An ultimatum given to Japan's mentally ill.
The world is filled with values such as "making money easily is happiness" and "it's smart to gain something easily."
The media is making a big fuss about the fact that employment support for people with disabilities is a prime example of this.
Since the beginning of 2024, the requirements for "Type A Continuing Employment Support Businesses," where people with disabilities work while undergoing training, have become stricter, and businesses are closing down. (Number of closed businesses and number of people fired or retired)
Naturally, when a business goes out of business or closes down, the people with disabilities who used to go there lose their place to go.
In my personal opinion, the mental health and welfare industry is being tightened up.
To start with, the government has tightened the screws on the lukewarm employment support business and made it more appropriate.
In fact, until now the government has been letting these businesses run wild.
It's not like they were completely left alone.
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In light of this trend, some have criticized the government for "taking away a place in society for people with disabilities," while some businesses have argued that "it is only natural to crack down on illegal businesses, even if they are in the same business," so I would like to introduce that article. (Reprinted below)
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"The increasing closure of Type A businesses, what problems will arise in the future... Comluck Co., Ltd. | Type A and Type B support for continued employment of people with disabilities, employment transition support, consultation support, after-school day services, etc. https://www.comeluck.jp/84909.html"
Type A business in Okayama and Hiroshima has gone bankrupt, closed, and laid off hundreds of employees.
When I look at various posts and media articles from people in the same business, I think it would be good if the majority of Type A businesses would disappear in the future, or that there would be no place for people with disabilities to work, or that bad businesses would be weeded out.
I think the bigger problem is that people who were able to work in those conditions will drift into society with the wrong common sense that their previous environment was the norm.
In a newspaper, a user who had nowhere else to go commented:
"I thought this was a place where I could work with peace of mind..."
No matter how you look at it, the work there is a place where they can't even earn the minimum wage.
But what if that had become the norm for them?
If these people go to a regular company, they will likely say, "They make me work really hard here, it's too strict," "It wasn't like this at my previous place," "I got paid just for self-study at my previous place," "I got paid just for giving advice every day," and continue to assert their rights to local governments, labor standards offices, and unions based on the wrong common sense.
In some cases, their families may feel the same way.
Will companies accept such people?
Does the world understand this?
Of course, it's not the disabled who are at fault.
It's the responsibility of the business operators who have instilled this as if it were the norm.
Your taxes have not been used to help people with disabilities become independent and to increase the number of taxpayers, but instead, we have spent years creating a large number of people with disabilities who can get paid without doing much work just by going to a business. How will society view and deal with this situation in the future?
To put it bluntly, there are many people who do not feel that money is something to be earned, not something to be received.
This system has created this society.
I hate to say this, but from now on, companies that employ people with disabilities will have to take on many of these risks.
That is why the remaining businesses need to take those risks.
In addition, we believe that our mission is to make more people aware of this situation and increase the number of collaborators who will participate in solving the problem.
Another thing is that
I have recently seen articles from businesses that say that the system for Type A businesses has become stricter, and that all of the salaries of users must be covered by external income, but that is not the case.
This has always been the rule.
It's just that the auditors have started to be stricter in areas that they used to be lenient about.
Moreover, when applying for approval as a Type A business, the business can receive approval by committing to the sales in the business plan submitted to the government office, so there is no way that the business operators who say and write such victim-like things don't know that.
Can they say this after making the applied business plan public?
~~ ... (For more details, please refer to the previous article "What is the recovery of autonomy? How to think about social hospitalization and institutionalized patients June 22, 2024 |")
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I think that people who have chosen a profession that "results in living by calculating profit and loss, and as a result live as a sick person" are "mentally disabled people who are socially hospitalized".
The following exchange explains why.
・・・・・・・・・・・・・・・・・・
(At a hospital or welfare facility)
"I'm afraid I can't leave the hospital because I'm afraid I'll be killed by spies" (delusion)
"I can't work because they tell me not to work, and that they'll kill me if I work (auditory hallucination)" (hallucination)
"They say you can't work, in the voice of a bully" (hallucination)
How would you respond to an adult who says something like this?
Patterns A and B
A: "It's not your fault, it's the illness that makes you do that.
You're an unfortunate person who has an unknown disease that affects 1 in 100 people. I hope they invent a good cure. Until then, rest and continue your treatment!
(You're unlucky, poor thing.)'
B: 'I understand how you feel, but if you keep saying things like that, you won't be able to do what you want to do.
Why do the food you eat and the smartphone you use today connect? Who provides the electricity and water?
The convenience of living in Japan is made possible by the "division of labor."
Is it unfortunate that you were born in Japan?
Or is it unfortunate that you were born in Japan, but you always made excuses and never developed the ability to work hard?
Why don't you stop nitpicking and complaining, and just do what you can to the best of your ability today, and take one step forward every day?'
・・・・・・・・・・・・・・・
How do you feel when you see this exchange?
"Mental illness is incurable, so what a terrible thing to say."
Some people may say this.
But is it okay to call a "mental illness that cannot be cured by medical treatment" a disease?
For more information, please see here. ("Mental illness does not exist. It's an excuse for not being able to control mental symptoms" June 17, 2023)
Looking at the above exchange, "people with mental disabilities are just excuse makers".
The role of psychiatric nursing in dealing with such people
If "mental disability (not being able to endure) and mental retardation (childish thinking) are disabilities" due to "weak patience and lack of the habit of making an effort", then the role becomes "re-parenting" = "education, rehabilitation" to change such childish thinking and raise the level of development.
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More or less, each person lives their life struggling with and overcoming the "inner words" and "negative words" that come from their lazy and weak selves.
As an example, if you watch the video "About Yu Darvish's mental control method", I think anyone will understand.
Mental health is not something that can be trained #Darvish #mental #mentalhealth #spirit #inspiration #MajorLeague
What do you think?
Even the top players in the major leagues are fighting against themselves every day, and they didn't get to where they are easily.
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Next, let's look at the problems with Japan's cultural and historical aspects and values.
Although Japan claims to have equality for all four classes, in reality, even in the Reiwa era, it has created a discriminated class of "socially vulnerable people."
These are the categories of "disabled people" and "prisoners," and now "elderly people" have joined them.
The burden and dissatisfaction of rising social insurance premiums, which are deducted from wages every month, is growing among working-age salarymen and young people.
The cause of this is the argument that "elderly people spend too much on medical expenses," and the elderly are being bashed, but since taxes are not a source of revenue, it is not just elderly people who spend too much on medical expenses.
The problem is the government, which does not cover the full cost of medical expenses in the first place, and the problem is that it is increasing the social insurance tax on citizens on the grounds that medical expenses are increasing.
The problem is that the government is raising taxes for various reasons, reducing the take-home pay of salaried workers, and putting pressure on household finances, even though we can do without raising taxes.
Jun Morii: "Taxes are not a source of revenue"
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From here on, I would like to talk from the perspective of disability welfare theory.
In a word, disabled people are "people with low productivity."
Low productivity means
"They lost their limbs in an accident and cannot work," "They have paralysis in their limbs and cannot work properly," "They have epileptic seizures and cannot concentrate on their work,"
and so on.
However, this productivity is ultimately "productivity based on the values of a profit-making company" that emphasizes efficiency.
The solution to this problem is simple.
The problem will be solved if the government provides jobs and wages that match productivity and production capacity as public works.
However, in Japan, where there is a "government-government-based" mentality that "we don't want disabled people of low status to do government work," government-led work-sharing policies have not progressed.
"How to count the employment rate of disabled people? Explanation by type and grade of disability. Updated: May 31, 2024. https://www.atgp.jp/knowhow/oyakudachi/c2126/"
Looking at the employment rate of disabled people in the target companies and government offices, it does not even reach 3% of the total number of employees.
In order to promote normalization, government offices should employ more than 10% of disabled people.
So where do disabled people who have no place to work go?
As an alternative, they forced low-productivity people to psychiatric hospitals instead of government offices and companies.
They allowed a structure in which profits can be made by simply giving low-productivity people an arbitrary diagnosis and isolating and housing "poor patients with incurable diseases."
Instead of creating jobs, the policy was to "take care of people with medical care until they die."
(This is Japanese culture, which treats people like objects and "puts a lid on bad things.")
Japan assigned these low-productivity people the non-discriminatory role of receiving welfare services as disabled people and living until they die.
Then, to accommodate them, Japan had private companies build psychiatric hospitals and welfare facilities, and outsourced the medical welfare industry.
In fact, Takemi Taro, former president of the Japan Medical Association and first president of the World Medical Association,
said, "Running a psychiatric hospital is like farming livestock."
The policy was to confine society's troublemakers in detention centers called medical facilities.
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Now, here comes the problem.
That is, "the living conditions of the detention are not that bad."
There is the saying, "carrot and stick," but if being isolated and detained is the stick, then a facility is
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