Chapter 3 Certificate of Persons with Disabilities

Under the Law for the Welfare of Physically Disabled Persons, welfare measures are planned for persons with physical disabilities who are issued the Certificate of Persons with Physical Disability.

In order to receive a certificate, an application must be submitted and the applicant must be recognized to have a physical disability in accordance with the law.

The certificate carries the type and degree of disability and entitles holders to various systems designated by the Law for the Welfare of Physically Disabled Persons.

It also entitles holders to benefits outside the scope of this law, such as railroad fare reduction.

(2) Eligibility

Persons who have a following disability and the degree of the disability is between grade one and grade six.

  1. Visual impairment
  2. Hearing impairment or impairment of balance function
  3. Impairment of voice, speech or mastication function
  4. Impairment of limbs or trunk
  5. Functional disorders of internal organs (heart, kidney, respiratory organs, bladder, rectum and small intestine, functional disorder of immunity caused by HIV)

2. Certificate of Persons with Intellectual Disabilities go to 3

(1) Purpose

The certificate is issued for the purpose of providing consistent guidance and counseling to children and adults with intellectual disabilities as well as making it easier for them to receive various benefits and support.

(2) Eligibility

Persons who are assessed to have intellectual disabilities at Child Guidance Center or Rehabilitation Consultation Center for Persons with Intellectual Disabilities

(3) Degree of disabilities

The degree of disability is indicated in a certificate as follows; “A” for persons with severe intellectual disabilities and “B” for persons with moderate and mild intellectual disabilities.

① Children under 18 years of age with severe intellectual disabilities.

The degree of disability is described as (a) or (b) below and constant care is required on a daily basis.

  1. Children with an IQ less than 35, to whom one of the followings applies;
    • who require assistance in eating, dressing, toileting and washing their face and other such daily living activities, and also experience significant difficulty in adjusting to social life, or
    • who have frequent epileptic seizures or other problematic behaviors including incontinence, abnormal eating habits, agitation, or lethargy, and requires constant supervision and protection
  2. Children with an IQ less than 50 who are blind (or have severe low vision), deaf (or have severe hard of hearing), or with orthopedic disabilities.

② Persons of 18 years of age or older with severe intellectual disabilities.

All conditions of following (a) and (b) are met and constant care is required on a daily basis.

  1. Persons with intellectual disabilities who are assessed to have an IQ less than 35 (or an IQ less than 50 in case of persons with orthopedic disabilities visual or hearing impairments classified as grade one to three of physical disability)
  2. Persons to whom one of the following applies;
    • who have difficulty in daily activities such as eating, toileting, bathing, washing faces, and dressing and require individual guidance and assistance, or
    • who have problematic behaviors such as incontinence, abnormal eating habits, agitation, lethargy and hyperactivity, and require constant attention and guidance

③ Others: persons with mild and moderate intellectual disabilities

3. Certificate of Persons with Psychiatric Disabilities go to 1

(1) Purpose

The Certificate of Persons with Psychiatric Disability is issued to persons who meet specific criteria of mental illness. It aims to provide a wide range of support smoothly in cooperation with respective organizations and therefore to promote reintegration, independence, and social participation of persons with psychiatric disabilities.

(2) Eligibility

Persons with psychiatric disabilities (including those with schizophrenia, mood disorder (mania, depression, affective disorders), atypical psychosis, epilepsy, toxic psychosis, organic psychosis and other mental illnesses) whose daily living or social life is restricted.

Persons with intellectual disabilities are not eligible because they can receive the Certificate of Persons with Intellectual Disability.

(3) Degree of disabilities

The degree of disability is indicated in a certificate and it ranges from grade one for the most severe disabilities to grade two and grade three.

  • Grade one: Persons whose disability prevents them from conducting their daily activities
  • Grade two: Persons who have or require significant restrictions in daily life
  • Grade three: Persons who have or require some restrictions in daily or social life
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