What is Advocacy for
Persons with Disabilities inFacilities

Doshisha University Graduate School
Kota Kashiwagi [the second year of the master’s
program1

Structure of thispresentation
Introduce history of policies fordisability in japan.
What are Advocacy and Kenri-Yogo?
Findings and Conclusion from thisstudy.

Transition of policy for thedisabled in Japan

Agreement

InstitutionalCare• 1945~• Colony• 2000~• To Contract regime
Deinstitutional- From Safeguards
regimeization• Mainstreaming of• 1970~Community Welfare• Community Care
• Facility destruction

The concept of Kenri-YogoKenri-Yogo no longer
means Advocacy.

Advocacy and Kenri-Yogo [2]Introduction of previous research

Kenri-Yogo is support forLivelihoods.

Advocacy and Kenri-Yogo [1]Introduction of previous research

Advocacy is support for
Independence.

Advocacy/Self-Advocacy give….
A new innovative change to society andexpansion of Human Rights.
And an influence on Kenri-Yogo.

Principles of Advocacy“Do not ignore the person’s selfdetermination.”“Advocate on the basis of theperson’s wishes or decision.”[Atsushi Hirata2011]

Qualitative study

Field Work• Ambulatory facility for people withsevere physical disabilities.

The Ethnographic Interview• JamesP.Spradley『THEETHNOGRAPHIC INTERVIEW』
Wadsworth, Cengage Learning1979

The environment of the facility that I
researched.
Operates for public benefit.
About 150,000,000yen reported on budget froma city by itself.
There are into Group of 4 such as Ambulatory,Activity during the day, Vocational aid.
And, they have 55clients and 40staffs.

The policy of the facility that I
researched.
Has a receptive attitude.
Is sensitive to non-verbal communication.
Has a program to respect independence.
Is very committed to the community.
Includes activity of Kenri-Yogo using socialcapital.

The Ethnographic Interview
Research question

How do clients feel about
environment of the facility?

The Ethnographic Interview
for Mr. M
Interviewee : Male 34years oldQ．What do you think about daily life at
this facility?
A．I miss old the days. A good staff person
worked here before. But he died.
I want to go out more and more.
I’m tired of doing something in facility.

The Ethnographic Interview
for Mr. M [2]Q．Why don’t you express your mind to the staff?
A．Of course, I want to express. But, I don’t have anychance to express my feelings.
Personal support meeting is for talking about care.
I can speak anything at Group meeting, but I can’t speak
only about me because this is group.
At Noma-Net, my parents are there, so I get in to a lot of
trouble to talk.
This is the task.

The Ethnographic Interview
for Miss. S and Miss. M
Interviewee ：female about 50years oldQ. Could you tell me your daily life?

Miss. S：I have things I want to say. But, It is difficult.
So, I can’t change my daily life. This is my task.
Miss. M：Of course, I have things I can’t express
clearly to the staff. I set a boundary between me andthe staff.

Qualitative study through field work at
Ambulatory facility for people with severe
physical disabilities

Client’swill
Livelihoods• Relationships• Space to have asay
• Independence• Rights toLife• SocialRights

Relationships diagram of Kenri-Yogo and Advocacy
Think Will
Hope

Extend, Change

Function ofAdvocacy

Speaking for another, Takeaction forRights[Hashimoto1996]
EX]Self Advocacy, Advocacy,（Empowerment）

Support Livelihoods
Support Independent

Kenri-Yogo
Management of property,
Protection/Prevention of Abuse,Support for using services
EX]Adult guardianship, Ombudsman
system[KotaKashiwagi2012]

Affirmation
Profession

Conclusion

To conclude, I would like topose a question to you:

Can one be human without having
his/her will or independence?