## [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 December 2011)

Services	Number of offices	Number of users	Contents of services	Long-term care benefits
In-home long-term care (home help)	15,961	127,714	Provide in-home care for bathing, elimination, meals, etc.
Home-visit care for persons with severe disabilities	5,402	8,691	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	2,971	11,992	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	1,112	6,282	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	9	34	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
Day services for children	2,432	73,214	Provide children with disabilities with instruction about basic actions in daily life, adaptive trainings to group living, etc.
Short-stay service	3,308	30,632	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.
Medical Ing-term care	36	2,120	Provide persons with disabilities who need medical and continuous nursing care with functional training, care management, nursing care, daily care, etc. in medical institutions
Care for daily life	6,157	192,177	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)	1,892	102,820	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)	3,771	46,551	Provide persons leading a communal life with care for bath, elimination, meals, etc. in their residence during nighttime and holidays
Rehabilitation service (trainings for improving physical function and social abilities)	1,250	14,167	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	2,206	22,696	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)	7,143	149,355	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)	3,214	23,181	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 December 2011.

* The existing rehabilitation facilities for persons with physical disabilities, care facilities for persons with mental retardation, social rehabilitation facilities for persons with mental disorders, etc. had all been shifted to the new type of system services by March 2012.

* In accordance with the Act on Partial Revision of the Services and Supports for Persons with Disabilities Act, etc., day services for children shall be reorganized into development support for children or after school day services in April 2012 under the Child Welfare Act.

## 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

Place of living

Medical long-term care (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)

Support for placement at support facilities for persons with disabilities

or

Housing support services

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

$ ^{*} $ Medical care shall be implemented in combination with admission to medical institutions