臺灣社區囤積（症）者的議題探究：助人工作者觀點

Exploration of Hoarding Issues in Communities: Perspectives of Professionals

囤積行為對個人、家庭及社區有嚴重影響，囤積症也已經被認定為一種精神疾病，國際已有豐富研究及工作方法發表。臺灣社區亦經常見到囤積居民，生活空間引發鄰里抱怨，甚或透過通報，期待公部門介入處理。社工或社區工作者經常面臨介入困境，難以處理反覆出現的囤積。相較之下，精神醫療場域中卻很少遇到囤積個案，這種社區與精神醫療院所之間的落差是囤積的特質。本研究目的包含以下兩點：（1）建構與在地社會文化相關的囤積知識；（2）比較不同專業囤積工作經驗及方法。
本研究採用質性研究典範，透過個別訪談及焦點團體收集資料，研究參與者包含社會工作師、社區工作者、臨床心理師，及整理師等曾接觸社區囤積議題的工作者。研究發現臺灣社區囤積者與國際有相似之處，也展現個人生命經驗、歷史、文化及社會階層交織的本土獨特脈絡。不同專業以多元方式服務，但也各有限制。最後，本研究提出四點研究建議：藉由教育訓練建立專業人員囤積知能、發展囤積跨專業服務模式、提倡囤積公共教育，及發展囤積支持性團體。

Hoarding behaviors significantly impact individuals, families, and communities. Hoarding disorder has been recognized as a mental health condition, with extensive international research and intervention methods available. In Taiwan, community-based hoarding cases often lead to complaints from neighbors and even official reports requesting government intervention. However, social workers and community practitioners face challenges in effectively addressing recurring hoarding issues. In contrast, hoarding cases are rarely encountered in psychiatric settings, highlighting the distinct nature of hoarding as a community phenomenon.
The research aims to:(1)amine the characteristics of community hoarding in Taiwan.(2)understand the practices and experiences of professionals engaging with individuals who hoard.
Adopting a qualitative research paradigm, data were collected through individual interviews and focus groups. Participants included social workers, community practitioners, clinical psychologists, and professional organizers who have worked with community-based hoarding cases. Findings reveal that while Taiwanese hoarders share similarities with those described in international research, their behaviors are deeply rooted in personal life experiences, historical contexts, cultural factors, and social stratification, reflecting a unique local narrative. Helping professionals employ diverse approaches but also face specific limitations in their work.
Based on the findings, this study provides four recommendations: enhancing professionals’knowledge and competencies in hoarding through training programs, developing interdisciplinary service models for hoarding intervention, promoting public education on hoarding, and establishing support groups for individuals who hoard.