| Summary: | 碩士 === 國立暨南國際大學 === 社會政策與社會工作學系 === 107 === The number of people in the physical and mental department in Taiwan has risen from 1.7 million to 2.33 million in 14 years. Among the total number of people with physical and mental disabilities totaling 1.13 million, the number of patients with chronic mental illness is 120,000, accounting for 10.7%. About 90% of them live in the home, and the main caregivers are mostly parents. The researcher's clinical practice saw that many years ago, the grandparents, parents, brothers and sisters were the main caregivers, and the elderly took care of the prematurely aging disabled. The same social welfare resources provided in the clinical practice work have different responses. The pressure of the main caregiver under the old care situation is very heavy, but the information that the mental illness patients can find in this concept is quite limited.
The purpose of this study is to examine the care load, welfare resource use experience and barriers faced by the primary caregivers of mentally ill patients in the care process when faced with the elderly. This study is used to understand the social welfare services and use of families with dual aging mental illnesses as a recommendation for future benefits. According to the purpose of this study, the qualitative research method was used to find suitable researchers for the study. After obtaining the consent, the semi-structured in-depth interviews and the whole process recording were used to collect the data, and 5 interviews were completed. The findings are as follows:
(1) Social welfare resources needed to take care of the current situation: medical resource services - passive medical intervention needs, instrumental support/caring skills guide resource requirements, counseling and support groups - emotional support for appeasement/listening, economic resource subsidy - medical expenses load and livelihood issues, religious teacher or spiritual care service - spiritual / spiritual needs, annuity care service - the caregiver's life role. These six items are the resources that the Institute found to be needed for the care of the elderly.
(2) Experience of the use of welfare resources by skilled elderly caregivers: low resource availability - information is not universal, resource application complexity is high - time-consuming and laborious / rushing and complicated experience, poor accessibility of resources (remote location), negative experience of the welfare system - negative / unfriendly professionals, application criteria vary by region, positive experience of welfare system interaction, service convenience, service individualization considerations affordability (available resources that are more affordable and willing to assist), experience has positive and negative.
(3) The needs and recommendations of the Dangerous Double Caregiver Welfare Service are as follows: (a) advice on care policy planning: cross-team welfare promotion and case study, two-party guarantee of appointing agent system, re-education of welfare providers, government private cooperation for sustainable care services, long-term care plan 2.0 should be better for the services needed by the elite. (b) advice on practical work: adding a religious teacher or social worker to provide spiritual care, more supportive groups for major caregivers of mental disorders, the media prohibits the stigma of mental illness, disposal of public health care for discharge preparation services, enhance awareness of mental disorders, accepting mental disorders, family members are deteriorating, and the social function is no longer in the past. (c) suggestions for future academic and research: sample interviews or quantitative studies in different regions, study on the use of caregivers' welfare in caregivers with different severity/psychotic diagnosis, study on the experience of using different care relationships.
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