地方都市における“誰でも参加できるSST”の実践報告

A report on a trial of “SST in which anyone can participate” in a regional city

要旨：今回，地方都市において，“誰でも参加できるSST”を当事者と協働で実施する経験を得た．経過の中で，医療・福祉の枠外で立場に関係なく誰でも参加できるという場の構造の不安定さと，それ故に起こったトラブルやその前兆への対処など様々な課題はあったものの，その場に継続的に，かつ主体的に参加して新しい仲間づくりを行う者も多く存在した．このことから，医療・福祉の枠を超えて作業療法士が地域において実践を試みることで，当事者・家族を含む地域住民の健康やつながりの構築に寄与する可能性が示唆された．一方で，その実践には，運営スタッフとプログラムが開催される地域の支援者とのつながり，当事者との協働が必要と考えられた．

　“SST in which anyone can participate” was conducted in a regional city. During the program, some problems associated with feelings of insecurity regarding the location where anyone could participate regardless of medical care and welfare were observed. On the other hand, many participants who took part continuously were able to make new friends. The results indicate that this trial was valuable for both the promotion of health and the formation of connections among inhabitants. On the other hand, in practical terms, it was thought that the program needed collaboration among staff, local support personnel, and people with mental disabilities.