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跨專業整合模式在性侵害受害者服務中效益之評估—以臺北市為例<P>Effectiveness of Multi-disciplinary Collaboration Model in Sexual Assault Victim Service:Evaluating Practices in Taipei City.

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  • 最後更新日期:109-05-13
  • 資料點閱次數:168
為發展以被害人為中心,減少被害人在偵訊與蒐證的過程中受到二度傷害,自民國97年起,由臺北市立聯合醫院與台北市家庭暴力暨性侵害防治中心、警察局婦幼警察隊、法院協同提供『性侵害案件一站式及整合性團隊服務方案』。研究指出跨專業團隊合作將有助於被害人獲得較好的服務,並且有益於犯罪案件的起訴。但是,由於不同專業者之間的哲學假設、理論觀點及方法的不同,在團隊整合過程中可能反而因為各專業追求不同目標,而造成合作上的困難。本研究旨在探討影響跨專業整合效益的相關因素,探討可能存在的問題,並試圖提供建議。 本研究以Bronstein提出的影響跨專業合作的四個外部影響因素:專業角色、組織特性、個人特性和合作的經驗等,四個外部因素為架構,運用深度訪談的方式,訪談了九位團隊工作成員。其中包含醫師、護理師、醫務社工、家庭暴力暨性侵害防治中心社工、婦幼隊員警及婦幼專組檢察官。研究結果發現,相關組織應提供跨領域合作能力提升的專業教育,以避免本位主義及各自為政的困境。並透過更多跨團隊會議、或合署辦公、以及增加警察、驗傷採證人員的配置等方式,以增進良好的合作經驗。最後,也建議加入精神科醫師,以解決精神障礙案例帶給團隊的困擾。

In order to develop a victim-centered service, and to prevent second-rape during the process of questioning and evidence gathering, the Taipei City Government established a ‘One-Stop and Multi-Disciplinary Collaboration Team Service for Sexual Assault Victims’, to coordinate Taipei City Police Department (Women’s and Children’s Division), Center for Prevention of Domestic Violence and Sexual Assault, and local Court to work together. Researchers indicate that multi-disciplinary team will help victims receive better service, and good for the prosecution of criminal cases. However, due to the different philosophical assumptions, theoretical perspectives and methods between different professions, there might be difficulties during the integration process, because of the professionals pursuing different goals. This study was designed to investigate the factors affecting the integration and efficiency of the multi-disciplinary, and to explore the possible problems, and attempt to offer suggestions.

The study adopts four external factors that affect multi-disciplinary collaboration developed by Bronstein: professional roles, organizational characteristics, personal characteristics and experience of cooperation. I use these four external factors as is framework, and use in-depth interviews method with nine team members, including physician, nurse, medical social workers, social worker of Center for Prevention of Domestic Violence and Sexual Assault, and Police officer of Women’s and Children’s Division, Taipei City Police Department, Prosecutor of Women’s and Children’s Division. In this Study, we found that the organizations should provide capacity-building education for better multi-disciplinary collaboration, in order to prevent parochialism and individualism. We also need more multi-disciplinary team meetings, or collaborated service, as well as to increase the police, examining and forensics personnel, and etc, in order to bring better experience of cooperation. Finally, we propose the participation of psychiatrists, in order to address the problems brought by mental disorders cases.

資料來源:http://handle.ncl.edu.tw/11296/ndltd/12407243753916060324

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