DOI QR코드

DOI QR Code

A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice

발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로

  • Shin, Kyung-An (Dept. of Social Welfare, Dong Seoul University) ;
  • Lee, Eun-A (Dept. of Social Welfare, SungKyul University) ;
  • Kim, Do-Hoon (Dept. of Social Welfare, Soongsil University)
  • 신경안 (동서울대학교 사회복지학과) ;
  • 이은아 (성결대학교 사회복지학부) ;
  • 김도훈 (숭실대학교 사회복지학)
  • Received : 2020.09.22
  • Accepted : 2020.10.20
  • Published : 2020.10.31

Abstract

The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

우리나라 발달장애인의 시설입소율은 다른 장애유형에 매우 높은 편이다. 따라서 발달장애인의 지역사회 삶을 지원하는 '커뮤니티 케어'는 다른 장애유형에 비해 매우 중요하다. 하지만 우리나라는 장애가족이 돌봄의 주체가 되어 부양부담을 호소하고 있다. 본 연구는 일본의 발달장애인의 지역사회 자립지원에 대한 기관방문과 인터뷰를 통해 실천사례를 분석하였다. 연구결과 일본 발달장애인의 지역사회로의 전환은 그룹홈을 중심으로 이루어지고 있었다. 민간은 그룹홈에서 중증장애인까지도 지역사회 생활이 가능하도록 지원하고 있으며, 삿포르시청은 고령부모의 발달장애인 돌봄문제 해결을 위한 민간연계를 진행하고 있었다. 이에 우리나라의 정책적 제언으로 그룹홈 확대와 장애인 거주시설의 기능전환, 고령부모의 장애인 돌봄 문제 대처, 청장년 독거인의 실태조사로 예방적 서비스의 제공을 제언한다. 실천적 제언으로는 자립을 위한 일상생활 능력향상을 위한 그림 등의 교육교재 개발과 보급, 자립생활을 위한 직업훈련에서 충분한 인력과 시설 확충, 성인 발달장애인과 보호자를 위한 쉼터 운영이 필요할 것이다.

Keywords

References

  1. S. H. Kim. (2018). The Comprehensive Policy Plan for People with Disabilities: Progress and Challenges. Health and welfare policy forum,. 258, 62-71.
  2. J. S. Kwon. (2016). A Survey and Analyze on the Acceptance Attitudes and Perception of the Parents of Students with Disability on "The Act Support and Guarantee of Right for Persons with Developmental Disability". The Journal of the Korean Association on Developmental Disabilities, 20(3), 23-42.
  3. H. Y. Jeong. (2013). Functional evaluation of children's disabilities. Seoul: Gunja Publishing House.
  4. M. J. Seong. (2014). A Study on the Right to Self-determination of Children with Developmental Disabilities. Research on the rights of children with disabilities, 5(1), 15-27.
  5. J. S. Kim & K. A. Shin. (2020). The Effect of Family Cohesion of Down's Syndrome Family on Children's Independent Living: Focused on Mediating Effect : Mediating effect of strengthening family capacity, Journal of Convergence for Information Technology, 10(8), 213-222. DOI : 10.22156/CS4SMB.2020.10.08.213
  6. S. K. Park. (2016). The present condition and tasks of deinstitutionalization of the people with disabilities in Korea. Journal of Intellectual Disability Research. 18(1), 205-234.
  7. National Human Rights Commission. (2014) International Symposium on CRPD and Inclusion of the Presons with Psychosocial Disabilities. Materials published by the National Human Rights Commission, 2015, 1-333.
  8. J. H. Kim. (2019). A Research of Recognition for Deinstitutionalization and Independent Living of the Disabled Living in Residential Facilities for the People of Family In accordance with the Enactment Deinstitutionalization of Disabled. The Korea Contents Society, 19(10), 660-666.
  9. B. C. Park. (2012). Regional Development and Community. Community Research, 20(2), 1-26.
  10. Y. Y. Kim & H, Y. Yoon. (2018). Case study of Community care : Poilcy Implications from Japan and UK. Journal of Critical Social Welfare, 60, 135-168. https://doi.org/10.47042/ACSW.2018.08.60.135
  11. Seoul Welfare Foundation. (2018). A Study on the Development Plan of the Seoul City Delivery System According to Changes in the Welfare Environment. Seoul Welfare Foundation, 1-254.
  12. S. Y. Kim. (2018). Establishment and promotion of Korean-style community care concept through comparison with overseas cases Direction Study. Seoul Institute initiation report internal data.
  13. S. H. Hwang. (2018). Community Care Promotion Roadmap. Korean Society of Community Welfare Conference, 10, 25-38.
  14. K. H. Byeon. (2014). A Look at Programs Available for People with Severe Disabilities. Health and welfare policy forum, 217, 29-37.
  15. H. R. Jang & T. W. Um. (2019). Factors Affecting the Quality of Life of Parents with Developmental Disabilities. The Journal of the Korean Association on Developmental Disabilities, 23(3), 25-69. DOI : 10.34262/kadd.2019.23.3.49
  16. K. A. Shin. (2019). Improvement Directions and Tasks for Local Welfare for Local Governments and Social Welfare Community Welfare Program in Decentralization: Focusing on Gyeonggi-do. Journal of Arts, Humanities and Social Convergence Multimedia, 9(12), 1145-1154. DOI : 10.35873/ajmahs.2019.9.12.100
  17. M. Y. Cho. (2010). Development Direction for the Change of Korean Community Welfare: Focusing on Community Service, Korean Journal of Public Administration, 26, 157-183.
  18. Y. H. Kim & Y. K. Ju. (2014). Analysis on the Characteristics of and Structural Relationship between Irrational Belief, Depression and Anxiety Consciousness of Parents of Children with Developmental Disabilities. Korean Journal of Special Education, 48(4), 201-222.
  19. Y. R. Shin, K. M. Kim, D. C. Yu & D. K. Kim. (2013). A Theoretical Research for the Conceptualization of Social Inclusion about the Disabled -From Social Exclusion to Inclusion-. Korean Journal of Social Welfare, 65(3), 5-28. DOI : 10.20970/kasw.2013.65.3.001
  20. M. K. Choi, J. H. Lim & W. S. Shin. (2017). The Subjective Perception of Social Workers on the Self-Determination of people with Developmental Disabilities. Journal of Disability and Welfare, 37, 5-32.
  21. C. U. Je & Y. Y. Choi. (2014). Feasibility of the Special Needs Trust Schemes for the protection of Persons with Severe Developmental Disability. The Jounal of Comparative Private Law, 21(3), 1139-1184. DOI : 10.22779/kadw.2017.37.37.5
  22. S. K. Park, S. M. Kim & S. W. Lee. (2018). The Effects of cultural and leisure activities on maintaining positive interpersonal relationship and daily-life satisfaction among adults with developmental disabilities. Journal of Disability and Welfare, 40, 123-149. DOI : 10.22779/kadw.2018.40.40.123
  23. Kittay, E. F. (2011). The ethics of care, dependence, and disability. Ratio Juris, 24(1), 49-58. https://doi.org/10.1111/j.1467-9337.2010.00473.x
  24. Oliver, M. (1989). The social model of disability: Current reflections. In T. Jeffs & M. Smith (Eds.), Social Work and Welfare Yearbook 1 (pp. 190-203). Milton Keynes, UK: Open University Press.
  25. Y. D. Kim. (2018). Community care, what should we do?. Monthly welfare trend, 238, 5-10.
  26. S. H. Hwang. (2018). Community Care (Regional-Based Care) Promotion Roadmap. Korean Society of Community Welfare Conference, 2018(10), 25-38.
  27. D. K. Kim. (2009). A Study on the Organizational Effect of Independent Living Center on Social Participation of People with Severe Disabilities using Independent Living Service. Korean Social Welfare Survey Research, 21, 59-92.
  28. R. K. Kim & J. M. Yeon. (2015). An Analysis of the Study Trend of Residential Service for People with Intellectual Disabilities. The Journal of the Korean Association on Developmental Disabilities, 19(1), 1-27.
  29. M. O. Kim & M. A. Jung. (2018). Seeking a support system for the local community for the independence of people with developmental disabilities after disability. he Jounal of Korean Social Welfare, 70(3), 51-79. DOI : 10.20970/kasw.2018.70.3.003
  30. B. C. Choi et al. (2016). A Study on Policy Directions for Support Systems for the Individuals with Developmental Disabilities. Korea Institute for Health and Social Affairs Research Report, 2016, 1-347.
  31. K. O. Park & D. S. Lee. (2018). The Social Organization of the Employment Service Experience of persons with developmental difficulties : Applying the Institutional Ethnography. Journal of Disability and Welfare, 42, 107-137.
  32. Y. G. Chu. (2011). A Study on Research Trends of Children with Developmental Disabilities: The Case of Korea, Japan and the United States. The Journal of the Korean Association on Developmental Disabilities, 15(4), 21-43.