台湾地区两类精神障碍康复机构服务理念和内容的介绍

Introduction to the service concept and content between the two types of mental disorders rehabilitation institutions in Taiwan

目的:基于患者视角比较并研究台湾地区院舍型和社区型两类精神障碍康复机构的服务理念与内容,提炼其对大陆机构的启示。方法:选择慢性康复医院与社区康复会所各1家作为院舍与社区典型精神障碍康复机构进行直接观察,深入访谈两类机构中的10位患者、2位社工与一位护理员,配合焦点小组方法收集资料,应用比较分析方法处理资料。结果:社区型精神障碍康复机构在自我接纳、家庭回归、工作适应与社区融入的康复理念与服务效果都要优于院舍型慢性康复机构,而院舍型慢性康复机构的患者在自我接纳与工作适应方面也有一定的康复效果。结论:大陆可从上述四个方面入手,建设具有本土化特征的社区型精神障碍康复机构。

Objective： To introduce the service concept and content in two types of mental disorder rehabilita- tion institutions, which were institution-based rehabilitation hospital and community-based rehabilitation institution in Taiwan Region. Methods： It was selected one institution-based rehabilitation hospital and one community-based re- habilitation institution as research objects, the authors observed directly two typical rehabilitation institutions by in- depth interview to 10 patients, 2 social workers from two institutions and 1 nursing assistant from Hongji mental dis- order chronic rehabilitation hospital. The comparative analysis method was used to process dat~ Results： On the as- pect of self-acceptance, family return, work adaption, and community integration, the community-based rehabilitation institution was superior to the institution-based rehabilitation hospital. The patients from institution-based rehabilita- tion hospital had recovery results achieved on the aspect of self-acceptance and work adaption. Conclusion： The Ma- inland may start with the four aforesaid aspects in order to construct the community-based mental disorder rehabili- tation institutions with localization characteristics.