Abstract
The objective of the present study was to analyze the intervention methods in self-neglect cases, and the dilemmas and dif ficulties faced by professionals when managing such cases at a community comprehensive suppor t center (hereafter, suppor t center). This is the type of institution primarily responsible for handing cases of self-neglect. Focus group interviews were conducted with seven nurses and other professionals at a support center in a particular city. We divided the inter ventions into 7 categories, the dilemmas faced by professionals into 7 categories, and the difficulties into 6 categories. Professionals at the support center had the dilemma whether to respect the individual’s self-determinationwhen they worked toward a solution for self-neglect using watching intervention, emergent intervention, and preventive intervention methods. Furthermore, they met new dilemmas in the process - dilemmas between the local residents and the organizations concerned and on-the-job dilemmas. These dilemmas were associated with difficulties in professional awareness and a sense of duty, in support systems, and in undeveloped legal systems. Based on the features of self-neglect, they had difficulties regarding their ability as professionals.
