中途障礙者自立生活心路歷程

本研究主要探討中途障礙者自立生活心路歷程，及專業工作者在服務中途障礙者自立生活的過程。本研究議題有1.瞭解中途障礙者自立生活心路歷程。2.瞭解社會工作者協助中途障礙者自立生活服務經驗。3.建構適合中途障礙者自立生活經驗相關服務方案或模式。研究方法採質性研究方法，使用立意取樣，以30-60歲的中途障礙者為研究對象；曾服務過中途障礙者，於立案之社福機構、政府部門有服務過中途障礙者之專業社會工作師（員）、就業服務員之專業社會工作人員，並以男女各半方式取樣。以半結構式大綱，進行個別化訪談，讓受訪者分享經驗，研究者進行錄音執行資料蒐集，並將相關訪談內容轉譯為逐字稿進行分析，以瞭解中途障礙者自立生活心路歷程，及專業工作者服務挑戰及困境。研究發現中途障礙者自立生活心路歷程，面臨了「身心困頓」、「經濟崩解」、「資源不可及」、「家人關懷及壓力」、「社會拒絕及標籤化」、「自我放逐的調適歷程」；專業工作者則面臨「服務使用者來源過於集中」、「案量龐大時間難以管理」、「中途障礙資源普遍分散」。最後，根據本研究之結果，針對中途障礙者提出：1.開發合適中途障礙者社區型職訓及就業機會、2.加強衛政、社政、勞政單位間有關中途障礙服務資源整合；對於專業工作者挑戰及困境之服務之建議：1.推動合理化案量，以提升服務品質，進而促進同理及陪伴之量能。2.敏於覺察，充權中途障礙者，提升其復原自立量能。3.強化專業工作者倡議能力及資源網絡合作量能，以增進中途障礙者服務尋求資源之能力。

關鍵字

中途障礙者；自立生活；社會工作

並列摘要

he main objective of this study was to investigate the mental process of independent living of the handicapped, and the process of professional worker in serving the independent living of the handicapped. The main research topics of this study were: 1. To understand the mental process of independent living of the handicapped. 2. To understand the service experiences of social worker in helping the independent living of the handicapped. 3. To construct related service project or model that was suitable for the independent living experience of the handicapped. For the research method, qualitative research method and purposive sampling were adopted, and the handicapped in the age range of 30-60 years old were taken as the research targets; meanwhile, the social workers included those who had served the handicapped, those professional social workers who had served the handicapped in the registered social welfare organization or government departments and the professional social workers who had served as employment service personnel; meanwhile, half male and half female were sampled. Moreover, semi-structured outlines were used to conduct individual interview, meanwhile, the person under interview can share the experience, and the researchers conducted the recording and collect the data, moreover, the related interview content was made into transcription for analysis so as to understand the mental process of independent living of the handicapped, and the service challenge and dilemma of the professional workers. From the study, it was found that in the mental process of the independent living of the handicapped, problems such as “physical and mental exhaustion”, “economic collapse”, “unreachable resource”, “family care and stress”, “social isolation and labelling” and “the recovery process of self-exile” were faced; however, for the professional workers, problems such as “the over-centralization of the source of the service users”, “difficulty in time management due to massive cases” and “the general dispersion of the resource of the handicapped” were faced. Finally, based on the results of this study, the followings were proposed for the handicapped: 1. It was needed to develop community-based vocational training and employment opportunity that were suitable to the handicapped, 2. It was needed to strengthen the service resource integration regarding the handicapped among health affairs department, social affair department and labor department; moreover, service suggestions for the challenges and dilemma of professional workers were: 1. It was needed to promote reasonable case amount to enhance the service quality and to promote the energy of empathy and accompanying. 2. Be sensitive to perceive and empower the handicapped so as to enhance their energy of recovery and independent living. 3. It was needed to strengthen the initiative competence and resource network collaboration energy of professional workers so as to enhance the competence of the handicapped to search the service resource.