Social Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Living with Disability Research Centre, La Trobe University, Melbourne, Victoria, Australia.
Health Soc Care Community. 2022 Nov;30(6):e5714-e5724. doi: 10.1111/hsc.14001. Epub 2022 Sep 7.
Supporting the families of people with disabilities has become a crucial aim of disability services. In disability services, where people with disabilities are usually positioned at the centre of service provision, family-oriented practice implies practice directions to work with clients' families in service delivery. The study aims at exploring how social workers in intellectual disability services and mental health services deliver a family-oriented practice in Hong Kong. We performed a qualitative analysis, using in-depth interview data collected from two broader studies about social workers' experiences in the fields of intellectual disability and mental illness respectively. Thirteen participants in intellectual disability settings and another 13 participants in mental health settings shared their understanding of and concern with family-oriented practice. Four themes were identified in the participants' accounts regarding the importance of family connectedness, family members' constructions of clients' identity, the scope of activities and the intervention space between individual and family. These findings reflect that family-oriented practice was jointly shaped by clients' family systems and disability service system, and shed light on the strategies for future service development at the broader systematic level.
支持残疾人士的家庭已经成为残疾服务的一个关键目标。在残疾服务中,残疾人士通常处于服务提供的中心位置,以家庭为导向的实践意味着在服务提供中与客户的家庭合作的实践方向。本研究旨在探讨智障人士服务和精神健康服务的社会工作者如何在香港提供以家庭为导向的实践。我们采用定性分析方法,使用分别从智障和精神疾病领域的两项更广泛研究中收集的深入访谈数据。13 名智障人士服务领域的参与者和另外 13 名精神健康服务领域的参与者分享了他们对以家庭为导向的实践的理解和关注。在参与者的叙述中,确定了四个主题,涉及家庭联系的重要性、家庭成员对客户身份的构建、活动范围以及个人和家庭之间的干预空间。这些发现反映了以家庭为导向的实践是由客户的家庭系统和残疾服务系统共同塑造的,并为更广泛的系统层面上的未来服务发展提供了策略。