慢性精神病患之社會復健——復旦之家模式的評估

SOCIAL REHABILITATION OF THE CHRONIC PSYCHIATRIC PATIENTS AN EVALUATION OF HALF-WAY HOUSE PROGRAM

本研究之目的主要在探討復旦之家治療模式對慢性精神病患之社會復健的醫療效果，研究假設為復旦之家應具有增強病患社會功能，改善其家庭關係，加強醫療追踪及提高病患自我價值感之功能。研究分實驗組（接受復旦之家治療模式之病患）及控制組（未接受復旦之家治療模式之病患）兩組共計41個樣本，在控制性別、年齡、教育程度、婚姻狀況、診斷、病史、出院時間等變項之情形下，以結構式之問卷分别調查兩組病患在社會功能、家庭關係、醫療追踪及自我評價上之差異情形。結果發現除家庭關係二組之間沒有顯著之差異外，在其他三項上，實驗組的表現大多都比控制組好；在社會適應上顯得較獨立，自主，人際交往較頻繁，態度較積極、主動；在醫療追踪上較能主動接受門診治療，規則服藥；在自我評價上則對自己在情緒穩定，生活安排，人際關係及獨立自主四方面有較高的滿意程度。本研究發現復旦之家治療模式確對增強病患的社會復健能力上有幫助，值得推展。但同時應考慮慢性精神病患社會復健層面的整體性配合，及加強對此種治療模式的各項評估與研究工作。

This study is aimed to examine the value of half-way house rehabilitation of chronic psychiatric patients particularly in the area of social function, family relations, compliance. with after-care treatment and self-value. Twenty-one patients who had been placed in the half-way house program for at least 3 months during July 1979 to April 1983 were studied by means of specifically designed scales. Twenty patients who were drawn under controlled in sex, age, education, marital status, diagnosis, illness history, discharge duration from the patients discharged from the TCPC during the same period time and who had never gone through the half-way house experience served as a control group. The results of the study showed the half-way house group were all superior than the control group in term of being more independent, autonomous in social adaptation, better social function, better interpersonal relationship, compliance with after-care treatment, more satisfaction about their own emotional stability, life arrangements, interpersonal relationship and autonomy. The results of the present study support our previous studies and clearly indicate the value of this model of treatment in social rehabilitation of the chronic psychiatric patient in presentday Taiwan. Some problems in further development of this program was discussed.