本研究主要在探討嘉義縣慢性精神疾病患者就業障礙因素及因應措施，希望針對本研究了解慢性精神疾病患者就業的需求上，將來能提供更完善與健全的就業服務。協助政府機關提供更符合他們就業需求的協助。 本研究對象以慢性精神疾病患者、一般企業雇主、身心障礙就業服務員及家屬，以個別訪談及焦點團體方式，收集研究所需資料。經研究發現，1.慢性精神疾病患者本身的工作能力及藥物控制的穩定性，是影響就業的重要因素之一。2.雇主對精神疾病的認識與了解程度，對僱用慢性精神疾病患者的意願與考量差異性是很大的。3.身心障礙就業服務員的就業協助是必須的，但服務人員不足。4政府辦理身心障礙者辦理職業訓練，但結訓後仍然沒有辦法找到工作。5.政府對身心障礙者就業服務措施，受訪者知道及了解不多。 針對研究提出下列幾點建議：1.加強社會大眾對認識慢性精神疾病方面的教育宣導。2.有效的規劃職業訓練及提供支持性就業協助讓慢性精神病患者順利就業。3.政府對身心障礙者的就業服務措施仍需要加強宣導。 The main purpose of this study is to investigate the employment barriers of patients with chronic mental illness in Chiayi County and the coping strategies. It is hoped that this study may help understand the employment needs of patients with chronic mental illness and provide more complete and sound employment services for them in the future. This study also intends to assist the government authorities in providing patients with chronic mental illness the assistance meeting their employment needs. This study enrolled patients with chronic mental illness, general employers, employment service staff for people with physical and mental disabilities and patients’ family members as the subjects, and used individual interviews and focus group to collect the data needed in this study. This study found that: 1) the work competence of patients with chronic mental illness and the stability of medication control are important factors affecting their employment; 2) employers’ knowledge and understanding of mental illness have a significant effect on their willingness and considerations to hire patients with chronic mental illness; 3) the employment assistance provided by employment service staff for people with physical and mental disabilities is necessary; however, there is a lack of service staff; 4) although the government provided vocational training for people with physical and mental disabilities, they still failed to find a job after the end of the training; 5) the subjects were not fully aware of and understood the employment services provided by the government for patients with chronic mental illness. This study proposed the following suggestions: 1) strengthen the education advocacy to help general public understand chronic mental illness; 2) effectively develop vocational training programs and provide supportive employment assistance to enable the patients with chronic mental illness to find a job and work smoothly; 3) strengthen the promotion of employment services for patients with physical and mental disabilities.
