COUNTRY REPORTS
OF
DPI-JAPAN
(JAPAN NATIONAL ASSEMBLY OF DISABLED PEOPLES' INTERNATIONAL )
1996



PREFACE


In August 1993, due largely to eight years of continued efforts on the part of the Japan National Assembly of Disabled Peoples' International (DPI-Japan), the Ministry of Transport in Japan finally issued a guideline that elevators must be installed in railway stations which are newly built or renovated. In accordance with this guideline, the Act on Buildings Accessible and Usable for the Elderly and Physically Disabled was enacted. DPI-Japan is proud to recognize that our movement has succeeded in raising public awareness that accessibility is one of the fundamental human rights.

With regard to improving physical accessibility, a request has been made to the government to promote accessibility in public buses. The members of DPI-Japan are actively participating in the process of enacting the so-called welfare city-planning ordinance in their municipalities.

Since the foundation of DPI-Japan, advocacy of human rights has been the main focus of our activities. The violation of human rights of persons with disabilities, e.g. violence in mental hospitals, hysterectomies without consent in institutions for persons with intellectual disabilities, and the insufficient amendment of the Eugenic Protection Law, among others, are major issues we fight against. All these problems have a long way to go before satisfactory solutions can be found.


DPI-JAPAN'S COUNTERMEASURES AGAINST GOVERNMENT POLICIES

1.The National Action Plan for Persons with Disabilities

In December 1995, the government announced The National Action Plan for Persons with Disabilities--a seven-year plan from 1996 to 2002. The Plan holds that the focus of disability policy be shifted from institutionalization to independent living, including housing and transportation.

At first the Plan was drafted by the Ministry of Health and Welfare. But in the end, the Prime Minister's office took leadership and, therefore, all the ministries concerned drew up the Plan. It has turned out well for the sector of persons with disabilities that all the ministries concerned are to implement the Plan together because a community-based welfare system requires also the improvement of accessibility of transportation, housing and education, all of which do not come under the jurisdiction of the Ministry of Health and Welfare.

In December 1995, just before the announcement of the Plan, five organizations of and for persons with disabilities, namely: DPI-Japan, Japan Council on Disabilities, Japan Federation of Organizations of Physically Disabled Persons, Inclusion Japan (formerly Japanese Parents Association for the Mentally Retarded Children ), and the National Federation of Families with Mentally Ill in Japan were invited to exchange views with then Prime Minister Tomiichi Murayama and were requested to clarify targeted figures in the Plan. There had been no previous agreement on those figures between the government and the NGOs; but at last, the Plan was announced with some figures. However, they were limited by the Ministry of Finance and, therefore, did not fully satisfy the needs of persons with disabilities.

DPI-Japan is now working on a proposal for a counterplan which is based on the needs of persons with disabilities. The government may revise the Plan in 1999 during its mid-term. We expect that our raised voices will pressure the government to revise the Plan into need-oriented measures.

2.Community Service for Persons with Disabilities at Municipalities

The Community Service for Persons with Disabilities at Municipalities is one of the new programs included in the above-mentioned Action Plan. The service is to be provided not within institutions but within the community. Therefore, unless persons with disabilities themselves take an active part in the organization that renders the service, professionals will most likely take control over them.

For persons with psychiatric disabilities, the service is called "Community Service for Persons with Psychiatric Disabilities." It is defined as service aimed at "supporting daily life, giving counsel and assisting exchange with the community"; and the service is implemented by the rehabilitation center for persons with psychiatric disabilities. Rehabilitation centers have no know-how in supporting independent living because they regard independent living as part of hospitalization and medical treatment. On the contrary, community-based workshops and self-help groups managed by persons with disabilities themselves usually provide this kind of service and are trusted as well by other persons with disabilities. The government should integrate these organizations into the service program.

At the same time, independent living centers should be funded by the central government. It is great progress for us to know that the government has recognized the cooperation of persons with disabilities as indispensable to the proper implementation of the service. DPI-Japan could participate in this process of drawing up this service program knowing that our voice has been reflected in the contents of the service. DPI-Japan, together with the Japan Council on Independent Living Center, recently succeeded in making the central and local governments enter into a contract with three independent living centers as the provider of this Service.

3. Attendant Care System and Guarantee of Income

The attendant care insurance system, which is planned to be on the agenda of the coming session of the Diet, is intended for elderly people who need care. DPI-Japan will appeal for the law to cover persons with disabilities under 65 years old. Through our movement, the attendant care system should play the most important role in welfare measures at both the central and local levels.

The national disability pension has been the only measure to guarantee some income to those especially with severe physical disabilities. Immediate action should be undertaken to establish some form of income maintenance system for persons with disabilities to be covered fully for life.

4.DPI Advocacy Center

Since advocacy has been one of the top priorities of DPI-Japan, the DPI Advocacy Center was established last year.

Many barriers prevent persons with disabilities from living independently in society, e.g. the inaccessibility of transportation and facilities, and unemployment caused by prejudice. To break down these barriers, the amendment of laws through the disability movement is needed. Strategies adopted are filing a suit, as well as negotiating with and appealing to the public.

There are a lot of violations of human rights under controlled environments, such as institutions, hospitals and rehabilitation centers. It is indispensable to establish a residents' union in these institutions as this enables them to be empowered and to intervene with an ombudsman. At the same time, institutions should be open to the public.

Medical violence, such as the ill treatment of persons with psychiatric disabilities and hysterectomy in women with disabilities without their consent, is difficult to address on a personal level; therefore, it is better to bring the matter to court.

An anti-discrimination law has not been enacted in Japan yet. The legislative body should enact such a law and educate the public through a DPI Advocacy Center
.
Though the Center was established in 1996, communication between human rights specialists and persons with disabilities has not been satisfactory. It is important that these human rights specialists understand the violence which persons with disabilities face in daily life. It is our hope that the DPI Advocacy Center is strengthened through the close cooperation of these specialists and persons with disabilities.

5.DPI World Assembly in 2002

At the general assembly of DPI-Japan in 1995, a resolution was passed that Sapporo City stands as a candidate to host the DPI World Assembly in 2002. Preparations have already begun. The government and the DPI member organizations are requested to support our initiatives.


THE ASIA AND PACIFIC DECADE OF DISABLED PERSONS

In Japan, almost all of the conferences and cultural activities concerning disability include in their titles or themes the "Asia and Pacific Decade of Disabled Persons." However, the Decade itself is known only by name. Many in the field of disability do not understand the concept of the Decade. The government itself already feels it has done much for the Decade. However, I think it can do more by emphasizing the promotion of international cooperation with other Asian countries for the benefit of their disabled citizens.


Table DPI-Japan's Activities in 1996

January Dispatch of representatives to the DPI Asia-Pacific Leadership Training Seminar in Manila
May Negotiation with the Ministry of Posts and Telecommunications concerning funding DPI-Japan's income-generation program in the Asia-Pacific Region
June World Chairperson, Mr. Kalle Konkkola, was invited for a lecture tour all over Japan
General Assembly of DPI-Japan at Fukuoka City with 300 participants
July Negotiation with the Ministry of Health and Welfare concerning ill-treatment at the Yamatogawa Mental Hospital
August Dispatch of Chairperson to the DPI World Council Meeting in Washington
September Negotiation with the Ministry of Health and Welfare concerning disability policies in general
Mr. Koesbiono Sarmanhadi, Regional Chairperson, and Ms. Anuradha Mohit visited DPI-Japan
October Nationwide campaign for the demand for accessible transportation
Negotiation with the Ministry of Transport and the Ministry of Construction concerning physical accessibility
November Dispatch of a mechanic to Kanglu Application Factory, China, for DPI-Japan's income-generation program in the Asia-Pacific Region
December National Conference on Study of Disability Policies in Kobe City with 600 Participants