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{\"word\": \"前\", \"start\": 104.756, \"end\": 104.897, \"score\": 0.856}, {\"word\": \"那\", \"start\": 104.897, \"end\": 105.157, \"score\": 0.922}, {\"word\": \"個\"}, {\"word\": \"安\", \"start\": 105.157, \"end\": 105.397, \"score\": 0.983}, {\"word\": \"置\", \"start\": 105.397, \"end\": 105.577, \"score\": 0.892}, {\"word\": \"的\", \"start\": 105.577, \"end\": 106.357, \"score\": 0.938}, {\"word\": \"量\", \"start\": 106.357, \"end\": 106.497, \"score\": 0.853}, {\"word\": \"確\"}, {\"word\": \"實\"}, {\"word\": \"是\", \"start\": 106.497, \"end\": 106.678, \"score\": 0.885}, {\"word\": \"不\", \"start\": 106.678, \"end\": 106.818, \"score\": 0.854}, {\"word\": \"足\", \"start\": 106.818, \"end\": 106.838, \"score\": 0.0}]}, {\"start\": 133.842, \"end\": 135.554, \"text\": \"現在解決方式是什麼?\", \"words\": [{\"word\": \"現\"}, {\"word\": \"在\", \"start\": 133.842, \"end\": 134.829, \"score\": 0.959}, {\"word\": \"解\", \"start\": 134.829, \"end\": 135.151, \"score\": 0.883}, {\"word\": \"決\"}, 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04:23.651\n超過4成是跨峽安置45%未滿12歲那有三分之一無語言能力這些都是今天我覺得我們現在面臨我覺得還蠻嚴峻的問題但我真的拜託我們衛福部你們有一個專門的報告說你怎麼解決這個問題特別是資源端\n\n","segments":[{"start":6.707,"end":7.391,"text":"主席有請部長部長"},{"start":12.915,"end":38.047,"text":"衛生福利部長,監察院上個月糾正衛福部,認為家外安置兒少中有15%特殊需求的兒少長期安置在成人機構當中。衛福部疏於督導地方政府復起定期評估相關安置作為是否符合兒少最佳利益。監察院也通過糾正衛福部。我想請教一下,"},{"start":38.567,"end":52.037,"text":"現在家外安置兒少當中有發展遲緩或領有身心障礙證明的特殊兒少在民國110年是多少人?我這邊數字是718人那111年是993人這數字對嗎?我看到數字是這樣對不對?正確那到112年變多少人?"},{"start":67.33,"end":71.378,"text":"短短三年成長了快要一倍我這個數字蠻驚人的為什麼呢?部長為什麼會暴增?"},{"start":77.824,"end":80.045,"text":"除了說這個數字暴增,它馬上就連帶會影響到一件事嗎?什麼事?"},{"start":104.496,"end":106.838,"text":"目前那個安置的量確實是不足"},{"start":133.842,"end":135.554,"text":"現在解決方式是什麼?"},{"start":137.033,"end":163.074,"text":"當然第一個我們還是還是應該要成長在原神的家庭對所以我們如果是發現這個不當的對待原則上我們還是跟家庭來做工作希望他做改善我們現在看到監察院的那個糾正其實主要就講因為安置這前提是安置能量不夠嘛結局發生的15%是安置在一般護理之家身障福利機構長照機構精神復健機構這樣做法有什麼問題合理嗎"},{"start":165.428,"end":186.443,"text":"法務委員,我想我們最重要的目的真的就是要希望能夠回歸到原生家庭,或者是他的自己的家庭。第一個就是說我們要求地方政府一定要去關心這個部分。第二個部分我們跟教育部...我跟部長說,關心也不夠了。"},{"start":187.344,"end":204.176,"text":"因為事實上成人機構的人力跟專業職能資源不足他就跟前面我剛剛講的量就暴增所以說我也沒特別苛求啊或覺得說一定要嚴格的苛責不管是中央跟地方因為你剛剛就看到那個量增加快一倍是說這那種三年順增的量"},{"start":205.057,"end":213.72,"text":"你其實會產生這種問題就跟你的量暴增有關但是衛福部作為主管機關就這個問題你就要想辦法去解決那否則的話像成人機構這種狀況其實兒少在那邊他也很難滿足兒少適應同儕互動這些需求"},{"start":223.283,"end":247.023,"text":"所以才會出現今天監察院糾正的這個問題嘛那我自己是一個具體的一個建議就是說現在你看到目前有需求安置的需求的一些兒少有69.3%安置超過2年甚至有4成打5年以上有38人已經超過已經10年那36.3%是輕度或中度智能障礙"},{"start":247.703,"end":263.651,"text":"超過4成是跨峽安置45%未滿12歲那有三分之一無語言能力這些都是今天我覺得我們現在面臨我覺得還蠻嚴峻的問題但我真的拜託我們衛福部你們有一個專門的報告說你怎麼解決這個問題特別是資源端"},{"start":264.411,"end":282.278,"text":"謝謝。"}]}}},"meet":{"sessionPeriod":2,"sessionTimes":2,"tmpMeeting":null,"committees":[26],"term":11,"id":"委員會-11-2-26-2","title":"第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議","type":"委員會"},"會議時間":"2024-10-09T09:00:00+08:00","委員發言時間":"13:39:59 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13:44:40","會議名稱":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討」進行專題報告，並備質詢。\n【10月7日及9日二天一次會】）","id":155351,"gazette":{"lineno":1189,"blocks":[["羅委員智強：（13時40分）主席，有請部長。"],["主席：部長。"],["邱部長泰源：委員好。"],["羅委員智強：部長，監察院上個月糾正衛福部，認為家外安置兒少中，有15%特殊需求的兒少長期安置在成人機構中，衛福部疏於督導地方政府負起定期評估相關安置作為，是否符合兒少最佳利益，這是監察院也通過糾正衛福部。我想請教一下，現在家外安置兒少當中，有發展遲緩或領有身心障礙證明的特殊兒少，在民國110年是多少人？我這邊的數字是718人；111年是993人，這數字對嗎？我看到的數字是這樣，對不對？"],["邱部長泰源：對。"],["羅委員智強：到112年變多少人？"],["張代理署長美美：1,243人。"],["羅委員智強：短短3年成長了快要一倍，這個數字蠻驚人的，部長，為什麼會暴增？要管理這個問題，先要知道問題的原因吧！對不對？"],["張代理署長美美：第一個，當然是我們發展遲緩的篩檢其實是有落實，所以比較容易能夠找得出來；第二個，是在身障的鑑定部分也做了一些調整。"],["羅委員智強：好，除了數字暴增，它馬上就連帶會影響到一件事，什麼事？"],["張代理署長美美：當然就是安置的需求會增加。"],["羅委員智強：對嘛！安置能量的問題。因此，很顯然我看到今天監察院糾正的一個背景因素，就是現在整個人數暴增。我想請教我們政府的安置，不管從中央到地方，安置的能量有跟上嗎？有跟上這個人數的暴增嗎？"],["張代理署長美美：目前安置的量能確實是不足。"],["羅委員智強：不足，那現在解決方式是什麼？"],["張代理署長美美：當然，第一個我們孩子還是應該要成長在原生的家庭，所以我們如果發現不當的對待，原則上我們還是跟家庭來做工作，希望他做改善。"],["羅委員智強：我們現在看到監察院的糾正，其實主要就是講這個前提是安置能量不夠，結果就發生了15%是安置在一般護理之家、身障福利機構、長照機構、精神復健機構，這樣做法有什麼問題？合理嗎？"],["邱部長泰源：報告委員，我想我們最重要的目的，真的就是希望他能夠回歸到原生家庭，或者是他的寄養家庭。"],["羅委員智強：可是現在暫時你就……"],["邱部長泰源：第一個，我們要求地方政府，一定要去關心這個部分；第二個，我們也跟教育部……"],["羅委員智強：我要跟部長說，關心也不夠，因為事實上成人機構的人力跟專業職能資源不足，就是我前面剛剛講的量就暴增，說真的我也沒特別苛求，或是覺得一定要嚴格的苛責，不管是中央跟地方。因為你剛剛就看到，那個量增加快一倍，說真的那種3年瞬增的量，會產生這種問題，其實就跟你的量暴增有關。但是衛福部作為主管機關，這個問題你就要想辦法去解決，否則的話，像成人機構這種狀況，其實兒少在那邊，他也很難滿足兒少適應同儕互動這些需求，所以才會出現今天監察院糾正的這個問題。","我自己是有一個具體的建議，現在你看到目前有安置需求的一些兒少，有69.3%安置超過兩年，甚至有四成達5年以上，有38人已經10年；36.3%是輕度或中度智能障礙，超過四成是跨轄安置；45%未滿12歲，有三分之一無語言能力，這些我覺得都是我們現在面臨還蠻嚴峻的問題。但我真的拜託我們衛福部，你們要有一個專門的報告說你怎麼解決問題，特別是資源端，你如果資源端沒到位，能力端、設施端跟安置處所端就不可能到位。所以資源端要評估出來，配合這麼大的人數的增加，你資源端評估出來，才有辦法解決這個問題，那就麻煩衛福部了，謝謝。"],["邱部長泰源：好，謝謝。"],["主席：謝謝，接下來我們請張雅琳委員發言。"]],"agenda":{"page_end":346,"meet_id":"委員會-11-2-26-2","speakers":["蘇清泉","林月琴","陳昭姿","陳菁徽","廖偉翔","盧縣一","林淑芬","邱鎮軍","王育敏","王正旭","黃秀芳","李坤城","楊曜","黃國昌","鍾佳濱","林楚茵","洪申翰","黃捷","吳春城","洪孟楷","楊瓊瓔","何欣純","林宜瑾","羅智強","張雅琳","涂權吉","陳培瑜","劉建國","陳瑩","林倩綺","張嘉郡"],"page_start":257,"meetingDate":["2024-10-09"],"gazette_id":"1138201","agenda_lcidc_ids":["1138201_00006"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議紀錄","content":"邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子\n女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所\n受監察院糾正之檢討」進行專題報告，並備質詢","agenda_id":"1138201_00005"}}}