頁籤選單縮合
題 名 | 醫療模式下的早期療育,社會工作者在哪裡?="Medical Model" Based Early Intervention: Are Social Workers Lost? |
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作 者 | 朱貽莊; | 書刊名 | 社區發展季刊 |
卷 期 | 136 2011.12[民100.12] |
頁 次 | 頁331-343 |
專 輯 | 健康照護與社會工作 |
分類號 | 547 |
關鍵詞 | 醫療模式; 早期療育; 社會工作者; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:臺灣一直以來即是從醫療的角度,將發展遲緩兒童視為「異常」的孩子,為了提供必要的治療,以導正發展遲緩的現象,多數的兒童皆是在醫院接受早期療育服務。以醫療模式為主的服務,促使發展遲緩兒童及其家庭的需求被忽略,而社會工作者卻無法在醫院的體制中發揮應有角色。方法與分析:本文透過實際案例,反映發展遲緩兒童在接受醫院療育服務時的經驗,並說明參與這樣的服務對兒童及家庭來說受到何種影響。發現與建議:透過社會工作者在醫院裡的處境分析,提醒如果臺灣持續以醫療做為早期療育服務的主體,應該讓社會工作的價值在醫院體系中能夠著力,尤其社會工作的介入應避免以專家權威的角色來強調兒童的損傷或家庭的問題,才能讓發展遲緩兒童及其家庭的需求被完整的關注。 |
英文摘要 | Background Child developmental delay has been considered as "abnormal" in Taiwan from the medical point of view. To provide the necessary “treatment” and “correction” the phenomenon of developmental delay, most children received “medical” early intervention services in the hospitals. However, the medical model-based service ignores the barriers resulted from the social structures such as the service systems and social culture including the needs of children and their families. And social workers seem to lose their professional values and mission, that is, focus on how person in social situations. Methods and analysis Through the case examples, this article reflects what the experiences of children with developmental delay and their families received “hospital treatment” and the impacts has been affected the children and their families. Findings and Implications Through analyses of social workers working at the hospital units show that keeping medical care as the main body of early intervention services social workers were even far away from the service users/clients, as other professionals. Social workers working at the hospital units should come back to the missions of social work concern and work “with” the children with developmental delay in particular their families, to move the barriers of social environment instead of the impairement of the children. |
本系統中英文摘要資訊取自各篇刊載內容。