{"id":484,"date":"2017-07-31T17:40:34","date_gmt":"2017-07-31T08:40:34","guid":{"rendered":"http:\/\/hippo.heteml.jp\/chienowa\/?page_id=484"},"modified":"2018-09-30T16:03:03","modified_gmt":"2018-09-30T07:03:03","slug":"%e3%81%94%e3%81%82%e3%81%84%e3%81%95%e3%81%a4","status":"publish","type":"page","link":"https:\/\/chienowa.org\/?page_id=484","title":{"rendered":"\u3054\u3042\u3044\u3055\u3064"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/hippo.heteml.jp\/chienowa\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"664\" data-permalink=\"https:\/\/chienowa.org\/?attachment_id=664\" data-orig-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?fit=1182%2C774&amp;ssl=1\" data-orig-size=\"1182,774\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;iPhone SE&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1504776523&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"IMG_1052\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?fit=300%2C196&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?fit=723%2C474&amp;ssl=1\" class=\"wp-image-664 alignright\" src=\"https:\/\/i0.wp.com\/hippo.heteml.jp\/chienowa\/wp-content\/uploads\/2017\/07\/IMG_1052-300x196.jpg?resize=394%2C257\" alt=\"\" width=\"394\" height=\"257\" srcset=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?resize=300%2C196&amp;ssl=1 300w, https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?resize=768%2C503&amp;ssl=1 768w, https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?resize=1024%2C671&amp;ssl=1 1024w, https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2017\/07\/IMG_1052.jpg?w=1182&amp;ssl=1 1182w\" sizes=\"auto, (max-width: 394px) 100vw, 394px\" \/><\/a><\/p>\n<p><strong>\u3000<\/strong><strong>\u5c71\u7530\u3000\u5609\u5247\u3000\uff08\u533b\u5e2b\uff09<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>1994\u5e74\u3088\u308a\u5fc3\u7642\u5185\u79d1\u30fb\u7cbe\u795e\u79d1\u3001\u5728\u5b85\u533b\u7642\u3001\u7de9\u548c\u30b1\u30a2\u306a\u3069\u3067\u6d3b\u52d5\u3057\u3066\u6765\u307e\u3057\u305f\u3002<br \/>\n\u3053\u306e\u305f\u3073\u7e01\u3042\u3063\u3066\u3001\u660e\u77f3\u99c5\u524d\u306b\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u3092\u30aa\u30fc\u30d7\u30f3\u3059\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3057\u305f\u3002<br \/>\n\u3053\u3053\u308d\u3068\u304b\u3089\u3060\u306e\u304b\u304b\u308a\u3064\u3051\u533b\u3068\u3057\u3066\u3001\u5730\u57df\u306b\u4fe1\u983c\u3055\u308c\u308b\u30af\u30ea\u30cb\u30c3\u30af\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/p>\n<hr \/>\n<h2>\u6700\u521d\u306e1\u5e74\u3092\u3075\u308a\u304b\u3048\u3063\u3066 ( 2018\/8\/15\u8ffd\u8a18)<\/h2>\n<p>\u753b\u50cf\u3068\u540c\u3058\u30dd\u30ed\u30b7\u30e3\u30c4\u3092\u7740\u3066\u3044\u308b\u3053\u3068\u306b\u6c17\u3065\u304d\u307e\u3057\u305f\u3002\u5b63\u7bc0\u304c\u4e00\u5de1\u308a\u3057\u305f\u3053\u3068\u3092\u5b9f\u611f\u3057\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e1\u5e74\u3092\u632f\u308a\u8fd4\u3063\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<p><strong><a id=\"gap\"><\/a>\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u306e\u5206\u91ce\u3067\u306f\u30cb\u30fc\u30ba\u306b\u898b\u5408\u3063\u305f\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u304c\u63d0\u4f9b\u3055\u308c\u3066\u3044\u306a\u3044<\/strong>\u3001\u3068\u79c1\u306f\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u5c11\u3057\u3067\u3082\u305d\u306e<strong>\u30ae\u30e3\u30c3\u30d7\u3092\u57cb\u3081\u308b<\/strong>\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u3001\u3068\u3044\u3046\u306e\u304c\u30af\u30ea\u30cb\u30c3\u30af\u3092\u7acb\u3061\u4e0a\u3052\u305f\u3068\u304d\u306e\u601d\u3044\u3067\u3057\u305f\u3002<\/p>\n<p>\u3067\u3059\u306e\u3067\u300c\u3046\u3061\u3067\u306f\u8a3a\u308c\u307e\u305b\u3093\u300d\u3068\u304a\u65ad\u308a\u3059\u308b\u3053\u3068\u306a\u304f\u3001\u30af\u30ea\u30cb\u30c3\u30af\u3092\u8a2a\u308c\u305f\u65b9\u306e\u30cb\u30fc\u30ba\u306b\u5bfe\u5fdc\u3059\u308b\u3001\u304c\u57fa\u672c\u59ff\u52e2\u3067\u3059\u3002\u533b\u7642\u3068\u3044\u3046\u306e\u306f\u57fa\u672c\u7684\u306b\u300c\u53d7\u3051\u8eab\u300d\u3001\u6c42\u3081\u3089\u308c\u305f\u3053\u3068\u306b\u5fdc\u3048\u308b\u3053\u3068\u3067\u3042\u308a\u3001\u81ea\u5206\u306e\u4ed5\u4e8b\u306e\u5206\u91ce\u3092\u9650\u5b9a\u3057\u904e\u304e\u308b\u3053\u3068\u306f\u597d\u307e\u3057\u304f\u306a\u3044\u3001\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u305f\u3060\u3057\u3001\u9700\u8981\u3068\u4f9b\u7d66\u306b\u660e\u3089\u304b\u306a\u30ae\u30e3\u30c3\u30d7\u306e\u3042\u308b\u5206\u91ce\u306f\u3042\u308a\u307e\u3059\u3002<\/p>\n<ol>\n<li><strong>\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/li>\n<li><strong>\u30a4\u30f3\u30c6\u30b0\u30ec\u30fc\u30c6\u30c3\u30c9\u30b1\u30a2<\/strong><\/li>\n<li><strong>\u5728\u5b85\u533b\u7642<\/strong><\/li>\n<\/ol>\n<p><strong>3\u3064\u306e\u30df\u30c3\u30b7\u30e7\u30f3<\/strong>\u3068\u3057\u3066\u3001\u7279\u306b\u3053\u308c\u3089\u306b\u529b\u3092\u5165\u308c\u3066\u884c\u304f\u3053\u3068\u3092\u8003\u3048\u307e\u3057\u305f\u3002<\/p>\n<h3>3\u3064\u306e\u30df\u30c3\u30b7\u30e7\u30f3<\/h3>\n<ol>\n<li><strong>\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong>\uff08trauma-informed approach = TIA\uff09<br \/>\n\u5b9f\u969b\u306b\u30af\u30ea\u30cb\u30c3\u30af\u3092\u8a2a\u308c\u305f\u65b9\u306e\u591a\u304f\u306f\u5bfe\u4eba\u66b4\u529b\u7d4c\u9a13\u304c\u3042\u308a\u3001\u305d\u308c\u304c\u4eca\u306e\u56f0\u308a\u3054\u3068\uff08\u5fc3\u8eab\u306e\u4e0d\u8abf\u3001\u751f\u6d3b\u306e\u56f0\u96e3\uff09\u306b\u3064\u306a\u304c\u3063\u3066\u3044\u307e\u3057\u305f\u3002<br \/>\nTIA\u306b\u3064\u3044\u3066\u306f\u591a\u304f\u306e\u8a18\u4e8b\u3092\u66f8\u3044\u3066\u6765\u307e\u3057\u305f\uff08<a href=\"https:\/\/chienowa.org\/?cat=14\">\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1<\/a>\uff09\u304c\u3001\u5b9f\u969b\u306b\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u3067TIA\u3092\u3069\u306e\u304f\u3089\u3044\u5b9f\u8df5\u3067\u304d\u305f\u3067\u3057\u3087\u3046\u3002<\/li>\n<\/ol>\n<p>\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u3067\u306e\u5b9f\u8df5\u306b\u306f\u5408\u683c\u70b9\u3092\u4e0e\u3048\u3089\u308c\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3001\u3068\u6f20\u7136\u3068\u611f\u3058\u3066\u3044\u307e\u3059\u304c\u7518\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>\u4f55\u304c\u3067\u304d\u3066\u4f55\u304c\u3067\u304d\u3066\u3044\u306a\u3044\u306e\u304b\u3001\u6b63\u78ba\u306a\u81ea\u5df1\u63a1\u70b9\u304c\u5fc5\u8981\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u3001\u5916\u90e8\u8a55\u4fa1\uff08\u7279\u306b\u5f53\u4e8b\u8005\u306b\u3088\u308b\u30aa\u30f3\u30d6\u30ba\u30de\u30f3\uff09\u3092\u5f97\u308b\u3053\u3068\u3092\u4eca\u5f8c\u306e\u8ab2\u984c\u3068\u3057\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>2. <strong>\u30a4\u30f3\u30c6\u30b0\u30ec\u30fc\u30c6\u30c3\u30c9\u30b1\u30a2<\/strong>(integrated care)<br \/>\n\u30a4\u30f3\u30c6\u30b0\u30ec\u30fc\u30c6\u30c3\u30c9\u30b1\u30a2\u3068\u306f\u5fc3\u8eab\u4e21\u9762\u306b\u308f\u305f\u308b\u30b1\u30a2\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u7cbe\u795e\u79d1\u30fb\u5fc3\u7642\u5185\u79d1\u306e\u4e3b\u6cbb\u533b\u304c\u8eab\u4f53\u9762\u306e\u304b\u304b\u308a\u3064\u3051\u533b\u3092\u517c\u306d\u308b\u3068\u3044\u3046\u610f\u5473\u3092\u542b\u3093\u3067\u3044\u307e\u3059\u3002\u9ad8\u9f62\u8005\u3084\u8eab\u4f53\u969c\u5bb3\u8005\u306b\u3064\u3044\u3066\u305d\u306e\u5fc5\u8981\u6027\u306f\u8a00\u3046\u307e\u3067\u3082\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u7cbe\u795e\u79d1\u3092\u53d7\u8a3a\u3059\u308b\u65b9\u5168\u822c\u306b\u8eab\u4f53\u9762\u306e\u30b1\u30a2\u306f\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p>\u3068\u3044\u3046\u306e\u306f<\/p>\n<ul>\n<li>\u7cbe\u795e\u75be\u60a3\u3092\u6301\u3064\u4eba\u306f\u8eab\u4f53\u75be\u60a3\u3092\u6301\u3061\u3084\u3059\u3044\uff08ACE\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u5f71\u97ff\uff09<\/li>\n<li>\u5411\u7cbe\u795e\u85ac\u306e\u526f\u4f5c\u7528\u306f\u8eab\u4f53\u9762\u306b\u5f71\u97ff\u3059\u308b\uff08\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u75c7\u5019\u7fa4\u306a\u3069\uff09<\/li>\n<\/ul>\n<p>\u3068\u3044\u3046\u4e8b\u60c5\u304c\u3042\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n<p>\u3053\u306e\u610f\u5473\u3067\u3001<a href=\"https:\/\/chienowa.org\/?p=560\">\u85ac\u306b\u983c\u3089\u306a\u3044\u8a3a\u7642<\/a>\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p>\u305f\u3060\u3057\u3001\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u306f\u3001\u8a2d\u5099\u30fb\u30de\u30f3\u30d1\u30ef\u30fc\u306e\u7406\u7531\u3067\u3001\u304b\u304b\u308a\u3064\u3051\u533b\u3068\u3057\u3066\u30aa\u30fc\u30eb\u30a4\u30f3\u30ef\u30f3\u306e\u6a5f\u80fd\u306f\u6301\u3063\u3066\u3044\u307e\u305b\u3093\u3002\u691c\u67fb\u306a\u3069\u306f\u4ed6\u306e\u533b\u7642\u6a5f\u95a2\u306e\u529b\u3092\u304a\u501f\u308a\u3057\u306a\u304c\u3089\u9032\u3081\u3066\u884c\u304d\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u8a73\u3057\u304f\u306f<a href=\"https:\/\/chienowa.org\/?page_id=2567\">\u30a4\u30f3\u30c6\u30b0\u30ec\u30fc\u30c6\u30c3\u30c9\u30b1\u30a2\u306b\u3064\u3044\u3066<\/a>\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n<p>3. <strong>\u5728\u5b85\u533b\u7642<\/strong><br 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