特別支援学校における医療の専門家への相談—ICF-CYを用いた全校調査による各職種の特徴

Consulting medical professionals in special needs education schools: Characteristics of medical professionals by whole school research using ICF-CY

要旨：特別支援学校における医療の専門家への相談内容を把握し，作業療法士の特性を明らかにすることを目的とした．ICF-CYを用いた全校調査の結果，理学療法士は心身機能と身体構造領域の相談が多く，歩行などの基本動作が中心であった．言語聴覚士は活動と参加領域の相談が多く，コミュニケーションや摂食に関する相談が主であった．心理士は人間関係や思考・知的機能に関する相談が中心であった．一方，作業療法士は活動と参加に関する相談が最も多かったが，他の領域の相談も受けていた．具体的には，起居動作に関する心身機能，感覚認知に関する機能や活動，福祉用具などの環境調整，机上での物の操作などであり，多様な相談を受けていることが確認された．

　The aim of this research was to clarify the area of expertise of OT by examining their consultations with teachers in special needs education schools. Whole school research data using ICF-CY revealed a response rate of 59.0%. Physical therapists had many consultations related to bodily function and structure, mainly in relation to basic actions such as walking. Speech-language-hearing therapists often consulted on activities and participation areas, and their main consultations were related to communication and feeding-eating. The main consultations of psychotherapists were social relationships, thinking and intellectual functions. While occupational therapists had the most number of consultations on activities and participation areas, they also consulted in other areas, namely functional mobility, bodily functions, and activities related to sensory perception, adaptation to assistive devices, and manipulation of objects on a desk.