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題名:協助拒絕接受服務之家庭進入早療體系--方案發展與評估
書刊名:臺大社會工作學刊
作者:周月清朱鳳英許昭瑜劉玉珊蔡秀妹黃鈴雅黃淑文
作者(外文):Chou, Yueh-chingChu, Feng-yingHsu, Chao-yuLiu, Yu-shanTsai, Show-meiHuang, Ling-yaHuang, Shu-wen
出版日期:2001
卷期:4
頁次:頁97+99-161
主題關鍵詞:早期療育發展遲緩兒童家庭非自願性案主服務策略以家庭為中心及到宅為基礎服務職務中心方法介入研究Early interventionDevelopmental delayIntervention researchHome based servicesInvoluntary clientsTask centered approaches
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(15) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:14
  • 共同引用共同引用:132
  • 點閱點閱:98
本研究之目的乃藉用介入研究典範 (intervention research paradigm) 之 「設計與發展」 (Design & Development; D & D) 針對台北市早期療育通報轉介中心發展一套服務模式 (自變項) 協助拒絕接受早期療育服務家庭進入平療體系 (依變項) 。 服務模式的發展包括四個步驟:需求評量、方案發展、方案的執行與方案評估。在需求評量部份,社工員以家訪方式進行,並藉由一份自擬問卷收集案家不接受服務的原因,同時在問卷中也以七份標準化量表,評量家庭的社會網絡支持功能,作為服務介入前後的前後測分數。方案的發展則依據需求評量結果,整合非自願性案主服務策略,以家庭為中心、到宅為基礎服務,職務中心家庭問題解決方法,及實務工作者之臨床經驗達成。方案的執行由台北市早期療育通報轉介中心五名社工人員,從事為期四週八單元的服務介入,在服務輸送後,再以同樣之標準化量表從事後測的評量,以檢視比方案執行結果是否有效。效果評估基於兩個假設: (1) 為期四週之本方案介入後,案家不再拒絕接受早期療育服務; (2) 為期四週之本方案介入後,案家在「夫妻」、「自己的父母」、「配偶的父母」、「其他家人 (親戚) 」、「朋友、同事或鄰居」、「保母」、及「尋常人員」等的認知、接納、協助與互動關係上的分數,會比介入前分數達顯著性的差異:過程評估則在檢視方案之可行性,作為修正方案之依據;資料收集的對象與來源為:參與之家庭在問卷中對此方案之回應,社工員介入期間社工督導會議中的紀錄,以及在方案執行結束時以一個焦點團體針對此方案執行之成功、失敗、與困難處予以探討。 本方案在2000年七月開始進行,當時拒絕接受服務者初步統計約有87個家庭,經由二次讓認有34個家庭接受前測與初訪,但在初訪之後有26個家庭即同意接受早療服務,最後只有八個家庭是屬於拒絕接受服務與需要介入本方案者,因此只有進入個家庭完成本方案的執行與後測。結果評估發現本方案是有效的,方案結束後入個家庭都已進入早療體系,並在結案當天轉介給個案管理中心個管員;另本方案對此八個家庭來自「朋友、同事或鄰居」及「專業人員」的社會支持有正面影響,且這統計上的顯著。此模式也在評估完成後進行修正,此修正後之介入模式擬推廣至各個執行兒童早療之個管中心,作為個管中心個管員介入這些家庭的實務參考。
This study utilized the Intervention Research Paradigm, Design and Development (D & D),for innovating and testing a service program to assist the families who reject receiving the Early Intervention Services in Taipei City because of having a preschool child with developmental delay. The intervention design and development include four procedures - needs assessment, intervention design and development, the intervention implementation, and evaluation. The needs assessment was based on the social workers home visiting and also interviewed with families, who were invited to complete the self-report standardized questionnaires for the pretest including the support from their spouses, parents, parents-in­law, relatives, friends, colleagues, neighbors, and professionals. The intervention development was in accordance with three components: first, the results of needs assessment; second, integration of the literature review such as family-centered and home-based services, strategies working with involuntary clients, family preservation services, and task-centered approaches; and third, the practitioner's practical experiences. Five social workers, working in the Early Intervention Center of Taipei City, were charged with carrying out the intervention, eight sessions in four weeks. The process and outcome evaluations of the intervention were tested using a pre-experimental research design, one-group pretest-post-test design. After the first contact 87 families who were transferred from the case managers and found that only eight families who rejected receiving the Early Intervention Services. As a result, only these eight families completed the intervention including the pre-test and post-test. The outcomes of the study found that after the intervention all eight families were willing to have their children receiving the Early Intervention Services. The scores of family support from their friends, colleagues, neighbors and professionals showed significantly higher in the post-test than pre-test. On the other hand, the score of family support from their spouses, parents, parents-in-law were not significantly difference between the pre-test and post-test. After the evaluation of this pilot test, the intervention model was refined and the directions of dissemination were discussed as well.
期刊論文
1.王天苗(19950600)。心智發展障礙幼兒家庭支援實施成效及其相關問題之研究。特殊教育研究學刊,12,75-103。new window  延伸查詢new window
2.王天苗(19940600)。心智發展障礙幼兒家庭狀況之研究。特殊教育研究學刊,10,119-141。new window  延伸查詢new window
3.沈慶盈、蔣明珊(20001200)。臺北市早期療育服務體系之運作困境與整合分析。台大社會工作學刊,3,111-149。new window  延伸查詢new window
4.王天苗(19960600)。臺灣地區心智發展障礙幼兒早期療育服務供需及相關問題之研究。特殊教育研究學刊,14,21-44。new window  延伸查詢new window
5.周月清(19970700)。服務模式之發展及檢驗--以智障者家庭服務為例。當代社會工作學刊,3,1-47。  延伸查詢new window
6.Fischer, J.(1981)。The social work revolution。Social Work,26(3),199-207。  new window
7.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
8.王天苗(19850600)。智能不足兒童家庭動力與親師態度之探討。特殊教育研究學刊,1,115-140。new window  延伸查詢new window
9.李芃娟(1992)。啓智班教師與家長對智能不足學童態度之研究。特殊教育與復健學報,2,97-131。new window  延伸查詢new window
10.Black, M. M.、Molaison, V. A.、Smull, M. W.(1990)。Families caring for a young adult with memtal retardation: Service needs and urgency of community living request。American Journal on Mental Retardation,95(1),32-39。  new window
11.Wikler, L.(1986)。Periodic stresses of families of older mentally retarded children: An exploratory study。American Journal of Mental Deficiency,90(6),703-706。  new window
12.Chou, Y. C.、Palley, H. A.(1999)。The impact of having a child with developmental disabilities on the family in Taiwan: Cultural context review。Social Development Issues,20(3),35-52。  new window
13.Edlefsen, M.、Baird, M.(1994)。Making it work: Preventive mental health care for disadvantaged preschoolers。Social Work,39(5),566-573。  new window
14.Flynt, S. W.、Wood, T. A.(1989)。Stress and coping of mothers of children with moderate mental retardation。American Journal on Mental Retardation,94(3),278-283。  new window
15.Helton, L. R.(1994)。Strengthening efforts for a family systems approach in early intervention with disabled infants and toddlers。Social Work in Education,16(4),241-250。  new window
16.Marsh, J. C.(1983)。Research and innovation in social work practice: Avoiding the headless machine。Social Service Review,57,584-589。  new window
17.Reid, W. J.、Hanrahan, P.(1982)。Recent evaluations of social work: Grounds for optimism。Social Work,27,328-340。  new window
18.Schilling, R. F.(1997)。Developing intervention research programs in social work。Social Work Research,21(3),173-180。  new window
19.Thomas, E. J.(1985)。Advances in developmental research。Social Service Review,578-597。  new window
20.Thomas, E. J.(1978)。Generation innovation in social work: The paradigm of developmental research。Journal of Social Service Research,2(1),95-115。  new window
21.Trute, B.、Hauch, C.(1988)。Building on family strength: A study of families with positive adjustment to the birth of a developmentally disabled。Journal of Marital and Family therapy,14(2),185-193。  new window
22.Wikler, L.(1986)。Periodic stresses of families of older mentally retarded children: An exploratory study。American Journal of Mental Deficiency,90(6),703-706。  new window
會議論文
1.師豫玲(1997)。台北市發展遲緩兒童早期療育服務推動過程報吿39-42。  延伸查詢new window
2.郭煌宗(1996)。發展遲緩兒童早期療育轉介中心實驗計畫--花蓮地區執行成果報吿。  延伸查詢new window
3.Rooney, R. H.(1989)。Intervention research colloquium。  new window
學位論文
1.楊玲芳(2000)。早期療育服務個案管理者執行工作內涵與困境相關因素之研究(碩士論文)。東海大學,台中。  延伸查詢new window
2.周月清(1985)。智能不足兒童父母社會困擾之研究(碩士論文)。東海大學。  延伸查詢new window
3.黃淑文(2000)。早期療育服務介入後對心智障礙兒童家庭的影響(碩士論文)。中國文化大學。  延伸查詢new window
4.施怡廷(1998)。發展遲緩兒童家庭對兒童照顧需求之研究(碩士論文)。東海大學。  延伸查詢new window
5.朱小綺(2000)。建構社會資源網絡之研究--以台北市身心障礙者個案服務爲例。東吳大學,台北。  延伸查詢new window
6.郭蓓如(1992)。智能發展障礙幼兒家庭動力之研究。國立彰化師範大學,彰化。  延伸查詢new window
7.Chou, Y. C.(1992)。Developing and testing an intervention model for assisting Taiwanese families who have a member with developmental disabilities(-)。University of Minnesota。  new window
圖書
1.周月清(2001)。家庭社會工作--理論與方法。臺北:五南圖書出版有限公司。  延伸查詢new window
2.Boss, P.(1988)。Family stress management。Newbury Park, CA。  new window
3.周月清(19980000)。身心障礙者福利與家庭社會工作:理論、實務與研究。臺北:五南。new window  延伸查詢new window
4.Rooney, R. H.(1992)。Strategies for work with involuntary clients。Columbia University Press。  new window
5.台北市早期療育綜合服務中心(2000)。台北市早期療育業務簡報。爲遲緩兒打造一個希望城堡--愛、快樂、希望 \\ 台北市社會局 ; 衛生局 (編印)。  延伸查詢new window
6.Brehm, S. S.(1976)。The application of social psychology to clinical practice。New York。  new window
7.Cole, E.、Duva, J.(1990)。Family preservation: An orientation for administrators and practitioners。Washington, DC。  new window
8.Fortune, A. E.(1985)。Families and family treatment。Task-centered practice with families and groups \\ A. E. Fortune (Ed.)。New York。  new window
9.Kinney, J.、Haapala, D.、Booth, C.、Leavitt, S.(1990)。The Homebuiders model。Reaching high-risk families: Intensive family preservation in human services \\ J. K. Whittaker ; J. Kinney ; E. M. Tracy ; C. Booth (Eds.)。New York。  new window
10.Lynch, E. W.(1981)。The social worker as part of an interdisciplinary team。Social work practice with the mental retarded \\ M. U. Dickerson (Ed.)。New York。  new window
11.Magrab, P. R.、Schmidt, L. M.(1980)。Interdisciplinary collaboration: A prelude to coordinated service delivery。Coordinating services to handicapped children \\ J. O. Elder ; P. R. Magrab (Eds.)。Baltimore, MD。  new window
12.Morton, E. S.(1993)。The evolution of family preservation。Advancing family preservation practice \\ E. S. Morton ; R. K. Grigsby (Eds.)。Newbury Park。  new window
13.Maluccio, A. N.(1990)。Family preservation services and social work practice sequence。Reaching high-risk families: Intensive family preservation in human services \\ J. K. Whittaker ; J. Kinney ; E. M. Tracy ; C. Booth (Eds.)。New York。  new window
14.Reid, W. J.(1992)。Task strategies: An empirical approach to clinical social work。New York。  new window
15.Reid, W. J.(1985)。Family problem solving。New York。  new window
16.Reid, W. J.(1981)。Family treatment within a task-centered framework。Models of family treatment \\ E. R. Tolson ; W. J. Reid (Eds.)。New York。  new window
17.Reid, W. J.(1978)。The task-centered system。New York。  new window
18.Reid, W. J.(1995)。Research overview。Encyclopedia of Social Work [19th ed.]。Washington, DC。  new window
19.Reid, W. J.(1987)。Research in social work。Encyclopedia of Social Work [18th ed.]。Maryland。  new window
20.Rothman, J.(1980)。Social R & D: Research and development in the human services。New Jersey。  new window
21.Thomas, E. J.(1987)。Developmental approach to research。Encyclopedia of Social Work。Maryland。  new window
22.Thomas, E. J.(1984)。Designing interventions for the helping professions。CA。  new window
23.Thomas, E. J.、Rothman, J.(1994)。An integrative perspective on intervention research。Intervention research: Design and development for human service \\ J. Rothman ; E. Thomas (Eds.)。Binghamton, NY。  new window
24.Thomas, E. J.、Rothman, J.(1994)。Intervention research: Design and development for human service。Binghamton, NY。  new window
25.Tracy, E. M.、Haapala, D. A.、Kinney, J.、Pecora, P. J.(1991)。Intensive family preservation services: A strategic response to families in crisis。Intensive family preservation services: An instructional sourcebook \\ E. M. Tracy ; D. A. Haapala ; J. Kinney ; P. J. Pecora (Eds.)。Cleveland, Ohio。  new window
26.Whittaker, J. K.、Tracy, E. M.(1990)。Family preservation services and education for social work practice: Stimulus and response。Reaching high-risk families: Intensive family preservation in human services \\ J. K. Whittaker ; J. Kinney ; E. M. Tracy ; C. Booth (Eds.)。New York。  new window
其他
1.台北市早期療育綜合服務中心(2000)。台北市推動發展遲緩兒童早期療育服務工作報吿。  延伸查詢new window
2.Rooney, R. H.(1989)。Advanced task-centered practice。  new window
圖書論文
1.Rothman, J.(1995)。Intervention research。Encyclopedia of Social Work。Washington, DC:NASW。  new window
 
 
 
 
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