建立初入安置機構兒童之定向遊戲治療工作模式

Development of an Orientation Play Therapy Model for Newcomers in the Residential Child Care Institutions

本研究依循行動研究精神，以結構遊戲治療取向為基礎，發展協助兒童進入安置機構初期生活銜接和適應的定向遊戲治療工作模式。研究者從個人實務經驗出發，透過文獻探索、與在安置機構工作之同儕和遊戲治療領域專家討論後，擬定行動計畫。本研究共有六組成員參加，各組成員均包括遊戲治療師、初入安置機構兒童、機構主要照顧者，透過三個階段的行動循環產生和累積知識，逐步修改定向遊戲治療工作模式內涵，最後徵詢安置機構專家與遊戲治療專家的意見，形成定向遊戲治療工作模式。研究結果：定向遊戲治療工作模式內涵，包括緒論、實施架構、定向結構遊戲方案、使用指南四部分，其中詳列兒童進入安置機構初期可介入的輔導目標。最後提出相關建議，供遊戲治療師、安置機構工作人員及未來研究參考。

Based on Structured play therapy, this study aimed to utilize an action research approach to establish an Orientation Play Therapy Model (OPTM) for faciliting positive adjustment of newcomers in their initial transition period to residential child-care institutions. The author of this manuscript integrated her practical experience, discussion with experts and peer researchers, and related literature in designing an original orientation structured play project. The structure and contents of the OPTM were developed through three stages. Six groups of participants were involved. Each group was composed of a play therapist, a newcomer, and at least one child caretaker. The OPTM was established after consultations with the residential child care institutions and play therapy experts. The findings showed that OPTM includes introduction, structure implementation, theme and contents of project, practicing notes, and a handbook of orientation structured play project. Implications and suggestion were provided at the end.