@article{oai:serve.repo.nii.ac.jp:00003860, author = {川村, 仁美 and 田村, 綾子 and Hitomi, Kawamura and Ayako, Tamura}, issue = {第1・2号合併}, journal = {聖学院大学論叢, The Journal of Seigakuin University}, month = {Mar}, note = {障害者の地域生活支援のためのサービス等利用計画の作成を担う相談支援専門員の役割と課題に ついて,先行する文献研究を行った。結果,サービス等利用計画作成における本人の主体性や意思 の尊重,継続サービス利用支援やモニタリングにおけるニーズ把握と計画変更を含む利用支援,社会資源の把握や支援チームの調整及びサービス管理責任者等の関係者との連携などが求められることがわかった。一方で,力不足や業務を兼任することで多忙となり十分な時間をかけたかかわりができないなどの課題があることが明らかとなった。  障害福祉サービス報酬の改定や相談支援従事者の研修等による相談支援の充実が図られていることに加え,精神障害にも対応した地域包括ケアシステムの構築に向けて,協議会の活用や地域移行・地域定着支援を担う一般相談支援事業による知見の蓄積などが有効であると考えられることが示唆された。, The extant literature has described the roles and challenges of consultation support specialists who are responsible for the design of service utilization plans for people with disabilities. These experts must respect the independence and will of their clients in creating service utilization plans. They must understand social resources, coordinate support teams, cooperate with related parties such as service managers and amend plans accordingly. They must simultaneously address the need for continuous service support and monitoring as well as user support. Conversely, they must negotiate the lack of adequate authority or issues such as being busy or overworked and thus unable to engage adequately with assigned tasks.   The Community Independence Support Council aims to revise the disability welfare service remuneration and enhance consultation support by training consultation support workers. It further aims to build a comprehensive community care system that also responds to mental disorders. The general consultation support project is responsible for the utilization of plans, regional migrations, and the facilitation of regional settlements. It is posited in a way that the knowledge accumulated by this project will be effective in overcoming some of the challenges.}, pages = {181--196}, title = {計画相談支援における相談支援専門員の役割と課題}, volume = {第33巻}, year = {2021}, yomi = {カワムラ, ヒトミ and タムラ, アヤコ} }