医療観察法の入院医療における作業療法実践—多職種チーム医療における作業療法士の役割

Inpatient occupational therapy for mentally ill offenders under the Medical Treatment and Supervision Act: Role of occupational therapists in multi-disciplinary team medicine

要旨：本研究は，医療観察法の入院医療における作業療法実践から，介入の焦点や技術と作業療法士の役割について明らかにすることを目的とした．この医療に従事するエキスパートの作業療法士を対象に半構造化面接を行い，質的分析を実施した結果，本人の“守りたい暮らしの安定”を目指す作業療法実践の概念的構造が得られた．この医療における多職種チームの中で作業療法士は，対象者の守りたい暮らしを主眼におき，当たり前の日々の生活の中にある作業（occupation）を安定してできるようにともに取り組むことにより，間接的に再他害行為を防止することを担っている．

　The purpose of this study was to clarify the focus of interventions, technology, and role of occupational therapists in the practice of inpatient occupational therapy for mentally ill offenders under the Medical Treatment and Supervision Act. We conducted a semi-structured interview with an occupational therapist specializing in the above-mentioned medical treatment; qualitative analyses indicated a conceptual structure of occupational therapy that aims at the “regional life that patients want to maintain”. As a member of a multi-disciplinary team in this medical treatment, occupational therapists focus on the regional life desired by patients, and collaborate with patients so that they can stably perform daily life occupations. By doing so, occupational therapists indirectly prevent patients from harming others again.