| Summary: | 碩士 === 中國文化大學 === 社會福利學系 === 106 === From the promulgation of the " Family and caregiver services for people with disabilities " amended and dated May 20, 2015, the major In-home caretaker is the spouse, immediate family members, straight in-laws members and family members who live together under the same roof.
It is difficult to see the presence of caretakers from siblings. Moreover, the dual-aging care issues from the past to recent years, the parents who are commonly to take the responsibility of looking after the mentally-impaired persons. Therefore, welfare policies and academic research are more focused on the Double care burden of parents and intellectual disabilities. However, under the influence of the intergenerational transfer of dual aging care responsibility, siblings are the most likely the potential caregivers instead of the parents, but are often the overlooked caretakers by both formal and informal supporting resources.
Based on this, the purpose of this study is to explore why when one family is more than one siblings, why does one take over the role of caretaker. How do they interpret the care responsibilities they will encounter throughout their lives? And how do they regard the content of the negotiation of the care responsibilities between the parents and other siblings.
In this study, the qualitative access method was used to select eleven handicapped caregivers from 10 families with intellectual disabilities as the research object, and the data analysis was conducted by using the topical analysis method.
It comes down to three themes: First, I am not a selfish caretaker! Second, Who is the right 「successor」？Third, how do siblings take care of the responsibility of the life process? From the beginning of childhood has already been forced to or accepted the responsibility as part of the caretaker, causing confusion and conflicts to their mind. Without sharing the inner thoughts, it is difficult to take on the burden of being a caretaker. This further influences the person in every phase in life when it comes to decision making. In addition, under the premise of being considerate of parents of the hardship of taking care work, we have no intention of sacrificing our own achievements or being forced to grow up. We even lack the discussion and companionship of the rest of our siblings, and are consequently becoming more deeply isolated and helpless. Therefore, we choose to "justify ourselves". By accumulating social support resources, they have the right reasons to face a lonely care career, but at the same time it also profoundly depicts the phenomenal images of imbalances and unpreparedness between those siblings.
Based on the findings, it is recommended that practitioners and parents listen to the inner voice and impact of siblings deeply, and promote multi-type support groups to achieve psychological relief, and provide information on career planning discussions and mental retardation skills. The development of a coping and care strategy that belongs to brothers and sisters; and, in addition, creating and guiding the opportunities for communication and discussion between brothers and sisters, and avoiding the responsibility for long-term care to fall into the hands of one person.
Finally, it is recommended that the long-term care policy planners face up to the continuous demand for double aging care and change the title, and re-examine the imagination of mentally disabled persons to take care of the images and establish an appropriate care service model and plan.
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