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題 名 | 發展遲緩兒童服務歷程中非自願性家庭之原因初探:以苗栗縣為例=The Study of Rejecting Factors in the Service Process of Non-voluntary Families with Developmental Delay Child in Miao-Li County |
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作 者 | 陳素禎; 郭煌宗; 劉芷瑩; | 書刊名 | 兒童及少年福利期刊 |
卷 期 | 15 2009.06[民98.06] |
頁 次 | 頁41-68 |
分類號 | 547.51 |
關鍵詞 | 早期療育; 發展遲緩兒童; 非自願性個案; 個案管理員; Early intervention; Children with development delay; Involuntary case; Domestic service; Case managers; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究目的在於探究個案拒絕接受早期療育服務之原因,並將針對家庭內部與家庭外部之相關因素進行探討。研究工具乃依據兒童、父母、家庭、服務體系及個案管理員五個面向所收集之相關問題所設計之問卷,針對苗栗縣內46位非自願性個案之家長進行訪談與資料收集。 研究結果發現,在評估(54%)和療育(39%)階段的服務歷程中,成為非自願性個案的比例最高。而個案未能接受療育服務的原因,是以家長忙碌而未能接受服務、個案其家長認為孩子沒有問題而無須接受服務、家中因為缺乏協助的人手而拒絕接受服務、個案其家長認為療育無實質之幫助及家庭經濟困難等因素,而導致個案拒絕接受服務;療育中斷的原因則是時間不夠、人力不足、療育地點距離太遠、交通不便等為主要因素。 研究結果建議未來之研究值得朝兩個方向去比較,一個是家庭原來接受早期療育而中斷與家庭從一開始就沒有接受早期療育服務兩類因素之比較。而本研究之初步結果,特別對於居住在郊區之家庭呈現特別的意義。 |
英文摘要 | In order to investigate why families refuse early intervention, this research will focus on factors internal as well as external to the families. Furthermore, surveys were designed specifically to obtain information from children, parents, families, service sectors as well as the relevant case managers. The subjects of the survey were from the Miao-Li district, of which 46had refused or prematurely halted early intervention and were defined as non-voluntary cases. It was discovered that patients who are undergoing treatment (39%) or who are being assessed for treatment (54%) are at the highest risk of halting their treatment prematurely. Some of the reasons why affected families refuse to accept early intervention include the busy schedules of parents as well as parents thinking that their children are fine and therefore do not require early intervention. Other reasons are the lack of manpower at home to help out in treatment, financial difficulties as well as parents thinking that the early intervention is not helpful to their children. With regards to why families choose to halt the early intervention prematurely, reasons cited include insufficient time, lack of manpower, transportation difficulties and also the long traveling distance between homes and the treatment center. It can be recommended that future research can be done to compare the reasons why families who originally accepted early intervention decided to halt it prematurely and families who refuse to accept early intervention at all. The pilot study reaches this initial result, which is valuable especially for people live is country side. |
本系統中英文摘要資訊取自各篇刊載內容。