地域共生社会の実現に向けた 重層的支援体制整備事業における地方自治体の役割

The Role of Local Governments in the Comprehensive Support System Development Project to Realize a Community-Based Society

This study aims to examine the issues concerning the institutionalization of the Comprehensive Support System Development Project, in order to realize a community-based society as well as to assess the role of local governments in its implementation. First, the study outlines the background of the institutionalization of the project in
terms of realizing a community-based society in conjunction with amendments to various laws. Next, I reviewed previous research. Then, with the use of case studies, the study investigates the practices of counseling support offices within the project, verifying how they implement the functions listed in Article 106-4, Paragraph 2 of the Social Welfare Act. The results showed that the practices of the counseling support office involves various roles, including identifying those who require support (outreach) in social work practices, initiating counseling support, providing support for participation, supporting community development and offering opportunities for continued accompanied support through collaborative activities arranged across multiple agencies. However, carrying out community development while providing individual support is challenging, and requires powerful backing from local governments. As one possible solution, this study suggests appointing public health nurses as community social workers, and becoming the key figures in community development within the framework of the Comprehensive Support System Development Project.
Key Words：continued accompanied support，community development，public health nurses，community social
workers

Creators UCHIDA Mitsunori

[EISSN]2189-4825