介護老人保健施設における心理コンサルテーションの役割―多職種チームケアに注目した事例研究―

抄録

The purpose of this case study is to consider how consultation regarding psychological care contributes to enhancing the quality of the psychological care in a broad sense carried out by multidisciplinary team in a Kaigo-rojin-hoken-shisetsu (a nursing and health care facility for the elderly). Psychological care by a multidisciplinary team is readily invites a qualitative decline due to the difficulty of collaboration and coordination as a result of the different nature of the occupations involved. Consultation was given to an occupational therapist (“the consultee”) in a facility, and the case presented was about how to psychologically manage a resident with dementia by care and rehabilitation professionals. This consultation was able to encourage collaboration and coordination with the “consultee,” who was the member of the multidisciplinary team, as a key person and accomplished the qualitative improvement of psychological care by care and rehabilitation professionals.

Consultation as community psychological intervention respects the autonomy and strength of the community, so a multidisciplinary team is expected to be able to solve the problems of the system of itself through consultation and enhance the quality of psychological care in a broad sense. Through this case, ’3 intervention routes’ for the community centering on consultation have been surmised and community intervention by a psychology professional discussed.