智能障礙性侵害加害人輔導治療困境之調查研究

The Survey Research for Sex Offenders with Intellectual Disabilities of Psychiatric Treatment and Counseling

姚冠汶(Kuan-Wen Yao)

指導教授 ： 林明傑

國立中正大學/教育學院/犯罪防治學系/碩士(2015年)

摘要

本研究之目的，旨在探討目前性侵害加害人輔導治療體系中，各領域的專業人員，對於智能障礙性侵者輔導治療資源的了解及實際處遇所面臨之問題。研究參與者為參加「103年精神障礙性侵害處遇研習課程」之臨床心理師、諮商心理師、社工師、精神科醫師、精神科護理師及相關人員，兩場研習共回收有效問卷為111份，回收率為97.4%。
研究結果顯示：(一)約有八成多的專業人員認為在輔導治療智能障礙性侵者時有困難，原因包括智能障礙者在溝通、表達、理解與學習上較困難；環境間的合作態度與支持不足；治療成效及再犯率難以評估；異質性大，難以集中處遇；缺乏處遇模式與方案可遵循等。(二)約有七成多的專業人員認為輔導治療智能障礙性侵者之人力資源不足，原因包括分工不清；人力流動率高；社區監控、追蹤輔導人力缺乏；缺乏督導機制等。(三)約有九成多的專業人員知覺輔導治療智能障礙性侵者需要進修與特殊之專業訓練，包括對智能障礙者特質之認識；治療技術訓練；會談模式之建立；評估工具之使用等。(四)專業人員對未來處遇規劃之建議擇包括提供訓練與提高薪資；減少監禁處遇，加強家庭監督功能；分案分流處遇；跨專業合作；發展本土化模式等。根據本研究發現，研究者提出對未來政策、實務及研究方向之建議。

關鍵字

處遇方案 ； 輔導治療 ； 性侵者 ； 智能障礙

並列摘要

The research is to investigate the situation and difficulty that professional personnel might have in executing psychiatric treatment and counseling to sex offender with intellectual disabilities. Participants are clinical psychologists, counseling psychologist, social worker, psychiatrist, psychiatric mental health nurse and related workers who attended “Effective treatment model for the sex offenders with mental disorders”. We received 111 valid questionnaires with response rate 97.4%.
Our research shows : (1) About 80% of professional personnel claim it is uneasy to execute treatment and counseling to sex offender with intellectual disabilities due to weakness of their communication, express, comprehension and learning.; It is hard to evaluate treatment efficacy and recidivism rate; lock of treatment model and program to follow. (2) About 70% of professional personnel claim that psychiatric treatment and counseling workers are far from sufficient because of undefined assignment of duty, labor mobility, lack of workers in community supervision, track, and supervise system.(3) About 90% of professional workers realize it is necessary to have further education with professional training, including the traits of intellectual disabilities, techniques in curing, interviewing model and usage of assessment instrument. (4) Professional personnel suggest to provide training, better payment, deinstitutionalization, enhance the function of family, case tracking, interdisciplinary cooperation, indigenization. The researcher proposes possible policies, practice and researching field in the future according to the paper.

並列關鍵字

psychiatric treatment and counseling with education ； sex offender ； intellectual disabilities ； treatment model

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