 *** -.05 * -.05 ** ***.08 **.15 *** ***.16 *** R *** p<.001, ** p<.01, * p<.05

79 75 1 B C 3 Ⅳ 考察 1. 今回の結果に関する考察

80 政策的含意 2007b

81 a b a b

82 Ⅴ 謝辞 引用文献 , a ( ) b ( ) < > a b a 1 5

83 b a b

84 A study on background factors causing differences in a long-term care insurance premium setting in accordance with income level. Kenichiro Fujii, Ph.D. Summary : In the long-term care insurance system, the insurer's discretion is approved for the specific method of insurance premium setting in accordance with income level. In the present study, I conducted multiple regression analysis for 1,507 insurers with the information of insurance premium setting obtained via the Internet as aiming to identify background factors that influence the method of insurance premium setting by insurer. As a result, it was found that influential items for the method of insurance premium setting were ratio of low-income people, ratio of high-income people, insurance premium level, ratio of the number of service users, and variables such as population size. Thus, I carried out examination for the results while discussing policy implications. Key words : the long-term care insurance system, insurance premium setting in accordance with income level, disparities among municipalities, policy implications

85 81 論文 要旨 : BPSD キーワード : Ⅰ. 研究の背景と目的 OECD Health at a glance 2017 OECD OECD

86 OECD OECD IFSW IASSW IFSW&IASSW ,34-37

87 83 1 Ⅱ. 研究方法 =2012 CiNii Articles CiNii Books NDL-OPAC or or AND or

88 Ⅲ. 研究結果 Ⅲ-ⅰ. 検索結果 or or AND or CiNii Articles33 CiNii Books4 NDL-OPAC CiNii Articles Books NDL-OPAC 30 NDL-OPAC 1 or or or Ⅲ-ⅱ. 研究領域と検索キーワードの該当数

89 MENN , Gergen.K 2009 McLeod.J 1997 Ⅲ-ⅲ. 研究内容 ,18,19,20,21,23,27,34

90 & 21,27, a 2007b 2007c 2007d

91 SOAP evidence narrative environment 2011

92 BPSD MENN 2005 Ⅲ-ⅳ. 認知症の特性とナラティヴの適用性 意義 留意点

93 BPSD MENN Moore

94 90 上智大学社会福祉研究 しも有効な手段とは言えない 対象者には話すきっかけが必要である またセラピストにとっ ては断片的な語りだけから彼らの心を理解することは困難である と述べる 更に 吉川 も認知症高齢者の語りは 非常に断片的にな り 前後の脈絡なく語られ るために聞き

95 Boss1999=

96 b d

97 BPSD 6-1.BPSD 6-2.BPSD BPSD BPSD 6-2.BPSD evidence narrative environment

98 BPSD

99 95 4 Ⅳ. 考察

100 Czarniawska 1998 NBM Narrative Based Medicine 2006= temporality singularity causality/contingency intersubjectivity ethicality 5 narrative practice plot

101

102 Ⅴ. 本研究の意義と限界 今後の研究課題 traditional review narrative review

103 99 ICT CASP Critical Appraisal Skills Programme 9 Ⅵ. 付記 European Social Work Research Association Seventh European Conference for Social Work Research The effectiveness of preventive cooperation systems for community support of elderly dementia patients in Japan : How does one utilize the narrative of elderly dementia patients in social work?

104 上智大学社会福祉研究 注 1 認知症を始めとして記憶障害や言語障害のある対象者に対してナラティヴを用いることの 困難さは 本研究で対象とした文献以外でも指摘されている 例えば 平岡は高次脳機能 障害患者へのリハビリとソーシャルワークに関する論稿で ナラティヴ アプローチは サービスユーザー自身の言語表現によるストーリーの再構成という意味では 高次脳機

105 ICD-10 Alzheimer NIA-AA 5 DSM-5 11

106 ICD-10 NIA-AA DSM-5 NIA-AA DSM (2) (3) = = Persönlichkeit

107 103 ( 引用文献 ) Boss,P Ambiguous Loss. Harvard University Press (40) Garrard,J Health sciences literature review made easy : The matrix method,third edition, Jones&Bartlett Pub (7) IFSW 2014 Global Definition of Social Work honninmeeting1_1.pdf ugyakutaiboushitaisakusuishinshitsu/02_1.pdf orangeplan.pdf (1), Michael Tooley 1972 Abortion and Infanticide, Philosophy Public Affairs2(1), PrincetonUniversity Press. 1988

108 NEWS No OECD 2017 Health at a Glance 2017 OECD INDICATORS, OECD publishing 2013 Rita Charon 2006 Narrative Medicine : honoring the Stories of Illness, Oxford University Press Robert M.Veach, 2003 THE BASICS OF BIOETHICS, 2 nd Edition, Pearson Education Narrative Based Medicine NBM N

109 105 The development of discourse method according to social work theory for elderly people/patients with cognitive or mental disorders. Through systematic literature review for dementia and narrative in Japan. Yuki Donen Abstract : This article is a systematic literature review for domestic articles and books for the purpose of grasping research trends and clarifying future tasks on dementia and narrative in Japan. After literature search by electronic database and selection by screening, 38 documents were targeted.by matrix analysis, I summarized the research contents of each major and organized and integrated the characteristics of dementia and the applicability, significance and points of attention of narrative to dementia. As a result, it became clear that diverse research centered on the attribution of narrative therapy's technique and ideas was carried out in seven areas including sociology and nursing science. In addition, the descriptions of the characteristics of dementia and the applicability, significance and points of attention of narrative to dementia are categorized into the following 8 categories, "1.Characteristics in linguistic expression of dementia" "2.Difficulty and assistance of using linguistic methods for people with dementia", "3.Rewriting and reinterpretation of life", "4.Influence on supporters", "5.Prejudice against dementia and rewriting of stories" "6. Reduction and emergence of BPSD", "7. Narrative and Evidence", "8. Narrative as interview data". And the relationship between this eight categories was illustrated. As the further subject for the development of discourse method according to social work theory for elderly people/patients with cognitive or mental disorders, I raised the following four points, evaluating the quality and critical consideration of each research outcome, understanding how to do linguistic expressions according to the cause disease and severity of dementia, examining the concept of narrative in dementia people, and study on how to utilize narrative in preventive collaboration systems based on inter-professional work for continuous community life. This article is significant not only in Japan where the prevalence of dementia rapidly increases, but also in European countries where the aging of the population is progressing. Key words : dementia, elderly, narrative, systematic literature review, Japan.

110 2017 B B B CHEN SIYU B LENG SHAONAN B

111 2017 WEB SUP

29 5 v 2000 vi

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