{"id":1361,"date":"2017-11-27T08:46:40","date_gmt":"2017-11-26T23:46:40","guid":{"rendered":"http:\/\/chienowa.org\/?p=1361"},"modified":"2018-02-03T10:46:05","modified_gmt":"2018-02-03T01:46:05","slug":"%e5%9f%ba%e6%9c%ac%e5%8e%9f%e7%90%86-1-%e3%80%8c%e5%ae%89%e5%bf%83%e3%80%8d%e2%80%95%e3%83%88%e3%83%a9%e3%82%a6%e3%83%9e%e3%82%a4%e3%83%b3%e3%83%95%e3%82%a9%e3%83%bc%e3%83%a0%e3%83%89%e3%82%a2","status":"publish","type":"post","link":"https:\/\/chienowa.org\/?p=1361","title":{"rendered":"\u5b89\u5168\uff08\u7b2c\uff11\u306e\u57fa\u672c\u539f\u7406\uff09\u2015\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1\u5165\u9580 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href=\"https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/medicaid_health_homes\/docs\/samhsa_trauma_concept_paper.pdf\">PDF<\/a>\uff09\u306b\u306f\u3001<strong>\u300c\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u306a\u30b5\u30fc\u30d3\u30b9\u3092\u63d0\u4f9b\u3059\u308b\u7d44\u7e54\u3067\u306f\u3001\u30b9\u30bf\u30c3\u30d5\u3068\u30b5\u30fc\u30d3\u30b9\u306e\u53d7\u3051\u624b\u306f\u3001\u5927\u4eba\u3067\u3042\u308c\u5b50\u3069\u3082\u3067\u3042\u308c\u3001\u304b\u3089\u3060\u3082\u3053\u3053\u308d\u3082\u5b89\u5168\u306b\u611f\u3058\u308b\u300d<\/strong>\u3068\u3042\u308a\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u3001\u5b89\u5168\u306a\u7269\u7406\u7684\u74b0\u5883\u3068\u5b89\u5fc3\u611f\u3092\u6301\u3066\u308b\u95a2\u308f\u308a\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/p>\n<p>\u305d\u3057\u3066<\/p>\n<blockquote><p>Understanding safety as defined by those served is a high priority.<\/p><\/blockquote>\n<p>\u305d\u306e\u5b89\u5168\u306f\u3001<strong>\u30b5\u30fc\u30d3\u30b9\u306e\u53d7\u3051\u624b\u304b\u3089\u898b\u305f\u5b89\u5168<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u3053\u3067\u9023\u60f3\u3059\u308b\u306e\u306f\u3001<strong>\u533b\u7642\u73fe\u5834\u3067\u898b\u3089\u308c\u308b\u30ea\u30b9\u30af\u56de\u907f\u306e\u8003\u3048\u65b9<\/strong>\u3067\u3059\u3002\u8fd1\u5e74\u3001\u305d\u308c\u304c\u884c\u304d\u904e\u304e\u3066\u3044\u308b\u3088\u3046\u306b\u611f\u3058\u308b\u306e\u306f\u79c1\u3060\u3051\u3067\u306f\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u30ea\u30b9\u30af\u56de\u907f\u306e\u305f\u3081\u306e\u8eab\u4f53\u62d8\u675f\u3001\u30ea\u30b9\u30af\u56de\u907f\u306e\u305f\u3081\u306e\u9694\u96e2\u3001\u30ea\u30b9\u30af\u56de\u907f\u306e\u305f\u3081\u306e\u884c\u52d5\u5236\u9650\u3001\u30ea\u30b9\u30af\u56de\u907f\u306e\u305f\u3081\u306e\u85ac\u306e\u51e6\u65b9\u2026<\/p>\n<p>\u305d\u308c\u306f\u610f\u8b58\u7684\u30fb\u7121\u610f\u8b58\u7684\u306b\u300c\u5b89\u5168\u300d\u3092\u76ee\u7684\u306b\u884c\u308f\u308c\u307e\u3059\u304c\u3001\u7591\u554f\u306e\u4f59\u5730\u304c\u5927\u3044\u306b\u3042\u308a\u307e\u3059\u3002\u4e00\u4f53\u8ab0\u306b\u3068\u3063\u3066\u306e\u5b89\u5168\u306a\u306e\u304b\u3001\u3068\u3002<\/p>\n<p>\u304b\u3064\u3066\u3053\u3093\u306a\u60a3\u8005\u3055\u3093\u306b\u51fa\u4f1a\u3044\u307e\u3057\u305f\u3002\u4eee\u306bA\u3055\u3093\u3068\u3057\u307e\u3059\u3002\u7cbe\u795e\u79d1\u75c5\u9662\u306b\u5165\u9662\u4e2d\u306b\u8ee2\u5012\u3057\u3066\u5927\u817f\u9aa8\u9aa8\u6298\u3067\u8ee2\u9662\u3057\u3066\u6765\u305f\u60a3\u8005\u3055\u3093\u3067\u3059\u3002<\/p>\n<p>A\u3055\u3093\u306f\u8a8d\u77e5\u75c7\u306eBPSD\uff08\u884c\u52d5\u5fc3\u7406\u75c7\u72b6\uff1a\u3053\u306e\u7528\u8a9e\u306b\u306f\u6279\u5224\u3082\u3042\u308a\u307e\u3059\uff09\u304c\u7406\u7531\u3067\u7cbe\u795e\u79d1\u75c5\u9662\u5165\u9662\u3068\u306a\u3063\u305f\u306e\u3067\u3059\u304c\u3001\u3044\u307e\u3084\u3088\u304f\u77e5\u3089\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u3001\u3053\u3046\u3044\u3046\u65b9\u306f\u3001<strong>\u5f98\u5f8a\u3068\u305d\u308c\u306b\u3088\u308b\u8ee2\u5012\u3092\u9632\u6b62\u3059\u308b\u306a\u3069\u306e\u540d\u76ee\u3067\u30d9\u30c3\u30c9\u4e0a\u306b\u8eab\u4f53\u62d8\u675f\u3055\u308c\u308b<\/strong>\u3053\u3068\u304c\u3057\u3070\u3057\u3070\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>A\u3055\u3093\u3082\u305d\u3046\u3067\u3057\u305f\u3002\u304a\u305d\u3089\u304f\u8eab\u4f53\u62d8\u675f\u3057\u3066\u3044\u308b\u9593\u306b\u5411\u7cbe\u795e\u85ac\u306e\u70b9\u6ef4\u306a\u3069\u3092\u884c\u3063\u3066\u300c\u7a4f\u3084\u304b\u306b\u300d\u306a\u3063\u305f\u306e\u3067\u3057\u3087\u3046\u3002\u62d8\u675f\u304c\u89e3\u304b\u308c\u305f\u306e\u3067\u3059\u304c\u3001\u9ad8\u9f62\u8005\u306f\u3057\u3070\u3089\u304f\u52d5\u304b\u306a\u3044\u3067\u3044\u308b\u3068\u7b4b\u529b\u304c\u5927\u304d\u304f\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u3053\u308c\u3092\u5ec3\u7528\u75c7\u5019\u7fa4\u3068\u8a00\u3063\u305f\u308a\u6700\u8fd1\u306e\u8a00\u8449\u3067\u306f\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3068\u8a00\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u5143\u3005\u6b69\u884c\u969c\u5bb3\u306e\u306a\u304b\u3063\u305fA\u3055\u3093\u3067\u3059\u304c\u3001\u30d9\u30c3\u30c9\u304b\u3089\u8d77\u304d\u3066\u6b69\u3051\u306a\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u3055\u3066A\u3055\u3093\u306f\u300c\u65e9\u304f\u9000\u9662\u3057\u305f\u3044\u300d\u3068\u8a00\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u5f53\u7136\u306e\u8981\u6c42\u3067\u3059\u3002\u305d\u308c\u306b\u5bfe\u3059\u308b\u4e3b\u6cbb\u533b\u306e\u8fd4\u7b54\u306f\u300c\u6b69\u3051\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304b\u3089\u300d\u3067\u3057\u305f\u3002<\/p>\n<p>\u305d\u3053\u3067A\u3055\u3093\u306f\u81ea\u3089\u6b69\u304f\u7df4\u7fd2\u3092\u3057\u3088\u3046\u3068\u30d9\u30c3\u30c9\u304b\u3089\u964d\u308a\u3066\u6b69\u304d\u59cb\u3081\u2026\u305d\u3057\u3066\u8ee2\u5012\u3057\u307e\u3057\u305f\uff08<a href=\"#note1\">\u6ce8<\/a>\uff09\u3002<\/p>\n<p>\u9aa8\u6298\u306b\u306f\u3053\u3046\u3044\u3046\u7d4c\u7def\u304c\u3042\u3063\u305f\u306e\u3067\u3059\u3002<strong>\u300c\u5b89\u5168\u300d\u306e\u305f\u3081\u306e\u8eab\u4f53\u62d8\u675f\u304c\u7d50\u679c\u3068\u3057\u3066\u9aa8\u6298\u3068\u3044\u3046\u4e8b\u6545\u3092\u60f9\u304d\u8d77\u3057\u305f<\/strong>\u3068\u8a00\u3048\u308b\u3067\u3057\u3087\u3046\u3002\u3053\u308c\u306f\u6c7a\u3057\u3066\u7d50\u679c\u8ad6\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u8eab\u4f53\u62d8\u675f\u306b\u306f\u76f4\u63a5\u7684\u9593\u63a5\u7684\u306b\u69d8\u3005\u306a\u5408\u4f75\u75c7\u304c\u3042\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u305f\u3068\u3048\u3070\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u306e\u82e5\u8005\u304c\u65e5\u672c\u306e\u7cbe\u795e\u79d1\u75c5\u9662\u3067\u4ea1\u304f\u306a\u3063\u305f\u4e8b\u4ef6\u3082\u8eab\u4f53\u62d8\u675f\u306b\u3088\u308b\u8840\u6813\u585e\u6813\u75c7\uff08\u8840\u304c\u56fa\u307e\u308a\u3084\u3059\u304f\u306a\u308a\u80ba\u8840\u7ba1\u306b\u8a70\u307e\u3063\u3066\u80ba\u6897\u585e\u304c\u8d77\u304d\u305f\uff09\u304c\u7591\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/www.buzzfeed.com\/jp\/eimiyamamitsu\/kelly-savage?utm_term=.qqML3187Oy#.ewZb9l7keZ\">\u65e5\u672c\u306e\u7cbe\u795e\u79d1\u75c5\u9662\u3067\u5916\u56fd\u4eba\u7537\u6027\u304c\u6025\u6b7b\u3000\u8eab\u4f53\u62d8\u675f\u306e\u5f71\u97ff\u304b\uff08BuzzFeed NEWS)<\/a><\/p>\n<p><strong>\u300c\u5b89\u5168\u300d\u306e\u305f\u3081\u306e\u8eab\u4f53\u62d8\u675f\u306f\u679c\u305f\u3057\u3066\u3001\u62d8\u675f\u3055\u308c\u308b\u60a3\u8005\u3055\u3093\u306e\u5074\u304b\u3089\u898b\u3066\u300c\u5b89\u5168\u300d\u3068\u8a00\u3048\u308b\u306e\u3067\u3057\u3087\u3046\u304b\u3002\u305d\u308c\u306f\u533b\u7642\u8005\u306e\u5074\u306e\u300c\u5b89\u5168\u300d\u3001\u3042\u308b\u3044\u306f\u3080\u3057\u308d\u3001\u4e3b\u89b3\u7684\u306a\u300c\u5b89\u5fc3\u300d\u306e\u305f\u3081\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002<\/strong><\/p>\n<p>\u8eab\u4f53\u62d8\u675f\u306b\u3064\u3044\u3066\u4eca\u56de\u306f\u3053\u308c\u4ee5\u4e0a\u306b\u8ad6\u3058\u307e\u305b\u3093\u304c\u3001\u3053\u3053\u3067\u8a00\u3044\u305f\u3044\u3053\u3068\u306f\u3001<strong>\u60a3\u8005\u3055\u3093\u306e\u305f\u3081\u3068\u8a00\u3044\u306a\u304c\u3089\u5b9f\u306f\u533b\u7642\u8005\u306e\u305f\u3081\u3001\u672c\u4eba\uff08\u30b5\u30fc\u30d3\u30b9\u306e\u53d7\u3051\u624b\uff09\u306e\u305f\u3081\u3068\u8a00\u3044\u306a\u304c\u3089\u652f\u63f4\u8005\u306e\u305f\u3081\u3001\u3068\u3044\u3046\u3053\u3068\u304c\u30ea\u30b9\u30af\u56de\u907f\u306b\u306f\u3042\u308a\u304c\u3061\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u305f\u3081\u306b\u904e\u5270\u306a\u4ecb\u5165\u304c\u884c\u308f\u308c\u3001\u7d50\u679c\u3068\u3057\u3066\u30b5\u30fc\u30d3\u30b9\u306e\u53d7\u3051\u624b\u306b\u3068\u3063\u3066\u306f\u5371\u967a\u3092\u5897\u3057\u3066\u3044\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u304c\u8d77\u3053\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/strong><\/p>\n<p>\u305d\u308c\u3086\u3048<\/p>\n<blockquote><p>Understanding 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