| Summary: | 碩士 === 長榮大學 === 社會工作學系(所) === 105 === The delivery of community-based psychiatric rehabilitation services mainly pays attention to psychiatric care and overlooks comprehensive health care of clients is a result of the specialization of health care and the ostracization of psychiatric illnesses in our society. This study uses a qualitative approach, collecting information from caregivers, social workers and their supervisors at the community-based psychiatric rehabilitation facilities. The data collected indicates that the community-based psychiatric care is disease-centered rather than person-centered, which can not meet the need of our society with low birth rate, high divorce rate and a rapid aging population where young generation becomes the main caregivers of their aging parents and grandparents. Apparently, the family structure is getting loose and the responsibility of the care is shifting in our changing society, service providers tend to refer clients with complicated medical needs to other care facilities or discharge them, dropping them like a hot potato.
Lastly, the study not only offers proactive suggestions to caregivers in the families, such as seeking help, actively involving in service planning, and building family support network, the study also offers suggestions to service providers regarding service modality, such as providing holistic care, as well as flexible and dynamic services, adopting strength-based perspective, and establishing comprehensive care system that includes multiple medical services, including escorting to doctor’s appointments, coordinating service resources, mobile health service, enhancing service accessibility, sensibility, and the psychiatric care network to the maximal function.
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