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題名:Management Types of Housing and Related Ethical Debates in Taiwan--Perspectives of Manager's Philosophy and People's Recovery
書刊名:Academy of Taiwan Business Management Review
作者:Hsieh, Chia-tiLo, Mei-linYen, Ghi-feng
出版日期:2015
卷期:11:2
頁次:頁99-110
主題關鍵詞:Housing management typeRecoveryPeople with psychiatric disabilitiesManager's philosophyEthical debate
原始連結:連回原系統網址new window
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Promoting the recovery of people with psychiatric disabilities and embedding them into the community living are the primary means as well as goal of personal recovery. The objectives of this research are to study the relationship between housing management types and recovery of people with psychiatric disabilities, and the related ethical issues. This study explores (1) various existing housingnmanagement models on recovery of people with psychiatric disabilities; (2) various types of housing and their current prevalence in Taiwan; and further debates on (3) ethical issues on real-life practice. Besides reviewing literatures of “the classification of housing” and “the essential client services in a caring system” to deepen the theoretical background, a three-phase/open-end questionnaire was administered to and in-depth interviews were conducted with experienced experts, former government officials, and housing operators (proprietor) over five months. We determined that four housing management types, identified by and compared with three theoretical housing models, including: (a) the protected care type (Type 1) combines elements of the custodial housing and the supervised group housing models, which emphasizes custodial care but accompanied by medical care; (b) the medical rehabilitation type (Type 2) that is similar to supervised group housing model but with more surveillance in nature; (c) the agency integration type (Type 3), which combines nighttime placement and daytime mental health services provided by the same operators, that barely meets governmental accreditation requirements but is actually in a superficial way; and (d) the community integration type (Type 4) that integrates partial functions of both supervised group housing and supported housing models. The raison d'être of each management type (medical approach vs. recovery approach) reflects manager’s philosophy and their basic assumptions to the residents (patient vs. normal person). And some of the management types in practice violate the recovery goal in many aspects that raise ethical debates. Finally, implications and suggestions are provided for both practice and future research purposes.
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