医療観察法入院処遇者に対する技能プログラミングを用いた生活技能獲得に向けた作業療法介入

Occupational therapy intervention for acquiring life skills using skills programming for inpatients under the Medical Treatment and Supervision Act

要旨：医療観察法の対象者の中には，技能獲得や般化が困難な事例が多い．本事例は家事や調理等の生活技能が低く，退院後の生活に不安を感じていた．調理や買い物等の技能獲得に向けて技能プログラミングを用いた介入を行った結果，一人で食事の準備ができるようになり，日常生活技能の改善が図れた．医療観察法下における本事例への生活技能への介入は，社会生活への価値を高めると共に再他害行為防止に作用し，社会復帰に繋がると考える．

　Among the subjects of the Medical Treatment and Supervision Act, there are many cases in which the acquisition and generalization of skills are difficult. In this case, the patient's daily living skills such as housework and cooking were low, and she was anxious about her life after discharge from the hospital. As a result of the intervention using skills programming to acquire skills such as cooking and shopping, the patient was able to prepare meals by herself and improved her daily living skills. We believe that the intervention for daily living skills in this case under the Medical Treatment and Supervision Act will increase the value of social life, prevent reoccurrence of harm, and lead to reintegration into society.