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According to the revised School Education Act enacted in April 2007, special needs schools in Japan are to provide education for enrolled students as well as any necessary advice or assistance requested by local kindergartens, elementary, junior high, and other schools so that they may educate students who require special educational support. This means that special needs schools must take on the role of special needs education (SNE) centers in the community. Specific assistance that can enhance SNE at elementary, junior high, or other schools, such as promoting understanding of students with disabilities, providing specialized guidance in the form of educational content and methods, and establishing a school support system, may be obtained from special needs schools. In elementary, junior high, and other schools, the number of faculty members and state of facilities and equipment are not always sufficient, and each school has limited support. Therefore, collaboration with special needs schools and medical and welfare institutions is important. This chapter provides a brief overview of the current SNE system in Japan and introduces the roles of SNE coordinators, current issues facing the system, and future perspectives of collaboration to better serve SNE.