障害福祉サービス供給における効果としての社会的排除 ～負の政策効果についての検討～

Social exclusion as an effect in the provision of welfare services for persons with disabilities Consideration of negative policy effects

The purpose of this paper was to study social exclusion as an effect of residential facility care in the provision of welfare services for persons with disabilities. This is based on an understanding of such welfare measures from the perspective of a system to provide social welfare that enables approximately 127,660 people with intellectual disabilities, autism spectrum disorders, etc. who are in institutions in Japan, to live in local society. The results showed the existence of not only the abuse of persons with disabilities as an outcome of the provision of welfare services to them, but also abuse in the background treatment premised on collective action, lack of staff to regulate these actions, lack of individual support, a shortage of staff to support regional transition, social isolation with 72.0% of residents staying for 10–40 years or longer, maintenance of the reproductive function of large-scale residential facilities, suppression of community life support services, policies that function to socially isolate and socially exclude as an effect of this, and a series of structural disadvantages at the micro, mezzo, and macro levels. These findings suggest the need for an improved system of social welfare provision.
Keywords: Isolation, social exclusion, disability welfare measures, people with intellectual disabilities, Abuse of
persons with disabilities

Creators KATSUI Yoko