M e n t a l
h e a l t h
c a r e
ä»è·æœèšçã®è·å¡ã®ããã®
ãµããŒãã¬ã€ãïŒç¬¬ïŒçïŒ
æ°åã³ãããŠã€ã«ã¹ææçã«å¯Ÿå¿ãã
åçåŽåç 什å3幎3æ
â æ°åã³ãããŠã€ã«ã¹ææçã®åºç€ç¥è⥠â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 1
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠâ¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 4
⥠⥠⥠ïŒïŒâ¥ã¡ã³ã¿ã«ãã«ã¹ã®å¯Ÿå¿äºäŸâ¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 16
⥠⥠⥠ïŒïŒâ¥ïŒã€ã®ã±ã¢ã«ã€ããŠâ¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 7
⥠⥠⥠ïŒïŒâ¥ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã»ã¡ã³ã¿ã«ãã«ã¹ã±ã¢æŠèŠâ¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥ 5
â ¢ çžè«çªå£â¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 24
⥠⥠⥠ïŒïŒâ¥æ°åã³ãããŠã€ã«ã¹ææçäžã§ã®ã¡ã³ã¿ã«ãã«ã¹å¯Ÿå¿â¥ â¥â¥â¥â¥â¥ 12
⥠⥠⥠ïŒïŒâ¥ã¯ããã«â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 4
⥠⥠⥠ïŒïŒâ¥æåŸã«â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 24
⥠⥠⥠ïŒïŒâ¥ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããã«ããã£ãŠã®çæäºé â¥â¥â¥â¥â¥â¥â¥ 11
⥠⥠⥠ïŒïŒâ¥ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®é²ãæ¹â¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 6
⥠⥠⥠ïŒïŒâ¥ã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæ³åŸâ¥ â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥â¥ 15
ç®ã次
æ°åã³ãããŠã€ã«ã¹ææçã«å¯Ÿå¿ãã
ä»è·æœèšçã®è·å¡ã®ããã®
ãµããŒãã¬ã€ãïŒç¬¬ïŒçïŒ
ïŒïŒïŒ æŠèŠ
ãæ°åã³ãããŠã€ã«ã¹ææçã®ç åäœã¯åç©ç±æ¥ã³ãããŠã€ã«ã¹ãšæšå®ãããŸããã宿䞻åç©ã¯åãã£ãŠ
ããããçŸåšã¯ãã-ããææã«ãã£ãŠæµè¡ãäžççã«åºãã£ãŠããç¶æ³ã§ãã
ãçç¶ã¯ãçºç±ãåŒåžåšçç¶ïŒå³ãåœé çã錻æ±ã錻éãªã©ïŒãé çãåŠæ æãå èŠé害ã»å³èŠé害ãªã©ãã€
ã³ãã«ãšã³ã¶ãæåã«é¡äŒŒããå ŽåããããŸããããã®çç¶ãããã°æ°åã³ãããŠã€ã«ã¹ææçã§ãããš
ããçç¶ã¯ãããŸããã
ãäžè¬çã«ãçºçããïŒé±éïœ 10æ¥ç®ã«éçåããããšãå€ãã38床ãè¶ ããçºç±ã®æç¶ããåŒåžå°
é£æã¯æ³šæãèŠããçç¶ã®äžã€ã§ããåŒåžç¶æ ã®æªåãç¶ãå Žåã«ã¯ã人工åŒåžåšãäœå€åŒèå人工èº
ïŒECMOïŒã«ããæ²»çãå¿ èŠã«ãªãããšããããŸããæ¥æ¿ã«ç¶æ ãæªåããããšãæ¬çŸæ£ã®ç¹åŸŽã§ããã
泚ææ·±ã芳å¯ãšè¿ éãªå¯Ÿå¿ãå¿ èŠã«ãªããŸãã
ãçºç2æ¥åããæææ§ãããããŸããçºçååŸã«æãæææ§ãé«ãããšãç¥ãããŠããããã®ããšããæ¬
çŸæ£ã®ææ察çãé£ãããããåå ã®äžã€ã«ãªã£ãŠããŸãã
1
â æ°åã³ãããŠã€ã«ã¹ææçã®åºç€ç¥è
â æ°åã³ãããŠã€ã«ã¹ææçã®åºç€ç¥è
åºæïŒæ°åã³ãããŠã€ã«ã¹ææçïŒCOVID-19ïŒèšºçã®æåŒã 第4.2ç
ïŒïŒïŒ ææçµè·¯
ãææçµè·¯ãšããŠããããã¿ãå³åœãäŒè©±ãªã©ã®éã«çãããŠã€ã«ã¹ãå«ãé£æ²«ãåžã蟌ãã§ææããããš
ïŒé£æ²«ææã»ãšã¢ããŸã«ææïŒãšãããŠããŸãããŠã€ã«ã¹ãã€ããæã§å£ã錻ãçŒãªã©ã®ç²èã«è§Šãããã
å¯é空éã§æµ®éããŠããå°ããé£æ²«ãåžã蟌ãã ãããŠãææããããšããããŸãã
å³ïŒãæ°åã³ãããŠã€ã«ã¹ææçã®çµé
ïŒäžåœã«ãããçŽ4 äžçäŸã®è§£æçµæãåèã«äœæïŒWu. JAMA 2020ïŒïŒå¹Žéœ¢ãåºç€çŸæ£ãªã©ã«ãã£ãŠïŒéçåãªã¹ã¯ã¯ç°ãªãç¹ã«æ³šæïŒ
ããçç¶ã»å èŠå³èŠé害
1é±éååŸ 10æ¥ååŸçºç
çºçïœ1é±éçšåºŠ
軜çã®ãŸãŸæ²»ç
çŽ80ïŒ 1é±éïœ10æ¥
èºççç¶ãå¢æªãå ¥é¢
çŽ20ïŒ
10æ¥ä»¥é
éäžæ²»ç宀ãž
2-3ïŒ ã§èŽåœç
çŽ5ïŒ
åŒåžå°é£ãå³ã»ç°äººå·¥åŒåžç®¡çãªã©
ïŒïŒïŒ ææçã®äºé²æ³
ãææäºé²ã®ããã«ã¯ãææ察çã®ïŒã€ã®æ±ã§ããâ ç åäœïŒæææºïŒã®æé€ãâ¡ææçµè·¯ã®é®æãâ¢å®¿
äž»ã®æµæåã®åäžãéèŠã§ããç¹ã«ææçµè·¯ã®é®æãéèŠã§ããä»è·æœèšãäºæ¥è ã®è·å¡ïŒä»¥äžããè·
å¡ãïŒä»è·æœèšãäºæ¥è ã®å©çšè ïŒä»¥äžããå©çšè ãïŒã®å¥åº·ãäœèª¿ç®¡çããã£ãããšè¡ããå©çšè ã»å®¶æãå®
å¿ããŠãµãŒãã¹ãåããããããããŸãè·å¡ãå®å¿ããŠãµãŒãã¹æäŸã§ãããããå©çšè ã»è·å¡ãååããŠ
以äžãå®è·µããããšãéèŠã§ãã
2
â æ°åã³ãããŠã€ã«ã¹ææçã®åºç€ç¥è
æœäŒæé äž»ã«çŽ5æ¥çšåºŠïŒ1 ïœ 14æ¥ïŒ
ææçµè·¯ é£æ²«ææïŒãŠã€ã«ã¹ãå«ãé£æ²«ãåžã蟌ãã§ææïŒã»ãã
æ¥è§ŠææïŒãŠã€ã«ã¹ãã€ããæã§å£ã錻ãçŒãªã©ã®ç²èã觊ããŠææïŒã
ãšã¢ããŸã«ææïŒãŠã€ã«ã¹ãå«ãå°ããªé£æ²«ãå€æ°ããææ°ã®æªãå¯é空éã§æµ®éããŠ
ããå°ããé£æ²«ãåžã蟌ãã§ææïŒ â» è¡æ¶²ãå°¿ã䟿ããææããããšã¯ãŸã
ææäŒæè ã»æææé äž»ã«ã¯ãæçè ã ããçºç2æ¥åãç¡çç¶ç åäœä¿æè ããã®ææãªã¹ã¯ãããã
çºçååŸã®ææã«æãææåãé«ããšã®å ±åããããŠãã
ãã€ãªã¹ã¯èŠå é«éœ¢è ïŒ65æ³ä»¥äžïŒã
åºç€çŸæ£ïŒæ ¢æ§åŒåžåšçŸæ£ãæ ¢æ§è èç ãç³å°¿ç ãé«è¡å§ãå¿è¡ç®¡çŸæ£ãè¥æºãªã©ïŒ
èŠæ³šæãªèŠå å«ç æŽãåŠå©Šãæªæ§è «çãªã© ïŒãã€ãªã¹ã¯ãã¯äžæ確ïŒ
åºæïŒåçåŽåçèå¥å±ãä»è·çŸå Žã«ãããææ察çã®æåŒã 第ïŒçãïŒäžéšå çïŒ
åºæïŒåçåŽåçèå¥å±ãä»è·çŸå Žã«ãããææ察çã®æåŒã 第ïŒçãïŒäžéšå çïŒ
è¡š1ãæ°åã³ãããŠã€ã«ã¹ææçã«ã€ããŠ
è¡šïŒãå©çšè ã»è·å¡ãååããŠè¡ãããš
åžžæ¥é ããã®ãã¹ã¯ççšãšææŽãã®å±è¡
æ°ããç掻æ§åŒã®å®è·µãå¥åº·ç®¡çã®åŸ¹åº
ïŒã€ã®å¯ã®åé¿ãå¯éããå¯éããå¯æ¥ãããªã
ãé£æ²«ãåžã蟌ãŸãªãããã«ãåžžæãã¹ã¯ãççšãããªãã¹ã人ãšã®è·é¢ãä¿ã¡ãŸãããŠã€ã«ã¹ã¯ç²èãã
äŸµå ¥ããŠææããŸããæã ã®é¡ã«ã¯ç®ã錻ãå£ã«ç²èãããã®ã§ãããã«ãŠã€ã«ã¹ãä»ããªãããã«ããŸãã
人ã¯ç¡æèã«èªåã®é¡ã觊ã£ãŠããŸãã®ã§ãè©ããäžã«æãæããæã«ã¯ç²èã«è§Šããªãããã«æèããã
ãšã倧åã§ãããŸããæã ã®ææã«ã¯æ°ã¥ããªããã¡ã«ãŠã€ã«ã¹ãä»çããŠããããšãããããšãããå©çšè
ã«é¢ããä»è·è·å¡ã»çè·è·å¡ã¯ãã±ã¢ã®ååŸã«å¿ ãæææ¶æ¯ïŒã¢ã«ã³ãŒã«ãæãŸããïŒãè¡ãããšãå¿ èŠã§ãã
ãã€ã³ãã«ãšã³ã¶ãŠã€ã«ã¹ã®ç°å¢ã«ãããæ®åæéã«æ¯èŒããæ°åã³ãããŠã€ã«ã¹ã¯ããé·ãç°å¢ã§çå
ã§ãããããé«é »åºŠæ¥è§Šé¢ã®å®æçãªæ¶æ¯ã¯ææ察çãšããŠéèŠã§ããçé¢æŽ»æ§å€ãå«ãæŽæµæ¶²ãå¹æ
ããããŸããïŒç¬ç«è¡æ¿æ³äººè£œåè©äŸ¡æè¡åºç€æ©æ§ïŒNITEã«ååã«é¢ããèšèŒããããŸãã®ã§åèã«ããŠ
ãã ãããïŒ
ç¬ç«è¡æ¿æ³äººè£œåè©äŸ¡æè¡åºç€æ©æ§ïŒNITEãïŒæ°åã³ãããŠã€ã«ã¹ã«æå¹ãªçé¢æŽ»æ§å€ãå«ãŸããŠãã補åãªã¹ãïŒ
https://www.nite.go.jp/information/osirasedetergentlist.html
åçåŽåçïŒæ°åã³ãããŠã€ã«ã¹ææçã«ã€ããŠ
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000164708_00001.html
åçåŽåçïŒä»è·äºæ¥æçã«ãããæ°åã³ãããŠã€ã«ã¹ææçãžã®å¯Ÿå¿çã«ã€ããŠ
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000121431_00089.html
什åïŒå¹ŽåºŠåçåŽåè¡æ¿æšé²èª¿æ»äºæ¥è²»è£å©éïŒåçåŽåç§åŠç 究äºæ¥ïŒïŒ
æ°åã³ãããŠã€ã«ã¹ææçãé åå¥ææäºé²ç
http://www.tohoku-icnet.ac/covid-19/mhlw-wg/division/nursing_care_facility.html
ïŒïŒïŒ æ²»çãšåŸéºç
â æ²»ç
ãçŸæç¹ã®æ²»çã®åºæ¬ã¯å¯Ÿççæ³ã§ãã
ãæ°åã³ãããŠã€ã«ã¹ã«å¯ŸããæãŠã€ã«ã¹è¬ãçç¶ã«å¿ããæ²»çè¬ã®éçºãçŸåšãé²ããããŠãããšãã
ã§ããæ¥æ¬åœå ã§æ¿èªãããŠããå»è¬åãšããŠãã¬ã ãã·ãã«ããããµã¡ã¿ãŸã³ããããŸããæè¡æ è¬ãæ
ååºè¬ã®å¹æã瀺åãããŠããŸãã
â¡ åŸéºç
ãæ¥æ¬ã«ãããé»è©±èª¿æ»ïŒå埩è 63 人ïŒã§ã¯ãçºçãã60 æ¥çµã£ãåŸã«ãå èŠé害ïŒ19.4%ïŒãåŒ
åžå°é£ïŒ17.5%ïŒãåŠæ æïŒ15.9%ïŒãå³åœïŒ7.9%ïŒãå³èŠé害ïŒ4.8%ïŒ ããããããã«çºçãã120
æ¥çµã£ãåŸã«ãåŒåžå°é£ïŒ11.1%ïŒãå èŠé害ïŒ9.7%ïŒãåŠæ æïŒ9.5%ïŒãå³åœïŒ6.3%ïŒãå³èŠç°åžž
ïŒ1.7%ïŒãèªããŸããããŸãã24% ã«è±æ¯ãã¿ãããçºçåŸçŽ30æ¥ããåºçŸããçŽ120æ¥ãŸã§ã¿ã
ããŸãããè±æ¯ã®æç¶æéã¯å¹³å76æ¥ã§ãããïŒåºæïŒæ°åã³ãããŠã€ã«ã¹ææçïŒCOVID-19ïŒèšºçã®æåŒã 第4.2çïŒ
3
â æ°åã³ãããŠã€ã«ã¹ææçã®åºç€ç¥è
ãæ°åã³ãããŠã€ã«ã¹ææçã«é¢ããå 容ã¯ãç æ ã®ç解ã蚺æãæ²»çã®åéã§ã®é²æ©ã«å¿ããŠãå€
ãæ å ±ãšãªãããšãäºæ³ããããããææ°ã®æ å ±ã以äžãªã©ãã確èªããã ãããšããå§ãããŸãã
ãæ°åã³ãããŠã€ã«ã¹ã¯ã¯ãã³ã®æ¥çš®â»ã«ã€ããŠã¯ãäºé²æ¥çš®æ³ïŒæå23幎æ³åŸç¬¬68å·ïŒã®èšææ¥çš®ã«
é¢ããç¹äŸãèšããåçåŽå倧è£ã®æ瀺ã®ããšãéœéåºçã®ååã«ãããåžçºæã«ãããŠäºé²æ¥çš®ãå®æœ
ãããã®ã§ãããã®ãããå ·äœçãªäºé²æ¥çš®ã®åãæ¹çã«ã€ããŠã¯ãäœæ°ç¥šæåšå°ã®åžçºæãžç¢ºèªãã
å¿ èŠããããŸãã
ããŸããé«éœ¢è æœèšã®å ¥æè åã³è·å¡ã®å ·äœçãªæ¥çš®ã®æé ã«ã€ããŠããæœèšæåšå°ã®åžçºæãžã®ç¢ºèª
ãå¿ èŠã§ãã
ããªããäºé²æ¥çš®ã«ã€ããŠã¯ãé«éœ¢è ãè·å¡äžäººã²ãšããæ¥çš®ãåãããã©ããã決å®ãããšããèãæ¹
ã«åºã¥ããšããããšã«çæãå¿ èŠã§ãã
â»æ°åã³ããã¯ã¯ãã³ã«ã€ããŠïŒåçåŽåçããŒã ããŒãžïŒ
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/vaccine_00184.html
ïŒïŒã¯ããã«
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ïŒå¿ã®å¥åº·ïŒãžã®ãªã¹ã¯
ãæ°åã³ãããŠã€ã«ã¹ææçã®æææ¡å€§ã¯ãä»è·ã®è·å ŽïŒä»¥äžããè·å ŽãïŒã«ã倧ããªåœ±é¿ãåãŒããŠããŸ
ããå©çšè ã¯é«éœ¢ã§ãããæ°åã³ãããŠã€ã«ã¹ææçã«ææãããšéçåãããããšãããŠããŸãããã®ã
ããªæ¹ã ã«ãµãŒãã¹ãæäŸããè·å¡ã¯ãèªåèªèº«ã®ææäºé²ã«å ããŠãå©çšè ã®ææäºé²ã«ã现å¿ã®æ³šæ
ãæããªãããæ¥ã ã®æ¥åã«ãããå¿ èŠããããå¹³æããã倧ããªå¿ççã¹ãã¬ã¹ãæ±ããŠããç¶æ³ã«ã
ããšæ³å®ãããŸãããŸãããã®ä»ã«ãå¿ççã¹ãã¬ã¹ãé«ããèŠå ãšããŠãå©çšè ã®å¿èº«ã®äžèª¿ãè·å¡ã«å¯Ÿ
ãã瀟äŒã®å·®å¥ãåèŠãæ°åã³ãããŠã€ã«ã¹ææçã®åæã®èŠéããç«ããªãçãããããããã£ãç¶æ³
äžã§ã¯ã管çè èªèº«ã®ã¡ã³ã¿ã«ãã«ã¹ã«é æ ®ãã€ã€ãè·å¡ã®å¿ççã¹ãã¬ã¹ã軜ãããã¡ã³ã¿ã«ãã«ã¹ãè¯
奜ã«ä¿ã£ãŠå æ°ã«åãããããªè·å Žç°å¢ãäœã£ãŠãããããªåãçµã¿ãä»ãŸã§ä»¥äžã«å€§åã«ãªã£ãŠããŸãã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ãè¯å¥œã«ä¿ã€ããã«
â â¥ãäºãã®ã¡ã³ã¿ã«ãã«ã¹ã«é¢å¿ãããšã
â è·å Žã§å æ°ã«åãããã«ã¯ãããã§åãè·å¡ã®äžäººäžäººããèªèº«ã®ããšã ãã§ãªãããäºãã®ã¡ã³ã¿
ã«ãã«ã¹ã«é¢å¿ãæã€ããšããšãŠã倧åã§ãã
â¡â¥è·å¡éã§ã³ãã¥ãã±ãŒã·ã§ã³ããšãã
â è·å Žã®ã³ãã¥ãã±ãŒã·ã§ã³ãè¯å¥œã«ä¿ã€ããšãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®åºæ¬ã§ãããŸãã¯ãæ¥é
è·å¡éã§ã³ãã¥ãã±ãŒã·ã§ã³ããšãããšãã§ããŠãããã確èªããŠã¿ãŸãããã
â äžæ¹ã§ãå¿ãããå¢ãã»ã©ãã³ãã¥ãã±ãŒã·ã§ã³ã®æéãšå¿ã®äœè£ãå°ãªããªããŸãããã®ãããäžäºº
äžäººããæèçãã«ã³ãã¥ãã±ãŒã·ã§ã³ãåãããšã倧åã§ãã
â 管çè ã¯è·å¡éã®ã³ãã¥ãã±ãŒã·ã§ã³ãç©æ¥µçã«è¡ããããããé æ ®ããŸããããå€å¿ã§ã³ãã¥ãã±ãŒ
ã·ã§ã³ã®æéãåããªãæã«ããã管çè ãè·å¡éã®ã³ãã¥ãã±ãŒã·ã§ã³ã®ç¶æ³ã«é¢å¿ãæã¡ãè·å¡
éã®ã³ãã¥ãã±ãŒã·ã§ã³ã掻çºã«ãªããããªè·å Žç°å¢ãšãªãããã«åªããããšã倧åã§ãããŸããè·å¡
ã«ãè·å Žã§åãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ãè¯å¥œã«ä¿ã€ããšãæèããŠããããŸãããã
â¢â¥ã¡ã³ã¿ã«ãã«ã¹ãè¯å¥œã«ä¿ã€ããšã®æ矩
â è·å¡ãå©çšè ã®æºè¶³åºŠã®åäžãé¢è·ãæ¥åäžçœå®³ã®é²æ¢ãæåŸ ã§ããŸãã
4
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ãè¯å¥œã«ä¿ã€ããã«ïœ¥ïœ¥ïœ¥
è·å¡éã§ç©æ¥µçã«ã³ãã¥ãã±ãŒã·ã§ã³ããšããïŒ
管çè ã®
æèã倧å
æ°åã³ãããŠã€ã«ã¹
ææçã®åœ±é¿
è·å¡ã«ã¯
倧ããªå¿ççã¹ãã¬ã¹
ããã€ããšã®éãã
ïŒïŒã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã»ã¡ã³ã¿ã«ãã«ã¹ã±ã¢æŠèŠ
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿
â æ¥ã ã®æ¥åã«ãããäžã§ããªãã ããã€ããšæ§åãéããªïœ¥ïœ¥ïœ¥ããšæããè·å¡ãããæãããã¯ã¡ã³ã¿ã«
ãã«ã¹ã®äžèª¿ã®ãµã€ã³ãããããŸããã
â ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã®äžè¬çãªç¹åŸŽãšããŠãæ¬äººãäœèª¿äžè¯ãçãå§ããŠããããšã«æ°ã¥ãã«ãããš
ããç¹ãããããããããåšå²ãæ©æã«çºèŠããæ©æã«å¯Ÿå¿ãå§ããããšã倧åã§ãã
5
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
åºæïŒäžè¬è²¡å£æ³äººãããã財å£ãå¿ã®å¥åº·åºŠãã§ãã¯ãªã¹ãããããšã«äœæ
â æ¬ å€ã»é å»ã»æ©éãå¢ãã
â è¡šæ ã«æŽ»æ°ããªããåäœã«ãå æ°ããªã
ïŒãããã¯ãã®éïŒ
â ä»äºã®ãã¹ãå¢ããŠãã
â 察人é¢ä¿ã®ãã©ãã«ãå¢ãã
â ä»äºãã¯ãã©ããªãããšãå¢ãã
â éäžåãäœäžããŠãã
â 身ã ããªã¿ãæ°ã«ããªããªã
â ã€ã©ã€ã©ããæ 床ãç®ç«ã¡ã
æãã£ãœããªã
â æ°æã¡ãäžå®å®ã«ãªã
â å ±åãçžè«ãå£æ°ãè·å Žã§ã®äŒè©±ã
å°ãªããªãïŒãããã¯ãã®éïŒ
â æ²èŠ³çãªèšèãå¢ããæ¶ããããªã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ãæŸçœ®ããŠãããšïœ¥ïœ¥ïœ¥
â ã¡ã³ã¿ã«ãã«ã¹ã«äžèª¿ãçããŠãããŸãŸãå€åãç¶ç¶ãããšãæ¥åã®å¹çãäžãã£ãããã³ãã¥ã
ã±ãŒã·ã§ã³é¢ã«åœ±é¿ãçãããããããããããªãå¿çè² æ ãšãªãããšããããŸããã¹ãã¬ã¹ãé«ãŸ
ããšãã€ç¶æ ã«ãªãããããèªæ®ºãªã¹ã¯ã®äžæã«ã€ãªãããŸãã
â ãŸããè·å¡ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ãšãªãååã«åããªããªããšãè·å Žã«ãšã£ãŠã倧ããªæ倱ãšãªã
ãŸãã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ãã±ã¢ããããã«ã¯ïŒ
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«ã¯ã
â ã¡ã³ã¿ã«ãã«ã¹äžèª¿ãæªç¶ã«é²æ¢ãããäžæ¬¡äºé²ã
â¡ ã¡ã³ã¿ã«ãã«ã¹äžèª¿ãæ©æã«çºèŠããé©åãªæªçœ®ãè¡ããäºæ¬¡äºé²ã
⢠ã¡ã³ã¿ã«ãã«ã¹äžèª¿ãšãªã£ãè·å¡ã®è·å ŽåŸ©åž°ã®æ¯æŽçãè¡ããäžæ¬¡äºé²ã
ããããããããåæ»ã«è¡ãããå¿ èŠããããŸãã
â åè¿°ã®æ©æçºèŠãæ©æ察å¿ã¯ãäºæ¬¡äºé²ãã«ããããŸãããŸãã¯ããäºæ¬¡äºé²ãã«åãçµãããšã倧åã§
ãããè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãžã®åçºãé²ã¿ãåŸã ã«è·å Žå ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®æŽ»åã®è³ªã
åäžããŠãããããäžæ¬¡äºé²ããäžæ¬¡äºé²ãã®æŽ»åã«ãåãçµãã§ãããŸãããã
ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã»ã¡ã³ã¿ã«ãã«ã¹ã±ã¢æŠèŠ
è·å ŽåŸ©åž° äŒãè·
ãã€ããšã®éã ãã€ç¶æ ã»èªæ®ºãªã¹ã¯äžæã¹ãã¬ã¹ãé«ãŸã
äžæ¬¡äºé²
äºæ¬¡äºé²äžæ¬¡äºé²
ïŒïŒã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®é²ãæ¹
ïŒïŒïŒç®¡çè ã«ããè¡šæ
â ãŸãã¯ç®¡çè ãèªããè·å Žã«ãããã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãç©æ¥µçã«æšé²ããããšãè¡šæããŸãããã
ïŒïŒïŒè¡çå§å¡äŒåã¯å®å šè¡çå§å¡äŒã®èšçœ®
â ãåŽåè ã®å¿ã®å¥åº·ä¿æå¢é²ã®ããã®æéãã«ã¯ã
â è¡çå§å¡äŒåã¯å®å šè¡çå§å¡äŒïŒä»¥äžããè¡çå§å¡äŒçãïŒã«ãããŠãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«
é¢ãåå調æ»ã審è°ãè¡ãããšã
â¡ ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«é¢ããäºæ¥å Žã®çŸç¶ãšãã®åé¡ç¹ãæ確ã«ããããšã
⢠ãã®åé¡ç¹ã解決ããå ·äœçãªå®æœäºé çã«ã€ããŠã®åºæ¬çãªèšç»ïŒä»¥äžããå¿ã®å¥åº·ã¥ããèšç»ã
ãšãããïŒïŒè¡šïŒïŒãçå®ã»å®æœããããšã
⣠ã¹ãã¬ã¹ãã§ãã¯å¶åºŠã®å®æœæ¹æ³çã«é¢ããèŠçšãçå®ããããšã
ãšãããŠããŸãã
6
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ã®ïŒã€ã®ã±ã¢
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã¯ãïŒã€ã®ã±ã¢ãã®èãæ¹ã§é²ããããŸãããïŒã€ã®ã±ã¢ãã¯ã以äžã®ïŒã€ããæ§æ
ãããããããç¶ç¶çãã€èšç»çã«è¡ãããããšãéèŠã§ãïŒå³ïŒïŒã
â è·å¡èªèº«ãã¹ãã¬ã¹ãã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠç解ããèªãã®ã¹ãã¬ã¹ãäºé²ã軜æžããããã
ãã¯ããã«å¯ŸåŠãããã»ã«ãã±ã¢ã
â¡ è·å¡ãšæ¥åžžçã«æ¥ãã管çè ããã¡ã³ã¿ã«ãã«ã¹ã«é¢ããŠè·å Žç°å¢çã®æ¹åãè·å¡ã«å¯Ÿããçžè«
察å¿ãè¡ããã©ã€ã³ã«ããã±ã¢ã
⢠ç£æ¥å»çã®è·å Žå ã®ç£æ¥ä¿å¥ã¹ã¿ããçããè·å Žã®å¿ã®å¥åº·ã¥ãã察çã®æèšãè¡ããšãšãã«ã
ãã®æšé²ãæ ãããŸããè·å¡åã³ç®¡çè ãæ¯æŽãããäºæ¥å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢ã
⣠è·å Žå€ã®æ©é¢åã³å°é家ã掻çšãããã®æ¯æŽãåãããäºæ¥å Žå€è³æºã«ããã±ã¢ã
â ãŸãã¯ããã®ïŒã€ã®ã±ã¢ã«ã€ããŠããèªåã®è·å Žã§çŸç¶äœãã§ããŠäœãã§ããªãã®ãã確èªããã§ã
ãªãããšã«ã€ããŠã¯ãç£æ¥ä¿å¥ç·åæ¯æŽã»ã³ã¿ãŒã瀟äŒä¿éºåŽå士ã«çžè«ãããŠã¿ãŸãããããŸãã
ãã®ããšã«ã€ããŠãè·å¡ããæèŠãèŽããŠãè¯ãã§ãããã
â è·å Žã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã§ã¯ãè·å¡èªèº«ããã¹ãã¬ã¹ã«æ°ã¥ããããã«å¯ŸåŠããããšïŒã»ã«ãã±ã¢ïŒ
ã®å¿ èŠæ§ãèªèããããšãéèŠã§ããããããè·å Žã«ååšããã¹ãã¬ã¹èŠå ã¯ãè·å¡èªèº«ã®åã ãã§
ⶠäºæ¥è ãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãç©æ¥µçã«æšé²ããæšã®è¡šæã«é¢ããããš
â· äºæ¥å Žã«ãããå¿ã®å¥åº·ã¥ããã®äœå¶ã®æŽåã«é¢ããããš
âž äºæ¥å Žã«ãããåé¡ç¹ã®ææ¡åã³ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å®æœã«é¢ããããš
â¹ ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãè¡ãããã«å¿ èŠãªäººæã®ç¢ºä¿åã³äºæ¥å Žå€è³æºã®æŽ»çšã«é¢ããããš
⺠åŽåè ã®å¥åº·æ å ±ã®ä¿è·ã«é¢ããããš
â» å¿ã®å¥åº·ã¥ããèšç»ã®å®æœç¶æ³ã®è©äŸ¡åã³èšç»ã®èŠçŽãã«é¢ããããš
⌠ãã®ä»åŽåè ã®å¿ã®å¥åº·ã¥ããã«å¿ èŠãªæªçœ®ã«é¢ããããš
åºæïŒå¿ã®å¥åº·ã¥ããèšç»ïŒåçåŽåçãè·å Žã«ãããå¿ã®å¥åº·ã¥ããïœåŽåè ã®å¿ã®å¥åº·ã®ä¿æå¢é²ã®ããã®æéïœãPïŒããåŒçšïŒ
è¡š3ããå¿ã®å¥åº·ã¥ããèšç»ãã«çã蟌ãã¹ãäºé
ã¯åãé€ãããšãã§ããªããã®ããããŸããè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããŠããããã«ã¯ãå
ããããè·å Žç°å¢ãäœãããšãå«ãã管çè ãç©æ¥µçã«è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«åãçµãããš
ãéèŠã§ãã
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã¯ãå人ã ãã§è¡ããã®ã§ã¯ãªããçµç¹çã«ãèšç»çã«åãçµãå¿ èŠããããã®
ã§ãããè·å¡ãããããããããã£ããç解ããããšã倧åã§ãã
7
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒïŒïŒã€ã®ã±ã¢ã«ã€ããŠ
ïŒïŒïŒã»ã«ãã±ã¢
â è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããããã«ã¯ãè·å¡èªèº«ãã¹ãã¬ã¹ã«æ°ã¥ããããã«å¯ŸåŠããããã®
ç¥èãæ¹æ³ã身ã«ã€ãããããå®æœããããšãéèŠã§ãããããã»ã«ãã±ã¢ãšèšããŸãã
â ã¹ãã¬ã¹ã«æ°ã¥ãããã«ã¯ãè·å¡ãã¹ãã¬ã¹èŠå ã«å¯Ÿããåå¿ãã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠç解ãããšãšã
ã«ãèªãã®ã¹ãã¬ã¹ãã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠæ£ããèªèã§ããããã«ããå¿ èŠããããŸãã
â ãã®ããã管çè ã¯ä»¥äžã®â ïœâ£ãå®æœããå¿ èŠããããŸãã
â è·å¡ã«å¯ŸããŠãã»ã«ãã±ã¢ã«é¢ããæè²ç ä¿®ãæ å ±æäŸãè¡ãïŒâ»ïŒïŒãã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæ£ã
ãç解ã®æ®åãå³ãã
åºæïŒåçåŽåçãè·å Žã«ãããå¿ã®å¥åº·ã¥ããïœåŽåè ã®å¿ã®å¥åº·ã®ä¿æå¢é²ã®ããã®æéïœãPïŒããåŒçš
å³ïŒã4ã€ã®ã±ã¢
â è·å Žç°å¢çã®ææ¡ãšæ¹åãâ åŽåè ããã®çžè«å¯Ÿå¿ãâ è·å ŽåŸ©åž°ã«ãããæ¯æŽããªã©
ã©ã€ã³ã«ããã±ã¢
ãäºæ¥å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã¯ãã»ã«ãã±ã¢åã³ã©ã€ã³ã«ããã±ã¢ãå¹æçã«å®æœããããããåŽ
åè åã³ç®¡çç£ç£è ã«å¯Ÿããæ¯æŽãè¡ããšãšãã«ã次ã«ç€ºãå¿ã®å¥åº·ã¥ããèšç»ã®å®æœã«åœãããäž
å¿çãªåœ¹å²ãæ ãããšã«ãªããŸãã
â å ·äœçãªã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å®æœã«é¢ããäŒç»ç«æ¡ â å人ã®å¥åº·æ å ±ã®åæ±ã
â äºæ¥å Žå€è³æºãšã®ãããã¯ãŒã¯ã®åœ¢æããã®çªå£ â è·å ŽåŸ©åž°ã«ãããæ¯æŽããªã©
äºæ¥å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢
â æ å ±æäŸãå©èšãåãããªã©ããµãŒãã¹ã®æŽ»çšãâ ãããã¯ãŒã¯ã®åœ¢æãâ è·å ŽåŸ©åž°ã«ãããæ¯æŽããªã©
äºæ¥å Žå€è³æºã«ããã±ã¢
ãäºæ¥è ã¯åŽåè ã«å¯ŸããŠã次ã«ç€ºãã»ã«ãã±ã¢ãè¡ããããã«æè²ç ä¿®ãæ å ±æäŸãè¡ããªã©ã®æ¯
æŽãããããšãéèŠã§ãã
ããŸãã管çç£ç£è ã«ãšã£ãŠãã»ã«ãã±ã¢ã¯éèŠã§ãããäºæ¥è ã¯ã»ã«ãã±ã¢ã®å¯Ÿè±¡ãšããŠç®¡çç£ç£
è ãå«ããŸãããã
â ã¹ãã¬ã¹ãã¡ã³ã¿ã«ãã«ã¹ã«å¯Ÿããæ£ããç解ã â ã¹ãã¬ã¹ãã§ãã¯ãªã©ã掻çšããã¹ãã¬ã¹ãžã®æ°ä»ã
â ã¹ãã¬ã¹ãžã®å¯ŸåŠ
ã»ã«ãã±ã¢
8
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
â¡ çžè«äœå¶ã®æŽåãå³ããè·å¡èªèº«ãã¹ãã¬ã¹ãžæ°ã¥ã管çè ã«èªçºçã«çžè«ããããç°å¢ãæŽãã
ïŒâ»ïŒïŒã
⢠ã¹ãã¬ã¹ãžã®æ°ã¥ããä¿ããããã¹ãã¬ã¹ãã§ãã¯å¶åºŠã«ããã¹ãã¬ã¹ãã§ãã¯ïŒâ»ïŒïŒãå®æœããã
⣠ããã«ã¹ãã¬ã¹ãžã®æ°ã¥ããä¿ãããã«ã»ã«ããã§ãã¯ãè¡ãæ©äŒãæäŸïŒâ»ïŒïŒããã
ïŒâ»ïŒïŒã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæè²ç ä¿®ã»æ å ±æäŸ
â ã»ã«ãã±ã¢ã«é¢ããæè²ç ä¿®ã»æ å ±æäŸã®å ·äœçãªé ç®ã¯ä»¥äžã®ãšããã§ãã
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«é¢ããäºæ¥å Žã®æ¹é
â¡ ã¹ãã¬ã¹åã³ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«é¢ããåºç€ç¥è
⢠ä»è·ã®çŸå Žã«ç¹æã®ã¹ãã¬ã¹
⣠ã»ã«ãã±ã¢ã®éèŠæ§åã³å¿ã®å¥åº·åé¡ã«å¯Ÿããæ£ããæ 床
†ã¹ãã¬ã¹ãžã®æ°ã¥ãæ¹
⥠ã¹ãã¬ã¹ã®äºé²ã軜æžåã³ã¹ãã¬ã¹ãžã®å¯ŸåŠã®æ¹æ³
⊠èªçºçãªçžè«ã®æçšæ§
⧠äºæ¥å Žå ã®çžè«å åã³äºæ¥å Žå€è³æºã«é¢ããæ å ±
â ãŸãã管çè ã¯æ¥é ããããŒãã£ã³ã°ã®éãªã©ã«ãã¡ã³ã¿ã«ãã«ã¹ã«é¢ããããšã話é¡ã«ãããããšã§ã
è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ãžã®é¢å¿ãé«ããŠãããŸãããã
â å ããŠãååã家æãç¥äººã®æ¯æŽããããšãè·å¡ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ã«ãªããªã¹ã¯ã¯è»œæžããŸããååã
ãã§ã¯ãªããè·å¡ã®ããšãããè¯ãç¥ã£ãŠããŠããã®å€åã«æ°ã¥ããããæã身è¿ãªå®¶æãè·å¡ã®ã¡ã³ã¿
ã«ãã«ã¹ã«é¢å¿ãæã€ããšã倧åã§ããè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã管çè ã ãã§æ±ã蟌ãã®ã§ã¯ãªãã
è·å¡ïŒååïŒã家æãšãé£æºããŠãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«é¢ããæ å ±ãå ±æããããšã§ãã¡ã³ã¿ã«ãã«ã¹äž
調ã®æ©æçºèŠã«åªããŸãããã
ãè·å Žã®ç°å¢ã¯ãã人éé¢ä¿ãããäœæ¥ç°å¢ã»å®€å ç°
å¢ãããä»äºã®è² è·ã»åŽåæéãçã倧ããé¢é£ãããš
èšãããŠããŸããè·å Žç°å¢ãè¯ãïŒåããããçµç¹
ãšãªãããããããèªèŠã»ç®çãæã¡çç£æ§ã®é«ã
çµç¹ãšãªããŸããè·å Žç°å¢ãèŠããåããããã«ãã¹
ãã¬ã¹ãã§ãã¯ãæå¹ãªæ段ãšèšãããŠããŸããã¹ã
ã¬ã¹ãã§ãã¯å¶åºŠã¯ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®æªç¶é²æ¢
ãç®çã«ããŠããŸãããã¹ãã¬ã¹ãã§ãã¯ã®çµæãé
å£åæããããã掻çšããŠè·å Žç°å¢æ¹åãè¡ãããš
ã¯ãåªå矩åãšãªã£ãŠããŸãã人å¡ãå°ãªãè·å Žç°
å¢ã«ãããŠã¯ãã³ããçŠã«ããææç察ççã§ä»äº
ãžã®è² è·ãé«ãŸããããã«äŒŽã人éé¢ä¿ã®æªåãã
ããŠã¹ãã¬ã¹å¢ã«ãªããè² ã®åŸªç°ãå§ãŸããããç¶æ³
ã«ãããŸãããŸãã¯ãçŽè¿ã®ã¹ãã¬ã¹ãã§ãã¯ã®åæ
ã掻çšããŠåé¡ã®ããèŠå ã管çè ãäžå¿ãšãªã£ãŠ
察çããšãå¿ èŠããããŸããã¹ãã¬ã¹ãã§ãã¯ã®åæ
çµæã®äžäŸãšããŠã¯ããä»äºã®éçè² è·ãé«ããäžåžã»
ååã®æ¯æŽãäœãã£ããããä»äºã®ã³ã³ãããŒã«ãã
ã³äžåžã®æ¯æŽãäœãã£ããããè·å Žç°å¢ã«ããã¹ãã¬
ã¹ãé«ããååã®æ¯æŽãäœãã£ããããè·å Žã®äººéé¢
ä¿ã§ã®ã¹ãã¬ã¹ãé«ãã£ããçããããåæçµæã«åº
ã¥ããŠèšç»ãç«æ¡ããå®è¡ããããšãæ±ããããŠã
ãŸããèªåã®è·å Žã®åé¡ã¯ãä»äºã®è² è·ãªã®ããä»
äºã®ã³ã³ãããŒã«ãªã®ããäžåžã®æ¯æŽãªã®ããåå
ã®æ¯æŽãªã®ãããèŠæ¥µãé©åãªå¯Ÿçãããå¿ èŠãã
ããŸããã©ã®ãããªå¯Ÿçãèãããè¯ãã®ãåãã
ãªãæã«ã¯ããè·å Žç°å¢æ¹åã®ããã®ãã³ãéãâ»ã
圹ã«ç«ã¡ãŸãã察çãèãããšãã«ã¯è·å¡ã®æèŠã
èŽããšããããã§ãããããŸãã察çã¯ç¡çããã§ã
ãããšããå§ãã姿å¢ã倧åã§ãã
ã¹ã㬠㹠ãã§ã㯠ã 掻 çšã ã è· å Ž ç° å¢ ã® æ¹ å
è·å Žæ¹åã®ããã®ãã³ãé
https://kokoro.mhlw.go.jp/manual/hint_shokuba_kaizen/
9
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒâ»ïŒïŒçžè«ããããç°å¢ã¥ãã
â è·å¡ããç²ããŠãããšãã«ææ ¢ããã«ãç²ããŠããããšã管çè ã«ç³ãåºããããçžè«ããããäœå¶ãè·
å Žé¢šåãã€ããäžããããã«åªããŸãããã
ïŒâ»ïŒïŒã¹ãã¬ã¹ãã§ãã¯ã®å®æœ
â ã¹ãã¬ã¹ãã§ãã¯ã¯ã50人以äžã®äºæ¥å Žã§ã¯ãã®å®æœã矩ååãããŠããã50人æªæºã®äºæ¥å Žã§ã¯åª
å矩åãšãªã£ãŠããŸãã
â ããããã¹ãã¬ã¹ãã§ãã¯ãé©åã«å®æœãããšã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããäžã§å€ãã®æçšãªæ å ±ãåŸ
ãããããããã¹ãŠã®è·å¡ãåããããšãæãŸãããšãããã§ãããã
â ã¹ãã¬ã¹ãã§ãã¯ã®å®æœã«é¢å¿ãããã°ãç£æ¥ä¿å¥ç·åæ¯æŽã»ã³ã¿ãŒã«çžè«ãããŠã¿ãŸãããã
ïŒâ»ïŒïŒã»ã«ããã§ãã¯ãè¡ãæ©äŒã®æäŸ
â ã»ã«ãã±ã¢ã®åºæ¬ã¯ãèªèº«ã®ã¹ãã¬ã¹ã®ç¶æ³ã«æ°ã¥ãããšã§ãããã®ããã管çè ã¯ãè·å¡ã«å¯ŸããŠãå®
æçã«èªåã®ã¹ãã¬ã¹ã®ç¶æ ãæ¯ãè¿ãããã«ä¿ããŸãããã
â ã¹ãã¬ã¹ãžã®æ°ã¥ãã®ããã«ã¯ãã¹ãã¬ã¹ãã§ãã¯ãšã¯å¥ã«ãéæãã»ã«ããã§ãã¯ãè¡ãæ©äŒãæäŸãã
ããšãå¹æçã§ãã
â èªåã®ç²åŽãã¹ãã¬ã¹ã®ç¶æ³ãè©äŸ¡ããããã«ã¯ãåã人ã®ã¡ã³ã¿ã«ãã«ã¹ã»ããŒã¿ã«ãµã€ãããããã®
è³ãã«æ²èŒãããŠãããç²åŽèç©åºŠãã§ãã¯ã·ãŒãããããããã®âããããâãããžã§ã¯ããã«æ²èŒãããŠãã
ããããã®å¥åº·åºŠãã§ãã¯ãªã¹ãããªã©ãæå¹ã§ãã
â ãã®ã»ããã»ã«ãã±ã¢ã«é¢ããå ·äœçãªæè²å 容ãæ å ±ã«ã€ããŠã¯ãåã人ã®ã¡ã³ã¿ã«ãã«ã¹ã»ããŒã¿ã«
ãµã€ãããããã®è³ãã«æ²èŒãããŠããŸãã®ã§ãåèã«ããŠãã ããã
â ãªãã管çè 以å€ã®è·å¡ã¯ã»ã«ãã±ã¢ãè¡ã£ããã管çè ãã©ã€ã³ã«ããã±ã¢ãè¡ã£ããããŸããã管ç
è ã®å Žåãã©ã€ã³ã«ããã±ã¢ãåããããªãæã¯ä»ã®è·å¡ä»¥äžã«æèçã«ã»ã«ãã±ã¢ãè¡ãå¿ èŠããã
ãŸããèªåèªèº«ã®ã¡ã³ã¿ã«ãã«ã¹ã®ç¶æ ãå®å®ããŠããªããšãéšäžã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãååã«è¡ã
ãªãå¯èœæ§ããããŸãã管çè ã¯èªåèªèº«ã®ã¡ã³ã¿ã«ãã«ã¹ãè¯å¥œã«ä¿ã€ããšã«ãæ°ãã€ããŸãããã
ïŒïŒïŒã©ã€ã³ã«ããã±ã¢
â ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã®äžè¬çãªç¹åŸŽãšããŠãæ¬äººãäœèª¿äžè¯ãçãå§ããŠããããšã«æ°ã¥ãã«ãããš
ããç¹ããããŸãããã®ããã管çè ã¯è·å¡ã«å¯ŸããŠã®å£°ããçã«ãããè·å¡ã®ããã€ããšã®éããã«æ³š
æãã¯ããå¿ èŠããããŸãã
â è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®åºæ¬ã¯æ©æçºèŠãæ©æ察å¿ã§ããæ¥é ããè·å¡ãšç©æ¥µçã«ã³ãã¥ãã±ãŒ
ã·ã§ã³ãåãããšã«ããè·å¡ã®è¡åæ§åŒã人éé¢ä¿ã®ææ¡ã«åªããããšã¯ãæ©æã«æ¬äººã®å€åã«æ°ã¥ãã
ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã®æ©æçºèŠã«ã€ãªãããŸãã
â ãŸããæ©æçºèŠãæ©æ察å¿ã«ã¯ãè·å¡ãèªåã®ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã«æ°ã¥ããŠãèªãç³ãåºãŠããããã
ããªè·å Žç°å¢ãã€ããäžããããšãéèŠã§ãããã®ããã«ã管çè ã«ã¯ãæ¥ããããè·å Žç°å¢ã«é¢å¿ãæ
ã€ããšãæåŸ ãããŸãã
â è·å¡ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ãšãªã£ãŠããå Žåã«ã¯ããã®åå ãæ¬äººã®æ§æ Œãæè²æŽãªã©ã®å人ã®èŠå
ã«æ±ããŠã¯ãããŸããã管çè ã¯ã©ãããŠãã®è·å¡ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ãšãªã£ãŠããã®ãããŸãã¯ãä»
ãããã®âããããâãããžã§ã¯ã
https://www.anshin-kokoro.com/kokoroanshin/
ãããã®è³
https://kokoro.mhlw.go.jp/
ïŒåŽåè ã«ããïŒ ïŒç®¡çç£ç£è ã«ããïŒ ïŒç£æ¥å»ã
è¡ç管çè çã«ããïŒ
ã»ã«ãã±ã¢ ã©ã€ã³ã«ããã±ã¢äºæ¥å Žå ç£æ¥ä¿å¥
ã¹ã¿ããçã«ããã±ã¢äºæ¥å Žå€è³æºã«ããã±ã¢
ïŒäºæ¥å Žå€ã®æ©é¢ã
å°é家ã«ããïŒ
10
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
äºéãåŽåæéçã®è·å Žç°å¢ãªã©ãçµç¹ã®ç¶æ³ã«åå ãæ±ããŠããã®æ¹åãããããšãæåŸ ãããŸãã
è·å¡ã«ããã€ããšã®éããããã£ãå Žåã«ã¯ããŸãã¯è·å Žã®èŠå ãåå ãšãªã£ãŠãããã©ãã確èªãããŸ
ãããã
â ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®åå ãšãªã£ãŠããè·å Žã®èŠå ããã£ãå Žåãããã管çè ã®è£éã§æ¹åã§ããæ
ã¯ãæ¹åããŠæ§åãã¿ãŸãããããã§ããããšãããã£ãŠã¿ãããšãã姿å¢ã倧åã§ãã
ïŒïŒïŒè·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢
â è·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã¯ãã»ã«ãã±ã¢åã³ã©ã€ã³ã«ããã±ã¢ãå¹æçã«å®æœãããããã管çè ã«
察ããæ¯æŽãè¡ããšãšãã«ãå¿ã®å¥åº·ã¥ããèšç»ã«åºã¥ãå ·äœçãªã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å®æœã«é¢ãã
äŒç»ç«æ¡ãã¡ã³ã¿ã«ãã«ã¹ã«é¢ããå人ã®å¥åº·æ å ±ã®åæ±ããè·å Žå€è³æºãšã®ãããã¯ãŒã¯ã®åœ¢æãã
ã®çªå£ãšãªãããšçãå¿ã®å¥åº·ã¥ããèšç»ã®å®æœã«åœãããäžå¿çãªåœ¹å²ãæããããšãæåŸ ãããŸãã
â ã©ã€ã³ã«ããã±ã¢ã«ãã£ãŠæ¹åã®äœå°ãç¡ããæ¹åããŠãè·å¡ã®ç¶æ³ãæ¹åããªãå Žåã«ã¯ãç¶æ³ãã
ãã«æªããªããªããã¡ã«ãç£æ¥å»ã人äºåŽå管çã¹ã¿ããçã®è·å Žå ç£æ¥ä¿å¥ã¹ã¿ããã«çžè«ããŸãããã
ïŒïŒïŒè·å Žå€è³æºã«ããã±ã¢
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãè¡ãäžã§ã¯ãè·å Žãæ±ããåé¡ãæ±ãããµãŒãã¹ã«å¿ããŠãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«
é¢ãå°éçãªç¥èãæããåçš®ã®è·å Žå€è³æºã®æ¯æŽã掻çšããããšãæå¹ã§ãã
â ã©ã€ã³ã«ããã±ã¢ã«ãã£ãŠæ¹åã®äœå°ãç¡ããæ¹åããŠãè·å¡ã®ç¶æ³ãæ¹åããªããè·å¡ãè·å Žå ã§ã®
çžè«çãæãŸãªãå Žåã«ã¯ãç¶æ³ãããã«æªããªããªããã¡ã«ãç£æ¥å»ã粟ç¥ç§å»ãå¿çå ç§å»ãªã©ã®
è·å Žå€å°é家ã«çžè«ããŸãããã
â ç£æ¥å»ãéžä»»ãããŠããªãã粟ç¥ç§å»ãå¿çå ç§å»ãšã®é£æºãã§ããŠããªãè·å Žã«ãã£ãŠã¯ãå°åç£æ¥
ä¿å¥ã»ã³ã¿ãŒãç£æ¥ä¿å¥ç·åæ¯æŽã»ã³ã¿ãŒã«çžè«ããŸãããã
åºæïŒåçåŽåçãè·å Žã«ãããå¿ã®å¥åº·ã¥ããïœåŽåè ã®å¿ã®å¥åº·ã®ä¿æå¢é²ã®ããã®æéïœãPïŒããåŒçšïŒ
ïŒ4ïŒ è·å ŽåŸ©åž°ã«ãããæ¯æŽ
ïŒ3ïŒ ã¡ã³ã¿ã«ãã«ã¹äžèª¿ãžã®æ°ä»ããšå¯Ÿå¿
⥠ïŒã¡ã³ã¿ã«ãã«ã¹äžèª¿ã«é¥ãåŽåè ã®æ©æçºèŠãšé©åãªå¯Ÿå¿ïŒ
ïŒ2ïŒ è·å Žç°å¢çã®ææ¡ãšæ¹å
⥠ïŒã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®æªç¶é²æ¢ïŒ
ïŒ1ïŒ ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®æè²ç ä¿®ã»æ å ±æäŸ
⥠ïŒç®¡çç£ç£è ãå«ãå šãŠã®åŽåè ã察å¿ïŒ
å¿ã®å¥åº·ã¥ããèšç»ã®çå® è¡çå§å¡äŒã«ããã調æ»å¯©è°
å人æ å ±ä¿è·ãžã®é æ ®
11
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒ.ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããã«ããã£ãŠã®çæäºé
ã管çè ã¯ãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããã«ããã£ãŠã次ã®äºé ã«çæããããšãéèŠã§ãã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®ç¹æ§
â ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠã¯ã客芳çãªæž¬å®æ¹æ³ãåå確ç«ããŠãããããã®è©äŸ¡ã«ã¯ãé¢è«ãã¹ãã¬ã¹
ãã§ãã¯ã«ãããè·å¡æ¬äººããå¿èº«ã®ç¶æ³ã«é¢ããæ å ±ãååŸããå¿ èŠããããŸãã
â ããã«ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®çºçéçšã«ã¯å人差ã倧ããããã®ããã»ã¹ã®ææ¡ã¯ç°¡åã§ã¯ãããŸã
ãããŸãããã¹ãŠã®è·å¡ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ãæ±ããå¯èœæ§ãããã«ãããããããã¡ã³ã¿ã«ãã«ã¹
äžèª¿ãæ±ããè·å¡ã«å¯ŸããŠããã®è·å¡ã®æ§æ Œãæè²æŽãªã©ãå¥åº·åé¡ä»¥å€ã®èŠ³ç¹ããè©äŸ¡ãè¡ãããåŸ
åã匷ãããšããã¡ã³ã¿ã«ãã«ã¹äžèª¿ãå«ã粟ç¥é害ã«å¯Ÿãã誀解ãåèŠãæ ¹åŒ·ãããããšã«ã管çè
ã¯çæããå¿ èŠããããŸããå°éã«è·å Žå ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããããšãããã®ãããªèª€è§£ã
åèŠãäºé²ããããšã«ã€ãªãããŸãã
ïŒïŒïŒè·å¡ã®å人æ å ±ã®ä¿è·
â ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãé²ããã«ããã£ãŠã¯ãè·å¡ã®å人æ å ±ã®ä¿è·åã³è·å¡ã®ææãå°éããããšãé
èŠã§ããã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæ å ±ã®åéåã³å©çšã«ããã£ãŠã®è·å¡ã®å人æ å ±ã®ä¿è·ãžã®é æ ®ã¯ã
è·å¡ãå®å¿ããŠã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«åå ã§ããããšã ãã§ãªããã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãããå¹æçã«æš
é²ãããããã®æ¡ä»¶ãšãªããŸãã
â å人æ å ±ã®å ±æã®çšåºŠã¯è·å¡ã«ãã£ãŠèãæ¹ãç°ãªããŸããããããã®è·å¡ããèªåã®å人æ å ±ã«ã€ã
ãŠçµç¹å ã§ã©ã®çšåºŠãŸã§ã§ããã°å ±æãããããšãèªãããã管çè ã¯è·å¡ã®æåãå°éããå¿ èŠãã
ããŸãã
ïŒïŒïŒäººäºåŽå管çãšã®é¢ä¿
â è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã¯ãè·å Žé 眮ã人äºç°åãè·å Žã®çµç¹çã®äººäºåŽå管çã®èŠå ã«ãã£ãŠãã圱é¿
ãåããŸãããã®ãããã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã¯ã人äºåŽå管çãšé£æºããããšã«ãããããããŸãé²ããã
ãšãã§ããŸãã
ïŒïŒïŒè·å Žä»¥å€ã®ã¹ãã¬ã¹èŠå
â è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã¯ãè·å Žã®ã¹ãã¬ã¹èŠå ã ãã§ãªãè·å Žå€ã®ã¹ãã¬ã¹èŠå ã®åœ±é¿ãåããŠããå Ž
åãå€ããããŸãã
â ãããã¯è€éã«é¢ä¿ããçžäºã«åœ±é¿ãåãããšãå€ããããã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®åå ãè·å Žãšè·å Žä»¥
å€ã«æ確ã«åããããšãé£ããã±ãŒã¹ãå€ããããŸããå¿ èŠã«å¿ããŠãè·å Žä»¥å€ã®èŠå ã«ã€ããŠã¯å®¶æ
ãšæ å ±ã®å ±æã«åªããŸãããã
â ãã ããè·å Žä»¥å€ã®åé¡ãžã®ä»å ¥ã¯é£ããããšãå€ãããããŸãã¯ãè·å Žã®èŠå ãæ¹åããããšããåã
æãã£ãŠã¿ãŸãããã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®ç¹æ§ ïŒïŒïŒè·å¡ã®å人æ å ±ã®ä¿è· ïŒïŒïŒäººäºåŽå管çãšã®é¢ä¿
ïŒïŒïŒè·å Žä»¥å€ã®ã¹ãã¬ã¹èŠå ïŒïŒïŒå°èŠæš¡äºæ¥æã®å Žå
12
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒïŒïŒå°èŠæš¡äºæ¥æã®å Žå
â è¡çå§å¡äŒåã¯å®å šè¡çå§å¡äŒã®èšçœ®
â è¡çå§å¡äŒçãèšçœ®ãããŠããªãå Žåã«ã¯ãè·å Žå ã§è¡ããã¹ãŠã®è·å¡ãåå ããå®äŸã®ããŒãã£ã³ã°
ãªã©ã®æ©äŒã«ãè·å Žå ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®é²ãæ¹ã«ã€ããŠæèŠäº€æãè¡ããè·å¡ã®åæãåŸãªãã
é²ããŠããããšè¯ãã§ãããããŸãããã®ãããªæèŠäº€æã®å Žããè·å¡ãã¡ã³ã¿ã«ãã«ã¹ã«é¢å¿ãæã€ã
ãšããè·å Žå ã§ã³ãã¥ãã±ãŒã·ã§ã³ãä¿é²ãããã£ããã«ãªããŸãã
â¡è·å¡ã®å人æ å ±ã®ä¿è·
â èŠæš¡ãå°ããè·å¡ã®æ°ãå°ãªãããšãå€ãããã人éé¢ä¿ãå¯ãªçµç¹ãå€ããå宀ãªã©ã®èšåé¢ã®æŽå
ãé£ããããšãããå人æ å ±ãæŒããããç°å¢ã«ãããšèããããå人æ å ±ã®ä¿è·ã«ã¯ç¹ã«é æ ®ããå¿
èŠããããŸããäžæ¹ã§ãè·å Žã«ã¡ã³ã¿ã«ãã«ã¹äžèª¿è ãçãããšãã«ã¯ãä»ã®è·å¡ã®ååãäžå¯æ¬ ã§ãã
ãããã£ãå Žåã«ã¯ããã®äžèª¿è ã®äœèª¿ã«ã€ããŠäºæ¥å Žå ã§ããçšåºŠå人æ å ±ãå ±æããå¿ èŠããã
å ŽåããããŸããããçšåºŠã®æ å ±ãå ±æããããšã§ãã¡ã³ã¿ã«ãã«ã¹äžèª¿è ããµããŒãããåŽã®è·å¡ã®
çŽåŸæãåŸããããããªããŸããã¡ã³ã¿ã«ãã«ã¹äžèª¿è ãçãããšãä»ã®è·å¡ã®è² æ ãå¢ããŸããã¡ã³ã¿
ã«ãã«ã¹äžèª¿è ã®æ¯æŽã¯ãè·å¡éã§ååã«è©±ãåããããŠãè·å¡ã®çŽåŸæãåŸãªããé²ããŸãããã
â¢äººäºåŽå管çãšã®é¢ä¿
â è·å¡æ°ãå°ãªãããšãå€ãããã管çè ãã人äºåŽå管çãæ åœããŠããããšãå€ããšæããŸããã¡ã³
ã¿ã«ãã«ã¹äžèª¿è ãžã®å¯Ÿå¿ã«ãããŠäººäºåŽå管çã«åé¡ãããå Žåã«ã¯ãç£æ¥ä¿å¥ç·åæ¯æŽã»ã³ã¿ãŒã»
å°åç£æ¥ä¿å¥ã»ã³ã¿ãŒã瀟äŒä¿éºåŽå士ã«çžè«ããããšããå§ãããŸãã
ïŒïŒæ°åã³ãããŠã€ã«ã¹ææçäžã§ã®ã¡ã³ã¿ã«ãã«ã¹å¯Ÿå¿
ãæ°åã³ãããŠã€ã«ã¹ææçäžã§ãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã¯ãåºæ¬çã«ã¯ïŒïœïŒã§èª¬æãããããªæé ã§å¯Ÿ
å¿ããããšã«ãªããŸãããããããã¯æ°åã³ãããŠã€ã«ã¹ææçäžãªãã§ã¯ã®å¯Ÿå¿ãçæäºé ã«ã€ããŠèª¬
æããŸãã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿
â è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®æªåã«ç®¡çè ãæ©ã段éã§å¯Ÿå¿ããããã«ã¯ãåè¿°ã®ãšãããè·å¡ãäœèª¿
ã«ã€ããŠçžè«ãããããããªç°å¢ãäœããšãšãã«ãæ¥é ããååãªã³ãã¥ãã±ãŒã·ã§ã³ãåã£ãŠããå¿ èŠ
ããããŸãã
â ããããªãããææ察çãªã©ã«ããæ¥åéã®å¢å ã«ãšããªã£ãŠç®¡çè ãè·å¡ãšãã«æéãå¿ã®äœè£ããªã
ãªã£ãŠããããšãã察é¢ã§ã®äº€æµæ©äŒã®æžå°ããã¹ã¯è£ çã«ããè¡šæ ã®èªã¿åãé£ããšãã£ãããšãªã©ã«
ãã£ãŠããäºãã®æ§åãç¥ã£ããæ°æã¡ãæãåã£ãããªã©ãããããšã以åãããé£ããç¶æ³ãšãªã£ãŠ
ããŸãã
â ãã®ãããå¹³æããã
ããâ è¡çå§å¡äŒç
ããâ¡ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®æè²ã®æ©äŒã®ç¢ºä¿
ããâ¢æ°èŠæ¡çšè ãžã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ããâ£ãã©ã€ãã·ãŒãžã®é æ ®
ããâ€æ å ±ç®¡çãšé¢šè©è¢«å®³ãžã®å¯Ÿå¿
ããâ¥è·å¡ã®ç¢ºä¿ã»æ®æ¥ãäŒæ¥åºå€çã®åŽå管ç
ãäžèšã«æ°ãã€ããŠé²ããŠããå¿ èŠããããŸãã以äžã§ã詳ãã説æããŠãããŸãã
ïŒïŒïŒã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®é²ãæ¹
â è¡çå§å¡äŒç
â æ°åã³ãããŠã€ã«ã¹ææçã®æ¡å€§ãé²ããããææ察çã®ããã®è¡çå§å¡äŒçã察é¢ã§å®æœããããš
ãé£ããå Žåã§ããã¡ã³ã¿ã«ãã«ã¹äžèª¿ãçããããç¶æ³äžã«ããããšã«ã€ããŠåšç¥ããè·å¡ã§å¥åº·ç®¡
çç¶æ³ãããã®å¯Ÿçã«ã€ããŠæ€èšãè¡ãããããICTçã®åæ¹åæ§ã®ããã³ãã¥ãã±ãŒã·ã§ã³æ段ã®ç©
極çãªå©çšãæ€èšããŠãã ãããææ察çãè¡ã£ãäžã§æ¬æ¥è¡çå§å¡äŒçã«æ±ããããæ©èœãå®å šã«ç¶
ç¶ããæ¹æ³ã«ã€ããŠã¯ç£æ¥å»ã«ã¢ããã€ã¹ãæ±ãããšè¯ãã§ãããã
â ãŸããè¡çå§å¡äŒçãèšçœ®ãããŠããªãè·å Žã«ãããŠããè·å Žã®ã¹ãã¬ã¹ã«ã€ããŠè©±ãåããè¡ããã
ããªããŒãã£ã³ã°ã®æ©äŒãå®æçã«èšãããšããã§ããããæ°åã³ãããŠã€ã«ã¹ææçã®æµè¡ã«ãããè·
å¡ã¯ãæ§ã ãªäžæºãäžå®ãææ ¢ããŠããããšãèãããããããé©åã«è¡šåºããå ŽãšããŠæŽ»çšãã§ããŸ
ãã管çè ãè·å¡ããäºãã®äžæºãäžå®ãå ±æããããšã¯ãåããããè·å Žç°å¢ã¥ããã«ãã€ãªãããŸ
ãã察é¢ã§ã®ããŒãã£ã³ã°ã®æ©äŒãèšããããšãé£ããå Žåã«ã¯ããªã³ã©ã€ã³ã§ã®äŒè°ã·ã¹ãã ããœãŒ
ã·ã£ã«ãããã¯ãŒãã³ã°ãµãŒãã¹ã䜿ã£ãŠãã®ãããªæ©äŒãèšããããšãæ€èšãããšããã§ãããã
â¡ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®æè²ã®æ©äŒã®ç¢ºä¿
â åè¿°ã®ãšãããã»ã«ãã±ã¢ãä¿é²ããããã«ã¯ãã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠã®åºæ¬çãªç¥èã«ã€ããŠã®æ
è²ãå¿ èŠã§ããæ°åã³ãããŠã€ã«ã¹ææçã®æ¡å€§ãé²ããããåŸæ¥éãã®ç ä¿®äŒãå®æœã§ããªãå Žå
ãããªã³ã©ã€ã³ã§ã®éå¬ãã察é¢ã§éå¬ããå Žåã«ã¯ãååãªææ察çãè¡ã£ãäžã§ãå°äººæ°ã®åäœã§
å®æœãããªã©ã®æ©äŒãæäŸããããšãèããããŸãã
â¢æ°èŠæ¡çšè ãžã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
â åè¿°ã®ãšãããæ®æ®µãšã¯éãææ è¡šçŸãããŠããããã¹ãå¢ãããæ¥åå¹çãäžãã£ãŠãããšãã£ããã
ã€ããšéããç¶æ ã®è·å¡ã«å¯ŸããŠã¯ãã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®å¯èœæ§ã以åããéèŠããŠç¶æ³ã確èªãã
å¿ èŠããããŸãã
â ç¹ã«æ°åã³ãããŠã€ã«ã¹ææçã®æµè¡äžã«ãã£ãŠã¯ãææãžã®æãããäŸãã°ãéå°ãªèªå® åŸ æ©ã®åŒ·
å¶ãææã®æç¡ã«ããå·®å¥ãªã©ãã管çè ã®ç®ã®å±ããªããšããã§èµ·ãã£ãŠããããšãæ³å®ãããŸããã©
ã®ãããªåå ãã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ãåŒãèµ·ãããŠããã®ããããæ€èšŒããããšãå¿ èŠã§ãã
â ãŸãã2020幎床以éã«å ¥è·ããè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã«ã¯ãç¹ã«æ³šæãæãå¿ èŠããããŸãã
ãããŸã§å®æœããŠããå ¥è·åŸã®éå£ãªãªãšã³ããŒã·ã§ã³ã人éé¢ä¿ã®åœ¢æã®ããã«å¿ èŠãªè·å Žå€ã§ã®äº€
æµãã§ããŠããªãããã«ãã³ãã¥ãã±ãŒã·ã§ã³ã®åé¡ãçãããããªã£ãŠããããšãèããããŸãããŸãã
管çè ãšè·å¡ã®é¢ä¿æ§ãçã«ãªããã¡ã§éè·ã®ãªã¹ã¯ãé«ããšèããããããšãããåå¥ã«é¢è«ãè¡ãã
ãšãã人éé¢ä¿ã®åœ¢æã«ã€ãªããããã«å®å šã«äº€æµãã§ãããããªæ©äŒããããŠè·å Žå ã§èšããããšã
æ€èšããŸãã
ïŒïŒïŒã¯ã©ã¹ã¿ãŒçºçã«äŒŽãã¡ã³ã¿ã«ãã«ã¹å¯Ÿç
â£ãã©ã€ãã·ãŒãžã®é æ ®
â è·å Žã§ã¯ã©ã¹ã¿ãŒãçããçŽåŸã¯ãè·å¡ã«ã¯å€§ããªäžå®ãçããŸãã
â ãŸããè·å¡èªèº«ãæ°åã³ãããŠã€ã«ã¹ææçã«ææããå Žåãããããã£ããã«ããã©ã¹ã¡ã³ããå·®å¥ã®
察象ãšãªã£ããã人éé¢ä¿ãæªåãããããå¯èœæ§ããããŸããããã«ããé¢è·çãçãããããããšã
13
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
è¡š4ã確èªäºé ã»ç¢ºèªæ¹æ³ã課é¡ããã£ãå Žåã®è§£æ±ºæ¹æ³ã®äŸ
ãªãããã誰ãæ°åã³ãããŠã€ã«ã¹ã«ææããã®ãã誰ãæ¿åæ¥è§Šè ã§ããããšããæ å ±ãå¿ èŠä»¥äžã«
å€ãã®ç¯å²ã«ç¥ãæž¡ãããšã®ãªããããã©ã€ãã·ãŒã«ã¯ååé æ ®ããå¿ èŠããããŸãã
â ãŸããã¯ã©ã¹ã¿ãŒãçããåããã¯ã©ã¹ã¿ãŒãçããã®ã§ã¯ãªãããèªåãæ°åã³ãããŠã€ã«ã¹ã«ææã
ã¯ã©ã¹ã¿ãŒãèµ·ãããŠããŸãã®ã§ã¯ãªãããšããäžå®ãå¿ççè² æ ãšãªãããšããããŸãããã®ãããªäž
å®ã軜æžããããã«ã¯ãææ察çã®ç ä¿®äŒã®éå¬ãæ°åã³ãããŠã€ã«ã¹éœæ§è ãåºãå Žåã®èšç·Žãå®
æœããããšãå¿ èŠã«ãªããŸãã
â€æ å ±ç®¡çãšé¢šè©è¢«å®³ãžã®å¯Ÿå¿
â è·å Žã§ã¯ã©ã¹ã¿ãŒãçºçããå Žåãããã«ãã颚è©è¢«å®³ã«ãã£ãŠããéæ¥çã«å€ãã®è·å¡ãé¢ä¿è ã«äž
å®ãäžããå¯èœæ§ããããŸãããŸããåãåããã殺å°ãããªã©ããŠæ¥åè² è·ãå¢å€§ããããšãèãã
ããŸãã
â ãã®ãããç¹ã«ãœãŒã·ã£ã«ãããã¯ãŒãã³ã°ãµãŒãã¹ïŒSNSïŒãéãã颚è©è¢«å®³ã®åºããã«æ³šæãããª
ããã
ã» ãŸãã¯è·å¡ã«æ£ç¢ºãªäºå®ãäŒããäžã§ã
ã» çªå£ãäžæ¬åãã
ã» ãã©ã€ãã·ãŒã«é æ ®ããç¯å²ã§é瀺ããæ å ±ãç¹å®ãã
ã» å©çšè ããã®å®¶æãã¯ãããé¢ä¿å ãžã®éç¥ãåºå ±æ段ãæ€èš
ãããããã«ããŸãããã
â¥è·å¡ã®ç¢ºä¿ã»æ®æ¥ãäŒæ¥åºå€çã®åŽå管ç
â ä»è·æœèšçã«ãããŠãè·å¡ãæ°åã³ãããŠã€ã«ã¹ã«ææããå Žåã§ãã£ãŠããªããµãŒãã¹æäŸã®ç¶ç¶ã
æ±ããããå Žåã¯ã該åœè·å¡ä»¥å€ã§ã®æäŸäœå¶ãæ§ç¯ãããããæ³äººå ã§ã®é 眮転æãè¿é£æœèšãžã®
å¿æŽèŠè«ãè¡ãçã«ãããå¿ èŠãªè·å¡æ°ã確ä¿ããå¿ èŠããããŸãã
â æ³äººå ã§ã®é 眮転æãè¿é£æœèšãžã®å¿æŽèŠè«çã§ã¯ãå¿ èŠãªè·å¡æ°ã確ä¿ã§ããªãå Žåã¯ãäžéšã®è·
å¡ã«ãããŠãäžæçã«æéå€åŽåãäŒæ¥åŽåã«ãã察å¿ãçããããšãèããããŸãã
14
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
è·åå 容ã¯
ææ¡ã§ããŠãããã
ããŒãã£ã³ã°
ã«ãã確èªããŒãã£ã³ã°ã®ãšãã«åé¡ç¹ã®å ±æãšå¯Ÿçã®çå®
å€åæéã¯
ææ¡ã§ããŠãããã
ã·ããè¡š
ã«ãã確èª
ç²åŽã®èç©ãèªããããåŽåè ã«å¯ŸããŠã¯ãåŽåè ãã
ç³åºããã£ãå Žåã«ãäºæ¥äž»ã¯ãå»åž«ã«ããé¢æ¥æå°
äŒæ©æéã¯
ååŸã§ããŠãããã
ã·ããè¡š
ã«ãã確èªæç¶çã«äŒæ©ãååŸãããããšãå¯èœ
å¿ççã«é床ãªè² æ ã
çããŠããªãããé¢è«ã®å®æœ
ç²åŽã®èç©ãèªããããåŽåè ã«å¯ŸããŠã¯ãåŽåè ãã
ç³åºããã£ãå Žåã«ãäºæ¥äž»ã¯ãå»åž«ã«ããé¢æ¥æå°
æ®æ¥ã¯36åå®æžïŒç¹å¥æ¡é ïŒã®
ç¯å²ã§ãããã
ã·ããè¡šåã³
36åå®æžã®ç¢ºèª
é床æéãè¶ ããå Žåã«ã¯ãèšæçãªç¹å¥ã®äºæ ãã
ãããã€åŽäœ¿åæ¹ã®åæãå¿ èŠ
çžè«ãæ°è»œã«ã§ããå¶åºŠã¯
ãããããªãŒããŒå±€ãšåè°ããå¶åºŠãåµèš
確èªäºé 確èªæ¹æ³ 課é¡ããã£ãå Žåã®è§£æ±ºæ¹æ³
ïŒïŒã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæ³åŸ
ãã¡ã³ã¿ã«ãã«ã¹å¯Ÿçã«é¢ããæ³åŸãšããŠã¯ã以äžããããããŸãã
ã
ãã¡ã³ã¿ã«ãã«ã¹ãã®ãã®ã«é¢ããèŠå®ã
â¯åŽåå®å šè¡çæ³
ãã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠäžèª¿ãé²æ¢ããããã®å¯Ÿçããšãããšãæ±ããããŠããŸããäžèª¿ã®åå ãšãªã
è·å Žã®ã¹ãã¬ã¹èŠå ãšããŠãééåŽåãšãã£ãæ¥åè² è·ããè·å Žã®äººéé¢ä¿ãšãã£ã察人çè² è·ãªã©ãæ
ããããŸããããããã¯è·å¡ã ãã®åã§ã¯å®å šã«åãé€ãããšã¯ã§ããªããããè·å Žç°å¢æ¹åãå«ããã¡
ã³ã¿ã«ãã«ã¹å¯Ÿçãäºæ¥è ãšããŠæšé²ããå¿ èŠããããŸãã
ãã¡ã³ã¿ã«ãã«ã¹ã«åœ±é¿ãäžããããšãæ³å®ããããã®ã«é¢ããèŠå®ã
â¯éåŽæ»çé²æ¢å¯Ÿçæšé²æ³
ãæ¥åã«ããã匷ãå¿ççè² è·ã«ãã粟ç¥é害ãåå ãšããèªæ®ºã«ããæ»äº¡ãéåŽæ»çã®ïŒã€ãšããŠã
ãŸãã
â¯åãæ¹æ¹é©é¢é£æ³ã«ããæ¹æ£åŽååºæºæ³
ãééåŽå察çãšããŠãæéå€åŽåã®äžéèŠå¶ã幎ïŒæ¥ã®å¹Žæ¬¡æ絊äŒæã®ç¢ºå®ãªååŸãå®ããããŸããã
ææ察ççã®åœ±é¿ã«ããæ¥åéã®å¢å ã«ãšããªããå šäœçãªåŽåæéãå¢å ããŠããè·å Žããããšèã
ãããäžã§ãäžéšã®è·å¡ã®åŽåæéãèå¢ããŠããå Žåã¯ãå¥åº·åœ±é¿ãçããåã«äœèª¿ã®ç¢ºèªãæ¥åè²
æ ã®åæ£åãªã©ã®å¯Ÿå¿ãå¿ èŠã§ãã
â¯æ¹æ£åŽåæœçç·åæšé²æ³
ãè·å Žã«ããããã¯ãŒãã©ã¹ã¡ã³ã察çãäºæ¥è ã®çŸ©åãšãªããŸããïŒäžå°äºæ¥è ã¯ä»€åïŒå¹ŽïŒæïŒæ¥ãã
矩ååïŒããã¯ãŒãã©ã¹ã¡ã³ããšã¯ãè·å Žã«ãããåªè¶çãªé¢ä¿ãèæ¯ãšããèšåã§ãã£ãŠãæ¥åäžå¿ èŠã
ã€çžåœãªç¯å²ãè¶ ãããã®ã«ãããè·å¡ã®å°±æ¥ç°å¢ã害ããããã®ã§ããä»åã®æ¹æ£ã«ãããã»ã¯ã·ã¥ã¢
ã«ãã©ã¹ã¡ã³ããåŠåš ã»åºç£ã»è²å äŒæ¥çã«é¢ãããã©ã¹ã¡ã³ãã«å ããŠããã¯ãŒãã©ã¹ã¡ã³ãã«ã€ããŠãã
åŽåè ãžã®åšç¥ã»åçºãçžè«çªå£ã®èšçœ®ãçžè«äœå¶ã®æŽåããã©ã€ãã·ãŒã®ç¢ºä¿ãªã©ãäºæ¥è ã«çŸ©åã¥ã
ãããŸãããå šäœçãªæ¥åéã®å¢å ã«ããå¿ççè² æ ãã³ãã¥ãã±ãŒã·ã§ã³äžè¶³ãããã©ã¹ã¡ã³ããçãã
ããšãããããã®ã§ãããã«å¯Ÿå¿ããããã®äœå¶ãæ©æã«æŽåããããšãäºæ¥è ã«ã¯æ±ããããŠããŸãã
15
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
â æéå€åŽåãäŒæ¥åŽåãè¡ãããå Žåã§ããåŽååºæºæ³ç¬¬36æ¡ç¬¬ïŒé ã®èŠå®ã«åºã¥ãåå®ã®é床æé
ã¯ååæ45æéã幎é360æéãšå®ããããŠããŸããåé床æéãè¶ ããå Žåã«ã¯ãèšæçãªç¹å¥ã®
äºæ ãããããã€åŽäœ¿åæ¹ã®åæãå¿ èŠã§ãã
â äžæ¹ã§ãåãéãã«ãã£ãŠè·å¡ãå¥åº·ãæãªãããšã¯ãã£ãŠã¯ãªããªããã®ã§ããã管çè ã¯ãè·å¡ãç²
åŒããŠããªãããç²åŒããªãããè·å Žç°å¢ãå¶åºŠã®æŽåãè¡ãããŠãããã確èªïŒåé è¡šïŒïŒããŠãå®æ
çãªæ å ±äº€æã«ããåé¡åéãèšé²ãããå®äŸäŒè°ãããŒãã£ã³ã°ã®ãšãã«åé¡ç¹ã®å ±æãšå¯Ÿçã®çå®
ãããããšãæãŸãããã®ãšèããããŸãã
â ãŸããåŽåå®å šè¡çæ³ã§ã¯ãééåŽåã«ããå¥åº·é害é²æ¢ã®ããããããåŸããæã«80æéãè¶ ãã
æéå€åŽåãäŒæ¥åŽåãè¡ã£ãããšã«ããç²åŽã®èç©ãèªããããåŽåè ã«å¯ŸããŠã¯ãåŽåè ããç³åº
ããã£ãå Žåã«ãäºæ¥äž»ã¯ãå»åž«ã«ããé¢æ¥æå°ãªã©ãå®æœããªããã°ãªããªããšå®ããããŠããŸãã
16
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ïŒ.ã¡ã³ã¿ã«ãã«ã¹ã®å¯Ÿå¿äºäŸ
ãããã§ã¯ãã³ããçŠã«ãã£ãŠãä»è·æœèšã»äºæ¥æã®è·å¡ãæã£ãŠããäžå®ãã¹ãã¬ã¹ã®ç¶æ³ããã®å¯Ÿå¿ç
ã®äŸã玹ä»ããŸãã
ããŸããå³è¡šã¯æ¬äºæ¥ã«é¢é£ããŠå®æœããã¢ã³ã±ãŒãã®çµæã§ãã
ãäºæ¥æã®æåšããå°åã§æ°åã³ãããŠã€ã«ã¹ææçãçºçããéãææ察çã®å®
æœã«ã€ããŠè·å¡ã®äžå®ã倧ããã£ãããŸããäºæ¥æã§æ°åã³ãããŠã€ã«ã¹ææçã
çºçããããšãè·å¡ãæããŠããã
ãè·å¡ãã管çè ã«ãçå€åšäœã®åã©ããåž°çããããåºå€ãããŠå·®ãæ¯ããªããã
ãšããçžè«ãåãããäœèª¿äžè¯ã§ãªããã°åºå€å¯ãšããããè¿é£ã®äºæ¥æã§ã¯åæ§
ã®å Žååºå€äžå¯ãšãªããšã®åããããè·å¡ã¯äžå®ãæããŠããããã ã£ãã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãææ察çã®å ·äœçãªæ¹æ³ã®å®æœãããããªãããšãããé床ãªææ察çã匷ããã
ãããšãã該åœããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯ä»¥äžã®ïŒã€ã該åœ
â æ°æã¡ãäžå®å®ã«ãªã
â å ±åãçžè«ãå£æ°ãè·å Žã§ã®äŒè©±ãå°ãªããªãïŒãããã¯ãã®éïŒ
â äœèª¿å€åãžã®ãäºãã®æ°ã¥ã
ãå°äººæ°è·å Žã§ããããããšãäºãã«è©±ããããè·å Žã§ãããšã¯æãããææ ¢ããªãã
èšããããè·å Žã«ãããããã®ãªã話ãªã©ãéããŠããäºãã®äœèª¿å€åãžã®é æ ®ã
æ°ã¥ããä¿ããŠããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â 管çè ãããã¹ã¯ççšãææŽãã®åŸ¹åºãäžå¯ã®åé¿çã®äºé²å¯Ÿçãè¡ã£ãããã§
è¡åããããã«äŒããããã§ãææãããããã¯ä»æ¹ããªããšééãä»å°åã®äºæ¥
æã§ã®å¯Ÿå¿ã®ç¶æ³ãäŒããé床ã«æããå¿ èŠããªãããšããææçµè·¯ãææ察ç
ãªã©ã®æ£ããç¥èã«ã€ããŠæ³äººãããæ å ±çºä¿¡ããè·å¡ã®äžå®ã®è»œæžã«åªããã
â è·å Žä»¥å€ã§ã®ã¹ãã¬ã¹èŠå
â çå€ã«å€åºããéã¯ãææäºé²å¯Ÿçãå®æœããè¡å ã亀éçµè·¯ãå ±åããäžã§èš±
å¯ãããŠãããéå°ã«å¶çŽãããŠãè·å¡ã«ã¹ãã¬ã¹ãæããããªãããã«ããŠããã
管çè èªèº«ããçå€ãžç§»åããå Žåãææ察çãè¡ã£ãäžã§å®æœããäœèª¿ã®å€å
ãæãããåºå€ããªãããäœè£ããã£ãæ¥çšã«ããŠãããè·å¡ã«ç®¡çè ã®è¡åã«ã€
ããŠç解ããŠããããšãšãã«ãè·å¡èªèº«ã®è¡åã®åèã«ããŠããã£ãŠããã
â»åèïŒå³ïŒïŒ
ãå€åå ã®è¡åæéã»èŠç¯çã«ã€ããŠæãã¹ãã¬ã¹ã®æãããã®ãšããŠããéœéåºç
å€ãªã©ãžã®ç§»åèªç²ãã該åœããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
â¶éæä»è·äºæ¥æã§ã®äºäŸãïŒè·å¡æ°ïŒçŽ30åãå®å¡æ°ïŒ30åïŒ
ãæ¬äºäŸã®ãã€ã³ãã 管çè ãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã®äžèª¿ã«æ°ã¥ãã
ç©æ¥µçãªææ察çã®ç¥èã®åšç¥ãçžè«ããããç°å¢ã¥ãããå®æœ
17
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ãä»è·è·å¡ã¯ãèªåãææãããã©ãããããä»äºã«è¡ãããšãã§ããªããªã£ããå°ãã
å©çšè ãžã®ãµãŒãã¹ãããŸãç¶ç¶ã§ãããããšäžå®ãããã
ãåœè©²èšªåä»è·äºæ¥æã§ã¯ãææäºé²ã®èŠ³ç¹ããã蚪åå ããèªå® ãžã®çŽè¡çŽåž°ã
ä¿ããŠãããçµæãšããŠãè·å¡ãäºåæã«æ¥ãããšãå°ãªããªã£ãŠãããã³ãã¥ãã±ãŒ
ã·ã§ã³ã®æ©äŒãæžã£ãŠããã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãèªèº«ãææããã®ã§ã¯ãªãããšããããšãããååãªã±ã¢ãæäŸã§ããªããšããè
è€ãã該åœããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯ä»¥äžã®ïŒã€ã該åœ
â æ°æã¡ãäžå®å®ã«ãªã
â å ±åãçžè«ãå£æ°ãè·å Žã§ã®äŒè©±ãå°ãªããªãïŒãããã¯ãã®éïŒ
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã»ã«ãã±ã¢ããå®æœ
â æ¯å¹Žã¹ãã¬ã¹ãã§ãã¯ã¯å®æœããŠããã
è·å¡ã¯èªèº«ã®ç²åŽãã¹ãã¬ã¹ã®ç¶æ³ã確èªããŠããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â 管çè ãè·å¡ãšã®é£çµ¡ã«ã¯ä»¥åããã¡ãŒã«ã掻çšããŠããããã³ãã¥ãã±ãŒã·ã§ã³
ã確ä¿ããããã«ã以åãããé »ç¹ã«ã¡ãŒã«ã§ã®é£çµ¡ããšãããã«ããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã»ã«ãã±ã¢ããå®æœ
â ææäºé²çã®åŠç¿ããæ¿åæ¥è§Šè ã«ãªã£ãå Žåã®å¯Ÿå¿ãªã©ãããŒãã«åãäžãç
ä¿®ãå®æœããã
â ååãã§ããæ¯æŽ
â å©çšè ã«é¢ããç³ãéããªã©ã®éã«ãæ©ã¿äºãå¿é äºãªã©ãå ±æãããããŠãã³ãã¥
ãã±ãŒã·ã§ã³ãåãããšã§ç²Ÿç¥çãªå©ãã«ãªãã
â»åèïŒå³ïŒïŒ
ãæ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ä»äºãç¶ããã«ããã£ãŠãäžå®ãã¹ãã¬
ã¹ã®è»œæžã«åœ¹ç«ã£ãŠããããšãšããŠããååãšã®æ®æ®µã®äœæ°ãªãäŒè©±ããæããããã
â è·å¡ã®å人æ å ±ã®ä¿è·
â æ©ã¿äºãå¿é äºãå ±æããéã«ãè·å¡ã®å人æ å ±ã®ä¿è·ã«ã€ããŠã¯é æ ®ãããã
ã«ããŠããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
â·èšªåä»è·äºæ¥æã§ã®äºäŸãïŒè·å¡æ°ïŒçŽ20åãç»é²è æ°ïŒçŽ80åïŒ
ãæ¬äºäŸã®ãã€ã³ãã è·å¡ãšã®ã³ãã¥ãã±ãŒã·ã§ã³äœäžã«ããã¡ã³ã¿ã«ãã«ã¹äžèª¿ã«å¯ŸããŠã
管çè ãè·å¡ãžã®é »ç¹ãªã¡ãŒã«é£çµ¡ãè·å¡ç ä¿®ãå å®
18
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ãè·å¡éã§ãµãŒãã¹æäŸã«ã€ããŠæèŠãããããŠè°è«ã«ãªãããšãããã
ãäŸãã°ã¬ã¯ãªãšãŒã·ã§ã³ãšããŠãæãæãããšã¯ææãªã¹ã¯ãé«ãŸãããå©çšè ã®ç
掻ã®è³ªã®ç¶æã«ãšã£ãŠã¯å€§åãªããšã§ãçžåããé¢ããããåè°ãããçµæãå®æç
ã«ææ°ãããŠãå ¥æè éã®è·é¢ããããŠãè¡ãããšã«ããã
ãã¯ãªã¹ãã¹äŒããåæ§ã«å®æœã®æç¡ã«ã€ããŠæèŠãåãããã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãååã»éšäžãšã®ææãªã¹ã¯ã«é¢ããèãæ¹ã®éãã«äŒŽãããšãããé床ãªé¢äŒå¶éã
ææäºé²çã«ããå©çšè ã®ç¶æ ãæªåããªããã®æžå¿µãã該åœããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯ä»¥äžã®ïŒã€ã該åœ
â 察人é¢ä¿ã®ãã©ãã«ãå¢ãã
â ã€ã©ã€ã©ããæ 床ãç®ç«ã¡ãæãã£ãœããªã
â æ°æã¡ãäžå®å®ã«ãªã
â æ²èŠ³çãªèšèãå¢ããæ¶ããããªã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã»ã«ãã±ã¢ããå®æœ
â ã¹ãã¬ã¹ãã§ãã¯ã¯æ¯å¹Žå®æœããŠããã
ä»å¹Žã¯ããããå®æœããããå€åã¯æ°ã«ãªãã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãè·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢ããå®æœ
â æ¯æå®æœããŠããå®å šè¡çå§å¡äŒã§ãè·å¡ã®å£°ã«å¯ŸããŠã©ã®ããã«å¯Ÿå¿ãããã
èããŠãããç£æ¥å»ãçè·åž«ãªã©å»çè·ãäžå¿ãšãªã£ãŠå©èšããŠãããåºæ¬çã«
ã¯æïŒåã®è·å¡äŒè°ã§æ å ±æäŸãããŠããããïŒæãšïŒæã¯èšæã§è·å¡ãéããŠã
ææé²æ¢çã«ã€ããŠåšç¥ããããŸãåããã¢ã«å®å šè¡çå§å¡ãé 眮ã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â è·å Žã§æèŠãéããšãã¯ã管çè·ãè·å¡ãã話ãèããŠãå¿ èŠãªå¯Ÿå¿ãå®æœããŠ
ããã管çè·ã¯ãã€ã以äžã«è©±ãèãããã«å¿ãããŠããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãè·å Žå€è³æºã«ããã±ã¢ããå®æœ
â æå±ããæ¥çå£äœçãéããŠäºäŸã®æ å ±åéãããŠããããŸããçãå£äœãæäŸ
ããã¡ã³ã¿ã«ãã«ã¹ã®çžè«ãµãŒãã¹ãè·å¡ã«åšç¥ããŠããã
â»åèïŒå³12ïŒ
ãæ°åã³ãããŠã€ã«ã¹ææçã®æµè¡ãå¥æ©ã«é²ãã ããšãšããŠãã管çè ãäžåžãæ¥
é ããè·å¡ã®äžå®ãæ©ã¿ãæèããããã«ãªã£ãããšããã管çè ãäžåžãè·å¡ã®çž
è«ã«å¯ŸããŠãäžå¯§ã«å¯Ÿå¿ããããã«ãªã£ãããšããæããããã
â ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®ç¹æ§
â è·å¡ã«ãã£ãŠã¯äžå®ã倧ãããææ察çãªã©ã«ã€ããŠãã®æ¹æ³ã§å€§äžå€«ãªã®ããš
ç¹°ãè¿ã質åãããããšããããæ£ããæ å ±ã瀺ããªãããçŽåŸã§ããããã«äžå¯§
ã«è©±ãããã«ããŠããããŸããæœèšã§æ±ºããããšã«ã€ããŠã¯ãçç±ã説æã§ããã
ãã«ããŠããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
âžä»è·è人ä¿å¥æœèšã§ã®äºäŸãïŒè·å¡æ°ïŒçŽ90åãå®å¡ïŒ100åïŒ
ãæ¬äºäŸã®ãã€ã³ãã è·å¡éã§ã®æèŠã®éãã察ç«çã§ãããã¡ã³ã¿ã«ãã«ã¹äžèª¿ã«å¯Ÿãã
管çè·ãåãæ¢ããäžå¯§ã«èª¬æãå®æœã
19
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ãè·å¡ã¯ãèªåãæœèšã«æ°åã³ãããŠã€ã«ã¹ææçãæã¡èŸŒã¿ãããªãã芪çŠäŒç
ã®è·å¡å士ã®ã³ãã¥ãã±ãŒã·ã§ã³ã®å Žãå°ãªããçã§ã¹ãã¬ã¹ãæããŠããã
ããŸããå€åºãªã©ãè·å¡ã¯è¡ã£ãŠããããæ§ã ãªèªç²ã®äžã§ç掻ãããŠãããããã
ãç¶æ³ãç¶ç¶ããããšã§ã管çè ãšããŠãè·å¡ã®å¿èº«ã®å¥åº·é¢ã«äžå®ãæããã
ãæœèšã§ã¯ãç©æ¥µçãªäŒæååŸãæšé²ããŠããããäžæ¹ã§ãå³ãã人å¡äœå¶ã§è·å¡
ãé·æéæ¥åãããŠããç¶æ³ã§ãããç²åŽãèç©ããŠããã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãå©çšè ã«ææãããŠããŸãã®ã§ã¯ãªãããšããããšãããä»ã®ç¶æ³ããã€ãŸã§ç¶ãã
èŠéããç«ããªãããšãã該åœããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯ä»¥äžã®ïŒã€ã該åœ
â è¡šæ ã«æŽ»æ°ããªããåäœã«ãå æ°ããªãïŒãããã¯ãã®éïŒ
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãè·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢ããå®æœ
â èšåºå¿ç士ã«æïŒãïŒåãæ¥ãŠããããæ§ã ãªã¡ã³ã¿ã«é¢ã§ã®çžè«ã«å¯Ÿå¿ããŠããã£
ãŠããããŸããæ³äººå ã®ç é¢ãã粟ç¥ç§å»ã«æã«ïŒåãæ¥ãŠããã£ãŠããã
â 人äºåŽå管çãšã®é¢ä¿
â ICTè£å©éã䜿ããä»è·èšé²ãœãããã¿ãã¬ãããè³Œå ¥ããèšé²äœæ¥çæ¥åæéã®
å¹çåãã¯ãã£ãŠããã
â»åèïŒå³11ïŒ
ãã¡ã³ã¿ã«ãã«ã¹ã±ã¢æ¯æŽã«é¢ãã課é¡ãšããŠãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«ã€ããŠå°éç¥
èããã人æãããªãããšããæããããã
â æœèšãšããŠã®ææ察çã®ç¢ºå®ãªåãçµã¿ãšãè·å¡ãžã®äŒé
â ææãäºé²ãããã¥ã¢ã«ããæ°åã³ãããŠã€ã«ã¹éœæ§è ãåºãå Žåã®å¯Ÿå¿ãå«ãã
ææã察å¿ãããã¥ã¢ã«ã«æ¹å®ãããçºçãæ³å®ãã察å¿çãæœèšãæ€èšããŠãã
ããšããã£ãããšè·å¡ã«äŒéããããšã§äžå®ã®è»œæžãã¯ãã£ãŠããã
â å·®å¥ã颚è©è¢«å®³ãé²ãç©æ¥µçãªæ å ±å ¬é
â è·å¡ã®ææç¶æ³ãªã©ã¯ééã£ãåãåºããããããæžé¢ã§å ¬è¡šããããšã§èª€ã£ãæ
ãæ¹ããããªãããã«ããŠããã
â 人äºåŽå管çãšã®é¢ä¿
ãåŽå管ççã¯äºåæ¹ãšçŸå Žã®ä»è·ã»çè·éšéã®ãªãŒããŒå±€ãé£æºãããªããè¡ã£
ãŠãããçŸå Žã®ãªãŒããŒå±€ãäžå¿ãšãªã£ãŠè·å¡ã®äœèª¿ç®¡çãããŠãããã³ãããŠã€ã«
ã¹ææçæ¡å€§äºé²ã®èŠ³ç¹ã§ã¯ãæ¯èŒçé«éœ¢ã®è·å¡ã«ã¯ãäœèª¿äžè¯æã«ã¯ãå°ãé·ãã«
ïŒ1 ïœ 2é±éïŒäŒãã§ãããããã«ããŠããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
â¹ä»è·è人ä¿å¥æœèšã§ã®äºäŸãïŒè·å¡æ°ïŒçŽ110åãå®å¡ïŒå ¥æçŽ160åãéæãªãããªããŒã·ã§ã³40åïŒ
ãæ¬äºäŸã®ãã€ã³ãã å€åºå¶éçã®ç掻ã®èªç²ãå ã®èŠããªãäžå®ã«äŒŽãã¡ã³ã¿ã«ãã«ã¹
ã®äžèª¿ã«å¯ŸããŠãåŸåã®å°é家çã®å€éšè³æºã掻çšã«å ããŠãææ
察çã®ç¢ºå®ãªåãçµã¿ãšãè·å¡ãžã®äŒéãå®æœã
20
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ãä»è·è·å¡ã¯ãæ®æ®µããã±ã¢ã®æ¹æ³ãè·å¡ãå©çšè ã»å®¶æãšã®äººéé¢ä¿ãä»äºãšç掻
ã®äž¡ç«ãªã©æ§ã ãªæ©ã¿ãæ±ããŠããã
ãããã«å ããææäºé²ã®æ¥åã®å¢å ãæ®æ®µã®ç掻ã§ã®äŒé£ãæ è¡çã®èªç²ãªã©ã
ãäžå®ãã¹ãã¬ã¹ãå¢å ããŠããã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãææäºé²çãªã©æ®æ®µãšç°ãªãä»äºæ¹æ³ãããææäºé²çã®å®æœã«ãããæ¥åãç ©é
ã«ãªã£ãããåŽåæéãé·ããªã£ãŠããããšãã該åœããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯æ¬¡ã®ïŒã€ã該åœ
â ä»äºãã¯ãã©ããªãããšãå¢ãã
â 察人é¢ä¿ã®ãã©ãã«ãå¢ãã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãè·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢ããå®æœ
â è·å¡åãã«ãç·æ§çžè«å¡ã»å¥³æ§çžè«å¡ãšïŒã€ã®çžè«çªå£ãã€ãã£ãŠãç£äŒã»è²äŒãã
ã©ã¹ã¡ã³ããä»äºã®æ©ã¿ãªã©åºãçžè«ã§ããäœå¶ãäœã£ãŠããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â ãªãŒããŒã¯ã©ã¹ã®è·å¡ã«ã¯ãçžè«ãæ¯æŽã®åéãé«ãããããã³ãŒãã³ã°ã®ç ä¿®ã
ç¹°ãè¿ãå®æœããŠããã
â æ°äººã«ã¯ãã¡ã³ã¿ãŒå¶åºŠããããå¥éšçœ²ã®å幎代ããå°ãäžã®å¹Žéœ¢ã®è·å¡ãã¡ã³
ã¿ãŒãšãªããçžè«ã«ä¹ã£ãŠãããã¡ã³ã¿ãŒã«å¯ŸããŠããçžè«ãåŸèŽã®ç ä¿®ãè¡ã£ãŠ
ããã
â è·å¡ã¯ãèªå·±è©äŸ¡ã»åžæ祚ãèšèŒãããªãŒããŒçãšã³ãã¥ãã±ãŒã·ã§ã³ããšã£ãŠããã
ããã«ãæ¯å¹Žã50åçšåºŠã®è·å¡ã¢ã³ã±ãŒããå®æœããŠãããè·å¡ã®ç¶æ³ãææ¡ããŠ
ããã
â»åèïŒå³10ïŒ
ãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã«é¢ãããµããŒãç¶æ³ã«ã€ããŠããäžåžãšã®å®æçãªé¢è«ãã
ãå éšã®çžè«çªå£ã®æ¡å ãçã該åœããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å
ããè·å Žå ç£æ¥ä¿å¥ã¹ã¿ããçã«ããã±ã¢ãããã©ã€ã³ã«ããã±ã¢ããå®æœ
â ææçäºé²å¯Ÿçå§å¡äŒã»å®å šè¡çå§å¡äŒã®å å®ãå³ã£ããæ³äººå ã®åéšçœ²ã®è·å¡
ã§æ§æããçŸç¶ãå ±åããæ å ±å ±æãå³ããããããã®è·å Žã«ãã£ãŒãããã¯ããŠã
ããè·å¡ããã®çžè«ãæ©ã¿ã«ã€ããŠãã話ãåã£ãŠå¯Ÿå¿ã決ããŠããã
â 人äºåŽå管çãšã®é£æº
â æ¿åæ¥è§Šãšãªã£ãè·å¡ã¯äžå®æéãäŒæãšãããäŒææéäžãç¶æ³ãææ¡ããã³
ãã¥ãã±ãŒã·ã§ã³ããšãå¿ èŠã¯ããããé»è©±ããããããã®ããã¬ãã·ã£ãŒã«ãªãã®
ã§ãéœåã®ãããšãã«äºæ¥æã«é»è©±ããããããäŸé ŒããïŒïœïŒæ¥ã«ïŒåé»è©±ã§è©±ã
ããŠããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
âºç¹å¥é€è·è人ããŒã ã§ã®äºäŸãïŒè·å¡æ°ïŒçŽ50åãå®å¡æ°ïŒ80åïŒ
ãæ¬äºäŸã®ãã€ã³ãã 管çè·ãç·æ§ã»å¥³æ§ã®çžè«çªå£ãã¡ã³ã¿ãŒãªã©æ§ã ãªçžè«ã§ãã
ä»çµã¿ãã€ãããçžè«ãåããç«å Žã®è·å¡åãã®ç ä¿®ãå®æœã
21
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
ãè·å¡ã«ã¹ãã¬ã¹ãæºãŸã£ãŠããŠãããããããããŸã§ãããã¡ãã£ãšããããšã§æ©æŠ
ãçãããããããšããããé·æåããŠããã家åºå ã§ã®ææ察çã®ç¶ç¶ãå«ããè·
å¡ã«ç²ããæºãŸã£ãŠããŠãããå æ°ããªããªã£ãŠããã
ãç¹ã«è²¬ä»»ããç«å Žã§ãã管çè ããå©çšè ã®ãµãŒãã¹ã調æŽããã±ã¢ãããžã£ãŒ
ã®æ¥åè² æ ãå¢ããŠãããã±ã¢ãããžã£ãŒãšããŠã¯ãææçã®æ¡å€§ã«ãããµãŒãã¹ã®
äžæåæ¢ãæäŸã®çž®å°ãªã©ããããåšå® ã®å©çšè ã®ç掻ã®ç¶æããææç察çãžã®
ç解ãå°é£ãªå©çšè ã»å®¶æãžã®å¯Ÿå¿ã倧ããªè² æ ãšãªã£ãŠããã
â»åèïŒå³ïŒïŒ
ãæ¬äºäŸã®æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®ã¹ãã¬ã¹ãäžå®ã®åå ã¯ã
ãååãéšäžããã®èŠæãžã®å¯Ÿå¿ããå©çšè ãå©çšè 家æçããã®èŠæçãã該åœ
ããã
â ããã€ããšã®éããã«ã€ããŠãæ¬äºäŸã¯æ¬¡ã®ïŒã€ã該åœ
â è¡šæ ã«æŽ»æ°ããªããåäœã«ãå æ°ããªãïŒãããã¯ãã®éïŒ
â 察人é¢ä¿ã®ãã©ãã«ãå¢ãã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â 管çè ã¯ããªã³ã©ã€ã³ã§ã管çè äŒè°ããã£ãããªã©ã§æ å ±å ±æãããªããã³ãã¥ã
ã±ãŒã·ã§ã³ãåãããã«ããŠããã
â»åèïŒå³ïŒïŒ
ãäžå®ãã¹ãã¬ã¹ã®è»œæžã«åœ¹ç«ã£ãŠããããšãšããŠããè·å¡å士ã§æ©ã¿ã話ãåãæ©
äŒãã該åœããã
â è·å¡éã®å©ãåãã»æ¯æŽ
â 家æææããè·å¡ãèªå® çé€ããŠããéãå®æçã«é£çµ¡ããšã£ããé£ã¹ç©ãªã©ã®
è²·ãç©ã«å°ã£ãŠãããããè·å Žã®ååãèªçºçã«çé¢å ã«å¿ èŠãªãã®ãå±ããŠã
ããè·å¡ã®å¿é£ãã§ãããææããè·å¡ãè·å Žã®ååããç解ãåŸãŠããããšã
å®æã§ããè¿·æããããŠããŸã£ããšããå¿é ã軜æžãããšæãã
â æ®æ®µã®äŒè©±ã®äžã§ãè·å¡å士ãä»äºãç§ç掻ã«ã€ããŠçžè«ãåããæ©ã¿ã解æ¶ã
ãŠããã
â ïŒã€ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã®å ãã©ã€ã³ã«ããã±ã¢ããå®æœ
â äºåæå ã§ã¯ã管çè ãè·å¡ã®æ§åã泚æããŠèŠãããã«ããŠããã
â ã¡ã³ã¿ã«ãã«ã¹äžèª¿ã®ç¹æ§ããµãŸããŠã®å¯Ÿå¿
ïŒè·å¡ã®å€æ§ãªåãæ¢ãæ¹ãžã®é æ ®ïŒ
â ææãªã¹ã¯ã«å¯Ÿããäžå®ãã¹ãã¬ã¹ã¯ã
ã¹ã¿ããéã§éããããããšã«çæããŠããã
ã¡ã³ã¿ã«ãã«ã¹ã®
äžèª¿
ç¶ãæ³
åŸåã«å®æœããŠãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã³ããçŠã§
æ°ãã«éå§ãã
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã
å®æœããã«ããã£ãŠã®
çæç¹
⻠蚪åä»è·ãå± å® ä»è·æ¯æŽãã°ã«ãŒãããŒã ã
å°èŠæš¡å€æ©èœåå± å® ä»è·çã®éå¶æ³äººã®äºäŸãïŒè·å¡æ°ïŒçŽ600åïŒ
ãæ¬äºäŸã®ãã€ã³ãã 管çè·å士ã®æ©ã¿ãå ±æããå ŽãèšããããŸãææããè·å¡ã«ã¯ã
ååãè²·ãç©ã代è¡ããçãè·å¡å士ã®å©ãåããèªç¶ãªè·å Žé¢šå
22
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
察象ããã³ååæ° ã» æœèšã»äºæ¥æ祚ïŒå šåœã®èšªåä»è·äºæ¥æãéæä»è·äºæ¥æãçæå ¥æç掻ä»è·äºæ¥æãä»è·è人çŠ
ç¥æœèšãä»è·è人ä¿å¥æœèšããç¡äœçºã«æœåºãã3,035äºæ¥æã«çºéãããååæ°ã¯1,039件ã
ååçã¯34.2ïŒ
ã»äžèšäºæ¥æã®ä»è·è·å¡ã»çè·è·å¡ã«èª¿æ»ç¥šãé ä»ããåèš2,806人ããåçãåŸã
調 æ» æ¹ æ³ éµéé åžã»éµéåå
調 æ» æ é 什å2幎11æ20æ¥ïœä»€å3幎ïŒæ12æ¥
äž» 㪠調 æ» é ç® ã» æœèšã»äºæ¥æ祚 ïŒ åºæ¬æ å ±ãè·å¡ã«çããŠãã圱é¿ãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ãžã®æ¯æŽ
ã» è·ã å¡ã 祚 ïŒ åºæ¬æ å ±ãæ°åã³ãããŠã€ã«ã¹ææçã«äŒŽãäžå®ãã¹ãã¬ã¹
è·å¡ç¥šã®çµæãïŒå³3 ïœ 6ïŒè·å¡2,806人ïŒå³7ïŒè·å¡1,764人ã®åçïŒ
ææäºé²çã®å®æœã«ããæ¥åã
ç ©éã«ãªã£ããåŽåæéãé·ã
ãªã£ãŠããããšã«ããç²åŽïœ¥ã¹ãã¬ã¹
ä»è·æœèšïœ¥äºæ¥æã§
åãããšãžã®å®¶æçã®ç解ã
ååã§ãªãããšã«ããã¹ãã¬ã¹
é床ãªé¢äŒå¶éãææäºé²ç
ã«ããå©çšè ã®ç¶æ ã
æªåããªããã®æžå¿µïœ¥äžå®
ä»ã®ç¶æ³ããã€ãŸã§ç¶ãã
èŠéããç«ããªãããšãžã®äžå®
å©çšè ã«ææãããŠããŸãã®ã§ã¯
ãªãããšããäžå®
èªèº«ãææããã®ã§ã¯
ãªãããšããäžå®
家æã«ææãããŠããŸãã®ã§ã¯
ãªãããšããäžå®
ææè ã«è·å¡ã
é©åãªå¯Ÿå¿ãã§ãããã®äžå®
å ·äœçãªå¯Ÿçæ¹æ³ãããããªã
ããšã«ããäžå®
é床ãªææäºé²çã
匷ããããããšãžã®ã¹ãã¬ã¹
ææäºé²çãªã©æ®æ®µãšç°ãªã
ä»äºæ¹æ³ãžã®ã¹ãã¬ã¹
å©çšè ãå©çšè 家æããã®
èŠæçã«äŒŽããã¬ãã·ã£ãŒã»ã¹ãã¬ã¹
å©çšè ã«ååãªã±ã¢ã
æäŸã§ããªããšããã¹ãã¬ã¹ãèè€
ãããã®èããšçŸå Žã®ç¶æ³ãä¹é¢
ããŠããæ¿æã¿ã«ãªãã¹ãã¬ã¹
ååéšäžãšã®ææãªã¹ã¯ã«é¢ãã
èãæ¹ã®éãã«äŒŽãã¹ãã¬ã¹
ååãéšäžããã®èŠæãžã®
察å¿ã«äŒŽãç²åŽïœ¥ã¹ãã¬ã¹
äžå®ãçžè«ããçžæã
æ©äŒããªãããšãžã®ã¹ãã¬ã¹
ä»è·æœèšïœ¥äºæ¥æã§åããŠãã
ããšã«å¯Ÿããå·®å¥ãžã®äžå®
å šäœãšããŠã®äžå®ãã¹ãã¬ã¹
0ïŒïŒ ïŒ 20 40 60
68.4%68.4%68.4%68.4%68.4%68.4%
58.3%58.3%58.3%58.3%58.3%58.3%
49.9%49.9%49.9%49.9%49.9%49.9%
48.3%48.3%48.3%48.3%48.3%48.3%
46.5%46.5%46.5%46.5%46.5%46.5%
37.8%37.8%37.8%37.8%37.8%37.8%
36.5%36.5%36.5%36.5%36.5%36.5%
30.9%30.9%30.9%30.9%30.9%30.9%
30.3%30.3%30.3%30.3%30.3%30.3%
30.2%30.2%30.2%30.2%30.2%30.2%
29.4%29.4%29.4%29.4%29.4%29.4%
24.8%24.8%24.8%24.8%24.8%24.8%
19.4%19.4%19.4%19.4%19.4%19.4%
17.7%17.7%17.7%17.7%17.7%17.7%17.7%
17.3%17.3%17.3%17.3%17.3%17.3%17.3%
14.0%14.0%14.0%14.0%14.0%14.0%
10.6%10.6%10.6%10.6%10.6%10.6%
9.1%9.1%9.1%9.1%9.1%
42.7%42.7%42.7%42.7%42.7%42.7%
å³6 æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§ã®
ã¹ãã¬ã¹ãäžå®ïŒéåžžã«å€§ããã»å€§ããïŒ
0ïŒïŒ ïŒ 20 40 60 80 100
ããçšåºŠã³ãã¥ãã±ãŒã·ã§ã³ããšããŠãã
ååã«ã³ãã¥ãã±ãŒã·ã§ã³ããšããŠãã
ç¡åç
ããŸãã³ãã¥ãã±ãŒã·ã§ã³ããšããŠããªã
30.8% 64.3% 4.5%4.5%4.5%
0.5%
å³3 æ®æ®µã®è·å Žã«ãããæ¥åäžã®
ã³ãã¥ãã±ãŒã·ã§ã³
0ïŒïŒ ïŒ 20 40 60 80 100
ã©ã¡ããšããããªãã¯ã ç¡åçããã
60.9% 29.3% 9.3%
0.5%
å³5 äœèª¿äžè¯æã®äŒã¿ã®ç³ãåºã®ãããã
0ïŒïŒ ïŒ 20 40 60 80 100
æ©ã¿ãå°ãããšãããçšåºŠçžè«ã§ãã
æ©ã¿ãå°ãããšãæ°è»œã«çžè«ã§ãã
ç¡åç
æ©ã¿ãå°ãããšãçžè«ãã«ãã
28.5% 61.4% 9.4%
0.7%
å³4 æ®æ®µã®è·å Žã®é°å²æ°
å人芪æãªã©å€äººæ°ã
éãŸãå Žãžã®åå èªç²
0 5 10 15 20
éœéåºçå€ãªã©ãžã®ç§»åèªç²
æ è¡ã»ã¬ãžã£ãŒã»ã€ãã³ãçã®èªç²
å€é£ãæ§ããããš
åå± ã®å®¶æã®è¡åã
å¶éãããŠããããš
è²·ãç©çã§ã®3å¯ã®åé¿
ãã®ä»
趣å³ãã¹ããŒãã®
ã°ã«ãŒããžã®åå èªç²
å ¬å ±äº€éæ©é¢ã®å©çšãæ§ããããš
ç¹ã«å€§ããªã¹ãã¬ã¹ã¯æããŠããªã
ç¡åç 20.7%20.7%20.7%20.7%20.7%20.7%
18.5%18.5%18.5%18.5%18.5%18.5%
0.7%0.7%0.7%0.7%0.7%0.7%0.7%
2.2%2.2%2.2%2.2%2.2%
2.4%2.4%2.4%2.4%2.4%
3.7%3.7%3.7%3.7%3.7%
4.0%4.0%4.0%4.0%4.0%4.0%4.0%
6.2%6.2%6.2%6.2%6.2%
11.2%11.2%11.2%11.2%11.2%11.2%
14.0%14.0%14.0%14.0%14.0%14.0%
16.4%16.4%16.4%16.4%16.4%16.4%
ïŒïŒ ïŒ
å³7 å€åå ã®è¡åæéã»èŠç¯çã«ã€ããŠ
æãã¹ãã¬ã¹ãæãããã® ïŒæ¥åå€ã®è¡åã察象ãšããè·å¡åãã®è¡åæéãèŠç¯ãããå ŽåïŒ
調æ»å®æœ
æŠèŠ
å è å³ è¡š
å è å³ è¡š
23
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠ
管çè ãäžåžãæ¥é ããè·å¡ã®äžå®ã
æ©ã¿ãæèããããã«ãªã£ã
è·å¡å士ã®å©ãåãã®é°å²æ°ãéžæããã
è·å¡å士ã®ã³ãã¥ãã±ãŒã·ã§ã³ãå¯ã«ãªã£ã
管çè ãäžåžãè·å¡ã®çžè«ã«å¯ŸããŠïœ€
äžå¯§ã«å¯Ÿå¿ããããã«ãªã£ã
0 10 20 30 40
37.5%37.5%37.5%37.5%37.5%37.5%
30.5%30.5%30.5%30.5%30.5%30.5%
20.2%20.2%20.2%20.2%20.2%20.2%
14.9%14.9%14.9%14.9%14.9%14.9%
ïŒïŒ ïŒ
æœèšã»äºæ¥æ祚ã®çµæãïŒ1,039äºæ¥æã®åçã»è€æ°åçïŒ
è·å¡ç¥šã®çµæãïŒè·å¡2,806人ã®åçã»è€æ°åçïŒ
0 20 40 60
æ¥åã«ã€ããŠè·å¡å士ã§ãã£ãã°ããã«
æèŠäº€æã§ããæ©äŒã®èšå®
äžåžãšã®å®æçãªé¢è«
ã¹ãã¬ã¹ãã§ãã¯ã®å®æœ
å éšã®çžè«çªå£ã®æ¡å
ã¹ãã¬ã¹ãã§ãã¯ã®éå£åæ
ã¡ã³ã¿ã«ãã«ã¹ã®ãµããŒãäœå¶ïœ¥
å¶åºŠã«ã€ããŠè·å¡ã«èª¬æããæ©äŒ
äžè¬è·å¡ã察象ãšããã¡ã³ã¿ã«
ãã«ã¹ã±ã¢ã«é¢ããæè²ç ä¿®ã®å®æœ
å€éšã®çžè«çªå£ã®æ¡å
管çè·ã察象ãšããã¡ã³ã¿ã«
ãã«ã¹ã±ã¢ã«é¢ããæè²ç ä¿®ã®å®æœ
63.3%63.3%63.3%63.3%63.3%63.3%
20.2%20.2%20.2%20.2%20.2%20.2%
60.9%60.9%60.9%60.9%60.9%60.9%
17.3%17.3%17.3%17.3%17.3%17.3%
57.7%57.7%57.7%57.7%57.7%57.7%
17.2%17.2%17.2%17.2%17.2%17.2%
45.3%45.3%45.3%45.3%45.3%45.3%
18.9%18.9%18.9%18.9%18.9%18.9%
43.5%43.5%43.5%43.5%43.5%43.5%
15.5%15.5%15.5%15.5%15.5%15.5%
30.8%30.8%30.8%30.8%30.8%30.8%
23.8%23.8%23.8%23.8%23.8%23.8%
24.5%24.5%24.5%24.5%24.5%24.5%
25.5%25.5%25.5%25.5%25.5%25.5%25.5%
23.3%23.3%23.3%23.3%23.3%23.3%
23.9%23.9%23.9%23.9%23.9%23.9%
19.6%19.6%19.6%19.6%19.6%19.6%
25.8%25.8%25.8%25.8%25.8%25.8% éèŠæ§ãèªè
åŸæ¥ããå®æœ
ïŒïŒ ïŒ
å³10 è·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã«é¢ãããµããŒãç¶æ³
ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ã«ã€ããŠ
å°éç¥èã®ãã人æãããªã
è·å¡ãèªèº«ã®ã¹ãã¬ã¹ã«å¯ŸããŠ
ããŸã察åŠã§ããŠããªã
åå¥çžè«ã«ä¹ã
æéçãªäœè£ããªã
çžè«ã«ã¯ä¹ããã©ã®ãããª
察å¿ïœ¥å©èšããã¹ããããããªã
ã»ã³ã·ãã£ããªå 容ãªã®ã§ïœ€
詳ããèãã¥ãã
æ©ã¿ãã¹ãã¬ã¹ã«ã€ããŠè·å¡å士ã§
æ°è»œã«çžè«ã§ããé°å²æ°ãå°ãªã
å€éšã®çžè«çªå£çã
ç¥ããªãã®ã§æ¡å ã§ããªã
ïŒïŒ ïŒ0 20 40
43.8%43.8%43.8%43.8%43.8%43.8%
32.3%32.3%32.3%32.3%32.3%32.3%
27.8%27.8%27.8%27.8%27.8%27.8%
27.7%27.7%27.7%27.7%27.7%27.7%27.7%
22.6%22.6%22.6%22.6%22.6%22.6%
20.5%20.5%20.5%20.5%20.5%20.5%
7.2%7.2%7.2%7.2%7.2%
å³11 ã¡ã³ã¿ã«ãã«ã¹ã±ã¢æ¯æŽã«é¢ãã課é¡
å³12 æ°åã³ãããŠã€ã«ã¹ææçã®æµè¡ãå¥æ©ã«é²ãã ããš
ååãšã®æ®æ®µã®äœæ°ãªãäŒè©±
å©çšè ãå©çšè 家æããã®
ç解æè¬ã®èšè
è·å¡å士ã§æ©ã¿ãªã©ã話ãåãæ©äŒ
家æã®ç解æè¬ã®èšè
管çè ãäžåžããã®é©åãªæ å ±æäŸ
äžåžãžã®çžè«ãé¢è«ã®æ©äŒ
å°åã®ç解æè¬ã®èšè
å€éšã®çžè«çªå£
ãã®ä»
ç¹ã«ãªã
ç¡åç
0 20 40 60
57.1%57.1%57.1%57.1%57.1%57.1%
36.6%36.6%36.6%36.6%36.6%36.6%
36.4%36.4%36.4%36.4%36.4%36.4%
32.9%32.9%32.9%32.9%32.9%32.9%
23.1%23.1%23.1%23.1%23.1%23.1%
13.4%13.4%13.4%13.4%13.4%13.4%
6.9%6.9%6.9%6.9%6.9%
1.2%1.2%1.2%1.2%1.2%
3.6%3.6%3.6%3.6%3.6%
13.6%13.6%13.6%13.6%13.6%13.6%
1.2%1.2%1.2%1.2%1.2%
ïŒïŒ ïŒ
å³8 æ°åã³ãããŠã€ã«ã¹ææçãæµè¡ããäžã§
ä»äºãç¶ããã«ããã£ãŠã
äžå®ãã¹ãã¬ã¹ã®è»œæžã«åœ¹ç«ã£ãŠããããš
ãããŸã§ããã
ç²åŽãããŸãããã«ãªã£ã
ã€ã©ã€ã©ããããšãå¢ãã
è·å Žã«è¡ãã®ãæãã€ãªæ°åã«ãªã£ã
åŽåæéãå¢å ãã
äŒè·ïœ¥éè·ãèãã
ååãšã®ããéãã察ç«ãçãã
å©çšè å©çšè 家æãšã®é¢ä¿ã
æªåããããšããã£ã
ã¡ã³ã¿ã«ãã«ã¹ã«é¢ããçžè«ãç³ãåºã
ãã®ä»
ç¹ã«ãªã
ç¡åç
0 20 40
47.7%47.7%47.7%47.7%47.7%47.7%
28.3%28.3%28.3%28.3%28.3%28.3%
20.0%20.0%20.0%20.0%20.0%20.0%
11.5%11.5%11.5%11.5%11.5%11.5%
8.1%8.1%8.1%8.1%8.1%
6.4%6.4%6.4%6.4%6.4%
5.7%5.7%5.7%5.7%5.7%
0.9%0.9%0.9%0.9%0.9%
6.2%6.2%6.2%6.2%6.2%
30.2%30.2%30.2%30.2%30.2%30.2%
1.2%1.2%1.2%1.2%1.2%
ïŒïŒ ïŒ
å³9 æ°åã³ãããŠã€ã«ã¹ææçã®æµè¡ã
察çã®å®æœã«äŒŽãèªåã®å€å
ïŒïŒæåŸã«
ãæ¬ååã§ã¯ãæ°åã³ãããŠã€ã«ã¹ææçã®æææ¡å€§äžã倧å€ãªã¹ãã¬ã¹ã«ãããããŠããä»è·ã®è·å Ž
ã«ãããŠã管çè ãè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãæšé²ããããã®æ¹æ³ã説æããŠããŸããã管çè ã®ç
ããã倧å€ãªç¶æ³ã§ã¯ãããŸããããã®ååã®å 容ãããšã«ãããããã®è·å Žã«å³ãã圢ã§ãè·å¡ã®ã¡ã³
ã¿ã«ãã«ã¹ã±ã¢ãå®è·µãããè·å¡ã®ã¡ã³ã¿ã«ãã«ã¹ã®åäžãè·å Žç°å¢ã®æ¹åã«è³ããããšãæåŸ ããã
ãšæããŸãã
24
â ¡ ã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠïŒâ ¢ çžè«çªå£
é»è©±çžè«ã0120-565-455æææ¥ã»ç«ææ¥ 17:00 ïœ 22:00 ïŒ åææ¥ã»æ¥ææ¥ 10:00 ïœ 16:00ãâ»ç¥æ¥ã幎æ«å¹Žå§ãé€ã
SNSçžè« LINEã¢ããªã
https://kokoro.mhlw.go.jp/sns-soudan/æææ¥ã»ç«ææ¥ 17:00ïœ22:00ïŒåä»ã¯21:30ãŸã§ïŒïŒåææ¥ã»æ¥ææ¥ 10:00ïœ16:00ïŒåä»ã¯15:30ãŸã§ïŒ
â»ç¥æ¥ã幎æ«å¹Žå§ãé€ã
ã¡ãŒã«çžè« å°çšãã©ãŒã
https://kokoro.mhlw.go.jp/mail-soudan/â»24æéåãä»ããåæ¥ç¥æ¥ã幎æ«å¹Žå§ãé€ã
åã人ã®çžè«çªå£ã«ã€ããŠã
åã人ã®ã¡ã³ã¿ã«ãã«ã¹ã»ããŒã¿ã«ãµã€ã
ããããã®è³ãã§çŽ¹ä»ãããŠããŸãã
ãåèã«ããŠãã ããã
â ¢ çžè«çªå£
ãããã®è³ãçžè«çªå£æ¡å
https://kokoro.mhlw.go.jp/agency/
M e n t a l
h e a l t h
c a r e
M e n t a l
h e a l t h
M e n t a l
h e a l t h
æ¬ååã¯ã以äžã®æ€èšå§å¡äŒã«ãããŠãæ€èšã»äœæããŸããã
什åïŒå¹ŽåºŠåçåŽåçå§èšäºæ¥
ãæ°åã³ãããŠã€ã«ã¹ææçã«å¯Ÿå¿ããä»è·æœèšçã®è·å¡ã®ããã®ãµããŒãã¬ã€ãäœææ¥åãæ€èšå§å¡äŒ
ãå§å¡é·ã
ææšã åå 接ç°å¡Ÿå€§åŠ 客å¡ææ
ãå§å¡ããïŒäºåé³é ãæ¬ç§°ç¥ïŒ
ä»æã ããã äžè¬ç€Ÿå£æ³äººãæ°éäºæ¥è ã®è³ªãé«ããã
å šåœä»è·äºæ¥è åè°äŒ æ±æµ·åéžå°åºæ åœçäº
å®éã å å äžè¬ç€Ÿå£æ³äººæ¥æ¬åšå® ä»è·åäŒ æ¥åå§å¡äŒ å§å¡
æ±å£ã å° ç£æ¥å»ç§å€§åŠç£æ¥çæ ç§åŠç 究æ
ç£æ¥ç²Ÿç¥ä¿å¥åŠç 究宀 ææ
æ±æŸ€ã å圊 å ¬ç瀟å£æ³äººæ¥æ¬å»åž«äŒ åžžä»»çäº
é è€ã å²é æ±åå»ç§è¬ç§å€§åŠå»åŠéš åææ
ååã ç §ä»£ æ»è³å»ç§å€§åŠ 瀟äŒå»åŠè¬åº§ è¡çåŠéšé è¬åž«ïŒåŠå ïŒ
æšæã å²ä¹ å ¬ç瀟å£æ³äººå šåœè人çŠç¥æœèšåè°äŒ å¯äŒé·
é¢å£ã å¹žåž çžæš¡ååž å¥åº·çŠç¥å± å°åå æ¬ã±ã¢æšé²éš
çŠç¥åºç€èª² ç·æ¬å¯äž»å¹¹
å¹³å·ã åä¹ å ¬ç瀟å£æ³äººå šåœè人ä¿å¥æœèšåäŒ å¯äŒé·
å ããåŒæ åœç«ç 究éçºæ³äººåœç«ç²Ÿç¥ã»ç¥çµå»çç 究ã»ã³ã¿ãŒ
粟ç¥ä¿å¥ç 究æ è¡åå»åŠç ç©¶éš èªç¥æ©èœç 究宀宀é·
ãå·çååã
åŸæŽ¥ã æ ¶ ç£æ¥å»ç§å€§åŠå ¬è¡è¡çåŠæ宀 å©æ
äžé ãå¥ã äžé瀟äŒä¿éºåŽå士äºåæ æé·
25
æ°åã³ãããŠã€ã«ã¹ææçã«å¯Ÿå¿ãã
ä»è·æœèšçã®è·å¡ã®ããã®
ãµããŒãã¬ã€ãïŒç¬¬ïŒçïŒ
åçåŽåç 什å3幎3æ