源起：社會福利服務面臨碎片化、人力短缺等挑戰，發展共生服務成為趨勢。目的：(1)分析障礙者融入長照據點策略；(2)反思參與中的「不拒斥」；(3)探討障礙者在共生服務的角色。研究方法：以社會融合理論為架構，採用觀察研究法及個案研究法。研究發現：(1)「疑惑—拒斥—反思—接受—再融合」螺旋過程；(2)從排斥到融合的關鍵策略。(3)以日常相處培力社會融合專業。研究建議：(1)以無排除、全參與來定義社區融合指標與督導機制；(2)從身份翻轉的服務設計；(3)單一專業轉向綜合專業；(4)以人權為基礎的多元服務模式。

Background: Social welfare services face challenges, such as fragmentation and workforce shortages, which have led to a growing trend toward the development of symbiotic services. Objectives: (1) To analyze strategies for integrating people with disabilities into long-term care sites, (2) To examine the concept of “non-rejection” in relation to participation, and (3) To explore the roles of people with disabilities within symbiotic services. Methodology: Framed by the social inclusion theory, this study employed observational research and case study methods. Findings: (1) A spiral process of “doubt–rejection–reflection–acceptance–inclusion”, (2) Key strategies that facilitate the transition from exclusion to inclusion, and (3) Cultivating professional capacity for social inclusion through everyday interactions. Recommendations: (1) Define community inclusion indicators and supervisory mechanisms based on non-exclusion and full participation, (2) Adopt service designs grounded in identity reversal, (3) Shift from single-discipline to interdisciplinary practice, and (4) Implement human rights-based diversified service models.