一位受暴婦女生活重建之路：生態系統觀點及個案管理方法之運用

本文係以生態系統觀點及個案管理的方法，藉以提供實務界在運用類似個案重視各生態系統間之互動以資源整合觀點，創造改變、協調、溝通使資源發揮更大效益。本案例以一名長期遭受婚姻暴力婦女進行分析，經介入服務後發現受暴婦女在生活重建的過程，經歷的問題多重且複雜，社會工作者以生態系統觀點為基礎，運用個案管理方法提供更有系統、效率的服務與連結資源，讓個案在生活、工作、經濟與暴力復原漸趨穩定，有能力帶著孩子獨立生活。其結論有三，一是社會工作者有效掌握資源，且妥善運用以發揮最大效益；二是提升跨團隊專業合作服務之效能；三是社會支持對受暴婦女生活重建的重要性。因此，歸納以下建議，首先，有效運用個案管理以避免多元資源介入造成個案困擾；其次，強化機構對於個案管理者的支持；最後，重視受暴婦女生活重建之路的社會支持。

關鍵字

受暴婦女；生活重建；個案管理；生態系統觀點

並列摘要

Objective: This article describes a case management approach that incorporates an ecosystem perspective and provides practitioners with a method of interaction between various ecosystems. Resource integration is adopted to create change, coordination, and communication and thereby increase the efficiency of resource usage. Methods: In this case, long-term marital violence against women and intervention services for battered women were analyzed in relation to the process of rebuilding their lives. This study found that the means in which multiple social workers operate under ecosystem-based approaches to provide case management services is complex and could be rendered more systematic. Efficient services and links to resources were developed in relation to life, work, violence, economic recovery and stability, and the ability to live independently with children. Conclusions: This study drew three conclusions. The first is that social workers should be allowed effective control over resources and be able to use them properly to maximize efficiency. The second is that the effectiveness of cross-team professional cooperative services must be enhanced. The third is the importance of social support in life reconstruction for battered women. Recommendations: First, case management resources should be used effectively to prevent the need for intervention; managing multiple cases causes distress in social workers. Second, case managers should be provided with more institutional support. Finally, the importance of social support in life reconstruction for battered women should be emphasized.