It has traditionaly been considered that the
people with mental retardation would be best treated in institutions.
In Japan, we are finally entering a new
age in terms of promotion of welfare of people with mental retardation,
with "their active participation" in the process.
At first I would like to speak how the
welfare system for the people with mental retardation has been developed,
what it is like and what we would expect for the future in this country.
1891
The first private facility for children
with mental retardation was established.
1891 to 1947
Welfare services provided by charity organization.
By the time of the enactment of the Child
Welfare Law(1947), it is said that 27 facilities for children with mental
retardation were operated as charity work.
1947
With the enactment of the Child Welfare
Law, public welfare measures for children with mental retardation started.
At first, establishing a residential care
facilities was main policy.
The age of welfare administration started.
1960
The enactment of the law for the people
with Mental Retardaion, for the purpose of completing welfare facilities
for adults with mental retaradation so that service could be offered to
not only children with mental retardation but also to such adults.
Both law, at the beginning, residential
care has been oriented. That is to say, both law provided the legal framework
for the creation and regulation of facilities.
These facilities are residential
in nature.
1957
Day care centers for children with Mendal
Retardation were added to the law. This allowed the children to commute
each day.
(1958 The national home for children with Mental Retardation was opened to accommodate children with either severe disabilities or multiple disabilities.)
1967
Hospital homes for severely physically
and mentally retarded children were created by legislation in the child
welfare law.
Around 1970
When the organizational structure of various
facilities for the Mental Retardation was almost completed, home based
measures were budgeted by government one after another.
These measures include counselores for
people with Mental Retardation, insurance system for the rearing of the
children with Mental Retardation, home helpers, the provision of instruments
and equipments for daily living, handbook for the people with mental retardation,
dental care, short stay system, home visit examinations, counseling and
guidance, and the provision of some of the services of the residential
facilities to the community.
Also around 1970
Along with the countermeasures for the
home bassed measures, additonal measures were requested.
The measures to enable people with Mental
Retardation who are deemed employable to find suitable employment, after
receiving appropriatetraining at facilities.
Dormitories which provide housing for people
wiht mentatl retardation who are capable of commuting.
Otherhands, Welfare homes, Welfare factories
were also established.
1981
International year of persons with disabilities
1983-1992
United nations decade of persons with disabilities.
Normalization
Institutional care → community living
family support
1989
So called group home was created by legislation.
This is designed to support several people with Mental Retardation
who live in the community.
The Secretarat of the Headquarters for Promoting the Welfare fo Persons with Disabilities, Prime Minister's Office (19 ministries and agencies)
a) Fundamental Law for Persons with Disabilities(Shougaisya
Kihonnho, 1970)
This Law diffines the range of the handicap,
secures the human rights of persons, with disabilies, states the responsibilities
of national and local government, and also defines the neccessity of medical
care, welfare,education, and employment.
b) Child Welfare Law (Jido Fukusiho, 1947)
A comprehensive law concerning all children
under the age of 18.
The welfare facilities for children with
mental retardation are defined in this law.
c) Law for the Welfare of the People with Mental
Retardation (Chitekisyougaisya Fukusiho, 1960)
The law defines assistance (home care,
facility countermeasures, etc.) for people with mental retardation who
are 18 years old and over (acutually this law is applicable to people with
mentall retardation who are 15 years old and over.)
d) Other Related Laws
-Maternal and Child Health Law (Boshi Hoken-Ho)
(Prevention and early detection of the occurence
of menal retardation and
other disabilities.)
-Law for providing family allowance for
sepcial children(financial aid).
-The National Pensions Act- Basic pension
for the handicapped(financial aid.)
-Social Welfare Service Law.
-Law for the welfare of the people with
phisical disabilities.
-Mental Health Law and other Laws.
-Law concerning persons with disabilities'
Employment Promotion
The United Nations Economic and Social Commission
for Asia and the Pacific
(ESCAP) adopted a resolutuion naming the period
1993-2002 the 'Asian and PacificDecade of Persons with disabilities.'
1982
Japanese Government adopted 'Long-Term Programme
for Government Measures for Disabled Persons'
1987
Japanese Government adopted 'Long-Term Programme
for Government Measures
for Disabled Persons: Priority Measures During
the Second Half of the United Nations Decade of Disabled Persons.'
1991
'Long-Term Programme for Gvernment Measures
for Disabled Persons:
Promotion of Priority Measures During the Final
Period of the United NationsDecade of Disabled Persons'
1993
Japanese Government formulated 'New Long-Term
Programme for Government
Measures for Disabled Persons---Towards a Society
for All.
1993
Amendment of the 'Fundamental Law for Countermeasures
for Mentally and
Physically Disabled Persons' (1970) to further
promote independence and their participation in society.
→ changed the name of the Law 'Fundamental
Law for Disabled Persons'
For Adults
-The prefectures, cities, towns, and villages
that are the auspices of public offices.
-Counseling Centers for rehabilitation of the people with mental retardation technically specialized agency
〇Early Detection
health examination for 18-month-old baby,
3 year old children
〇Early Treatment
day care
〇Welfare Services
Home based or community based welfare system
Measures on facilities
〇Allowance & Pension
Transformation to Normalization
Central emphasis must be replaced by new thinking
(1) Principles of social welfare from to give
to share
(2) Shift from institutional welfare to community
based welfare
(3) Change of treatment method possibility
of the use of non standard treatment
(4) Change of the laws. Major revision of laws
took place
Future prospects
Establishment of the welfare system based
on the idea that assistance shall be provided so that the persons with
disabilities could lead their life as indivisual members of the society.
Assurance of human rights should be made for the further development of their welfare. Prejudice, or discrimination must be shut out.
Others
A society that shuts out a number of its
members is an impoverished society.