患者家族の思いに基づく精神科作業療法の役割

Examining the roles of psychiatric occupational therapy on the basis of thoughts of patients' families

要旨：アンケート調査の自由記載で得られた家族の思いを基に精神科作業療法の役割を検討し，さらにその役割を果たすために必要なこれからの展開について考察を加えた．家族の思いから抽出された役割は，これまで精神科作業療法が担うとされてきた役割と一致していた．すなわち精神科作業療法の役割は，家族にも実際に必要とされていた．さらにこれからの展開として，①作業療法士が対象者を社会的存在として再認識すること，②作業療法士が対象者の生活環境としての社会復帰施設等の在り方を知ること，③援助技術の集積と整理，体系化が必要であると考えた．

　Based on the thoughts of patients' families provided by a questionnaire encouraging family members to describe their feelings freely, the roles of psychiatric occupational therapy were confirmed, and the matters that we should address in order to accomplish these roles were mentioned. These roles of psychiatric occupational therapy extracted from thoughts of patients' families coincided with roles that had been prescribed up to now-specifically the functional roles of psychiatric occupational therapists that were actually needed by patients' families. And the following issues were pointed out as necessary for future development : 1) Occupational therapists should fully acknowledge patients again as social beings. 2) Occupational therapists should understand the situation of institutions serving as living environments for patients. 3) Accumulation and systematic unification of intervention skills are necessary.