以家庭為中心的評估視角：成人保護個案評估表修改脈絡與討論

A Family-Centered Evaluation Perspective: Revision and Discussion of the Adult Protection Case Assessment Form

「以家庭為中心，以社區為基礎」是臺灣社會福利政策用以強化家庭支持功能的主張，成人保護社會工作乃實踐此主張的重要場域。基於現行「成人保護個案評估表」仍是以被害人為中心的視角，本研究透過焦點團體邀請實務工作者討論此表的修正，期能落實以家庭為中心的理念。研究結果可歸納四個重點：（一）修正「被害人、相對人及案家基本概況評估」為「案家基本概況評估」，以使案件評估能具有家庭系統與生態觀。（二）修正「被害人受暴情形評估」為「暴力事件評估」，使家暴事件之評估能基於家庭脈絡。（三）修正「被害人需求及資源評估」為「被害人/家庭需求與資源評估」，以深化生態觀與家庭系統之評估概念，引導社工具體評估被害人及整體家庭之需求及阻/助力，進而引入社區資源。（四）聚焦於「被害人及其家庭」的服務目標及計劃，以有效建立並整合以家庭為中心之資訊系統，並協助社工執行家庭介入與服務計畫。本研究可為日後推動成保落實以家庭為中心的參考。

The family-centered and community-based policy has been the foundation of Taiwan’s social welfare policies aimed to strengthen family support functions. Adult protection social work is a crucial field for implementing this policy. As the existing Adult Protection Case Assessment Form still resorts to a victim-centered perspective, this study organized three focus groups to discuss revisions for the form by inviting practitioners and aimed at realizing the family-centered policy concept. On the basis of the research results, this study summarized four key points for revisions: (1) revise“Assessment of the Basic Situation of the Victim, Opposite Party, and Case Family”to“Basic Situation Assessment of Case Family”in order to incorporate a family ecosystem perspectives in case evaluation; (2) revise“Assessment of Victim Abuse Situation”to“Violence Incident Assessment”in order to ensure that assessments of domestic violence incidents are grounded in the family contexts and systems; (3) revise“Assessment of Victim Needs and Resources”to“Assessment of Victim/Family Needs and Resources”in order to reinforce the concept of ecosystem perspectives and family system assessments and to guide social workers making concrete assessments concerning the needs and barriers/facilitators of victims, opposite parties, and the overall family, thus facilitating subsequent introduction of community resources; and (4) focus on victim/family service objectives and plans to effectively establish and integrate a family-centered information system in order to aid social workers in implementing family intervention programs.