Abstract
A survey was conducted to determine what problems with day care services still existed a year after the enactment of legislation regarding day care services for patients with severe motor and intellectual disabilities. Results revealed that in addition to new problems such as less stable income, increased administrative workload, difficulties with securing staff, and an expanding variety of user needs, previous problems such as an insufficient number and size of centers, problems with pick-up, and problems with health care systems had also resurfaced. Furthermore, although problems relating to transitional care of infants who have been hospitalized in the NICU for a long period of time must also be handled in the future, solutions that must be implemented immediately include increasing the number of centers and enhancing the pick-up system in consideration of the aging of users and their families as well as the increasing degree of medical needs.
