返家與否：團隊決策評估兒少保護個案結束安置之研究

摘要本研究旨在從參與兒童及少年保護安置個案返家團隊決策評估會議人員的觀點，瞭解安置個案返家評估之決策面向，並透過瞭解相關實務狀況，檢視現返家決策的制度，並搜集相關經驗，以提出相關具體建議，來提升兒童及少年保護工作服務品質並維護兒少及照顧者權益。本研究訪談北部地區的家防中心社工及督導，共7位受訪者的深度訪談，歸納出研究結果如下：一、結束安置返家團隊決策評估面向實務上針對兒少安置個案返家的團隊決策評估面向可分為五個部分，即兒少個人層面、家庭層面、社區資源層面、法律層面以及其他層面，並以團隊評估的面向作為決策依據，以縱觀的評估來確認兒少是否可以返家。二、結束安置返家團隊決策經驗兒少保護工作中的返家團隊決策會議，對於實務工作者來說有正向的肯定，但也有制度上修正的建議。而在各縣市的委員參與者不同，以及誰是會議的最後決策者，這些都會影響整個決策的結果，以及兒少是否得以返家。三、對結束安置返家團隊決策制度的建議整個兒少保護工作制度中的返家團隊決策會議應從「制度層面」做進一步的調整，除了能協助社工在服務上專業的展現，也能維護兒少及家長的相關權益。

關鍵字

兒童及少年保護；結束安置；團隊決策

並列摘要

Abstract The purpose of this research is to understand the operation of the team decision-making that the children and adolescents under residential placement can return home. By understanding the current circumstances, looking at the system operation for decision-making, and collecting information on related experiences, the researcher is able to offer concrete the ideas to improve the quality of child protection services and protect the rights of the children, adolescents, and their families. The researcher conducted in-depth interviews on seven social workers and supervisors that work at the Center for Prevention of Domestic Violence and Sex in the northern area of Taiwan. The research findings are as follows: 1. When the clients can leave residential placement and return home: In direct practice, factors that affect the team decision-making process can be categorized into five aspects – the aspect of children and adolescents, the familial aspect, the aspect of community resources, the legal aspect, and others. the team decision-making has considered the holistic evaluation to make assessments on whether children and adolescents could return home and make decisions based on the entire group’s evaluation. 2. Experiences with the team decision-making: Social workers with experiences in direct practice have some positive feedback about the team decision-making for deciding if children and adolescents can return home. However, they also have some advice for making changes to the system. Participants of the meeting with the last vote in the decision-making process are different around Taiwan. They impact the final decision to allow children and adolescents to return home. 3. Advice for the team decision-making: The entire child protection system for deciding if children and adolescents can return home needs to shift from the “system’s level”. Not only will it help social workers show their professionalism in work, but it can also protect the rights of children, adolescents, and their parents.