本研究主要在於探討思覺失調症患者完成職業訓練後可以穩定就業的歷程與因素，並且了解從進入職場到穩定就業時所面臨到的挑戰為何。本研究採用質性研究，透過半結構題綱與深入訪談方式收集資料，共訪談五位個案與三位職訓老師。並運用NVivo 11進行資料分析。
　　研究結果發現，思覺失調症患者參加完職業訓練至穩定就業之歷程包含：1. 於青春期與成年期發病，因狀況不穩定而接受數個月的治療。2. 症狀穩定後重返職場，但因壓力與症狀影響導致工作中斷，無法穩定就業。3. 受到污名化影響求職困難，另尋找就業方向與資源。4. 參加職業訓練學習專業技能，透過職訓班輔導員協助順利找到工作。5. 個案面對到工作挑戰時，願意積極面對並尋求家人、同儕與職訓班輔導員協助，解決就業時的挑戰，並穩定就業。
　　思覺失調症患者參加完職業訓練後可穩定就業之因素包含：
一、職訓中心提供的協助：1. 具備良好的工作態度，學習改善問題，避免問題行為的發生。2. 每日固定的訓練時間，有助於個案回歸到規律的生活。3. 人際互動技巧的提升。4. 透過面試模擬增加面試技巧與信心。5. 提供就業獎勵，有助於個案持續就業的動力。6. 職訓中心持續提供支持與輔導。
二、個人明確的就業動機：1. 學習專業技能與做出成品提高自信心與成就感。2. 明確的就業動機，以及珍惜目前的工作機會。3. 課程所學的技能與知識，應用於工作中。
三、社會支持：1. 家人提供就業支持。2. 同儕提供就業支持。
　　思覺失調症患者參加職業訓練至穩定就業期間所面臨到的工作困境，包含：1. 個案病識感的不足，未能穩定服藥與回診，導致精神狀況不穩定。2. 工作時間長，體力無法負荷全職的工作。3. 無法得到主管與同事的支援，與職場態度不友善。4. 受媒體汙名化影響，雇主對個案症狀不熟悉或有所誤解
　　最後，本研究根據研究結果，研究者依序給思覺失調症患者、職業訓練單位、職場主管與未來研究提出相關建議，並且說明研究限制，以供未來研究之參考。

This research is mainly to explore the process and factors of stable employment for persons with schizophrenia after completing vocational training, and to understand the challenges they face from start to stable employment. This research uses qualitative approach, collects data through semi-structured in-depth interviews. The participants contains five cases and three vocational training teachers. And NVivo 11 software was used for data analysis.
The results of the study found that the process of persons with schizophrenia from completing vocational training to stable employment includes: 1. Onset in adolescence and adulthood, the participants received treatment for several months due to unstable conditions; 2. The participants returned to the workplace after the symptoms have been stabilized, but the work was interrupted due to stress and symptoms, and the employment status cannot be stabilized; 3. Affected by stigma, it was difficult to find jobs, and transition to different fields of work and resources; 4. Participating in vocational training to learn professional skills, and finding a job smoothly through the vocational training class counselors; 5. When an individual faced work challenges, he/she was willing to face and seek assistance from family members, peers and vocational training class counselors and actively solved the employment challenges and stabilized employment.
The factors that can stabilize the employment of persons with schizophrenia after participating in vocational training include:
(1). Assistance provided by the Vocational Training Center: 1. Having a good work attitude, learning to improve problem solving, and avoiding behavioral problems; 2. A daily routine schedule helps the participants return to a regular life; 3. The improvement of interpersonal interaction skills; 4. Increasing interview skills and confidence through interview simulations; 5. Providing employment incentives to help the individual's motivation for on-going employment; 6. The support and counseling from the Vocational Training Center.
(2). A clear personal motivation for employment: 1. Learning professional skills and finishing assignments to improve self-confidence and sense of accomplishment; 2. Clear motivation for employment, and cherishing current job opportunities; 3. Applying the skills and knowledge learned from the vocational training courses.
(3). Social support: 1. The family provided employment support; 2. Peers provided employment support.
The challenges faced by persons with schizophrenia from participating in vocational training to stable employment include: 1. The individual had insufficient awareness of sympoms, and was unable to stabilize medication and return visits, resulting in mental instability; 2. The working hours were long, and the physical strength was unable to support the full-time work; 3. Unable to get support from supervisors and colleagues, and unfriendly attitude of people at workplace; 4. Affected by stigma from the media, employers are unfamiliar or misunderstood about the symptoms of the participants.
Finally, based on the results of this study, the researcher provided relevant suggestions for persons with schizophrenia, vocational training centers, and workplace supervisors. Finally, the researcher offered suggestions for future research.

參考文獻
中文參考文獻
內政部（2009）。身心障礙者權益保障白皮書。臺北市：內政部。
行政院勞動部（2006）。職業訓練機構設立及管理辦法。取自：https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=N0080008
行政院勞動部（2012）。職業訓練法施行細則。取自：http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=N0080002
行政院勞動部（2015）。身心障礙者權益保障法。取自：https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=D0050046
行政院勞動部（2015）。職業訓練法。取自：https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=N0080001
行政院勞動部（2019）。108年身心障礙者勞動狀況調查統計。臺北市：行政院勞動部。
行政院勞動部（2020）。身心障礙者職業訓練。取自：https://www.wda.gov.tw/cp.aspx?n=25C5947ECD01B1AF
行政院勞動部（2020）。推動辦理身心障礙者職業訓練計畫。臺北市：行政院勞動部。
行政院勞動部（2020）。就業促進津貼實施辦法。取自：https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=N0090025
吳佳音（2009）。慢性精神病患就業成功預測因素：專業人員觀點（未出版碩士論文）。國立臺灣師範大學，臺北市。
吳長興（2018）。雲林地區中高齡者職業訓練成果評估之研究（未出版之碩士論文）。國立雲林科技大學，雲林縣。
李育叔（2005）。慢性精神病患就業影響因素之探討（未出版碩士論文）。靜宜大學，台中市。
李慧玲、林淑茹、何儀峰、李時輔、王敏行（2009）。影響精障者職業訓練後其就業職種與職業訓練職種一致性之因素探討。復健諮商，3，31-45。doi:10.30123/RC.200905.0002
沈芳茂（2013）。慢性精障者的就業經驗及其困境之研究 ----以桃園市三家康復之家慢性精神病病患為例（未出版碩士論文）。玄奘大學，新竹市。
林玉雅（2013）。精神障礙者職業訓練之成效分析（未出版之碩士論文）。國立臺灣師範大學，臺北市。
林素敏（2013）。慢性精神疾病患者就業困境因應措施之研究—以嘉義縣為例（未出版碩士論文）。南華大學，嘉義縣。
邱一珍（2017）。思覺失調症患者穩定就業之歷程探討（未出版碩士論文）。國立臺灣師範大學，臺北市。
張倍瑄（2010）。穩定就業精神障礙者的就業支持（未出版碩士論文）。亞洲大學，台中市。
陳民虹、闕清模、高慧如（2013）。精神分裂症的認知衰退。澄清醫護管理雜誌，9（3)，34-41。
陳彥睿、陳榮五、蔡金伶、李金水、陳姿翰、李仁豪（2009）。園藝工職業訓練對智障者及精障者之效益評估。臺中區農業改良場研究彙報，（104)，1-16。doi:10.6956/BTDAIS.200909.0001
陳彥睿、陳榮五、蔡金伶、李金水、陳姿翰、李仁豪（2009）。園藝工職業訓練對智障者及精障者之效益評估。臺中區農業改良場研究彙報，104，1-16。doi:10.6956/BTDAIS.200909.0001
陳貞夙，楊梅齡，仇偉達（2014）。職業訓練對身心障礙者就業助益之探討，桃竹苗區職業重建服務資源中心，長庚大學。
陳萩芬、林麗瑞、李易駿（2013）。精神障礙者社區就業歷程之個案研究。台灣社區工作與社區研究學刊，3（1)，23-59。
陳麗卿（2014）。我國委外職業訓練制度之研究（未出版之碩士論文）。國立中正大學，
勞動部（2020）。失業者參加職前訓練課程參訓人數及訓後就業率。取自：https://www.wda.gov.tw/News.aspx?n=0FCF4B85F20FA9F4&sms=75CB61949FF83959
勞動部（2020）。無礙Ｅ網。取自：https://openstudy.wda.gov.tw/mooc/index.php
鈕文英（2019）。質性研究方法與論文寫作。臺北市：雙葉書廊。
萬文隆（2004）。深度訪談在質性研究中的應用。生活科技教育，37（4)，17-23。doi:10.6232/LTE.2004.37（4).4
賈千泰（2014）。精神障礙者穩定就業之困境與調適研究（未出版碩士論文）。國立臺南大學，臺南縣。
翟玉雰（2015）。中彰投中高齡待業者參與職業訓練之研究（未出版之碩士論文）。國立中興大學，臺中市。
劉沛均（2013）。從杜鵑窩到職場就業─慢性精神疾病患者就業困境探討（未出版碩士論文）。國立中正大學，嘉義縣。
潘淑滿（2003）。質性研究：理論與應用。臺北市：心理出版社。
賴薈宇（2016）。精神障礙者穩定就業影響因素之研究（未出版碩士論文）。靜宜大學，台中市。
謝秀芳（2002）。質性研究。雲科大體育，5，45-53。doi:10.6619/YKDTY.2002.5.1
 
外文參考文獻
Andersen, A., Larsson, K., Pingel, R., Kristiansson, P., & Anderzen, I. (2018). The relationship between self-efficacy and transition to work or studies in young adults with disabilities. Scandinavian Journal of Public Health, 46(2), 272–278. https://doi.org/10.1177/1403494817717556
Catty, J., Lissouba, P., White, S., Becker, T., Drake, R. E., Fioritti, A., Knapp, M., Lauber, C., Rössler, W., Tomov, T., van Busschbach, J., Wiersma, D., Burns, T., & EQOLISE Group (2008). Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial. The British journal of psychiatry : the journal of mental science, 192(3), 224–231. https://doi.org/10.1192/bjp.bp.107.041475
Cheng, K. Y., & Yen, C. F. (2021). The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: a pilot study in Taiwan. BMC psychiatry, 21(1), 268. https://doi.org/10.1186/s12888-021-03277-0
Cohen, A. N., Hamilton, A. B., Saks, E. R., Glover, D. L., Glynn, S. M., Brekke, J. S., & Marder, S. R. (2017). How occupationally high-achieving individuals with a diagnosis of schizophrenia manage Their symptoms. Psychiatric services (Washington, D.C.), 68(4), 324–329. https://doi.org/10.1176/appi.ps.201600031
Crow T. J. (1980). Molecular pathology of schizophrenia: more than one disease process?. British medical journal, 280(6207), 66–68. https://doi.org/10.1136/bmj.280.6207.66
Dickinson, D., Bellack, A. S., & Gold, J. M. (2007). Social/communication skills, cognition, and vocational functioning in schizophrenia. Schizophrenia bulletin, 33(5), 1213–1220. https://doi.org/10.1093/schbul/sbl067
Donna, R. F. (1991). Medical and psychosocial aspects of chronic illness and disability. New Your, NY
Ebuenyi, I. D., Guxens, M., Ombati, E., Bunders-Aelen, J., & Regeer, B. J. (2019). Employability of persons with mental disability: Understanding lived experiences in Kenya. Frontiers in psychiatry, 10, 539. https://doi.org/10.3389/fpsyt.2019.00539
Ebuenyi, I. D., Syurina, E. V., Bunders, J., & Regeer, B. J. (2018). Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review. Global health action, 11(1), 1463658. https://doi.org/10.1080/16549716.2018.1463658
Fleischhacker, W. W., Arango, C., Arteel, P., Barnes, T. R., Carpenter, W., Duckworth, K., Galderisi, S., Halpern, L., Knapp, M., Marder, S. R., Moller, M., Sartorius, N., & Woodruff, P. (2014). Schizophrenia time to commit to policy change. Schizophrenia bulletin, 40 Suppl 3(Suppl 3), S165–S194. https://doi.org/10.1093/schbul/sbu006
Fulford, D., Piskulic, D., Addington, J., Kane, J. M., Schooler, N. R., & Mueser, K. T. (2018). Prospective relationships between motivation and functioning in recovery after a first episode of schizophrenia. Schizophrenia bulletin, 44(2), 369–377. https://doi.org/10.1093/schbul/sbx096
Gomes‐Machado, M.L., Santos, F.H., Schoen, T. and Chiari, B. (2016), Effects of vocational training on a group of people with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities, 13: 33-40. https://doi.org/10.1111/jppi.12144
Gomez, D., Jason, L. A., Contreras, R., DiGangi, J., & Ferrari, J. R. (2014). Vocational training and employment attainment among substance abuse recovering individuals within a communal living environment. Therapeutic communities, 35(2), 42–47. https://doi.org/10.1108/TC-03-2014-0008
Han, M., & Jun, S. S. (2020). Effects of psychotic symptoms and social cognition on job retention in patients with schizophrenia in Korea. International journal of environmental research and public health, 17(8), 2628. https://doi.org/10.3390/ijerph17082628
Henry, A. D., & Lucca, A. M. (2004). Facilitators and barriers to employment: The perspectives of people with psychiatric disabilities and employment service providers. Work, 22(3), 169-182.
Holm, M., Taipale, H., Tanskanen, A., Tiihonen, J., & Mitterdorfer-Rutz, E. (2021). Employment among people with schizophrenia or bipolar disorder: A population-based study using nationwide registers. Acta psychiatrica Scandinavica, 143(1), 61–71. https://doi.org/10.1111/acps.13254
Humm, L. B., Olsen, D., Be, M., Fleming, M., & Smith, M. (2014). Simulated job interview improves skills for adults with serious mental illnesses. Studies in health technology and informatics, 199, 50–54.
Jerry, L. P., & Paul, K. (2015). Resilient school leaders:Strategies for turning adversity into achievement. New Your, NY : Association for supervision and curriculum development
Mattila-Holappa, P., Joensuu, M., Ahola, K., Koskinen, A., Tuisku, K., Ervasti, J., & Virtanen, M. (2016). Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder. International journal of mental health systems, 10, 68. https://doi.org/10.1186/s13033-016-0101-7
Nuri, M. R. P., Hoque, M. T., Akand, M. M. K., & Waldron, S. M. (2012). Impact assessment of a vocational training program for persons with disabilities in Bangladesh. Disability, CBR & Inclusive Development, 23(3), 76–89. DOI: http://doi.org/10.5463/dcid.v23i3.81
Owen, M. J., Sawa, A., & Mortensen, P. B. (2016). Schizophrenia. Lancet (London, England), 388(10039), 86–97. https://doi.org/10.1016/S0140-6736(15)01121-6
Perkovic, M. N., Erjavec, G. N., Strac, D. S., Uzun, S., Kozumplik, O., & Pivac, N. (2017). Theranostic biomarkers for schizophrenia. International journal of molecular sciences, 18(4), 733. https://doi.org/10.3390/ijms18040733
Popescu, M.E., Roman, M., (2018), Vocational training and employability: Evaluation evidence from Romania, evaluation and program planning. evaluation and program planning, 67, 38-46. https://doi.org/10.1016/j.evalprogplan.2017.11.001
Rodriguez, S., & Pereira, P., (2009). The contribution of vocational training to employment, job-related skills and productivity: evidence from Madeira island. International journal of training and development.
Sheffield, J. M., Karcher, N. R., & Barch, D. M. (2018). Cognitive deficits in psychotic disorders: A lifespan perspective. Neuropsychology review, 28(4), 509–533. https://doi.org/10.1007/s11065-018-9388-2
Smith, M. J., Fleming, M. F., Wright, M. A., Roberts, A. G., Humm, L. B., Olsen, D., & Bell, M. D. (2015). Virtual reality job interview training and 6-month employment outcomes for individuals with schizophrenia seeking employment. Schizophrenia research, 166(1-3), 86–91. https://doi.org/10.1016/j.schres.2015.05.022
Suijkerbuijk, Y. B., Schaafsma, F. G., van Mechelen, J. C., Ojajärvi, A., Corbière, M., & Anema, J. R. (2017). Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis. The Cochrane database of systematic reviews, 9(9), CD011867. https://doi.org/10.1002/14651858.CD011867.pub2
Thomas, T. L., Prasad Muliyala, K., Jayarajan, D., Angothu, H., & Thirthalli, J. (2019). Vocational challenges in severe mental illness: A qualitative study in persons with professional degrees. Asian journal of psychiatry, 42, 48–54. https://doi.org/10.1016/j.ajp.2019.03.011
Turner, N., Ferguson, L., Hill, M., Nesbitt, T., O'Callaghan, E., O'Mahony, P., & Clarke, M. (2020). Perspectives on paid work among men and women with schizophrenia: The results of a two study comparison in Ireland. Work (Reading, Mass.), 67(2), 507–515. https://doi.org/10.3233/WOR-203300
Ucok, A., Polat, A., Cakir, S., & Gene, A. (2006). One year outcome in first episode schizophrenia: Predictors of relapse. European Archives of Psychiatry and Clinical Neuroscience, 256(1), 37-43.
Vargas, G., Strassnig, M., Sabbag, S., Gould, F., Durand, D., Stone, L., Patterson, T. L., & Harvey, P. D. (2014). The course of vocational functioning in patients with schizophrenia: Re-examining social drift. Schizophrenia research. Cognition, 1(1), e41–e46. https://doi.org/10.1016/j.scog.2014.01.001