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題名 | 社區精神復健的另類服務:以新北市慈芳關懷中心的「會所模式」為例=The Alternative Image of Community Psychiatry Service: The Experience of Easy House |
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作者 | 呂又慧; 戴雅君; Lu, Yu-hui; Dai, Ya-jiun; |
期刊 | 社區發展季刊 |
出版日期 | 20111200 |
卷期 | 136 2011.12[民100.12] |
頁次 | 頁308-330 |
分類號 | 547.46 |
語文 | chi |
關鍵詞 | 精神障礙者; 會所模式; 社會受苦; 社會模式; 社區福利服務; People with mental illness; Social model; Social suffering; Community psychiatry service; |
中文摘要 | 現代社會的發展,其實也是許多疾病與痛苦產生的根源。科技文明的高度發展,使現代社會不斷面臨劇烈的變遷與擺盪。臺灣社會近年來,經歷了許多災難與變動,慢性精神病患(障礙者)有不斷增加的趨勢。從社會變遷的角度來看,精神障礙者的產生,已不只是一種腦科學醫療凝視之下的身心疾病,它更是某些社會群體反射精神失序的映照,與一種集體的社會受苦現象。 近幾年在臺灣開始出現的「會所模式」(clubhouse model),針對精神障礙者提供了一種新型態的福利服務。本文研究的目的在於檢視:這種另類新興服務團體,它的特色為何?與既存的社區精神復健服務模式有何不同?其意義或影響會是什麼? 研究結果發現,在慈芳會所發展出的這種服務模式,精障服務使用者與提供服務的工作者間,身分與關係已被重新定義。「會所模式」看待精障者為有貢獻潛能的人,而不只是病人。此外,在面對精障者的社會困境時,慈芳嘗試從「社會受苦」與「社會模式」的觀點切入,發展出集體敘說的策略,企圖營造精障社群之自我認同空間。 在新管理主義色彩濃厚的福利政策下,慈芳「會所模式」在進出體制之間,仍須面臨許多挑戰與課題。 |
英文摘要 | The development of modern society is the origins of distress and disease. The scientific civilization causes dramatic social changes. From the perspective of social change, people with mental illness are not under medical-gaze, but the reflection of collective social suffering. Recently, clubhouse model provides a new type of service for people with mental illness. The objectives of this article are to look at what’s the ideas of clubhouse model? What’s different with the traditional community psychiatry service? And, it’s impact. The results show the relationship and role between service user and provider have been redefined in Easy House. Clubhouse model views people with mental illness in the way they are able persons, not patients. Moreover, Easy House has developed the strategy of collective narratives from the perspectives of “social suffering” and “social model”. They try to create the space to identify themselves as social community. Under the governance of New-Managerialism, Easy House has to face many challenges and hot issues since they are still of the institution . |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。