家長與個管員夥伴關係對早期療育服務成效之影響研究

The Partnership between Parents and Case Managers and Its Influence on Effectiveness of Early Intervention Services

許素彬(Su-Pin Hsu)

《臺大社會工作學刊》 17期 (2008/06) Pp. 43-92

https://doi.org/10.6171/ntuswr2008.17.02

摘要

家長與服務專業人員間的夥伴關係常被視為影響早期療育服務成效的關鍵指標之一。在台灣，早期療育個案管理中心中的個管員是服務體系中，與特殊幼兒家庭有最密切互動與合作關係的專業人員。因此，家長與個管員間的夥伴關係便被視為影響早期療育服務成效的重要因素。本研究使用問卷調查法，針對241名接受早期療育個案管理中心服務之特殊幼兒及家庭，探討影響家長－個管員夥伴關係的因素及夥伴關係與早期療育服務成效間的關係。研究發現，家長與個管員的夥伴關係中，家長對「個管員能用我所習慣使用的語言與我交談」的滿意度最高，對「個管員對我的孩子及家庭有足夠的服務時間」的滿意度最低。在夥伴關係的影響因素上，幼兒特質及家長特質對夥伴關係沒有顯著性影響，但是幼兒第一次接受鑑定評估的管道、開始接受療育的年齡、家長對個別化服務計畫的認知與參與、個管員主動與家長聯繫的主要方法，及家長對個管員建議的接納狀況等，對夥伴關係滿意度有顯著性影響。同時，研究也發現夥伴關係中的指標對兒童成效與家庭成效有不同的預測力。

關鍵字

早期療育 ； 夥伴關係 ； 特殊幼兒家庭 ； 個案管理

並列摘要

Partnerships between parents and professionals are always considered critical in terms of effectiveness of early intervention services. As Case Management Centers for Young Children with Developmental Delays are the main institutes of service delivering, it is important for parents and case managers to build up partnerships for enhancing effectiveness of early intervention services. The main purposes of this research were to explore the variables that influenced parent-case manager partnerships and the relationship between partnerships and effectiveness of early intervention services. Survey was used for data collection. A total of 241 families of young children with special needs that received services from Case Management Centers were recruited in the study. Results indicated that parents had the highest satisfaction rating in the item of ”Case managers talked to me in the language that I was most familiar with,” and the lowest satisfaction rating in the item of ”Case managers spent enough time to serve my child and my family.” Those variables including the service-receiving history of the child and the service conditions of the family had significant influences on the partnership. The indicators of the partnership scale had different influences on the effectiveness of child outcomes and family outcomes. Conclusion was made with recommendations to improve partnerships between parents and case managers.

並列關鍵字

early intervention ； partnership ； family of young children with special needs ； case management

參考文獻

周月清、朱鳳英、許昭瑜、劉玉珊、蔡秀妹、黃雅玲、黃淑文(2001)。協助拒絕接受服務之家庭進入早期療育體系－方案發展與評估。臺大社會工作學刊。4，97-161。

周月清、許昭瑜(2004)。醫療模式抑或社會模式：早期療育個案管理實例研探。國立政治大學社會學報。36，113-147。

許素彬(2006)。從生態系統觀點探討保育機構於融合教育實施過程之困境。特殊教育學報。23，85-104。

許素彬、王文瑛、張耐、張菁芬(2003)。特殊需求嬰幼兒之家庭需求分析與研究。靜宜大學人文學報。18，127-157。

許素彬、林佩琪(2008)。特殊幼兒家庭壓力事件與家庭支持服務需求之關係研究。靜宜大學社會暨人文學院電子學報。2(1)，1-26。