探究社區中囤積儲物議題下社會工作者的角色

Exploring the Roles of Social Workers Working for the Hoarders in the Community

囤積儲物行為係來自過度獲取、或不願丟棄無用的物質，使得生活空間受到高度影響的一種心理障礙，不僅對個人有害，也對家庭及社區環境造成威脅，如形成髒亂、火災等公共議題。長遠影響亦可能不利子女成長、干擾高齡者生活，形同疏忽虐待或自我放棄，並導致持續汙名化的惡性循環。國外實證研究指向於社區中建立跨專業的工作團隊來因應，社會工作是為其中的重要角色，國內則尚缺乏相關論述。本研究運用質性研究方法，透過文獻探討並訪談具相關服務經驗的八位社工，探討他們如何透過社會工作角色的特殊性以聯繫跨專業團隊進行協助。研究發現本土社會工作者透過掌握囤積者相關的複雜脈絡因素並思考如何進行處遇、意識到包含其他不同專業將帶來各種影響、並利用個案當時所具備之能力與資源來支持改變、以及與個案所處之社區進行去汙名化與倡導。文末並討論研究限制和未來研究建議，以作為未來建立服務模式的參考。

Hoarding behavior is a psychological barrier that comes from excessive acquisition or unwillingness to discard useless materials, which makes the living space highly affected. The long-term impact including impeding the growth of children, interfering with the life of the elderly, causing to neglect or self-abandonment, and leading to a vicious circle of continuous stigma. Empirical research shows social work can be important discipline to organize interdisciplinary work teams in the community. Due to local studies are limited, this study uses qualitative research methods to interview 8 social workers who had work with people of hoarding behaviors. The study found that local social workers can support change by understanding the complex context factors related to hoarding, recognizing that including other different professions will bring various effects, and using the ability and resources of the case at the time. They also can work in the community for de-stigmatization and advocacy. The research limitations and future research suggestions are discussed for the future.