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題名:臺灣智障者居住服務探討--型態、規模、對象與變遷
書刊名:臺灣社會工作學刊
作者:周月清
作者(外文):Chou, Yueh-ching
出版日期:2005
卷期:4
頁次:頁33+35-75
主題關鍵詞:智障者心智障礙者居住服務教養院服務規模Intellectual disabilitiesMental disabilitiesResidential servicesInstitutionCommunity homeSize
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:78
  • 點閱點閱:26
本研究在探討我國智障者居住服務型態、規模、服務對象與變遷。次級資料分析五次全國身心障礙福利機構評鑑及內政部最新書面資料,並郵寄問卷收集2003年智障者住宿服務機構第一手資料。研究發現歷年提供智障者住宿機構占身心障礙福利機構總數三至四成,智障者使用「住宿養護」服務者占全智障者5%至7%。依據身心障礙者保護法我國「住宿機構」分兩種:「全日型住宿」及「夜間型」(社區家園或團體家庭),八成五為私立。七成受訪機構自稱「教養院」或「重殘養護」,二成稱「社區家園」、「社區家庭」;六成機構以「院生」稱住民。智障「住宿機構」住民中被診斷為智障者六成餘,其他為自閉、多重、唐氏、精障,被診斷極重度和重度障礙程度者占八成餘,近兩成住民為18歲以下兒童少年,60歲以上者占近3%;住民平均居住時間6.2年,最長41年。1952年第一個私立機構立案,1990年時有小到4人服務量,最大為2001年450人。立案智障「住宿機構」數和服務人數呈成長趨勢,成長最快為1990年代;晚近亦呈快速成長;30人以下規模者增加三倍多,床位大小亦趨小型化,就最新資料(2003年6月),除100床以上總數(占19.8%)有下降外,其餘之規模皆在增加中,包括50至100床者;16床以上者占八成五。
This study aims to explore current residential services for people with intellectual disabilities (ID) in Taiwan, such as residential types, unit/bed size and who are the users. The sources of second data in this study embrace the five National Inspections of Disability Welfare Facilities in 1982, 1986, 1990, 1993 and 2000; and the latest issued national written data. Also a mail survey was used to examine how the 96 residential settings currently available for people with ID. Between 5% and 7% percent of population with ID stay in the residential facilities; and the reset of these people live with their families. Nearly 20% of 7,000 people with ID are children under age 18 and only 3% of the users' age over 60. The average length of the users stay is 6.2 year, and the longest is 41 year. 40% of the users' cost of using the services comes from the governmentally full subsidy. More than 80% of the units managed by the non-governmental sectors; the earliest residential setting was registered in 1952 and the biggest growth of these residential facilities was in the 1990s particularly in the recent three years. In 1990, there ever had a small residential unit for four residents and the biggest unit size was 450 in 2001. And the unit size both less and large than 30 are growing during 2000 to 2003. 70% of these settings name their unit as ”institution” or ”severe handicapped nurturing and protection” and another 20% named ”community home” or ”community family”. 60% of these settings call their users ”member of the institution” and very few view their users as the residents. Generally the supply of permitted residential services is already over the demands.
期刊論文
1.周月清(20050300)。挪威「智能障礙者從教養院搬回社區生活」改革方案--挪威參訪報告。社區發展季刊,109,514-521。new window  延伸查詢new window
2.Fowle, C. M.(1969)。The effect of the severely retarded child on his family。American Journal of Mental Deficiency,73,468-473。  new window
3.Bruininks, R. H.、Wright, E. A.、White, C. C. III、Hill, B. K.、Lakin, K. Charlie(1990)。Longitudinal Change and Interstate Variability in the Size of Residential Facilities for Persons with Mental Retardation。Mental Retardation,28(6),343-351。  new window
4.Heller, T.、Factor, A.(1991)。Permanency planning for adults with mental retardation living with family caregivers。American Journal on Mental Retardation,96(2),163-176。  new window
5.周月清(2005)。北歐智障者搬出「教養院」到社區居住與生活改革進程。臺灣社會福利學刊,4(1),131-167。new window  延伸查詢new window
6.Emerson, E.、Robertson, J.、Gregory, N.、Hatton, C.、Kessissoglou, S.、Hallam, A.、Knapp, M.、Jarbrink, K.、Walsh, P. N.、Netten, A.(2000)。Quality and Costs of Community-based Residential Supports, Village Communities and Residential Campuses in the UK。American Journal on Mental Retardation,105(2),81-102。  new window
7.Best-Sigford, B.、Bruininks, R. H.、Lakin, K. C.、Hill, B. K.、Heal, L. W.(1982)。Resident Release Patterns in a National Sample of Public Residential Facilities。American Journal of Mental Deficiency,87(2),130-140。  new window
8.周月清(19960300)。心智發展障礙者家庭在宅服務方案之評估研究。東吳社會工作學報,2,183-208。new window  延伸查詢new window
9.Heller, T.、Factor, A.(1993)。Aging family caregivers: Support resources and changes in burden and placement desire。American Journal on Mental Retardation,98(3),417-426。  new window
10.Sherman, B. R.(1988)。Predictors of the Decision to Place Developmentally Disabled Family Members in Residential Care。American Journal on Mental Retardation,92(4),344-351。  new window
11.Stancliffe, R. J.、Emerson, E.、Lakin, K. C.(2001)。Community living and people with intellectual disability: Introduction to Part II。Journal of Intellectual & Developmental Disability,26(1),5-14。  new window
12.周月清(20050900)。發展智能障礙者社區居住與生活:美英兩國探討比較。社會政策與社會工作學刊,9(2),139-196。new window  延伸查詢new window
13.陳淑瑜(20030900)。父母或主要照顧者參與智能障礙子女未來照護規劃之調查研究。特殊教育研究學刊,25,85-106。new window  延伸查詢new window
14.周月清(19960600)。成年心智障礙者對家庭的影響與未來安置模式選擇因素探討。特殊教育研究學刊,14,45-66。new window  延伸查詢new window
15.王天苗(19930600)。心智發展障礙兒童家庭需要之研究。特殊教育研究學刊,9,73-90。new window  延伸查詢new window
16.Klein, Jay(2000)。The History and Development of a National Home Ownership Initiative。Journal of Vocational Rehabilitation,15,59-66。  new window
17.Conroy, J. W.(1996)。The Small ICF/MR Program: Dimensions of Quality and Cost。Mental Retardation,34(1),13-26。  new window
18.Emerson, E.、Kieman, C.、Hatton, C.(1995)。Trends and Milestones: Deinstitutionalization in Europe。Mental Retardation,33,132。  new window
19.Nelson, Debra、Klein, Jay(2000)。Home Ownership for People with Disabilities: The State of the States in 1999。Journal of Vocational Rehabilitation,15,67-77。  new window
20.Hill, B. K.、Lakin, K. C.(1986)。Classification of residential facilities for individuals with mental retardation。American Retardation,24,107-115。  new window
21.Kaufman, A. V.、Adams, J. P. Jr.、Campbell, V. A.(1991)。Permanency planning by older parents who care of adult children with mental retardation。Mental Retardation,29(5),293-300。  new window
22.McGrother, C. W.、Hauck, A.、Bhaumik, S.、Thorp, C.、Taub, N.(1996)。Community care for adults with learning disability and their carers: needs and outcomes from the Leicestershire register。Journal of Intellectual Disability Research,40(2),183-190。  new window
23.Emerson, E.、Hatton, C.(1996)。Deinstitutionalization in the UK and Ireland: Outcomes for service users。Journal of Intellectual & Developmental Disability,21(1),17-37。  new window
研究報告
1.內政部社會司(1990)。台灣地區殘障福利機構第三次評鑑報告。台北:內政部。  延伸查詢new window
2.內政部社會司(1993)。台灣地區殘障福利機構第四次評鑑報告。台北:內政部。  延伸查詢new window
3.內政部社會司(2001)。台灣地區身心障礙福利服務機構第五次評鑑報告。台北:內政部。  延伸查詢new window
4.內政部殘障福利機構評鑑小組(1986)。台灣地區殘障福利機構第二次評鑑報告。台北。  延伸查詢new window
5.內政部殘障福利機構評鑑委員會(1982)。內政部殘障福利機構評鑑報告。台北。  延伸查詢new window
6.黃源協(2003)。身心障礙福利機構供給需求調查研究報告。南投。  延伸查詢new window
7.Research and Training center on Community Living, Institute on Community Integration, University of Minnesota(2000)。An independent evaluation of the quality of services and system performance of Minnesota's Medicaid Home and Community Based Services for Persons with Mental Retardation and Related Conditions。Minneapolis:The College of Education & Human Development, University of Minnesota。  new window
8.周月清(2003)。成年心智障礙者居住服務政策與措施探討社區生活與社會融合--美、英、加、斯堪地納維亞等國探討比較。台北。  延伸查詢new window
學位論文
1.李侃璞(1990)。成年智障者年老父母需求之探討(碩士論文)。東海大學。  延伸查詢new window
2.吳慧婷(1994)。臺北市殘障居家生活補助對成年智障者家庭影響之研究(碩士論文)。東吳大學。  延伸查詢new window
3.陳新霖(1994)。安置與日間托育父母決定因素、安置經驗及其未來安置計劃之研究--以台生為例(碩士論文)。文化大學。  延伸查詢new window
4.舒昌榮(1994)。智障者家長選擇教養機構型態影響因素之研究(碩士論文)。國立陽明大學,臺北市。  延伸查詢new window
5.林秀芬(1992)。啟智教養機構家長對機構安置之調查研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
圖書
1.Prouty, R. W.、Lakin, K. C.、Smith, J.(2001)。State profiles of selected service indicators, 1977-2000。Minneapolis:University of Minnesota。  new window
2.Emerson, Eric、Hatton, Chris(1994)。Moving Out: The Impact of Relocation from Hospital to Community on the Quality of Life of People with Learning Disabilities。London:Her Majesty's Stationery Office。  new window
3.Department of Health(1999)。Facing the Facts: Services for People with Learning Disabilities: A Policy Impact Study of Social Care and Health Services。DH。  new window
4.Secretary of State for Health by Command of Her Majesty(2001)。Valuing People: A New Strategy for Learning Disabilities for the 21st Century。London:Stationery Office。  new window
5.陳美鈴、李崇信、周月清(2001)。台灣成年心智障礙者社區居住--經驗分享與模式發展初探。台北:財團法人心路社會福利基金會。  延伸查詢new window
6.Booth, Timothy A.、Simons, Ken、Booth, Wendy(1990)。Outward Bound: Relocation and Community Care for People with Learning Difficulties。Milton Keynes, England:Open University Press。  new window
7.Beresford, B.(1994)。Positively Parents: Caring for a Severely Disabled Child。London:SPRU & HMSO。  new window
8.Trattner, W. I.(1984)。From poor law to welfare state: A history of social welfare in American。New York:A Division of Macmillan, Inc.。  new window
9.周月清(2000)。英國社區照顧:緣起與爭議。臺北:五南。  延伸查詢new window
10.Joint Committee of the Board of Education and Board of Control(1929)。Report of the Mental Deficiency Committee。London:Her Majesty's Stationery Office。  new window
11.內政部(2003)。身心障礙者保護法暨相關法規彙編。台北。  延伸查詢new window
其他
1.內政部社會司(2003)。臺閩地區身心障礙福利服務機構書面資料。  延伸查詢new window
2.內政部統計處(2000)。中華民國八十九年臺閩地區身心障礙者生活需求調查受訪者反應意見分析,hup://www.moi.gov.tw/W3/stat/Survey/disabled89.htm。  延伸查詢new window
圖書論文
1.Ciilleii, P.、劉素芬(2001)。英國心理衛生的歷史。台灣成年心智障礙者社區居住--經驗分享與模式發展初探。台北:財團法人心路社會福利基金會。  延伸查詢new window
2.Braddock, D.、Hemp, R.、Rizzolo, M. C.、Parish, S. L.、Pomeranz, A.(2002)。The State of the States in Developmental Disabilities。Disability at the Dawn of the 21st Century and the State of the States。Washington, DC:AAMR。  new window
3.Gustavsson, Anders、Tossebro, Jan.、Dyrendahl, Guri(1996)。[Intellectual Disabilities in the Nordic Welfare States: Policies and Everyday Life] Introduction。Intellectual Disabilities in the Nordic Welfare States: Policies and Everyday Life。Norwegian Academic Press。  new window
4.Tossebro, Jan、Aalto, Maarit、Brusen, Peter(1996)。Changing Ideologies and Patterns of Services: The Nordic Countries。Intellectual Disabilities in the Nordic Welfare States: Policies and Everyday Life。Norwegian Academic Press。  new window
5.Ford, S.(1996)。Learning Difficulties。Beyond disability: Towards an enabling society。London:SAGE。  new window
 
 
 
 
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