学童保育における障害をもつ児童の受け入れ状況とリハビリテーション専門職による支援ニーズ—岡山県2015年度アンケート調査より

Acceptance of elementary school students with developmental disorders and the need for rehabilitation specialist support in an after-school childcare program: The 2015 Okayama survey

要旨：本研究の目的は，学童保育における障害をもつ児童の受け入れ状況とリハビリテーション専門職（以下，専門職）による支援ニーズについてアンケート調査手法を用いて明らかにすることであった．岡山県内の340の学童保育にアンケート用紙を郵送し，124施設から回答を得た．結果，在籍児童総数に対する障害をもつ児童数の比率は8.68％で，そのうち発達障害が7.05％を占めた．1学童保育あたりの障害をもつ児童数は3.84人であった．専門職への希望は，「月に1回程度」，「実際の現場」で直接，「学童保育での具体的な対応の仕方」についてアドバイスを受けたいというものであった．作業療法士が学童保育に関わる必要性が示唆された．

　A survey was conducted on the acceptance of elementary school students with developmental disorders and the need for rehabilitation specialist support in after-school childcare programs. Subjects comprised staff at 340 after-school childcare facilities in Okayama Prefecture. A total of 124 facilities responded (response rate, 36.47%). The total number of the enrolled students aged 7-12 years was 5,487. Of these, 476 (8.68%) students had some form of developmental disorder. The average number of students with developmental disorders per facility was 3.84. The rate of after-school childcare facilities with childcare workers trained in disability care was 46.3%. The rate of facilities providing a consultation service was 48.3%, and the rate of facilities providing on-site guidance by rehabilitation specialists was only 4.1%. The requests to rehabilitation specialists were to give students advice “regarding the specific way to care”, “once a month” and “on-the-spot”. Although interested facilities could have responded, our results suggest the need for occupational therapist support in after-school childcare programs.