來自偏鄉的聲音：家有青少年脆弱家庭的受困經驗與接受服務後轉變初探

Voices from Rural Areas: An Exploratory Study on the Hardship Experiences of Vulnerable Families with Adolescents and Their Changes after Receiving Services

台灣自2018年推行社會安全網政策，強化脆弱家庭服務，然相關實證研究仍顯不足，尤其缺乏服務使用者主體經驗之探討。本研究與東部某脆弱家庭支持方案合作，以多個案研究法訪談4戶家庭共6名成員，探究其多重困境經驗與服務使用成效。研究結果發現經濟壓力、家庭關係不佳、與身心行為三項主要議題，並反映偏鄉地區的就業機會與傳統性別角色限制。以需求導向的全面性支持、持續性陪伴與即時回應、及多元且充足的資源網絡，才足以回應多重需求，並帶動脆弱家庭的轉變。然而，受訪家庭的轉變主要集中在子女行為問題、照顧者心理健康、及家庭關係改善，無法克服結構性問題。家人共同面對問題，而非僅由主要照顧者承擔，是本方案最顯著的服務效果。

 

Since the implementation of Taiwan’s Social Safety Net policy in 2018, empirical research on social services for vulnerable families remains underdeveloped, particularly from service-user perspectives. In collaboration with a support program in eastern Taiwan, this multiple-case study interviewed six participants from four households raising adolescents to explore the complex adversities they experience and their perceived service outcomes. The findings revealed three primary challenges: pronounced economic pressure, strained family relationships, and psychobehavioral challenges, compounded by the structural constraints of rural employment scarcity and entrenched gender roles. Effective intervention requires holistic needs-based support, sustained support with timely responsiveness, and sufficient resource network. Notably, positive changes were reported in adolescents’ behavior, caregivers’ mental well-being, and family dynamics. However, structural barriers remained largely unaddressed. Encouraging all family members to confront problems together, rather than overburdening a single caregiver, emerged as a pivotal outcome of this family support program.