Welfare Community is in the scope of social welfare, and it has become one of the social welfare polices that Taiwan strives to promote in recent years.However, Welfare Community does not mean deinstitutionalization when intellectual disability institutionalization is developing Welfare Community.It stresses that we should respect those intellectual disability people and should provide family-oriented, individual-oriented and human-oriented service.We should make those people be supportive and fulfill the idea of Welfare Community in the institutionalization.
This research was conducted through the participations and interviews in order to analyze the mode of the caring organization and the process of professional service which is in a public institutionalization.The results and findings of this research conclude two points below:
1、Care giving and medical care service:（1）The living environment of the people in the institutionalization has been improving toward to human-oriented and family-oriented.Through the idea of the system, the caregivers are being taught the direction of caring service; however, not all the care givers have recognized the direction of caring service in actual service mode.（2）For different levels of intellectual disable people are all put into the same group.Due to this kind of mixed care giving, it is prone to focus on the people who have more serious mental or physical problem.The caregivers overlook other intellectual disable people’s needs.（3）The distribution on working time and labor work of caregivers is showing the limitation in the caring system.（4）The medical care of the intellectual disable people do not get enough attention and response in health management, trace of patients’ condition and precaution of physical aging.（5）The evaluation system has improved the quality of institutionalization service, but too much paper work has shorten the time and labor work to take care of the disabled. This has made ‘Individualized Service Plan’ that can not put into practice.
2、Fitting in community and participating in society:（1）The outcome of fitting in community:Holding diverse activities and training courses for the intellectual disabled in order to fit in community, creating more jobs, cooperating with other communities and so on.The institutionalization has shown a lot of efforts.However, the professional team do not present the best effect because of the bad location of institutionalization and inconvenience of traffic.（2）Interaction between the institutionalization and the families:Most of the families are underprivileged and live far away from the institutionalization.This has made the function of family support service not work well.
This research has based on the conclusion above and provided some suggestions for reference in every aspect of polices, practice and the service of intellectual disable people and their families.
