A Social Work Practice Study On Intervention Of Caregiver Role Dilemma In Autism Patients’ Mothers

The number of people with autism in China exceeds 10 million,and the number of adults with autism exceeds 8 million,and the incidence of patients continues to rise.Autism is considered to be a serious worldwide public health problem today.Children with autism in China receive more attention and support,but there will be a break in formal social support when the patients become adults.This further exacerbates the existential dilemma of patients and their caregivers.Because the vast majority of caregivers need to balance treatment,care,and rehabilitation accompaniment,most rehabilitation training institutions are currently founded by parents of children with autism on their own initiative.The practice and research setting of this study is a day rehabilitation facility founded by autism caregivers.In order to better plan professional intervention services for mothers of adults with autism,the study first assessed the common needs of the study group from the empirical world of mothers with autism,and discourse analysis of data from in-depth interviews with 27 respondents yielded four major needs of mothers with autism:the need for negative emotion relief,the need for intimate companionship,the need for informal social support,and the need to find and rebuild oneself.The social worker then interviewed the two clients.The social workers then conducted narrative therapy case services with two clients,and analyzed and reflected on the case service data of the two clients as well as the participant observation data of the autism rehabilitation workshop for four months.This study summarizes the results of the narrative therapy intervention for mothers with autism from three aspects:the three-stage development process of professional relationship,the service response to the multiple needs of the clients,and the construction of a "new narrative" in the clients’ world.The intervention was evaluated from both the client’s and the social worker’s perspectives,and it was found that the study used both social work practice skills and narrative therapy to respond to the client’s multiple needs of emotional distress,intimacy distress,and self distress,and to promote the development of the social worker’s professional competence in the field of autism.The study summarized the practical knowledge of reflective behavior,proposed the results of reflective action in three aspects:the translation of practical knowledge of illness recovery experience and relationship building experience,and the pathway of self-learning in the service context,which provided theoretical support and pathway reference for social work to enter the field of autism.The study also discusses the five-party partnership among social workers,autistic patients,mothers of autistic patients,the autistic community,and fathers of autistic patients under the theoretical framework of collaborative production,and argues for the feasibility of this paper’s effective rehabilitation pathway from practice knowledge to intervention.Based on the above research results,this paper suggests the development of autism day care institutions,the introduction of social resources to support mothers with autism,and the autonomy model of autism community embedded in social work,in the hope of building a more complete rehabilitation system to effectively improve the quality of life of autism families.