Abstract
This paper reports on the activities of a speech group at a day-service center providing community-based rehabilitation. This group is conducted at the center as a class for home care providers. The class is made up of people with linguistic disorders, their family members, and interested local residents. A special characteristic of this group is that many staff members and volunteers attend and help out in the activities. The group has positive benefits for all of its participants. Since the Long-Term Care Insurance System came into effect, speech rehabilitation classes based on the Health and Medical Service Law for the Elderly tend to have been reduced. It is therefore necessary to establish new programs for adults with communication difficulties under various insurance and welfare systems while concentrating on the Long-Term Care Insurance System.
