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要旨:今回,筆者らは生活行為向上マネジメント(以下,MTDLP)を用いて,統合失調症の40代男性(以下,A氏)の地域生活移行支援を経験した.MTDLPの補助ツールとして,運動技能とプロセス技能評価(AMPS)を用いた.我々は,多職種連携支援をマネジメントし,A氏が退院後に必要で大切な食事の準備に焦点をあてた介入や,退院後の再発予防に対する心理教育などを行った.その結果,生活に対する有能性や認知機能障害が改善し,地域生活にスムーズにつながった.MTDLPは,統合失調症者の地域生活移行支援として有用なマネジメントツールだと考えられた.
A man in his 40s with schizophrenia experienced a shift in community support through occupational therapy and the Management Tool for Daily Life Performance (MTDLP). The Assessment of Motor and Process Skills were used as supporting tools of MTDLP, focusing on necessary occupations, valuable steps he can follow upon discharge, and the management of integrated care by collaborating with several types of jobs. He received occupational therapy for meal preparation and psycho-education for preventing illness recurrence. Thus, his life competency improved along with his cognitive function. MTDLP may be a useful management tool in shifting the community support for persons with schizophrenia.
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