A Relational Study of Community Counseling Intervention upon Psychological Disturbance People：An Example of Taichung 2013 Community Counseling Program

[[abstract]]本研究旨在探討社區諮商介入對民眾滿意度與心理適應變化之相關。本研究依 據文獻與理論建立研究變項與架構，採問卷調查法，以接受「台中市衛生局2013年度社區精神病患與家屬支持計畫-社區慢性精神病患心理諮商服務專案」服務之民眾為研究對象，實得有效樣本113人份。所使用的研究工具包括：「個案功能評估量表」、「個案服務滿意度調查表」。所得資料以描述性統計(百分比、平均數與標準差)、比較成對樣t檢定分析、Pearson 積差相關及階層回歸預測分析等統計方式，進行各項考驗分析。本研究主要結論如下： 一、社區諮商個案女性佔74％，年齡以21-49歲為主，已未婚比例差不多，教育程 度高中職以上佔80％，職業以待業、家管及其他為最多，個案問題以情緒問題 最多，其次為親子問題及自我探索。 二、社區諮商個案第一軸診斷以情感性疾患及焦慮性疾患最多，第二軸診斷以強迫性 人格疾患最多；第三軸診斷多為失眠，其次為頭昏、心跳。第四軸診斷以主要支 持團體的問題最多，其次為職業問題、經濟問題。 三、社區諮商介入對民眾心理適應變化情形中，整體評估前後測分數及各別分量表皆 有顯著差異。整體功能評估分數越高，心理諮商效果佳；分數中等則普通；當分 數低時，則諮商效果低或個案無求助心理諮商。 四、社區諮商介入對民眾在滿意度與心理適應變化之相關性，滿意度與整體評估後測 達正相關。 五、99%個案對心理諮商感到滿意；在心理師態度及解決問題之情緒舒緩、認知多元及行為改變上滿意度均達9成以上，其中發現心理師工作態度及關係為首要，其次為提升問題解決能力的視野。 最後研究者根據本研究結果進行討論，並進一步在實務工作及未來研究提出若干 建議，以供方案執行、心理師、民眾及未來相關研究學者之參考與應用。[[abstract]]This study was designed to investigate how the involvement of Community counseling could inter-correlate residents’ psychological satisfaction and their adaption to changes. This study, according to the literature and theory structure, adopt questionnaire as the primary methodology. Valid samples of 113 have been recruited in this research, by the program of " 2013 Annual Taichung City Health Bureau, the mentally ill and their families to support community planning - community mental chronic mentally ill ad hoc consultative services ". Quatative masure in this research includes: " client functional assessment scale ", " client service satisfaction survey. "Results include descriptive statistics (percentages, averages and standard deviation), comparing paired samples T test analysis, Pearson product moment correlation and hierarchical regression analysis and others. Five main findings are as following: First, 74% of female cases, aged 21-49 years old are main participants in this study. 80 percepts of research objects’ have education level above high school. Most of them are unemployed, housewives and others. Problems are reported mainly with mood, parenting, self-exploration based. Second, based on DSM-IV diagnostic structure, cases which diagnosed with the first axis, could be categorized many as emotional disorders and anxiety disorders. The second axisincludes mainly cases with obsessive-compulsive personality disorders; the third axis diagnosis are more for insomnia, dizziness, rapid heartbeat. In the fourth axis problems reported mainly withsupport groups, career issues, economic issues for most. Third, significant differences could be found before and after counseling process in overall and subscales of assessments. Scores in the overall functional assessment positively correlate with counseling product; they also moderate the ordinary effect;. Fourth, cases’ satisfaction and their adaption to changes positively correlate with each other.. Fifth, 99 % of the clients are satisfied with counseling process. More than 90% of them are also satisfied with the results of problem solving, counseling attitude, emotional relief, cognitive and behavioral change. Finally, according to the results of this study, researcher of this study concludes recommendations for government agencies, psychologists, people and future research scholars.[[note]]碩