兩代「三老」家庭照顧轉銜與老年遷移：老年父母、中老年智障者與手足

This study aims to explore care and moving in old age among older parents and their ageing sons/daughters with intellectual disability (ID), named as ＂older two-generation family＂. Also, ＂housing pathways＂ (Clapham, 2005, 2010) is employed to study the patterns and factors in relation to these families' housing and care transition. Thirty families, including older parents (≥60 year-old) and their ageing sons/daughters (≥40 year-old) with ID were invited and completed the in-depth interview which was conducted at their homes in Hsinchu City. A thematic approach was used in the analysis of the qualitative interviews. The findings showed that an older two-generation family might include not only older parents and ageing offspring with ID, but also the ageing siblings of the ageing adults with ID. These ageing siblings were likely to be the carers of older and frail parents and ageing adults with ID. Families including older parents and ageing adults with ID rarely used services which are provided for people with disability and older people from formal systems. The parents' care transition plan for ageing adults with ID and their own moving plan in old age were intersected, connecting parents' and siblings' individual, family and social contexts. Two types of pathways to both areas, namely care transition of ageing offspring with ID and older parents' moving, were identified: ＂planned＂ vs. ＂not planned＂ and ＂not considering moving＂ vs. ＂considering moving＂. The types of pathways of moving in old age and care transition among these families are related to individual parents' autonomy and parents home identity and both parents' and siblings' cultural identity as well as with the relationship and financial conditions of both the original and siblings' families. This study suggests that both the health and social care needs of these older two-generation families including older parents, ageing adults with ID and their ageing siblings should be considered a high priority by the long-term care scheme which is currently one of the main social policies in Taiwan.