| Summary: | 碩士 === 國立屏東科技大學 === 社會工作系所 === 102 === Mental disorder is kind of illness, that has influences on mental functions and behavior, causes pain and loses sense of behavior. It also affects functional status and hinders individuals from developing their own integrity. The purpose of this study was to investigate the current status and problems of the occupational rehabilitation services model towards metal disorder patients.
In-depth interview was used as the main method for collecting data in this study. Eleven experts in the field of occupational rehabilitation for people with mental disorder were invited to this interview. Issues with regard to applying strength perspective in the vocational rehabilitation services were analyzed and discussed, thus to know the vocational rehabilitation services for people with mental disorder will establish assistant relationship with the cases and stimulate personal desire. Service object is the director for helping relationship. Joint discussion was conducted for developing service plan and promoting employment of the cases, thus to investigate functions of occupational rehabilitation services. A generalization of research analyses and findings indicated occupational rehabilitation services for people with mental disorder could be divided into two parts-current contents and policy system.
In respect to contact and relationship establishment included in current contents of occupational rehabilitation services, friend or partner relationship was only applicable to voluntary cases. At the stage of merit evaluation, exploration and desire, due to limitation of legal service prescription, services were mainly provided to active cases; furthermore, occupational assessment lacks an overall evaluation of the case’s ecological environment resource check. During goal setting, as a result of legal requirements and interferences caused by these cases’ symptoms, it’s only possible to set goals that meet legal stipulations and individual expectations. At the phase of performing personal work plan, it’s unable to make adjustment in accordance with the case’s actual conditions and fully implement the employment mode because of restrictions such as stability of spiritual status and term of legal service. In addition, execution of occupational rehabilitation service program is also affected by insufficient closeness of cross-system resource connection and problem of inter-organization cooperation mechanism. For conclusion, implementation and application of strength perspective service is limited as confined physical and mental states of individuals, low degree of social network support, and effective period of the service. In terms of policy system of occupational rehabilitation series, seven conclusions were drawn: 1. Differences in professional promotion, 2. lack of empirical evidences for newly established management system, 3. deficient connection of cooperative mechanism, 4. lack of a perfect service work mode, 5. a difficult balance between pressure of legal service prescription and stipulation of performance, 6. restricted employment benefits and equities of service users, 7. lack of employer-end notification and transition mechanism.
Some propositions from this research were proposed in the concluding chapter. First of all, the suggestions lie on the current status occupational rehabilitation service. The second point refers to the suggestions on the policies of occupational rehabilitation services. The third point refers to future researches which could be used as references.
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