母子への訪問支援により再登校が可能となった一例

An outreach program to assist school re-entry for a mother and child: A case study

要旨：今回，家族機能が低下したことにより不登校になっていた中学1年の生徒に対し，訪問支援を中心に介入を行った．本症例の不登校には母親の要因が関係していると考えられたため，①関心のある作業を用いた本人への個別的支援，②SSTなどを用いた母親への個別的支援，③母子で共有できる作業活動を用いた支援を実施した．その結果，家族の関係性が変化し，本人の再登校が可能になった．変化の要因には，作業活動の精神療法的作用，関係性を構築しやすい作業活動の特性が働いていたと考えられた．以上から，作業活動を適切に活用して本人を含めた家族全体に関わることは，不登校の介入に有用と考えられる．

　Through an outreach program, the researchers intervened on behalf of a student in the first grade of junior high school who was truant due to family dysfunction. As the truancy in this case was influenced by the student's mother, we provided the following support: individual support based on the student's interests, individual support for his mother using Social Skills Training, and support based on occupational activities that can be shared by the student and his mother. As a result, the relationships within the family changed, and the student was able to attend school again. The factors influencing this change were considered to be related to “the psychotherapeutic effect of occupational activities” and “the characteristics of occupations that encourage the formation of relationships”. Thus, when intervening for students refusing to attend school, it is beneficial to apply suitable occupational activities and intervene for the entire family, not only the target student.