優勢觀點（strength perspectives）是一個新興受到重視的社會工作取向，相信人具有改變的能力，發掘人潛在的內外在資源，加以發揮與運用，促使人在困境中改變。將優勢觀點運用在精神障礙家屬團體亦同，特別是醫院體系中的日間病房的家屬經歷過疾病的打擊，面對精神障礙者的復元之路總是缺乏信心與希望感，習慣責備自己與個案。優勢觀點給予家屬不同觀點的刺激，重新協助家屬發掘個案的潛能，支持家屬走過漫長復健歷程。
筆者自民100 年與民102 年在某醫院日間病房帶領三梯次「優勢觀點」家屬團體，每周一次，每次兩小時，為期六週。每次團體主題以優勢觀點五大原則為主，輔以作業分享的方式進行討論，每次團體前、中、後都有檢討與評估機制，每次團體結束時均有滿意度調查。
回顧三梯次優勢觀點家屬團體的經驗，除了家屬團體工作原本的情緒支持與宣洩之外，筆者可覺察到運用優勢觀點在家屬身上的改變，幫助家屬如何用不一樣的觀點，看待復健中的精神障礙者，非一直以疾病觀點看待自己的家人，家屬察覺個案能力的進步；又，不同病程的家屬參與團體，學習到的知識與經驗又是不同，初發病期的個案家屬縮短接受疾病的歷程，長期照顧個案的家屬轉化自我照顧態度；或者看見性別差異，男性家屬在團體中的真情流露，表達出文化中照顧者較與原本社會角色的對立，隱藏性別與照顧角色的衝突；因為筆者與家屬工作長達三年，有四位家屬前後參與兩次團體，也讓筆者有機會觀察到家屬參與團體後的家庭動態變化，家屬與個案、疾病和諧相處。最後，筆者將整理出優勢觀點家屬團體在醫院日間病房操作的重要性與執行限制。

Strengths perspective is an newly emerging social work field. It is been believed people inhardship having the ability to change and explore the potentially internal and external resourcesof human being. The strengths perspective would apply to family groups of patients with mentalillness. The family often lacked for confidence, and had hopelessness to face the disease. Theyalso blamed to clients and themself under suffering situations for a long period. The strengthsperspective would provide a new view to family of patients with mental illness, helping familyto explore capability of the patients, and supporting family in the recovery process.
The author leaded 3 family groups with strength perspective in the daycare unit of a medicalcenter from 2010 to 2012. The group time was 2 hours every session, and lasted for six weeks.The group session was designed with the strength perspective principle and having thehomework after every session. We had pre-evaluation and post-discussion in every session, andhad a questionnaire for satisfaction to the group members in the ending of every session.
Reviewing experiences of the strength perspective applied for family groups, the authorgave the group emotional supportive and observed the change in the members after these grouptherapies. Fist, patients’ family would use difference views to treat patients from with diseasemodel to with human model. Then they were aware of advancements of the patients. Second, thefamily of the patients at different stages of psychotic disease would learn more about mentalillness knowledge, attitudes, and caring experiences. For example, the family of patients havinginitial disease course would early accept the fact of the patient’s disease, and raise their medicalcompliance. The family of patients having chronic disease course would transform their caringexperiences and attitudes. Third, the gender difference in father caring experiences was foundbecause of caring roles conflicted with the tradition of eastern culture. Finally, the author workedwith family in the daycare unit for 3 years, and found family and client had dynamic change intheir relationship, specially the family involving the group treatment twice.
It is important to summarize the family group therapy with the strength perspectives in thedaycare unit of medical center, and would suggest some limitations in the study.