PFI（官民協働による）刑務所における個別的作業療法の展開

Individual occupational therapy in Private Finance Initiative prisons

要旨：全国に4ヵ所設置されたPFI刑務所の一つである播磨社会復帰促進センターにおいて障害受刑者に対する作業療法の概要と，作業療法を実施した2事例について報告する．A氏は30歳代の知的障害者の男性で，社会生活技能や福祉サービスの学習を行った．知的・注意機能などの低下から動機づけや過剰学習を工夫した．B氏は40歳代の広汎性発達障害者の男性で，勉学への興味・関心の高さを尊重し，知的な活動を通した親和的なコミュニケーションの学習と演習を重ねた．結果，集団での実施が中心の刑務作業や改善指導，教科指導に十分適応できない障害受刑者にとっては，有効な介入であった．今後の刑事施設における作業療法の可能性が示唆された．

　Occupational therapy (OT) was conducted for inmates with disabilities at the Harima Rehabilitation Program Center, which is one of four Private Finance Initiative (PFI) prisons in Japan. Two case studies treated with OT are described. Mr. A is a male in his 30s and has intellectual disabilities. He studied social life skills and social welfare services．Because of Mr. A's low intellect and attention deficit, we attempted to improve his motivation，and increase his study load. Mr. B is a male in his 40s with pervasive developmental disorders, and was very motivated and interested in studying. We respected that, and through intellectual activities we added communication practice. The results indicate that individual OT was effective for inmates who could not sufficiently adjust to the prison environment. It assisted in guidance for reform, and guidance in school programs that were mainly conducted in groups. This study suggests the usefulness of using OT at penal institutions.