社工服務性創傷個案經驗之初探

Abstract

本研究為探討性侵害防治社會工作的在職訓練經驗、服務經驗，以及實務中運用創傷知情照顧觀點的經驗，期待本研究結果能提供性侵害防治社會工作培訓與服務之相關建議。本研究採質性研究方法，以立意與滾雪球方式選取研究訪談對象，運用訪綱及案例作為研究工具，深度訪談6位性侵害防治社會工作者及主管，並以主題分析法進行資料分析。本研究結論與建議如下列：一、研究結論包含：（一）過多的司法主題在職訓練課程，性創傷個案第一時間主要尋求司法的協助，多數性侵害防治社會工作者為了與性創傷個案接上服務，以及協助性創傷個案與法律專業人員對話，而更加著重於司法在職訓練；（二）性侵害防治社會工作體制對服務的挑戰，整體的社會工作發展，走向跨網絡合作服務與績效管理模式，難以同時具有溫度且效率的進行服務。（三）性創傷對服務關係的挑戰，性侵害防治社會工作者可能在服務過程中，受到性創傷個案的創傷狀態，或是被引起替代性創傷或過往創傷經歷而難以建立服務關係。（四）建議落實創傷知情照顧觀點的運用與限制，臺灣目前在性侵害防治社會工作的在職訓練與政策層面，傾向把性侵害防治社會工作者塑造為依照標準化程序工作，且專門處理性侵害相關司法問題的高效率與高效能的專業人員。

二、研究建議包含：（一）建議增加不同的在職訓練課程；（二）呼籲回歸以服務對象為本的服務體制；（三）建議增加應用創傷知情照顧觀點的在職訓練；（四）建議落實創傷知情照顧觀點。This study explores the on-the-job training experiences, service experiences, and application of a trauma-informed care perspective in practices of sexual violence prevention social work. The aim is to provide recommendations for training and service delivery in sexual violence prevention social work based on the study findings. Qualitative research was employed, along with the purposive and snowball sampling methods to select interview subjects, for the study. With semi-structured interview and case studies as the research tools, in-depth interviews were conducted with 6 social workers and supervisors in sexual violence prevention. Data analysis was conducted using thematic analysis. The conclusions and recommendations of this study are as follows:1. Conclusions: (1) Excessive focus on legal themes for the on-the-job training programs: as clients of sexual trauma often primarily seek legal assistance first, many sexual violence prevention social workers further emphasize legal training on the job to engage with clients of sexual trauma and facilitate dialogues between the clients and legal professionals. (2) Challenges presented to services from the sexual violence prevention social work system: the overall development of social work isshifting towards cross-network collaborative services and performance management models, making it difficult to deliver services that are both warm and efficient. (3) Challenges posed by sexual trauma in service relationships: social workers may find it difficult to establish a service relationship due to the trauma-related conditions of clients, or as a result of vicarious traumatization of social workers or their own past traumatic experiences. (4) Recommendation for implementing the application and limitation of a trauma-informed care perspective: the on-the-job trainings and policies in force for the sexual violence prevention efforts in Taiwan tend to shape sexual violence prevention social workers into efficient and effective professionals that adhere to standard procedures and specialize in handling legal issues related to sexual violence.2. Recommendations: (1) Recommend for introduction of different on-the-job training programs. (2) advocate for returning to a client-centered service system. (3) Recommend for adding the on-the-job training on the application of trauma-informed care perspective. (4) Recommend the implementation of trauma-informed care perspective.