本研究針對社區精神復健服務使用率偏低的問題，以中部某療 養院之病患爲研究對象，進行一「早期且完整之干預」的兩年實驗 計畫；由社會工作人員以個案管理的方式對實驗組病患(n = 45)進 行實驗之干預，分爲住院期間之評量、訊息傳達與教育、訂定出院 計畫與轉介，與出院後對病患復健服務使用、病患功能與主要照顧 者負荷程度之追蹤；而控制組(n = 31)之病患則接受醫院之一般處 遇方式。本研究檢驗實驗組之社區精神復健服務使用之情形是否優 於控制組；並比較實驗組與控制組在出院三個月與九個月後於1病患 功能與照顧者負荷方面是否達顯著差異。研究發現實驗組與控制組 於上述幾方面都無顯著差異；然而，本研究的假設未獲支持並不必 然意涵本研究的假設不正確；其直接的原因關乎「方案執行過程」 ，亦即未如當初的設計般；而執行過程中的限制又與醫院内部與外 部結構性因素有關。本研究分別由這些結構限制加以討論，並提出 四項建議，期能增進社區精神復健服務之使用。

This study aimed to test the effects of a two-year experiment, “Early and Comprehensive Intervention” , on fostering the utilization of psychiatric rehabilitation services. Subjects were drawn upon a psychiatric ward in central Taiwan. Patients in the experimental group (n =45) received intervention from social workers who acted as a case manager. The intervention involves two parts: (1) During patients' stay in the hospital, including comprehensive assessment, information giving, explanation, and education, as well as making discharge plan and referring patients' to appropriate psychiatric rehabilitation services; (2) After discharge, including follow-up on patients’ use of psychiatric rehabilitation, patients' function and caregiver burden. Whereas, patients in the control group (n = 31) received regular intervention. The study examined if the experimental group used more of the psychiatric rehabilitation services than the control group, and tested if these two groups were significantly different in patients' function and caregiver burden three months and nine months after the patients discharged from the hospital. The results indicated that, in general, the hypotheses of this study were not significant. However, such results do not necessarily imply that the research hypotheses were not supported since there were problems with program implementation process, which related to the structural barriers, including insufficiency of psychiatric rehabilitation facilities and the power structure and role allocation among the different professions. Another barrier is in that patients and caregivers lacked of motivation in using and knowledge of psychiatric rehabilitation service. The author discussed this barriers and made four suggestions.