And then, no one became a care manager anymore4


I don’t like non-shamans, do you, Geto-kun?”

“I don’t know. I used to think that jujutsu existed to protect non-shamans. But lately, my perception of the value of non-shamans has been shaken. The dignity of the weak. The ugliness of the weak. I find myself unable to distinguish and accept these. The part of me that looks down on non-shamans and the part of me that denies that. Jujutsu is like a marathon game. The vision at the end is so vague that I don’t know what my true feelings are.”

“Neither of those is your true feeling. You’re not at that stage yet. You looking down on non-shamans, and you denying it. These are just possibilities that have been thought out. It’s up to you to choose which one becomes your true feeling.”

This conversation between Yuki Tsukumo and Geto is from “Jujutsu Kaisen”.


“I called my brother and said, ‘I’d rather die than be like this,’ and he told me to go ahead and die. Can you believe it? It’s my own brother. I’m going to sue him. I’ll contact any organization for the abuse of disabled people. Maybe he’s being influenced by his wife. That demon wife could make him do something like that.”

This call is from the son of an elderly person (user) whom I am in charge of as a care manager (care manager) and a specialist in consultation support for people with disabilities.

This son has schizophrenia, divorced once, and filed for bankruptcy twice.


The house is a garbage dump, and he can barely walk.

Still, he orders records that no one listens to every day, and they pile up in the hallway and stairs.

About once a month, he calls me and various other institutions such as the ward office, the disabled support center, and the regional comprehensive support center, angry and crying.

Last Friday, we received 12 calls at our company.

Assuming that he called me because he wanted me to listen to his painful feelings, it would be fine, but he always blames someone, which makes it “difficult” for me to continue dealing with him.

He calls his brother to blame him, calls the ward office to blame me, and calls the disabled support center to blame the ward office.

As a care manager for the elderly since 2013, and as a specialist in consultation support for people with disabilities since 2015, I have done one job.

In the process, I passed the exam such as “Certified Care Manager”, “Certified Social Welfare Personnel”, “Certified Psychiatric Social Worker”, and acquired qualifications such as “Senior Care Manager” and “Senior Consultation Support Specialist”.

However, as the level rises, only the negative aspects of this work come to the surface, and I have come to the conclusion that this work is not for young and capable people.

Because they are elderly, because they are families, because they are people with disabilities, can you hurt people?

If they are elderly, their families, or people with disabilities, will they be forgiven no matter what they say or do?

Last week, an elderly husband who visited me during the care insurance certification survey told me, “Japan is a strict country for us. . “

I got angry and said, “There is no country as kind as Japan for us. . “


4, 04 times.

This number is the effective job-to-application ratio of care managers (care managers) in December 2022.

The average effective job-to-application ratio in 2023 is 1, 29 times, so I think you can understand how few people want to be care managers.

53 years old.

The average age of care managers in 2022.

Furthermore, one in four care managers is over 60 years old. I feel that the actual situation is higher than these numbers.

I do one job as a care manager.

I have been doing the job of a care manager since I was 25 years old, became independent at the age of 27, and acquired and updated qualifications such as “Chief Care Manager” as well.


  1. The salary is low for the work required

  2. Mental exhaustion

  3. Maintenance of qualifications is difficult

Analyzing the factors why care managers (care managers) quit, it can be classified into the above three.

The beginning story is one of the ② mental exhaustion.

People who work in healthcare and nursing homes (helpers who visit homes with psychiatric hospitals and people with psychiatric illnesses) have a 5 times higher chance of developing psychiatric illnesses compared to other departments and people who work with people with psychiatric illnesses. There is.

According to a survey conducted by the Ministry of Health, Labor and Welfare in 2018, 60% of care managers answered “Yes” when asked if they had experienced harassment from users or families in the past year.

In addition, the industry with the highest number of workers’ compensation claims in 2019 was the social welfare and nursing care business.

Workers’ compensation refers to the system that provides insurance benefits necessary for the illness or injury of workers due to work-related reasons or commuting, and promotes the social rehabilitation of affected workers.

The cause of workers’ compensation claims in the social welfare and nursing care industry includes harassment from users or families.

Compared to 10 years ago in 2009, the number of workers’ compensation claims in the social welfare and nursing care industry has increased fourfold.

By the way, the second place in the number of workers’ compensation claims was the medical industry, and school education, which gave the impression that many people were on leave due to depression, was ninth.

You can understand how people working in the social welfare and nursing care industry are mentally exhausted.

And this is my theory, but those in their 50s and 60s, so-called “auntie care managers,” do not even have the doubts I raised above.

Therefore, even when talking to care managers and consultation support specialists, they only complain about their work, and there are no constructive discussions.

It is also true for ward officials and regional comprehensive support centers.

If you are in your 50s and 60s, you may be able to do your job without thinking about anything.

However, for people in their 20s and 30s who do not produce anything, do not grow in their work, and only wear out their feelings, spending time and effort dealing with them for people and their families, even in Japan, it is a negative.

If the time and effort of young people are invested in people with mental illnesses, such as elderly people or those with mental illnesses, it is negative for Japan.

If you think logically, not emotionally, this can be considered one of the reasons why Japan is declining.

My company advocates a worldview of “making caregivers happy in order for care recipients to be happy.”

As part of that effort, I do counseling and supervision work.

Many care managers and care managers who develop depression and quit due to mental exhaustion apply.

Unfortunately, most of the people who quit as mentioned above do not analyze such worries or take action for them, and they just work every day without thinking about anything.

In other words, few care managers who can think about and act on whether there is any way have come to my place.

Initially, I conveyed the message, “Let’s do our best together.”

However, recently, I have been delivering a different message.

The message is “It’s better to quit.”

And after work, stress inevitably goes home and towards family.

If you are in your 20s or 30s, you are likely to live with a wonderful partner and cute children, even if you have high abilities.

In a low-paying environment, surrounded by stress, without growing in your work, going home, and the negative chain of events going towards your family is as sad as it gets.

Unfortunately, most of the “auntie care managers” in their 50s and 60s do not even feel any doubts there.

Therefore, even if young and capable people try to change it, it only adds to the stress.

Then, my current solution is that it is better to quit.

It is the same as the 70s and 80s old politicians who do not understand the worries of child-rearing generations.

It may be natural that the generation in their 50s and 60s cannot understand the work, childcare, housework, and lack of time of the generation in their 20s and 30s.

Even if you are not a care manager, I would like you to recognize this situation and support it in any direction.

There is no doubt that care managers (care managers) are the key to “care insurance”.

Without care managers, you cannot use day services, use helpers, or borrow beds.

The most important thing to avoid is the time when no one does care managers.

I would appreciate it if you could understand this situation from any direction and support us.