Abstract
The aim of this study was to review the progress of measures and the employment measures of support for people with higher brain dysfunction (HBD) in Japan, and to reveal the actual conditions of vocational support for people with HBDs provided at healthcare facilities and the support provided at vocational support facilities. In this study, a survey of 592 rehabilitation hospitals nationwide and 52 local vocational centers for persons with disabilities was conducted. The survey found that rehabilitation healthcare facilities and vocational support facilities had not been building up a cooperative relationship which is necessary to provide vocational support for people with HBDs. The paper summarized, based on the results of the survey, the challenges of establishing a cooperative system between those facilities, and proposed what the support for people with HBDs should be in future.