## [9] Health Care and Welfare Measures for Persons with Disabilities

## Benefits for Welfare Services and Supports for Persons with Disabilities

## Overview Structure of Benefits for Welfare Services and Supports for Persons with Disabilities (As of February 2014)

Services	Number of offices	Number of users	Contents of services
Long-term care benefits	In-home long-term care (home help)	17,987	145,522	Provide in-home care for bathing, elimination, meals, etc.
Home-visit care for persons with severe disabilities	6,181	9,524	Provide comprehensive support to persons with severe physical disabilities, who need nursing care continuously with care in their residences, to support meals, bath, elimination and nursing care during transportation when they go out
Accompanying support services	5,449	20,611	Provide persons with visual disabilities who have significant difficulties transporting themselves with support when they go out, including provision of necessary information for transportation (including writing/reading for them) and care during transportation, etc.
Activity support services	1,301	7,454	Provide persons with insufficient judgment with necessary support for avoiding danger which could occur when such persons conduct by themselves and care during transportation when they go out
Comprehensive support for persons with severe disabilities	10	37	Provide persons whose degrees of necessity for nursing care are very high with comprehensive welfare services such as home help service and other various services
Short-stay service	3,679	34,163	Provide persons who need nursing care with short-time placement in support facilities including nighttime, due to sickness of their in-home caretakers or other reasons, to offer care for bath, elimination, meals, etc.
Care for daily life in medical facilities	239	19,267	Provide persons with disabilities who need medical and continuous nursing care with functional training, care management, nursing care, daily care, etc. in medical facilities
Care for daily life	8,336	250,673	Provide persons with disabilities who need nursing care continuously with care for bath, elimination, meals as well as opportunities for creative or productive activities mainly in the daytime
Nighttime support, etc. in support facilities for persons with disabilities (support for residential care)	2,627	132,816	Provide persons with disabilities living in support facilities with care for bath, elimination, meals, etc. during nighttime and holidays
Group home with care (care home)	4,629	60,480	Provide persons leading a communal life with care for bath, elimination, meals, etc. in their residence during nighttime and holidays
Benefits for training, etc.	Rehabilitation service (trainings for improving physical function and social abilities)	1,372	15,352	Provide persons with disabilities with trainings for improving physical function or social abilities for a certain period so that they can live independent daily and social life
Transition support for employment	2,748	26,970	Provide persons with disabilities who desire to work in a private company, etc. with necessary trainings for improving knowledge and skills needed to enter the work-force for a certain period
Continued employment support for employment (type A/B)	10,415	214,100	Provide persons with disabilities who have difficulties to work in a private company, etc. with opportunities for employment as well as necessary trainings for improving knowledge and skills needed to enter the work-force
Group home with aid (group home)	3,648	27,692	Provide persons leading communal lives in with consultation and other aid in their daily lives in their residence during nighttime and holidays

* The number of offices and users are obtained by extraction and counting on the basis of the actual payment data of the Federation of National Health Insurance Associations as of February 2014.

* The coverage of home-visit care for persons with severe disabilities was expanded in April 2014 to include persons having significant difficulty in movement due to mental/developmental disabilities.

$ ^{*} $ Group home with care (care home) and group home with aid (group home) were unified in April 2014.

## Combination of Daytime Activity and Living Place

Service combination is available as an option by dividing services of living facilities into daytime service (daytime activity program) and nighttime service (housing support program).

In using the program, personalized support plan shall be made to provide services that meet respective purpose of use.

Place of daytime activity Select one or more programs below

Care for daily life in medical facilities (medical type) *
Care for daily life (welfare type)
Rehabilitation service (training for improving physical function and social abilities)
Transition support for employment
Continued employment support (type A/B)
Local activity support center (community life support services)

* Medical care shall be implemented in combination with admission to medical facilities

Place of living

Support for placement at

support facilities for persons with disabilities

or

Housing support services

(functioning of care homes, group homes, and welfare homes)

* Unified into group homes in April 2014