跨出家門在一起：社會融合觀點的在地共生服務個案分析
Stepping Out of the Home Together: A Case Study of Symbiotic Services from the Social Inclusion Perspective

研究論文 Research Article

歐紫彤, 鄭清霞, 洪惠芬, 李佩芳
Tzu-Tung Ou, Ching-Hsia Cheng, Hui-Fen Hung, Pei-Fang Lee

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源起：社會福利服務面臨碎片化、人力短缺等挑戰，發展共生服務成為趨勢。目的：（1）分析障礙者融入長照據點策略；（2）反思參與中的「不拒斥」；（3）探討障礙者在共生服務的角色。研究方法：以社會融合理論為架構，採用觀察研究法及個案研究法。研究發現：（1）「疑惑—拒斥—反思—接受—再融合」螺旋過程；（2）從排斥到融合的關鍵策略。（3）以日常相處培力社會融合專業。研究建議：（1）以無排除、全參與來定義社區融合指標與督導機制（2）從身份翻轉的服務設計（3）單一專業轉向綜合專業（4）以人權為基礎的多元服務模式。

Background: Social welfare services face challenges, such as fragmentation and workforce shortages, which have led to a growing trend toward the development of symbiotic services. Objectives: （1） To analyze strategies for integrating people with disabilities into long-term care sites, （2） To examine the concept of “non-rejection” in relation to participation, and （3） To explore the roles of people with disabilities within symbiotic services. Methodology: Framed by the social inclusion theory, this study employed observational research and case study methods. Findings: （1） A spiral process of “doubt–rejection–reflection–acceptance–inclusion”; （2） Key strategies that facilitate the transition from exclusion to inclusion; and （3） Cultivating professional capacity for social inclusion through every-day interactions. Recommendations: （1） Define community inclusion indicators and supervisory mechanisms based on non-exclusion and full participation, （2） Adopt service designs grounded in identity reversal, （3） Shift from single-discipline to interdisciplinary practice, and （4） Implement human rights-based diversified service models.

共生型服務|, 長期照顧據點, 身心障礙, 個案分析
symbiotic services, long-term care centers, disabilities, case study

社會福利, 社會工作
Social Welfare, Social Work

10.53106/1018189X202602102

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