The correlation between school related stress and self-harm behaviors with respect to the mental health of high school were investigated to obtain data on preventive intervention for improving high school students’ mental health. An anonymous self-administered questionnaire was conducted with senior high school students （N＝847）. Among the data, those without missing values were used for statistical analysis （n＝812）. The mediation model below was assumed: school life related stress that is directly and indirectly mediated by self-harm behaviors affects mental health. Furthermore, correlations between goodness of fit and each variable were examined using Structural Equation Modeling. Goodness of fit indices to the assumed causal relationship model were CFI＝0.981, RMSEA＝0.044, which reached a statistically acceptable level. The ratio of contribution to mental health in this analysis model was 53.0％ . The results of this study suggest that it is necessary to consider school life related stress and self-harm behaviors for the improving mental health of high school students.

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The aim of this study was to evaluate the association between the changes in activities of daily living （ADL） before and after orthopedic selective spasticity control surgery and the manual ability classification system （MACS） in children with diplegic cerebral palsy using a questionnaire survey. Method : Questionnaires were sent to 153 participants, out of which 28 gave valid responses. The MACS and changes in ADL were assessed using questionnaires. We had free written explanations, If ADL were improved. Chi-squared　test was used to assess the relationship between ADL and MACS. In addition, qualitative analysis was used to assess the free explanations. Result : There was no significant relationship between the changes in ADL and MACS. In the qualitative assessment, contents of the changes in ADL were different with respective levels of the MACS. Conclusion : Although contents of the changes in ADL were different, the ability for ADL changed with the respective levels of the MACS. Therefore, in post-surgery rehabilitation, it is required that goals of the rehabilitation programs be changed with respect to the levels of the MACS.

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【 Purpose】 The aim of this study was to investigate the short-term effect of improving the assessment ability of visiting rehabilitation workers related to their awareness of changes in the medical condition of elderly patients requiring care. 【Method】 We conducted a one-time intervention comprising lectures, practical skills, and group work on “whole-body management of internal disabilities” and “assessment of findings related to daily activities of living” for 35 visiting rehabilitation workers. The effects of the intervention were evaluated with written tests and subjective assessment evaluations conducted before and after the intervention. 【Result】 The scores for the written test conducted immediately after the intervention were significantly higher than those for the test conducted before the intervention. Scores for all eight items evaluated with the subjective assessment evaluation conducted after the intervention were significantly higher than those before the intervention. 【Conclusion】 The one-time intervention in this study was shown to improve the knowledge regarding assessment ability of the visiting rehabilitation workers and their ability to subjectively evaluate their elderly patients.

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