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Feb. 1998, Xene #02
A Private Matter?
- Sapporo's physically and mentally disabled citizens

by Michelle Cook

In a society that values conformity, having a handicap has traditionally been viewed as a matter to be dealt with privately. The physically and mentally disabled in Japan have long existed on the outskirts of their communities, seldom seen outside their homes and rarely discussed publicly. In 1994, Japanese author Kenzaburo Oe, whose son is mentally handicapped, brought attention to this situation when he won the Nobel Prize for literature. However, the disabled and their supporters were working on achieving recognition and improving access and opportunities long before that. Old attitudes and barriers are falling away, but there is still much work to be done.

On this crisp autumn day, the Akashiya Kai group is meeting at Hokkaido Shrine in Maruyama Park, Sapporo. Children in brightly coloured kimonos run excitedly up and down the shrine's main steps for an early celebration of the shichi-go-san festival.

Adjacent to these steps is a single, steep ramp with a seven-centimeter step at the bottom; today, it's slippery with rain. One of the group's wheelchair-bound members tries to maneuver over it but can't. When asked who they can turn to with problems like this, group leader Mamoru Takamori says the gods will have to be asked to help improve access for Sapporo's handicapped citizens.

According to a Japanese Ministry of Health and Welfare survey, there are more than 2.8 million disabled people in Japan. Sapporo has approximately 56,000 physically disabled citizens, three percent of the city's population. Imagine you are one of them. How accessible is Sapporo? The Akashiya Kai group has been meeting annually for 10 years to check handicapped access to city facilities.

Satoshi Nitsu, a special education teacher in Sapporo, says the number of handicapped coming to live in Hokkaido is increasing and one reason is that the roads and street system are more easily navigable for them. The city is criss-crossed by an extensive yellow tile (tenji block) system which helps blind citizens maneuver. But as one Akashiya Kai member points out, these are virtually useless in winter. This imperfection sums up the situation for the disabled of Sapporo. They live in a city in progress; access is improving, but it is not yet complete.

A quick survey of some of the city's commonly used facilities reveals that Sapporo City Hall and the Hokkaido Government building are both accessible. Many public buildings also have Braille-equipped elevators and information boards. Several larger bank branches and post offices, and department stores are equipped with access ramps. Many older buildings and smaller shops, especially those outside the city center, however, do not have ramps or elevators and merchants are not legally obligated to install them.

According to a Sapporo City Transportation employee, all stations on the Toho subway line have elevators and disabled-access toilets. The other lines have elevators in 15 of their 23 stations and disabled-access toilets in 13. However, a difference in level between trains and platforms means wheelchair-bound customers can't use the subway independently.

To improve the quality of life for the disabled, groups like Akashiya Kai write letters to places with barriers and meet with municipal officials.

Far from the city center, in Sapporo's quiet Fujino district, there is evidence that these efforts to improve the quality of life for the disabled have not been in vain. Mukudori Park has been specially designed for handicapped people. Completed in 1996 as the first neighbourhood park of its kind in Sapporo, it is equipped with handrails, tenji block tiles, Braille information boards, and climbing apparatus, slides and swings for the physically impaired.

Takamori explains it is only a prototype, but Mukudori Park is an indication that, while Sapporo still needs to be improved, it is slowly becoming a city where all citizens can enjoy life to the fullest.

EDUCATION AND EMPLOYMENT: ONE MAN'S STORY by Michelle Cook, with Alfredo Varela
Mentally and physically handicapped students traditionally were phased out of the regular Japanese education system and into special schools at an early age. Limited education meant severly limited employment opportunities. Those for more severely physically disabled and mentally challenged citizens were almost non-existent.

However, the employment and education picture for Japan's disabled has been improving. There's a trend toward allowing mildly disabled children to remain in the regular school system. Employment opportunities for the visually impaired are opening up in industries such as computer programming. Communities such as Date, in southern Hokkaido, have successfully launched programs to integrate mentally disabled citizens into the local workforce. The government plans to revise the current law, raising the stipulated proportion of physically disabled persons to 1.8% of the workforce in companies with more than 63 workers, up from 1.6%.

Taro Sugawara, a translator in the International Relations Division of the Hokkaido Government, is legally blind. He discussed his education and employment experiences.

Q. What was your experience in school?

A. I enrolled in elementary school about 20 years ago. At that time, my mother had to fight with the Sapporo Board of Education. According to school law I wasn't entitled to go to regular elementary school due to my visual impairment, but I had gone to normal kindergarten. One day I toured a special school for the blind in Ebetsu. Of course, I knew a normal school would be better, so I asked my mother to find a way for me to go there. She fought the school board and this was the starting point for her movement, a grassroots movement, toward liberation - a strong word - of the disabled in Sapporo.

Q. How does this integration affect the classroom?

A. Normal students know everything about what disabled students want to do or say. I think students are good advocates to show the public techniques for dealing with handicapped people. Teachers should listen to them. After these children grow up, the idea of living with disabled people will be deeply rooted.

Q. What about your university education?

A. I have a B.A. in Literature from Oberlin College (in Oberlin, U.S.A.). Most disabled people go to special schools so it's very tough to pass private or national university entrance exams because the level is so different compared to regular schools. The disabled learn more slowly and at schools for the blind they teach more practical skills like how to be an acupuncturist or masseuse. In my case, I needed a large-print test. I applied in advance for this, but some private universities refused only because if a disabled person passes the exam, later the university has to accommodate them and provide ramps or elevators. So some universities strongly object to admitting disabled people. This might be illegal, but everybody says it can't be helped. The exception is schools with Christian or Buddhist backgrounds.

Q. Is there a need for average Japanese people to change their attitudes toward the physically disabled?

A. One important thing is learning how to accommodate the disabled not only in the school environment, but also in the workplace. A disabled person takes more time to do a job. That's the basic concern normal people have about working with handicapped people. If disabled people are hired, supervisors will have to change their notion that doing many things is equal to achievement. This will contribute to better co-existence.

Q. What about your employment situation?

A. After I was hired [as a translator], the attitude I encountered was very strange. When I was introduced to each section, they were puzzled as to what I could do and my former section chief kept asking me what I could do. But after six months [of my working], their attitude completely changed.

Q. Did you ever feel frustrated that you lacked full support from society to help you attain your goals?

A. I'm very satisfied with my present position. I really appreciate the staff in my division because they treat me as an equal professionally and privately. At Oberlin, the staff and professors were very cooperative and my friends and family have always been supporting me. But one thing is clear, a normal person has many options in where they work or who they marry. But think about me. I just have a visual impairment, but my range of options has been narrowed. If I was born normal, I would not have chosen to be a public servant. I'd be working for a foreign corporation, maybe stationed in a foreign city.


SPECIAL PROGRAMS FOR SPECIAL NEEDS
by Michelle Cook, with Alfredo Varela

Like most mothers, Sunny (Sonoko) Izumi worries about her son's options. Koshiro, or Ko-chan as she calls him, is a 14-year-old junior high school student. While most parents of boys his age are concerned about their sons' high school entrance exam scores, Sunny has different ideas. Ko-chan is autistic. He needs a very controlled environment and Izumi feels his school experiences have hindered more than helped him.

"I don't think the school environment now for severely handicapped children is appropriate, so what I can do right now to help him is withdraw him [from public school]," she says.

There are few innovative programs or centers available in Sapporo to help the mentally disabled develop to their fullest potential. Traditional attitudes may be one reason for this. "Japan is different from Christian societies," says Izumi. "There's no [concept of] sin, so society is regulated by embarrassment. Having a handicap is embarrassing in Japan so it's automatically a negative thing."

According to a report by Megumi Kawabata published by the Hokkaido Chapter of the National Association for Problems of the Disabled, facilities for the handicapped in Sapporo are limited to two dormitories with capacity for 60 people, 27 group homes for 140, and 13 institutions for 662 .

Compounding the problem, these facilities are not innovative treatment centers. "They're very traditional places," says Izumi. She adds that mothers are especially worried about the lack of convenient high school facilities for the disabled. "There are a few now," says Izumi. "But kids in Sapporo with severe handicaps can't get into special high schools here; they take only mildly handicapped [students]."

She can't turn to the medical profession either. "One problem I see is that there are only four or five doctors to look after almost all handicapped children in Hokkaido, so all they can do is prescribe drugs. I asked one doctor what I could do for Ko-chan to help him. He said 'probably nothing'. He's a sincere person but I think he doesn't have enough time to research because he's looking after so many people. I think mothers and parents must make the first move."

That's exactly what Izumi did when she and Ko-chan travelled to the U.S. in 1996 to participate in an innovative program called Son-Rise. The Izumis were the first Japanese family from Japan to participate in this well-known American program for autistic children.
The program, which stresses love and acceptance of the child as he is, involves intensive sessions in which parents and volunteers try to reach the child on his own terms, rather than on outside expectations. Using imitative therapy and prolonged sensory stimulation, someone is with the child for nine hours a day, seven days a week. The goal is to establish eye contact and increase it to the point where the child can interact normally with others. Program participants can continue the therapy at home by re-creating the controlled environment.

It's been difficult to re-create the program in Japan because, as a single mother, Izumi must do all the work herself. However, she maintains a postive attitude and is hopeful about providing Ko-chan with the options he needs. "What I have to do is not worry about the future, but find things I can do right now to help Ko-chan," says Izumi. "In Japan no one knows about the Son-Rise program; I have friends to help but I need volunteers to run this kind of program successfully,"

Anyone interested in volunteering to help Ko-chan can contact Sunny Izumi at tel./fax. 011-898-2533.

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