Symposium in Shiga Prefecture emphasizes ‘independent living’ for the developmentally disabled

Extracts from The Mainichi Shimbun

February 12th 2018

A lecture and symposium inviting founding members of “Q – ACT (QUE – ACTO)”, an expert organization that supports autonomy in the community of for severely mentally handicapped people “To support the community life of people with mental disabilities ~ The trajectory of Q-ACT and future development “(sponsored by the prefectural mentally handicapped family association) was held at the Ryuta Art and Cultural Center Hall 2 of Ritto city 2 on 11th. Approximately 150 people from inside and outside the prefecture participated. They exchanged opinions on the importance of nursing visiting those that live in the community.

ACT of Q-ACT is abbreviation of English meaning comprehensive regional life support, a way of thinking born in the United States in the 1960s. When contacted, experts such as nurses visit applicants who wish to use and work toward “independence” that disabled people desire from various perspectives. Q-ACT has two teams in Fukuoka City etc. 24 hours a day, 365 days a day, 7 days a week.

In the lecture, Shoko Tsuda from the Q – ACT member attended, a mental health care worker. Tsuda explained that “ACT is a visiting-type program, if the user wishes, he will visit parks in the neighborhood, employment place, cafes etc.” Furthermore, regarding the policy of “high risk / high support”, rather than protecting against risk, the approach of trying to challenge the risk and making a strong life is more difficult for misery to happen. ”

Also, in Q-ACT, They introduce that teams do not belong to psychiatrists, that they are collaborating with regional psychiatrists, and that both teams are responsible for both clinical and management. “We will hold a business meeting once a month and we will decide the contents of salary and bonus everyone.” Finally, “What is important is the life and life of that person, and although it has symptoms, I can live like that person.”

In the symposium, Tsuda took part with family members, visiting nurses and others with mental disorders. Ms. Omiwa Kumiko (Kumiko), a party who is receiving visiting nursing services, emphasized the significance that “If there is no visiting nursing, the important person who accompanies everyday life goes away”.

Psychiatrist Tsujimoto Tetsuji asked Tsuda “How do you deal with 24 hours 365 days”? Tsuda said, “Outside of regular working hours from 9 am to 6 pm, the staff alternately waits at home with the telephone of the team. Although there are variations from month to month, emergency dispatch is about 3 times, There were about 15 telephone consultations.It was quite difficult for a night shift at a hospital so much. “

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