『保健医療科学』 保健医療科学 2025 Vol.74 No.4 p.359－ 364（2025年10月）
特集：障害者の就労を通じたダイバーシティ・エクイティ＆インクルージョンの再考
＜報告＞
重度障がい者の就労―公正で多様な働き方への道―
猪瀬智美
埼玉県さいたま市在住
Employment for persons with severe disabilities:
Pathways to equity and diversity in employment
INOSE Satomi
Living in Saitama City, Saitama Prefecture
＜抄録＞
2019 年に，さいたま市で全国に先駆けて始まった「重度障がい者の就労支援事業」について，当事者の一人として市独自の制度ができるまでの歩みと，その後を述べる．筆者は，重度障がい者として 365 日介助派遣を受けながら自立生活をしている．一般企業への就職を希望し，重度障がい者の在宅勤務を取り入れている会社に内定が決まった．当時は，就労中の介助派遣は認められず，お手洗いや水分補給等に困難があり体調を崩したこともあった．就職後，5 年目の 2017 年，転籍のため勤務時間が延長する際に，就労中の介助派遣の必要性について，市の障がい支援課の担当者と話した．市の担当者は仕事中のお手洗いや水分補給等は日常動作の一部と理解を示し，その後，さいたま市から内閣府の地方分権改革有識者会議に提案書が出された．法案は先送りされたが，さいたま市本会議で筆者の事例が取り上げられ，2019 年 4 月，全国に先駆けて「重度障がい者の就労支援制度」が開始された．その後，2020 年 10 月，「雇用施策との連携による重度障がい者等就労支援特別事業」の利用が可能となった．しかし，現在も未実施の自治体も多く，当事者の声が広がり，全国で本制度が受けられる日が来ることを強く願う．
キーワード：重度障がい者，就労支援制度，公正，多様性
Abstract
As one of the recipients in the “employment support program for Persons with Severe Disabilities (PWSDs),”which was initiated in Saitama City in 2019 ahead of all other cities in Japan, in this paper I describe the steps leading to establishment of the Cityʼs own system and what has happened since then. I live independently as a PWSD, receiving assistance dispatch 365 days throughout the year. I wanted to work for a general company and was offered a position with a company that incorporates telecommuting for PWSDs. At that time, service and support for PWSDs while working was not permitted, and I had difficulty in restroom activities, hydration, etc.,which caused me to become ill. In 2017, five years after employment, when my work hours were extended due to a transfer, I consulted with a clerk from the municipal disability assistance department about the need for a helper while working. The city officials expressed their understanding that visiting the restroom and hydrating during work are part of daily activities, and a proposal was subsequently submitted by the Saitama Municipal Government to the Cabinet Officeʼs Expert Committee on Decentralization Reform. Although the bill was postponed, my situation was taken up at Saitama City Council, and in April 2019, the “Employment support system for PWSDs” was launched in Saitama, ahead of the rest of the country. Subsequently, in October 2020, the “Special Project for Employment Support for PWSDs in Cooperation with Employment Policies” became available. However, there are still many municipalities that have not yet implemented this program, and we strongly hope that the voices of PWSDs spread and that the day will come when this program is available nationwide.
keywords : People with Severe Disabilities Employment support, equity, diversity