居住所管理者思維與精障個體復元關係之探討醫療取向或復元取向 … · management services) ãQ "Q5a7ð (self-help programs) ã+í ÷1è (housing)Jñp»+Ì!

2015 年企業倫理與社會責任精進學術研討會

居住所管理者思維與精障個體復元關係之探討

—醫療取向或復元取向的倫理議題

謝加娣 * 羅美麟 ** 嚴奇峰 ***

進精社精與精社

研討理精

理倫理研任與理進

進理研

業 (T1 T2 T3T4 社 ) 與理進討 T4

與精社研理精

( )與 ( )理精與

T1 T2 精 T4精 T3

社精

倫理研研理精

社與倫理

( ) 理精倫理

* 學企業理學 ** 學社會 *** 學企業理學企業社會責任研任 ( )

55

理與精討— 倫理

The Relationship between Housing Manager’s

Philosophy and Recovery of People with Mental

Illness - An Ethical Debate on Medical Approach or

Recovery Approach

Chia-Ti Hsieh* Mei-Lin Lo** Ghi-Feng Yen***

Abstract 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 models and recovery of people with psychiatric disabilities and the related ethical issues. This study explores (a) various housing management models on recovery of people with psychiatric disabilities; (b) various types of housing and their current prevalence in Taiwan; and further debates on (c) 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-stage/open-end questionnaire was administered to and in-depth interviews were conducted with experienced experts, former government officials, and housing practitioners 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 proprietor, that barely meets government evaluation requirements but is actually a variant one; 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

* Ph.D. Candidate, Department of Business Administration, Chun Yuan Christian University ** Graduate Student, Graduate Institute of Social Work, National Chenchi University *** Professor (Corresponding Author), Department of Business Administration, Chun Yuan Christian University Director, Research Center of Corporate Social Responsibility, Chun Yuan Christian University

56


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.

Keywords: Housing, Manager’s Philosophy; People with Mental Illness; Recovery; Ethical Debate

57


、

學 (Center for Psychiatric Rehabilitation) Anthony 1993

與精

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(housing) (custodial care) (supervised group housing) (supported housing) (Corrigan,

Mueser, Bond, Drake, and Solomon, 2007) (supported housing)精社與社

精與 (Carling, 1992, 1993; Rog, 2004; Corrigan et al., 2007)進精精與社

社社會精 (Wong and Solomon, 2002; Wong, Nath, and Solomon, 2007)

精 1985年精社 ( 研會 1995) 社精

社與精

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理

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精

研理理討理理精

進理倫理

研研

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Deegan (1988)Chamberlin (1997)

Leete (1989)Long (1994) 與社會

與 Granger (1994)Caras (1999)

年學

Anthony (1993) 精與

(deinstitutionalization)」社與

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理 (Compagni et al. 2007; Piat and Sabetti, 2009)

Dornan, Felton, and Carpinello (2000)進

與 Ralph (2000)進與

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理— 與與 — 與

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Ridgeway (2001) 精 (Lovejoy, 1982; Deegan,1988; Leete, 1989; Unzicker, 1989) 與

與

59


理與與與與

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(Anthony et al., 2003; Torrey, Rapp, Van Tosh, McNabb, and Ralph, 2005; McLoughlin, Webb, Myers, Skinner, and Adams, 2010; Moran and Nemec, 2013) Farkas (2007)業精

進

( 25.1 ) 1948 年精

與與社

會 … 精理 (case management services) (self-help programs) (housing)

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1937 年精

45 (Youmans, 1992) 1955 年

精 1998 年精 559,00060,000 (Lamb and Bachrach, 2001) 精社

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」 (custodial housing) (supportive housing) (supported housing)

(autonomous housing)與

會與 (Dorvil, Morin, Beaulieu, and Dominique, 2005)

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社 (Fenby, 1991; Barr and Fay, 1993) (supportive housing)」

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進精會 24

60


(Rog, 2004)與 (Hogan and Carling, 1992)

與

(Blanch, Carling, and Ridgway, 1988)社精與社精與

(Carling, 1992, 1993; Rog, 2004; Corrigan, et al., 2007) 進

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(Minkoff, 1978; Thompson and Doll, 1982; Dorvil, 1986; Seeman, 1988; Anthony and Blanch, 1989; Johnson, 1990) 研精

(Lefley, 1997) 精與會

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62


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65


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68


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Documents

居住所管理者思維與精障個體復元關係之探討 醫療取向或復元取向 … · management services) ãQ "Q5a7ð (self-help programs) ã+í ÷1è (housing)Jñp»+Ì!

居住所管理者思維與精障個體復元關係之探討醫療取向或復元取向 … · management services) ãQ "Q5a7ð (self-help programs) ã+í ÷1è (housing)Jñp»+Ì!