寄養服務與早期療育：南高雄家扶中心寄養家庭參與早期療育經驗之探究

寄養服務是一種替代性服務，提供寄養童重新經驗家庭生活，滿足其受照顧、被關愛以及促進身心發展之需求，近年來，南高雄家扶中心安置之寄養兒少，超過5成為未滿6歲之兒童，發展遲緩比例高達4成5以上，顯示發展遲緩議題乃是寄養服務中重要的一環，因此，本文期待透過寄養父母在寄養童的發展遲緩議題上，從面對、處置、療育安排、療育成果等等過程的主觀感受，凸顯早期療育對於寄養服務的重要性，以此，本研究之研究目的如下：一、探討寄養家庭在面對發展遲緩兒童接受早期療育之感受、考量與安排。二、了解影響寄養家庭早期療育安排之因素，以及對於早期療育介入成效的看法。三、提供後續寄養服務工作相關訓練課程與輔導工作規劃之建議與參酌。本文採用質性研究方法，以深入訪談法進行資料蒐集，採取立意取樣，以積極帶領寄養童進行療育經驗為抽樣標準，並盡量涵蓋不同年資之寄家，成功訪談9戶寄養家庭。初步研究發現，經驗學習是寄養父母重要的學習途徑；在療育安排上，療育成效、孩子適應度以及早療專業團隊互動經驗乃是最重要的考量，此外，實際參與以及孩子的進步，是建構寄養父母早期療育知能以及專業認同主要來源，進而強化其持續帶領寄養童進行早期療育之動力。

關鍵字

寄養服務；早期療育；發展遲緩寄養童

並列摘要

Foster care is an alternative service that provides foster children to re-experience family life and meet their needs to be cared for, loved, and to promote physical and mental development. In recent years, the number of foster children placed by the South Kaohsiung Family Support Center more than 50% are children under the age of 6. The proportion of developmental delay is as high as 45% or more. That is meaning that the issue of developmental delay is an important part of foster care services. Therefore, this paper expects to highlight the importance of early intervention for foster care services through the subjective feelings of foster parents on the issue of developmental delay in foster children, from the process of confrontation, treatment, arrangements, outcomes, etc. The research objectives of this study are as follows: 1. To explore the feelings, considerations and arrangements of foster families in the face of developmentally delayed children receiving early intervention. 2. Understand the factors that affect the arrangement of early intervention in foster families, as well as their views on the effectiveness of early interventions. 3. To provide suggestions on training courses and work planning related to follow-up foster care services. This paper adopts qualitative research method, in-depth interview method to collect data, adopts Purposive Sampling, takes the experience of actively leading foster children into early intervention as the sampling standard, and tries to cover foster family with different years of service. We successfully interviews 9 foster families. We found that experiential learning is an important learning approach for foster parents. In the arrangement of early intervention, the most important considerations are the effectiveness of treatment, children's adaptation, and the interaction experience with professional team. In addition, the actual participation and the progress of the child are the main sources of constructing the foster parents' knowledge about early intervention and professional identity. To strengthen the motivation of foster families to continue to lead foster children in early intervention.