Reform of Health and Welfare Measures for Persons with Disabilities

0523welfare04-2409669 Uncategorized
  • Town development for the independent and ordinary lives of persons with disabilities
  • Town development for natural fellowship and mutual support among local residents, irrespective of the existence of disability, age or sex


Community Development for “Independence and Coexistence”

Breakdown of Related Budget (FY 2005)

Project expense for assistance benefit : approximately 770.0 billion yen

Total assistance benefit budget: 383.2 billion yen (100%)

Organizations Responsible for Welfare Services for Persons with Disabilities

  Physically disabled persons Intellectually disabled persons Persons with mental disorders Disabled children
(physically/ intellectually)
In-home service Local municipalities Local municipalities Local municipalities Local municipalities
Facility service Local municipalities Local municipalities Prefectural and city governments
(Social rehabilitation facilities)
Prefectural and city governments
(Child welfare facilities)

I “Unification” of Welfare Services for Persons with Disabilities (Current Systems)

Systems are combined in a complicated manner according to category of disability and age.

Physically and intellectually disabled persons



Persons with mental disorders



“Unification” of Welfare Services for Persons with Disabilities (afterReformed)

Persons with disabilities in need of assistance


Goals of the Draft Law concerning Self-reliance Support for Persons with Disabilities (Objective Provisions)

  • Provide individual supports to persons with disabilities based on an understanding that each has his/her own abilities and aptitudes.
  • Support persons with disabilities so that they may live independently (daily life and social life through social participation)
  • Promote welfare for persons and children with disabilities and “develop communities” in which each citizen can safely live by respecting the individuality and moral character of others, irrespective of the existence of disabilities.

Development of Communities in Which Persons with Disabilities Can Live Ordinarily

  • Develop a system for receiving necessary support, regardless of the category of disability.
  • Promote support for community life including employment.
  • Establish service hubs as near as possible.
  • Make use of community social resources such as NPOs, vacant classrooms, small working places, and private houses.
  • Provide daytime activities that disabled persons staying at facilities can choose (as a motivation to be integrated into the community).
  • Establish the foundation for persons with severe disabilities to live in the community.


Points of the Reform of Health and Welfare Measures for Persons with Disabilities

  1. “Unification” of welfare services for persons with disabilities
  2. “Community development” for the promotion of “employment” of persons with disabilities
  3. “Relaxation of regulations” for the utilization of limited community social resources
  4. “Increase of transparency and clarification concerning procedures and standards” for the utilization of fair services
  5. Strengthening of a mutual support system for sharing increasing welfare service expenditures
    • “Fair sharing” in proportion to the quantity of services used, etc.
    • “Clarification” of the national government’s “fiscal responsibility”

(Self-reliance Support Benefit System in Relation to Welfare Services)


(Construction of a Comprehensive Self-reliance Support System)


In conclusion

  • Thank you very much for the kind attention.
  • I wish you successful work in your respective countries.
Copied title and URL