IDs on the welfare service selected by the individual supplemented by a
telephone interview, after which the recipient is assigned to their respective
service. This leads to only 20% of persons with disabilities undergoing a
needs assessment annually. In addition, confirmations of needs and
assessment results often focus on financial aid and well-known welfare
services such as assistive devices, rehabilitation buses, daycare centers,
and residential care. Services aimed at promoting independent living and
development in communities for persons with disabilities tend to have an
extremely low percentage 5 when compared to other services. This
highlights the problem that the current needs assessment and assignment
mechanism and process is unable to fully gather information about the
actual situations and needs of persons with disabilities and their families.
The needs confirmation and assessment results also fail to do so.
(2) To improve the effectiveness of correlation between related services and
disability needs assessment, the MOHW plans to complete an overall
review of the Interview Guide and Procedures of Welfare and Service
Needs Assessment for People with Disabilities by 2021, while also
improving the accessibility of related welfare service information. Thus,
the NHRC will continue to closely monitor the results and effectiveness of
the follow-up improvements to ensure they meet the actual situations and
needs of persons with disabilities and their families, and to serve as a basis
for the government in providing appropriate services and adequate
resources.
5
The Control Yuan investigation report approved on March 17, 2020 points out that:
i. The needs assessment system was implemented on July 11, 2012. Up to July 10, 2018, after
confirmation with local competent authorities, only 6.6% of persons with disabilities needed welfare
services, primarily full-day residential care services (64.0%), overnight residential care services
(22.3%) and assistive device services (16.8%).
ii. In 2018, after multiple difficulties incurred due to individuals being required to fill out forms at
district offices, confirmation by counties and cities, plus distribution needs assessments, it was
determined that those requesting welfare mainly utilized rehabilitation buses (59.22%), followed by
assistive device services (20.37%), and lastly daytime and residential care (9.72%). Requests for
other services were all below 4%.
iii. Of persons who received disability IDs in 2018, less than 1% requested personal care and support
services such as rehabilitation, community-based daytime care, daytime community facilities,
independent living support services, community residence, familial foster care, cognitive
restructuring, marriage and fertility counseling, after-school care, emotional support and behavior
counseling.
13