從社區復健到社區就業：以台北地區醫院的支持性就業為例

From Community Rehabilitation to Employment: The Case of Hospital Supported Employment in Taipei

余漢儀(Hon-Yei Yu)

《東吳社會工作學報》 20期 (2009/06) Pp. 33-61

https://doi.org/10.29734/SJSW.200906.0002

摘要

台灣精障病友的工作權益雖然早有反歧視條文所保障，但現實生活中進入社區就業仍是舉步惟艱。本研究先以台北市勞工局2001年啟動的措施「永續精贏」為例，釐清病友進入社區就業的政策執行脈絡，其次呈現病友的主體經驗，他們如何描述復健方案對其生活的影響，又有哪些力量支撐他們扮演工作者角色？將曾參與決策的勞工局經辦主管的訪談對照兩次焦點座談（各為醫院復健方案主管及資深工作人員）的資訊後，發現若只有勞工局一廂情願而無衛政資源後續挹注，則推動醫院建構社區就業方案永續經營充滿變數，醫療復健與就業服務的連結只會是一時表象。歸納11位病友的訪談資料，發現社區復健的參與除了有助於其家人關係、人際網絡、及自尊激發之外，在其就業的過程中更是必要的緩衝，與貴人一路相挺、掙扎與病共存、工作對個人意義等成為持續支撐病友往返工作的力量。

關鍵字

社區復健 ； 社區／支持性就業 ； 就業服務 ； 精障者

並列摘要

Although the right to work of people challenged with mental illness has been claimed by the antidiscrimination items, their employment is still full of difficulties in reality. The hospital employment program initiated by Taipei Labour Bureau was taken as an example to clarify the policy implementation context of employment of people with mental illness. How they perceived the impacts of community rehabilitation on their life, and what forces sustain their worker role were also further explored. It was found that without support from the mental health unit, the link between health rehabilitation and vocational services would be short-term, and the employment programs failed to sustain. As to the impacts of rehabilitation activities, beside releasing family tension, extending social networks, and enhancing self-esteem, it also worked as a buffer to employment, together with the support from significant others, the ongoing struggle with illness, and personal meaning of work, all contributed to a sense-of-self as a worker.

並列關鍵字

Community mental rehabilitation ； community/supported employment ； people challenged with mental illness ； vocational service

參考文獻

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