The Functions of Vocational Rehabilitation Using Agriculture in Japan

Kazuaki Maebara, Y. Goto, J. Yaeda
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Abstract

Purpose: Vocational horticultural therapy seems effective in the recovery of individuals with psychiatric disabilities; however, few studies have explored the factors underlying the effectiveness of such therapeutic intervention in the context of psychosocial vocational rehabilitation. While many jobs are available in metropolitan areas such as Tokyo, agricultural jobs are often limited, especially at sheltered workshops for individuals with disabilities (Type B Support Centres) in Japan. Methods: A mail survey was conducted with 119 administrators of Type B Support Centres in Akita Prefecture, a northern area of Japan. Respondents were asked to complete the “Efficacy of Agricultural Vocational Rehabilitation” (EAVR) questionnaire which was developed by the authors of this article. Results: The results of exploratory factor analysis revealed two factors: “Reassurance” and “Place of Exchange.” There was no significant difference between the perceived effectiveness of vocational horticultural therapy in farming and non-farming job categories. Support Centres that offered farming opportunities seemed to provide more direct job opportunities, preferences, and possibilities. On the other hand, Centres that did not offer farming seemed to focus more on central administration, operational management, independent handling of matters, and collaboration with other support institutions. Conclusion: While Type B Support Centres in Japan offer support in farming jobs, they do not provide enough support for horticultural therapy for people with psychiatric conditions. To promote collaboration between Type B Support Centres that offer farming jobs and social welfare centres that have expertise in horticultural therapy, it is necessary to disseminate knowledge about the benefits of horticultural therapy. * Corresponding Author: Kazuaki Maebara, Akita University, Japan. Email: maebara-kazuaki@ed.akita-u.ac.jp
日本利用农业进行职业康复的功能
目的:职业园艺疗法对精神障碍患者的康复似乎有效;然而,很少有研究探索这种治疗干预在心理职业康复背景下的有效性的因素。虽然在东京等大都市地区有许多工作机会,但农业工作往往有限,特别是在日本为残疾人提供的庇护车间(B类支持中心)。方法:对日本北部秋田县B型支持中心的119名管理人员进行邮件调查。受访者被要求填写由本文作者编制的“农业职业康复效能”问卷。结果:探索性因子分析结果显示两个因子:“安心”和“交换地”。职业园艺治疗在农业和非农业工作类别的感知有效性之间没有显著差异。提供农业机会的支持中心似乎提供了更多直接的工作机会、偏好和可能性。另一方面,不提供农业的中心似乎更注重集中管理、业务管理、独立处理事务以及与其他支助机构的合作。结论:虽然日本的B类支持中心为农业工作提供支持,但他们没有为精神疾病患者的园艺治疗提供足够的支持。为促进提供农业工作的B类支援中心与具有园艺治疗专业知识的社会福利中心之间的合作,有必要传播有关园艺治疗益处的知识。*通讯作者:Kazuaki Maebara,秋田大学,日本。电子邮件:maebara-kazuaki@ed.akita-u.ac.jp
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