臺灣諮商心理師執業現況與執業意見之調查研究

Practice and Opinion Survey of Counseling Psychologists in Taiwan

本研究的目的在於調查諮商心理師的執業現況和對執業相關問題的看法，作為諮商心理師專業發展的參考。主要探討的問題包括：諮商心理師在哪些場所執業？心理諮商實際和合理收費是多少？主要的工作內容和時數為何？平均每月收入是多少？對於收費標準的訂定單位、公會常年會費的合理額度、諮商心理師是否納入健保，以及諮商心理師人力是否足夠等的看法為何？研究工具為自編的「諮商心理師執業現況問卷」，以全體執業登記的諮商心理師為研究母群，回收有效問卷共計325 份。主要研究結果：1.64.4%的諮商心理師在學校執業；2.專兼任比例為57.62%和42.38%；3.專兼任諮商心理師的平均月收入為44，809元和54，133元；4.專職諮商心理師每週工作時間的三成從事諮商實務工作，將近六成從事行政工作；5.心理諮商每次平均收費為1，268元，諮商心理師認為每次心理諮商的合理收費標準是1，425元；6.諮商心理師的個案來源有74.3%是靠機構安排；7. 諮商心理師的專長主要在青少年、大學生和成人，以及一般發展性問題和生涯與職業問題，以及學校諮商；8. 諮商心理師的主要工作內容是：個別諮商、上課演講與工作坊、心理測驗與衡鑑，以及團體輔導；9. 諮商心理師服務對象主要是成人，其次是青少年，再其次是兒童；10. 有82.5%的諮商心理師執業時會使用心理測驗，有8.9%會使用生理回饋；11. 多數諮商心理師認為心理諮商所收費標準應由諮商心理師公會全聯會訂定；12. 有76.3%的受訪者贊成將諮商心理師納入執行全民健保給付項目的醫事人員；13. 有81.6%的諮商心理師未來五年的生涯規劃是在機構專職或兼職執業；14. 對於諮商心理師人力的估計，有50.8%的受訪者認為不足，有34.8%認為過剩。最後，本研究針對研究結果進行討論，並提出專業發展與未來研究的建議。

The purpose of the study was to investigate the current practice patterns of counseling psychologists in Taiwan and their opinions of practice-related issues. The research questions included practice locations， fee schedule， professional activities， working hour allocation， monthly incomes， fee setting authority， annual fee for association membership， participation in the National Health Insurance Plan， and counseling psychologist manpower. A total of 325 licensed counseling psychologists completed a questionnaire constructed by the researcher. The results of the study indicate that out of the 325 counseling psychologists: (a) 64.4% of them work in school settings; (b) 57.6% of them work full-time with an average monthly income of NT$44，809; (c) 42.4% of them work part-time with an average monthly income of NT$54，133; (d) Full-time counseling psychologists spent 30% of their work hours in direct service and almost 60% in administrative activities; (e) The averaged hour fee for counseling service is NT$1，268 and the reasonable hour fee according to the participants is NT$1，425; (f) 74.3% of the clients were assigned by the agency; (g) The majority of the counseling psychologists are specialized in counseling adolescents， college students， and adults with developmental and career issues in school settings; (h) Counseling psychologists’ major professional activities are: individual counseling， classroom teaching， lecture and workshop， psychological testing and assessment， and group counseling; (i) Counseling psychologists served mostly adults， followed byadolescents， and then children; (j) Among the 325 respondents， 82.5% use psychological testing and 8.9% use biofeedback in their practice; (k) Relative majority of the respondents agreed that the counseling psychological association should set the fee schedule; (l) 76.3% of them agreed that counseling psychologists should join the National Health Insurance Plan as service providers; (m) 81.6% of the respondents plan to work full-time or part-time in professional organizations within the next 5years; (n) 50.8% of the respondents believe there is a manpower shortage while 34.8% believe there is a manpower oversupply of counseling psychologists. Discussion of the research findings and suggestions for professional development and future research are presented in this paper.