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\"席\", \"start\": 813.4, \"end\": 813.5, \"score\": 0.792}, {\"word\": \"有\", \"start\": 813.5, \"end\": 813.54, \"score\": 0.5}, {\"word\": \"點\"}, {\"word\": \"不\", \"start\": 813.54, \"end\": 813.62, \"score\": 0.75}, {\"word\": \"太\", \"start\": 813.62, \"end\": 813.64, \"score\": 0.0}, {\"word\": \"公\", \"start\": 813.64, \"end\": 813.68, \"score\": 0.5}, {\"word\": \"平\", \"start\": 813.68, \"end\": 813.76, \"score\": 0.75}, {\"word\": \"齁\"}, {\"word\": \",\"}, {\"word\": \"因\", \"start\": 813.76, \"end\": 813.78, \"score\": 0.0}, {\"word\": \"為\"}, {\"word\": \"我\", \"start\": 813.78, \"end\": 813.8, \"score\": 0.0}, {\"word\": \"剛\"}, {\"word\": \"剛\"}, {\"word\": \"前\", \"start\": 813.8, \"end\": 813.98, \"score\": 0.887}, {\"word\": \"面\", \"start\": 813.98, \"end\": 814.12, \"score\": 0.857}, {\"word\": \"那\", \"start\": 814.12, \"end\": 814.26, \"score\": 0.857}, {\"word\": \"個\"}, {\"word\": \"齁\"}, {\"word\": \",\"}, {\"word\": \"大\", \"start\": 814.26, \"end\": 814.401, \"score\": 0.856}, {\"word\": \"概\", \"start\": 814.401, \"end\": 814.521, \"score\": 0.832}, {\"word\": \"都\", \"start\": 814.521, \"end\": 814.681, \"score\": 0.874}, {\"word\": \"還\"}, {\"word\": \"沒\", \"start\": 814.681, \"end\": 814.801, \"score\": 0.832}, {\"word\": \"站\", \"start\": 814.801, \"end\": 814.901, \"score\": 0.789}, {\"word\": \"起\", \"start\": 814.901, \"end\": 815.001, \"score\": 0.8}, {\"word\": \"來\"}, {\"word\": \"齁\"}, {\"word\": \",\"}, {\"word\": \"以\", \"start\": 815.001, \"end\": 815.041, \"score\": 0.5}, {\"word\": \"上\", \"start\": 815.041, \"end\": 815.121, \"score\": 0.763}, {\"word\": \"。\"}, {\"word\": \"好\", \"start\": 815.121, \"end\": 815.141, \"score\": 0.0}, {\"word\": \",\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"委\", \"start\": 815.141, \"end\": 815.181, \"score\": 0.488}, {\"word\": \"員\"}, {\"word\": \",\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"召\", \"start\": 815.181, \"end\": 815.301, \"score\": 0.818}, {\"word\": \"委\", \"start\": 815.301, \"end\": 815.321, \"score\": 0.0}, {\"word\": \"。\"}], \"language\": \"zh\"}","srt":"1\n00:00:05,254 --> 00:00:07,857\n主席麻煩我們的邱部長部長早部長早\n\n2\n00:00:18,514 --> 00:00:43,240\n臺灣大概在我們的2025年剛才也提到2024年12月14號我們的精神衛生法新法新制就要上路了那要全面上路我想問準備好了嗎為什麼因為過去我們的傳統大概在我們的以藥物住院跟機構安置為主可是新法未來事實上是要符合我們的CRPD以維護我們的\n\n3\n00:00:45,003 --> 00:00:49,013\n緊張者人格權那要讓他們可不可以在社區\n\n4\n00:00:50,418 --> 00:00:50,638\n主席主席\n\n5\n00:01:22,517 --> 00:01:42,305\n主委嚴重病人大概有6、7千人6、7千人那這群人的醫療需求相對多那佔健保的那個失絕病症支出的幾成委員的意思是\n\n6\n00:01:43,208 --> 00:01:44,868\n若現在回答不出來的話,那就等\n\n7\n00:02:05,095 --> 00:02:31,961\n會後給我資料因為前面我問嚴重的後面大家也要期待就是說過去呢事實上大家輕症都在社區儲育裡面大概都比較沒有這麼的多所以未來是不是在健保支出應該對於社區儲育應該要對於輕症的因為如果你的輕症不做你的服務支出少的話那當然未來他在社區裡面沒有得到很好照顧的話未來也是一個\n\n8\n00:02:32,611 --> 00:02:34,853\n衛福部事上事實上是主管機關地方包含地方還有各目的事業主管都有一些各\n\n9\n00:02:51,088 --> 00:02:51,868\n目前你的資源佈建得如何?\n\n10\n00:03:18,590 --> 00:03:23,714\n謝謝謝委員的關心我們在健保的部分其實有增加的大概有40幾%的經費\n\n11\n00:03:27,520 --> 00:03:28,600\n時間有限,所以請衛福部一個月內彙整我剛剛講的第一個\n\n12\n00:03:56,240 --> 00:04:21,862\n也就是這幾項的狀況部件還有個其他目的事業主管機關配合的狀況請你一個月能夠彙整出來然後提供我這邊是的是是那想問一下就是我們在CRPD的去機構化的倡議下全世界大概先進國家只剩下\n\n13\n00:04:22,909 --> 00:04:41,020\n臺灣、日本跟韓國還在衝床位其他的都已經在減床那民間團體也是期待如果事實上是去符合他人格權要以社區為主的話應該也是要減床可是我們現在是增床所以想問部長臺灣有減床的計畫嗎我們市長先生也知道\n\n14\n00:04:47,649 --> 00:05:16,057\n跟委員報告的確我們現在全全球的一個對精神病人照顧的趨勢是希望能夠盡量留在社區裡面來接受我們的服務所以臺灣在這幾年呢我們也佈建了非常多的這個社區支持的資源那至於說在床數的部分那的確就像委員所講的我們不管是急性床慢性床其實我們的占床率這幾年看起來是有一些下降的一個趨勢但是這個下降我們我們不會去主動減床但是我們依然是\n\n15\n00:05:16,357 --> 00:05:17,357\n委員提到的應該是屬於我們住宿型的精神復健機構部分\n\n16\n00:05:36,204 --> 00:05:36,924\n委員指的是哪一類的就是我們的經脹的這樣的\n\n17\n00:06:00,771 --> 00:06:27,199\n那有關於社區精神復健機構如果是在日間型的部分我們希望說每萬人至少能夠有兩床那有關於這個住宿型的部分的話大概每萬人口能夠有一床那目前的話其實在住宿型機構的部分呢其實是已經有達到目標了那照護能力呢就包含我們的護理師醫師職能治療師臨床心理師社工師床位增加都一定會醫事人員增加嗎\n\n18\n00:06:28,019 --> 00:06:54,357\n所以能夠足夠指引現在你有目前現在的床位的照顧人力嗎?是,各位報告我們的機構要成立必須要依照我們的設置標準所以說他要成立這一家不管是精神住宿型也好或是日間型的精神復健機構也好必須要符合我們的設置標準那設置標準裡面就會定有一定的人力你才能夠來申請設立所以在這個符合設置標準的情況之下他才有可能來設立\n\n19\n00:06:55,379 --> 00:06:58,133\n所以醫事人員的部分是要符合標準才能設的?\n\n20\n00:07:00,323 --> 00:07:24,878\n這次想桃園發生這種事情像遇到緊急事件民眾到底要跟誰通報因為民眾比較關心的問題那因為在2020年大概7月衛福部就有設立24小時專線供相關人員做內部通報可是這個機制大概保留在新法的第49條可是一般民眾到底知不知道你內部有可是到底民眾知不知道為什麼會這樣問\n\n21\n00:07:25,899 --> 00:07:38,434\n因為我們社區的人可能知道我在做的是這個工作反而是來問我們表示我們政府到底有沒有很讓民眾知道說我到底要尋求要通報說我到底打110打119嗎\n\n22\n00:07:41,593 --> 00:07:57,509\n報告委員緊急事件的時候基本上是要打110跟119通報警消當然我們後續如果有需要在精神醫療方面緊急處理的話還有callcenter049是你有沒有加強宣導讓民眾知道延續這一個問題第二個問題也是政府應該加強宣導因為\n\n23\n00:08:05,156 --> 00:08:17,902\n我們也很怕任意通報這種狀況民眾有危害的時候當然他確實要通報可是如何避免對於經常者因為隨便通報而造成經常者的生活困擾有在做嗎\n\n24\n00:08:20,715 --> 00:08:45,615\n這個我們也討論過就是基本上我們還是盡量鼓勵通報但是如果那個剛剛委員關心的可能稍微有狀況就是不是會太擾民或者是是民眾知道嗎?現在我問部長的是民眾到底知不知道我想我們怎麼樣先導的事情那個心理的心態是不是\n\n25\n00:08:46,724 --> 00:08:59,735\n跟委員報告就是您剛提到的這個24小時的這個專線的部分的話我們最主要是提供給警消在做第一線精神病人的危機事件處理的時候我們可以提供專業的一個意見那這支專線的話的確我們一般的網絡的人員譬如說社工村里領長他們也會打來做一個諮詢那我們就會有專業人員在電話這一端提供就是說\n\n26\n00:09:09,744 --> 00:09:09,904\n林月琴議員\n\n27\n00:09:33,908 --> 00:09:34,108\n林月琴議員\n\n28\n00:09:49,147 --> 00:09:55,231\n新法對於62條跟70條都有一些委任非訴訟帶領的規定所以想問部長未來本法專家參審新制的那個審理制度施行後每年預估的案件數你有預估嗎?因為這跟預算有關係你預估多少?\n\n29\n00:10:20,310 --> 00:10:44,452\n報告委員,因為這個是新制,就是說未來精神病人強制住院改由法院來審理,這是新制。那我們目前比較沒有辦法去預估這個案件的多少。那你的預算怎麼編出來?所以我們基本上我們就是依照我們今年度的這個案件量來做一個估算。對,那你今年可不可以跟我們講一下,你推估大概會多少?\n\n30\n00:10:46,407 --> 00:11:11,549\n那個我們今年的案件量我們預估這個強制住院部分大概是600件左右那在有沒有就是你未來預計要委託誰來辦理目前進度我想為了保障病人的權益我們自114年起已經委託法復法律輔助基金只有法復嗎有沒有其他單位來辦理這個\n\n31\n00:11:13,502 --> 00:11:29,193\n緊急安置嚴重病人法律福祉單位目前就是法服好那這關係到經常者跟家屬的權益有現在有再開始對民眾宣導嗎所以再問你準備好沒像這樣東西已經有在開始讓民眾知道嗎\n\n32\n00:11:31,496 --> 00:11:31,596\n預計什麼時候?\n\n33\n00:11:56,499 --> 00:12:08,773\n這個因為我們可能需要一點時間因為新制包含我們一些相關的流程我們都會把它寫在懶人包裡面讓我們的民眾跟住院病人能夠更加容易的理解我希望說到時候人願意在留志在來\n\n34\n00:12:11,044 --> 00:12:29,895\n出院、出獄都要提前準備。所以出院計畫的目的事實上是為了出院前提前連結社會資源來建立服務關係。對於壽星人來說建立關係非常重要尤其涉及到我們的服刑期間有時候戶籍事實上是要隨著他轉到當地的戶政單位\n\n35\n00:12:32,932 --> 00:12:55,641\n那戶籍法第47條50條是這樣規定的那可是如果說今天在新北市的人在花蓮服刑他期滿之後回到新北市有時候是得不到這樣子的一個所謂的服務不能力嘛像這個人你就找不到了所以在社區處遇應該要提前而且事實上能夠是不是跟\n\n36\n00:12:56,698 --> 00:12:56,878\n主席都站起來了\n\n37\n00:13:17,719 --> 00:13:32,599\n最後還是要呼籲社會大眾我們經常者比任何人更期待我們的平等公平然後融合到社會當中好生活所以我們希望政府部門可以來協力來理解他的困難去包容他\n\n38\n00:13:33,280 --> 00:13:35,321\n主席有點不太公平齁,因為我剛剛前面那個齁,大概都還沒站起來齁,以上。好,謝謝委員,謝謝召委。\n\n","tsv":"start\tend\ttext\n5254\t7857\t主席麻煩我們的邱部長部長早部長早\n18514\t43240\t臺灣大概在我們的2025年剛才也提到2024年12月14號我們的精神衛生法新法新制就要上路了那要全面上路我想問準備好了嗎為什麼因為過去我們的傳統大概在我們的以藥物住院跟機構安置為主可是新法未來事實上是要符合我們的CRPD以維護我們的\n45003\t49013\t緊張者人格權那要讓他們可不可以在社區\n50418\t50638\t主席主席\n82517\t102305\t主委嚴重病人大概有6、7千人6、7千人那這群人的醫療需求相對多那佔健保的那個失絕病症支出的幾成委員的意思是\n103208\t104868\t若現在回答不出來的話,那就等\n125095\t151961\t會後給我資料因為前面我問嚴重的後面大家也要期待就是說過去呢事實上大家輕症都在社區儲育裡面大概都比較沒有這麼的多所以未來是不是在健保支出應該對於社區儲育應該要對於輕症的因為如果你的輕症不做你的服務支出少的話那當然未來他在社區裡面沒有得到很好照顧的話未來也是一個\n152611\t154853\t衛福部事上事實上是主管機關地方包含地方還有各目的事業主管都有一些各\n171088\t171868\t目前你的資源佈建得如何?\n198590\t203714\t謝謝 謝委員的關心我們在健保的部分其實有增加的大概有40幾%的經費\n207520\t208600\t時間有限,所以請衛福部一個月內彙整我剛剛講的第一個\n236240\t261862\t也就是這幾項的狀況部件還有個其他目的事業主管機關配合的狀況請你一個月能夠彙整出來然後提供我這邊是的是是那想問一下就是我們在CRPD的去機構化的倡議下全世界大概先進國家只剩下\n262909\t281020\t臺灣、日本跟韓國還在衝床位其他的都已經在減床那民間團體也是期待如果事實上是去符合他人格權要以社區為主的話應該也是要減床可是我們現在是增床所以想問部長臺灣有減床的計畫嗎我們市長先生也知道\n287649\t316057\t跟委員報告的確我們現在全全球的一個對精神病人照顧的趨勢是希望能夠盡量留在社區裡面來接受我們的服務所以臺灣在這幾年呢我們也佈建了非常多的這個社區支持的資源那至於說在床數的部分那的確就像委員所講的我們不管是急性床慢性床其實我們的占床率這幾年看起來是有一些下降的一個趨勢但是這個下降我們我們不會去主動減床但是我們依然是\n316357\t317357\t委員提到的應該是屬於我們住宿型的精神復健機構部分\n336204\t336924\t委員指的是哪一類的就是我們的經脹的這樣的\n360771\t387199\t那有關於社區精神復健機構如果是在日間型的部分我們希望說每萬人至少能夠有兩床那有關於這個住宿型的部分的話大概每萬人口能夠有一床那目前的話其實在住宿型機構的部分呢其實是已經有達到目標了那照護能力呢就包含我們的護理師醫師職能治療師臨床心理師社工師床位增加都一定會醫事人員增加嗎\n388019\t414357\t所以能夠足夠指引現在你有目前現在的床位的照顧人力嗎?是,各位報告我們的機構要成立必須要依照我們的設置標準所以說他要成立這一家不管是精神住宿型也好或是日間型的精神復健機構也好必須要符合我們的設置標準那設置標準裡面就會定有一定的人力你才能夠來申請設立所以在這個符合設置標準的情況之下他才有可能來設立\n415379\t418133\t所以醫事人員的部分是要符合標準才能設的?\n420323\t444878\t這次想桃園發生這種事情像遇到緊急事件民眾到底要跟誰通報因為民眾比較關心的問題那因為在2020年大概7月衛福部就有設立24小時專線供相關人員做內部通報可是這個機制大概保留在新法的第49條可是一般民眾到底知不知道你內部有可是到底民眾知不知道為什麼會這樣問\n445899\t458434\t因為我們社區的人可能知道我在做的是這個工作反而是來問我們表示我們政府到底有沒有很讓民眾知道說我到底要尋求要通報說我到底打110打119嗎\n461593\t477509\t報告委員緊急事件的時候基本上是要打110跟119通報警消當然我們後續如果有需要在精神醫療方面緊急處理的話還有call center049是你有沒有加強宣導讓民眾知道延續這一個問題第二個問題也是政府應該加強宣導因為\n485156\t497902\t我們也很怕任意通報這種狀況民眾有危害的時候當然他確實要通報可是如何避免對於經常者因為隨便通報而造成經常者的生活困擾有在做嗎\n500715\t525615\t這個我們也討論過就是基本上我們還是盡量鼓勵通報但是如果那個剛剛委員關心的可能稍微有狀況就是不是會太擾民或者是是民眾知道嗎?現在我問部長的是民眾到底知不知道我想我們怎麼樣先導的事情那個心理的心態是不是\n526724\t539735\t跟委員報告就是您剛提到的這個24小時的這個專線的部分的話我們最主要是提供給警消在做第一線精神病人的危機事件處理的時候我們可以提供專業的一個意見那這支專線的話的確我們一般的網絡的人員譬如說社工村里領長他們也會打來做一個諮詢那我們就會有專業人員在電話這一端提供就是說\n549744\t549904\t林月琴議員\n573908\t574108\t林月琴議員\n589147\t595231\t新法對於62條跟70條都有一些委任非訴訟帶領的規定所以想問部長未來本法專家參審新制的那個審理制度施行後每年預估的案件數你有預估嗎?因為這跟預算有關係你預估多少?\n620310\t644452\t報告委員,因為這個是新制,就是說未來精神病人強制住院改由法院來審理,這是新制。那我們目前比較沒有辦法去預估這個案件的多少。那你的預算怎麼編出來?所以我們基本上我們就是依照我們今年度的這個案件量來做一個估算。對,那你今年可不可以跟我們講一下,你推估大概會多少?\n646407\t671549\t那個我們今年的案件量我們預估這個強制住院部分大概是600件左右那在有沒有就是你未來預計要委託誰來辦理目前進度我想為了保障病人的權益我們自114年起已經委託法復法律輔助基金只有法復嗎有沒有其他單位來辦理這個\n673502\t689193\t緊急安置嚴重病人法律福祉單位目前就是法服好那這關係到經常者跟家屬的權益有現在有再開始對民眾宣導嗎所以再問你準備好沒像這樣東西已經有在開始讓民眾知道嗎\n691496\t691596\t預計什麼時候?\n716499\t728773\t這個因為我們可能需要一點時間因為新制包含我們一些相關的流程我們都會把它寫在懶人包裡面讓我們的民眾跟住院病人能夠更加容易的理解我希望說到時候人願意在留志在來\n731044\t749895\t出院、出獄都要提前準備。所以出院計畫的目的事實上是為了出院前提前連結社會資源來建立服務關係。對於壽星人來說建立關係非常重要尤其涉及到我們的服刑期間有時候戶籍事實上是要隨著他轉到當地的戶政單位\n752932\t775641\t那戶籍法第47條50條是這樣規定的那可是如果說今天在新北市的人在花蓮服刑他期滿之後回到新北市有時候是得不到這樣子的一個所謂的服務不能力嘛像這個人你就找不到了所以在社區處遇應該要提前而且事實上能夠是不是跟\n776698\t776878\t主席都站起來了\n797719\t812599\t最後還是要呼籲社會大眾我們經常者比任何人更期待我們的平等公平然後融合到社會當中好生活所以我們希望政府部門可以來協力來理解他的困難去包容他\n813280\t815321\t主席有點不太公平齁,因為我剛剛前面那個齁,大概都還沒站起來齁,以上。好,謝謝委員,謝謝召委。\n","txt":"主席麻煩我們的邱部長部長早部長早\n臺灣大概在我們的2025年剛才也提到2024年12月14號我們的精神衛生法新法新制就要上路了那要全面上路我想問準備好了嗎為什麼因為過去我們的傳統大概在我們的以藥物住院跟機構安置為主可是新法未來事實上是要符合我們的CRPD以維護我們的\n緊張者人格權那要讓他們可不可以在社區\n主席主席\n主委嚴重病人大概有6、7千人6、7千人那這群人的醫療需求相對多那佔健保的那個失絕病症支出的幾成委員的意思是\n若現在回答不出來的話,那就等\n會後給我資料因為前面我問嚴重的後面大家也要期待就是說過去呢事實上大家輕症都在社區儲育裡面大概都比較沒有這麼的多所以未來是不是在健保支出應該對於社區儲育應該要對於輕症的因為如果你的輕症不做你的服務支出少的話那當然未來他在社區裡面沒有得到很好照顧的話未來也是一個\n衛福部事上事實上是主管機關地方包含地方還有各目的事業主管都有一些各\n目前你的資源佈建得如何?\n謝謝 謝委員的關心我們在健保的部分其實有增加的大概有40幾%的經費\n時間有限,所以請衛福部一個月內彙整我剛剛講的第一個\n也就是這幾項的狀況部件還有個其他目的事業主管機關配合的狀況請你一個月能夠彙整出來然後提供我這邊是的是是那想問一下就是我們在CRPD的去機構化的倡議下全世界大概先進國家只剩下\n臺灣、日本跟韓國還在衝床位其他的都已經在減床那民間團體也是期待如果事實上是去符合他人格權要以社區為主的話應該也是要減床可是我們現在是增床所以想問部長臺灣有減床的計畫嗎我們市長先生也知道\n跟委員報告的確我們現在全全球的一個對精神病人照顧的趨勢是希望能夠盡量留在社區裡面來接受我們的服務所以臺灣在這幾年呢我們也佈建了非常多的這個社區支持的資源那至於說在床數的部分那的確就像委員所講的我們不管是急性床慢性床其實我們的占床率這幾年看起來是有一些下降的一個趨勢但是這個下降我們我們不會去主動減床但是我們依然是\n委員提到的應該是屬於我們住宿型的精神復健機構部分\n委員指的是哪一類的就是我們的經脹的這樣的\n那有關於社區精神復健機構如果是在日間型的部分我們希望說每萬人至少能夠有兩床那有關於這個住宿型的部分的話大概每萬人口能夠有一床那目前的話其實在住宿型機構的部分呢其實是已經有達到目標了那照護能力呢就包含我們的護理師醫師職能治療師臨床心理師社工師床位增加都一定會醫事人員增加嗎\n所以能夠足夠指引現在你有目前現在的床位的照顧人力嗎?是,各位報告我們的機構要成立必須要依照我們的設置標準所以說他要成立這一家不管是精神住宿型也好或是日間型的精神復健機構也好必須要符合我們的設置標準那設置標準裡面就會定有一定的人力你才能夠來申請設立所以在這個符合設置標準的情況之下他才有可能來設立\n所以醫事人員的部分是要符合標準才能設的?\n這次想桃園發生這種事情像遇到緊急事件民眾到底要跟誰通報因為民眾比較關心的問題那因為在2020年大概7月衛福部就有設立24小時專線供相關人員做內部通報可是這個機制大概保留在新法的第49條可是一般民眾到底知不知道你內部有可是到底民眾知不知道為什麼會這樣問\n因為我們社區的人可能知道我在做的是這個工作反而是來問我們表示我們政府到底有沒有很讓民眾知道說我到底要尋求要通報說我到底打110打119嗎\n報告委員緊急事件的時候基本上是要打110跟119通報警消當然我們後續如果有需要在精神醫療方面緊急處理的話還有call center049是你有沒有加強宣導讓民眾知道延續這一個問題第二個問題也是政府應該加強宣導因為\n我們也很怕任意通報這種狀況民眾有危害的時候當然他確實要通報可是如何避免對於經常者因為隨便通報而造成經常者的生活困擾有在做嗎\n這個我們也討論過就是基本上我們還是盡量鼓勵通報但是如果那個剛剛委員關心的可能稍微有狀況就是不是會太擾民或者是是民眾知道嗎?現在我問部長的是民眾到底知不知道我想我們怎麼樣先導的事情那個心理的心態是不是\n跟委員報告就是您剛提到的這個24小時的這個專線的部分的話我們最主要是提供給警消在做第一線精神病人的危機事件處理的時候我們可以提供專業的一個意見那這支專線的話的確我們一般的網絡的人員譬如說社工村里領長他們也會打來做一個諮詢那我們就會有專業人員在電話這一端提供就是說\n林月琴議員\n林月琴議員\n新法對於62條跟70條都有一些委任非訴訟帶領的規定所以想問部長未來本法專家參審新制的那個審理制度施行後每年預估的案件數你有預估嗎?因為這跟預算有關係你預估多少?\n報告委員,因為這個是新制,就是說未來精神病人強制住院改由法院來審理,這是新制。那我們目前比較沒有辦法去預估這個案件的多少。那你的預算怎麼編出來?所以我們基本上我們就是依照我們今年度的這個案件量來做一個估算。對,那你今年可不可以跟我們講一下,你推估大概會多少?\n那個我們今年的案件量我們預估這個強制住院部分大概是600件左右那在有沒有就是你未來預計要委託誰來辦理目前進度我想為了保障病人的權益我們自114年起已經委託法復法律輔助基金只有法復嗎有沒有其他單位來辦理這個\n緊急安置嚴重病人法律福祉單位目前就是法服好那這關係到經常者跟家屬的權益有現在有再開始對民眾宣導嗎所以再問你準備好沒像這樣東西已經有在開始讓民眾知道嗎\n預計什麼時候?\n這個因為我們可能需要一點時間因為新制包含我們一些相關的流程我們都會把它寫在懶人包裡面讓我們的民眾跟住院病人能夠更加容易的理解我希望說到時候人願意在留志在來\n出院、出獄都要提前準備。所以出院計畫的目的事實上是為了出院前提前連結社會資源來建立服務關係。對於壽星人來說建立關係非常重要尤其涉及到我們的服刑期間有時候戶籍事實上是要隨著他轉到當地的戶政單位\n那戶籍法第47條50條是這樣規定的那可是如果說今天在新北市的人在花蓮服刑他期滿之後回到新北市有時候是得不到這樣子的一個所謂的服務不能力嘛像這個人你就找不到了所以在社區處遇應該要提前而且事實上能夠是不是跟\n主席都站起來了\n最後還是要呼籲社會大眾我們經常者比任何人更期待我們的平等公平然後融合到社會當中好生活所以我們希望政府部門可以來協力來理解他的困難去包容他\n主席有點不太公平齁,因為我剛剛前面那個齁,大概都還沒站起來齁,以上。好,謝謝委員,謝謝召委。\n","vtt":"WEBVTT\n\n00:05.254 --> 00:07.857\n主席麻煩我們的邱部長部長早部長早\n\n00:18.514 --> 00:43.240\n臺灣大概在我們的2025年剛才也提到2024年12月14號我們的精神衛生法新法新制就要上路了那要全面上路我想問準備好了嗎為什麼因為過去我們的傳統大概在我們的以藥物住院跟機構安置為主可是新法未來事實上是要符合我們的CRPD以維護我們的\n\n00:45.003 --> 00:49.013\n緊張者人格權那要讓他們可不可以在社區\n\n00:50.418 --> 00:50.638\n主席主席\n\n01:22.517 --> 01:42.305\n主委嚴重病人大概有6、7千人6、7千人那這群人的醫療需求相對多那佔健保的那個失絕病症支出的幾成委員的意思是\n\n01:43.208 --> 01:44.868\n若現在回答不出來的話,那就等\n\n02:05.095 --> 02:31.961\n會後給我資料因為前面我問嚴重的後面大家也要期待就是說過去呢事實上大家輕症都在社區儲育裡面大概都比較沒有這麼的多所以未來是不是在健保支出應該對於社區儲育應該要對於輕症的因為如果你的輕症不做你的服務支出少的話那當然未來他在社區裡面沒有得到很好照顧的話未來也是一個\n\n02:32.611 --> 02:34.853\n衛福部事上事實上是主管機關地方包含地方還有各目的事業主管都有一些各\n\n02:51.088 --> 02:51.868\n目前你的資源佈建得如何?\n\n03:18.590 --> 03:23.714\n謝謝謝委員的關心我們在健保的部分其實有增加的大概有40幾%的經費\n\n03:27.520 --> 03:28.600\n時間有限,所以請衛福部一個月內彙整我剛剛講的第一個\n\n03:56.240 --> 04:21.862\n也就是這幾項的狀況部件還有個其他目的事業主管機關配合的狀況請你一個月能夠彙整出來然後提供我這邊是的是是那想問一下就是我們在CRPD的去機構化的倡議下全世界大概先進國家只剩下\n\n04:22.909 --> 04:41.020\n臺灣、日本跟韓國還在衝床位其他的都已經在減床那民間團體也是期待如果事實上是去符合他人格權要以社區為主的話應該也是要減床可是我們現在是增床所以想問部長臺灣有減床的計畫嗎我們市長先生也知道\n\n04:47.649 --> 05:16.057\n跟委員報告的確我們現在全全球的一個對精神病人照顧的趨勢是希望能夠盡量留在社區裡面來接受我們的服務所以臺灣在這幾年呢我們也佈建了非常多的這個社區支持的資源那至於說在床數的部分那的確就像委員所講的我們不管是急性床慢性床其實我們的占床率這幾年看起來是有一些下降的一個趨勢但是這個下降我們我們不會去主動減床但是我們依然是\n\n05:16.357 --> 05:17.357\n委員提到的應該是屬於我們住宿型的精神復健機構部分\n\n05:36.204 --> 05:36.924\n委員指的是哪一類的就是我們的經脹的這樣的\n\n06:00.771 --> 06:27.199\n那有關於社區精神復健機構如果是在日間型的部分我們希望說每萬人至少能夠有兩床那有關於這個住宿型的部分的話大概每萬人口能夠有一床那目前的話其實在住宿型機構的部分呢其實是已經有達到目標了那照護能力呢就包含我們的護理師醫師職能治療師臨床心理師社工師床位增加都一定會醫事人員增加嗎\n\n06:28.019 --> 06:54.357\n所以能夠足夠指引現在你有目前現在的床位的照顧人力嗎?是,各位報告我們的機構要成立必須要依照我們的設置標準所以說他要成立這一家不管是精神住宿型也好或是日間型的精神復健機構也好必須要符合我們的設置標準那設置標準裡面就會定有一定的人力你才能夠來申請設立所以在這個符合設置標準的情況之下他才有可能來設立\n\n06:55.379 --> 06:58.133\n所以醫事人員的部分是要符合標準才能設的?\n\n07:00.323 --> 07:24.878\n這次想桃園發生這種事情像遇到緊急事件民眾到底要跟誰通報因為民眾比較關心的問題那因為在2020年大概7月衛福部就有設立24小時專線供相關人員做內部通報可是這個機制大概保留在新法的第49條可是一般民眾到底知不知道你內部有可是到底民眾知不知道為什麼會這樣問\n\n07:25.899 --> 07:38.434\n因為我們社區的人可能知道我在做的是這個工作反而是來問我們表示我們政府到底有沒有很讓民眾知道說我到底要尋求要通報說我到底打110打119嗎\n\n07:41.593 --> 07:57.509\n報告委員緊急事件的時候基本上是要打110跟119通報警消當然我們後續如果有需要在精神醫療方面緊急處理的話還有callcenter049是你有沒有加強宣導讓民眾知道延續這一個問題第二個問題也是政府應該加強宣導因為\n\n08:05.156 --> 08:17.902\n我們也很怕任意通報這種狀況民眾有危害的時候當然他確實要通報可是如何避免對於經常者因為隨便通報而造成經常者的生活困擾有在做嗎\n\n08:20.715 --> 08:45.615\n這個我們也討論過就是基本上我們還是盡量鼓勵通報但是如果那個剛剛委員關心的可能稍微有狀況就是不是會太擾民或者是是民眾知道嗎?現在我問部長的是民眾到底知不知道我想我們怎麼樣先導的事情那個心理的心態是不是\n\n08:46.724 --> 08:59.735\n跟委員報告就是您剛提到的這個24小時的這個專線的部分的話我們最主要是提供給警消在做第一線精神病人的危機事件處理的時候我們可以提供專業的一個意見那這支專線的話的確我們一般的網絡的人員譬如說社工村里領長他們也會打來做一個諮詢那我們就會有專業人員在電話這一端提供就是說\n\n09:09.744 --> 09:09.904\n林月琴議員\n\n09:33.908 --> 09:34.108\n林月琴議員\n\n09:49.147 --> 09:55.231\n新法對於62條跟70條都有一些委任非訴訟帶領的規定所以想問部長未來本法專家參審新制的那個審理制度施行後每年預估的案件數你有預估嗎?因為這跟預算有關係你預估多少?\n\n10:20.310 --> 10:44.452\n報告委員,因為這個是新制,就是說未來精神病人強制住院改由法院來審理,這是新制。那我們目前比較沒有辦法去預估這個案件的多少。那你的預算怎麼編出來?所以我們基本上我們就是依照我們今年度的這個案件量來做一個估算。對,那你今年可不可以跟我們講一下,你推估大概會多少?\n\n10:46.407 --> 11:11.549\n那個我們今年的案件量我們預估這個強制住院部分大概是600件左右那在有沒有就是你未來預計要委託誰來辦理目前進度我想為了保障病人的權益我們自114年起已經委託法復法律輔助基金只有法復嗎有沒有其他單位來辦理這個\n\n11:13.502 --> 11:29.193\n緊急安置嚴重病人法律福祉單位目前就是法服好那這關係到經常者跟家屬的權益有現在有再開始對民眾宣導嗎所以再問你準備好沒像這樣東西已經有在開始讓民眾知道嗎\n\n11:31.496 --> 11:31.596\n預計什麼時候?\n\n11:56.499 --> 12:08.773\n這個因為我們可能需要一點時間因為新制包含我們一些相關的流程我們都會把它寫在懶人包裡面讓我們的民眾跟住院病人能夠更加容易的理解我希望說到時候人願意在留志在來\n\n12:11.044 --> 12:29.895\n出院、出獄都要提前準備。所以出院計畫的目的事實上是為了出院前提前連結社會資源來建立服務關係。對於壽星人來說建立關係非常重要尤其涉及到我們的服刑期間有時候戶籍事實上是要隨著他轉到當地的戶政單位\n\n12:32.932 --> 12:55.641\n那戶籍法第47條50條是這樣規定的那可是如果說今天在新北市的人在花蓮服刑他期滿之後回到新北市有時候是得不到這樣子的一個所謂的服務不能力嘛像這個人你就找不到了所以在社區處遇應該要提前而且事實上能夠是不是跟\n\n12:56.698 --> 12:56.878\n主席都站起來了\n\n13:17.719 --> 13:32.599\n最後還是要呼籲社會大眾我們經常者比任何人更期待我們的平等公平然後融合到社會當中好生活所以我們希望政府部門可以來協力來理解他的困難去包容他\n\n13:33.280 --> 13:35.321\n主席有點不太公平齁,因為我剛剛前面那個齁,大概都還沒站起來齁,以上。好,謝謝委員,謝謝召委。\n\n","segments":[{"start":5.254,"end":7.857,"text":"主席麻煩我們的邱部長部長早部長早"},{"start":18.514,"end":43.24,"text":"臺灣大概在我們的2025年剛才也提到2024年12月14號我們的精神衛生法新法新制就要上路了那要全面上路我想問準備好了嗎為什麼因為過去我們的傳統大概在我們的以藥物住院跟機構安置為主可是新法未來事實上是要符合我們的CRPD以維護我們的"},{"start":45.003,"end":49.013,"text":"緊張者人格權那要讓他們可不可以在社區"},{"start":50.418,"end":50.638,"text":"主席主席"},{"start":82.517,"end":102.305,"text":"主委嚴重病人大概有6、7千人6、7千人那這群人的醫療需求相對多那佔健保的那個失絕病症支出的幾成委員的意思是"},{"start":103.208,"end":104.868,"text":"若現在回答不出來的話,那就等"},{"start":125.095,"end":151.961,"text":"會後給我資料因為前面我問嚴重的後面大家也要期待就是說過去呢事實上大家輕症都在社區儲育裡面大概都比較沒有這麼的多所以未來是不是在健保支出應該對於社區儲育應該要對於輕症的因為如果你的輕症不做你的服務支出少的話那當然未來他在社區裡面沒有得到很好照顧的話未來也是一個"},{"start":152.611,"end":154.853,"text":"衛福部事上事實上是主管機關地方包含地方還有各目的事業主管都有一些各"},{"start":171.088,"end":171.868,"text":"目前你的資源佈建得如何?"},{"start":198.59,"end":203.714,"text":"謝謝 謝委員的關心我們在健保的部分其實有增加的大概有40幾%的經費"},{"start":207.52,"end":208.6,"text":"時間有限,所以請衛福部一個月內彙整我剛剛講的第一個"},{"start":236.24,"end":261.862,"text":"也就是這幾項的狀況部件還有個其他目的事業主管機關配合的狀況請你一個月能夠彙整出來然後提供我這邊是的是是那想問一下就是我們在CRPD的去機構化的倡議下全世界大概先進國家只剩下"},{"start":262.909,"end":281.02,"text":"臺灣、日本跟韓國還在衝床位其他的都已經在減床那民間團體也是期待如果事實上是去符合他人格權要以社區為主的話應該也是要減床可是我們現在是增床所以想問部長臺灣有減床的計畫嗎我們市長先生也知道"},{"start":287.649,"end":316.057,"text":"跟委員報告的確我們現在全全球的一個對精神病人照顧的趨勢是希望能夠盡量留在社區裡面來接受我們的服務所以臺灣在這幾年呢我們也佈建了非常多的這個社區支持的資源那至於說在床數的部分那的確就像委員所講的我們不管是急性床慢性床其實我們的占床率這幾年看起來是有一些下降的一個趨勢但是這個下降我們我們不會去主動減床但是我們依然是"},{"start":316.357,"end":317.357,"text":"委員提到的應該是屬於我們住宿型的精神復健機構部分"},{"start":336.204,"end":336.924,"text":"委員指的是哪一類的就是我們的經脹的這樣的"},{"start":360.771,"end":387.199,"text":"那有關於社區精神復健機構如果是在日間型的部分我們希望說每萬人至少能夠有兩床那有關於這個住宿型的部分的話大概每萬人口能夠有一床那目前的話其實在住宿型機構的部分呢其實是已經有達到目標了那照護能力呢就包含我們的護理師醫師職能治療師臨床心理師社工師床位增加都一定會醫事人員增加嗎"},{"start":388.019,"end":414.357,"text":"所以能夠足夠指引現在你有目前現在的床位的照顧人力嗎?是,各位報告我們的機構要成立必須要依照我們的設置標準所以說他要成立這一家不管是精神住宿型也好或是日間型的精神復健機構也好必須要符合我們的設置標準那設置標準裡面就會定有一定的人力你才能夠來申請設立所以在這個符合設置標準的情況之下他才有可能來設立"},{"start":415.379,"end":418.133,"text":"所以醫事人員的部分是要符合標準才能設的?"},{"start":420.323,"end":444.878,"text":"這次想桃園發生這種事情像遇到緊急事件民眾到底要跟誰通報因為民眾比較關心的問題那因為在2020年大概7月衛福部就有設立24小時專線供相關人員做內部通報可是這個機制大概保留在新法的第49條可是一般民眾到底知不知道你內部有可是到底民眾知不知道為什麼會這樣問"},{"start":445.899,"end":458.434,"text":"因為我們社區的人可能知道我在做的是這個工作反而是來問我們表示我們政府到底有沒有很讓民眾知道說我到底要尋求要通報說我到底打110打119嗎"},{"start":461.593,"end":477.509,"text":"報告委員緊急事件的時候基本上是要打110跟119通報警消當然我們後續如果有需要在精神醫療方面緊急處理的話還有call center049是你有沒有加強宣導讓民眾知道延續這一個問題第二個問題也是政府應該加強宣導因為"},{"start":485.156,"end":497.902,"text":"我們也很怕任意通報這種狀況民眾有危害的時候當然他確實要通報可是如何避免對於經常者因為隨便通報而造成經常者的生活困擾有在做嗎"},{"start":500.715,"end":525.615,"text":"這個我們也討論過就是基本上我們還是盡量鼓勵通報但是如果那個剛剛委員關心的可能稍微有狀況就是不是會太擾民或者是是民眾知道嗎?現在我問部長的是民眾到底知不知道我想我們怎麼樣先導的事情那個心理的心態是不是"},{"start":526.724,"end":539.735,"text":"跟委員報告就是您剛提到的這個24小時的這個專線的部分的話我們最主要是提供給警消在做第一線精神病人的危機事件處理的時候我們可以提供專業的一個意見那這支專線的話的確我們一般的網絡的人員譬如說社工村里領長他們也會打來做一個諮詢那我們就會有專業人員在電話這一端提供就是說"},{"start":549.744,"end":549.904,"text":"林月琴議員"},{"start":573.908,"end":574.108,"text":"林月琴議員"},{"start":589.147,"end":595.231,"text":"新法對於62條跟70條都有一些委任非訴訟帶領的規定所以想問部長未來本法專家參審新制的那個審理制度施行後每年預估的案件數你有預估嗎?因為這跟預算有關係你預估多少?"},{"start":620.31,"end":644.452,"text":"報告委員,因為這個是新制,就是說未來精神病人強制住院改由法院來審理,這是新制。那我們目前比較沒有辦法去預估這個案件的多少。那你的預算怎麼編出來?所以我們基本上我們就是依照我們今年度的這個案件量來做一個估算。對,那你今年可不可以跟我們講一下,你推估大概會多少?"},{"start":646.407,"end":671.549,"text":"那個我們今年的案件量我們預估這個強制住院部分大概是600件左右那在有沒有就是你未來預計要委託誰來辦理目前進度我想為了保障病人的權益我們自114年起已經委託法復法律輔助基金只有法復嗎有沒有其他單位來辦理這個"},{"start":673.502,"end":689.193,"text":"緊急安置嚴重病人法律福祉單位目前就是法服好那這關係到經常者跟家屬的權益有現在有再開始對民眾宣導嗎所以再問你準備好沒像這樣東西已經有在開始讓民眾知道嗎"},{"start":691.496,"end":691.596,"text":"預計什麼時候?"},{"start":716.499,"end":728.773,"text":"這個因為我們可能需要一點時間因為新制包含我們一些相關的流程我們都會把它寫在懶人包裡面讓我們的民眾跟住院病人能夠更加容易的理解我希望說到時候人願意在留志在來"},{"start":731.044,"end":749.895,"text":"出院、出獄都要提前準備。所以出院計畫的目的事實上是為了出院前提前連結社會資源來建立服務關係。對於壽星人來說建立關係非常重要尤其涉及到我們的服刑期間有時候戶籍事實上是要隨著他轉到當地的戶政單位"},{"start":752.932,"end":775.641,"text":"那戶籍法第47條50條是這樣規定的那可是如果說今天在新北市的人在花蓮服刑他期滿之後回到新北市有時候是得不到這樣子的一個所謂的服務不能力嘛像這個人你就找不到了所以在社區處遇應該要提前而且事實上能夠是不是跟"},{"start":776.698,"end":776.878,"text":"主席都站起來了"},{"start":797.719,"end":812.599,"text":"最後還是要呼籲社會大眾我們經常者比任何人更期待我們的平等公平然後融合到社會當中好生活所以我們希望政府部門可以來協力來理解他的困難去包容他"},{"start":813.28,"end":815.321,"text":"主席有點不太公平齁,因為我剛剛前面那個齁,大概都還沒站起來齁,以上。好,謝謝委員,謝謝召委。"}]}}},"gazette":{"lineno":233,"blocks":[["林委員月琴：（9時48分）主席，麻煩我們的邱部長。"],["主席：部長請。"],["邱部長泰源：委員早。"],["林委員月琴：部長早。剛剛也提到2024年12月14號我們的精神衛生法新制就要上路了，對於要全面上路，我想問準備好了嗎？為什麼？因為過去傳統上我們大概以藥物住院跟機構安置為主，但是未來新法要符合CRPD，以維護精障者人格權、讓他們融入社區作為導向。依目前的數據我們看到，2024年身心障礙者大概超過120萬人以上，其中精神障礙大概占12%左右，所以想問關於精神衛生法第三條定義的嚴重病人，目前部長有沒有掌握占全體病人的幾成？"],["邱部長泰源：屬於嚴重病人的大概有六、七千人。"],["林委員月琴：那這群人的醫療需求相對多，占健保當中思覺病症支出的幾成？"],["邱部長泰源：委員的意思是？"],["林委員月琴：因為嚴重病人相對來說醫療支出會比較多一點，目前在健保的思覺病症支出當中占幾成？"],["邱部長泰源：這部分健保署有沒有統計資料？"],["林委員月琴：如果現在回答不出來的話，那就等會後給我資料。"],["邱部長泰源：會後再提供給委員資料。"],["林委員月琴：前面我問嚴重的，後面的部分當然也是要期待，因為過去事實上輕症在社區處遇裡面，數量比較沒有這麼的多，所以未來是不是在健保支出上，對於社區處遇中關於輕症的能夠多一點，畢竟如果輕症不做，你的服務支出少的話，他在社區裡面沒有得到很好照顧的話，未來也是一個問題，所以未來期待你們在這個經費上可以去做一些考量。","第二個，精神衛生法規範整個醫療照護、支出等各種資源，衛福部事實上是主管機關，但地方還有各目的事業主管，都有些各自的業務權責，過去這些都是門診、急診或是全日住院來進行，如果新法未來事實上還是以社區為主。我想問的是，關於日間照顧、社區精神復健、居家治療跟社區支持服務個案管理等等，目前你資源布建得如何？"],["邱部長泰源：謝謝委員的關心。我們在健保的部分，其實有增加大概40%幾的經費來給他更多的治療，而且我們其實很講究，現在所有的病人照顧，我們都希望能夠在社區，能夠生活化、正常化，尤其是我們的精神病人，這個部分都是回歸到社區來給他一個照顧。"],["林委員月琴：還有一個我要問的，即你是事業主管機關，但其他目的事業主管配合時間有限，所以請衛福部1個月內彙整我剛剛講的，第一個，也就是這幾項布建的狀況，還有一個就是其他目的事業主管機關配合的狀況，請你1個月能夠彙整出來，然後提供給我。"],["邱部長泰源：是的。"],["林委員月琴：想問一下，我們在CRPD的去機構化的倡議下，全世界先進國家中，大概只剩下臺灣、日本跟韓國還在衝床位，其他的都已經在減床，民間團體也期待，如果事實上要符合他的人格權，要以社區為主的話，應該也是要減床，可是我們現在卻是增床，所以想問部長，臺灣有減床的計畫嗎？"],["邱部長泰源：我請司長跟委員報告。"],["鄭代理司長淑心：跟委員報告，的確現在全球對精神病人照顧的趨勢，是希望能夠儘量留在社區裡面來接受我們的服務，所以臺灣在這幾年也布建了非常多社區支持的資源，。至於在床數的部分，的確就像委員所講的，不管是急性床、慢性床，其實我們的占床率，這幾年看起來是有一些下降的趨勢，但是就這個下降，我們不會去主動減床，我們依然會積極地在社區裡面布建這些資源。"],["林委員月琴：可是你不只沒減床，還往上衝，即那個數據是往上衝的。"],["鄭代理司長淑心：我們這幾年急慢性病床幾乎都沒有增加，有關於委員提到的，應該是屬於我們住宿型的精神復健機構部分，但是我們的住宿型精神復健機構，並不是用來做安置的，它的目的是希望病人在回到家之前，能夠有一個中繼的、去做積極復健的一個場域，所以並不是用來做安置的。"],["林委員月琴：那我反過來問政府，在你的計畫裡面每萬人口應該要達到幾床？就是用這個來回應這件事情。"],["鄭代理司長淑心：委員指的是哪一類的？"],["林委員月琴：就是我們精障的部分。"],["鄭代理司長淑心：有關於社區精神復健機構，如果是日間型的部分，我們希望每萬人至少能夠有兩床；有關於住宿型的部分，大概是每萬人口能夠有一床。目前在住宿型機構的部分，其實已經有達到目標了。"],["林委員月琴：那照護人力呢？包含我們的護理師、醫師、職能治療師、臨床心理師、社工師等，床位增加一定都會有醫事人員增加，所以足以支應目前床位的照顧人力嗎？"],["鄭代理司長淑心：跟委員報告，我們的機構要成立，必須要依照我們的設置標準，所以要成立這樣的機構，不管是住宿型也好，或是日間型的精神復健機構也好，必須要符合我們的設置標準，設置標準裡面就會訂有一定的人力，這樣才能夠來申請設立，也就是在符合設置標準的情況之下，它才有可能來設立，所以醫事人員的部分也是要符合標準才能設立的。"],["林委員月琴：像這次在桃園發生的事件、像遇到緊急事件，民眾到底要跟誰通報？這是民眾比較關心的問題，因為大概在2020年7月，衛福部就設立了24小時專線，供相關人員做內部通報，可是這個機制保留在新法的第四十九條，即你內部有這個專線，可是一般民眾到底知不知道？為什麼會這樣問？像我們社區的人可能知道我做的是這方面的工作，所以反而是來問我們，因此，我們政府到底有沒有讓民眾知道當要通報時要打什麼電話，到底是不是110或119？"],["邱部長泰源：報告委員，緊急事件的時候，基本上是要打110跟119通報警消，當然後續如果需要精神醫療方面的緊急處理，還有call center：049-2551010。"],["林委員月琴：你有沒有加強宣導，讓民眾知道？延續這一個問題，第二個問題就是政府應該加強宣導，因為我們也很怕有任意通報這種狀況，民眾有危害的時候，當然他確實要通報，可是如何避免對於精障者因為隨便通報而造成精障者的生活困擾，有在做嗎？"],["邱部長泰源：這個我們也有討論過，基本上我們還是儘量鼓勵通報，但是剛剛委員關心的，若是稍微有狀況就通報，是不是會太擾民……"],["林委員月琴：現在我問部長的是，民眾到底知不知道？"],["邱部長泰源：關於我們如何宣導，請司長跟委員報告。"],["鄭代理司長淑心：跟委員報告，您剛剛提到的24小時專線，最主要是提供給警消在做第一線精神病人的危機事件處理的時候，我們可以提供專業的意見，這支專線的確是我們一般網絡的人員，譬如說社工、村里鄰長，他們也會打來諮詢，我們就會有專業人員在電話另一端提供意見，就是我們會做初步的評估，然後給他一些處置的建議。關於這個專線的宣導，我們也會持續的來跟地方政府來合作，加強這支專線的宣導。"],["林委員月琴：希望你們要加強宣導。"],["鄭代理司長淑心：會的。"],["林委員月琴：我現在問的都是我在社區遇到的一些狀況。再來，為了避免濫用我們的強制住院來剝奪精障者的人身自由，所以對於嚴重病人強制住院的程序，未來會有比較嚴謹的一些規範，可是我們應該可以預見，未來大概沒有專家學者能夠對於他出院的作為做保證，所以使得住院期間就會不斷延長，甚至形同坐黑牢，因此，精障者的法律扶助非常重要，涉及權利保護的必要措施，新法當中第六十二條跟第七十條，都有一些委任、非訴訟代理的規定，所以想問部長，未來本法專家參審新制的審理制度施行後，每年的案件數你有預估嗎？因為這跟預算有關係，所以你預估多少？"],["鄭代理司長淑心：報告委員，因為這個是新制，即未來精神病人強制住院改由法院來審理，這是新制，我們目前比較沒有辦法去預估這個案件量……"],["林委員月琴：那明年的預算你怎麼編出來的？"],["鄭代理司長淑心：基本上我們就是依照今年度的案件量來做一個估算。"],["林委員月琴：可不可以跟我們講一下，你推估今年大概會有多少？"],["鄭代理司長淑心：今年的案件量，我們預估強制住院的部分大概是600件左右。"],["林委員月琴：好，那未來你預計要委託誰來辦理？目前的進度如何？"],["邱部長泰源：報告委員，為了保障病人的權益，我們自114年起已經委託法扶（法律扶助基金會）。"],["林委員月琴：只有法扶嗎？有沒有其他單位？"],["邱部長泰源：由他們來辦理緊急安置嚴重病人法律扶助相關工作，目前就是法扶來做。"],["林委員月琴：好。這關係到精障者跟家屬的權益，所以現在有開始對民眾宣導嗎？我在問你準備好了嗎？像這些東西已經開始讓民眾知道了嗎？"],["鄭代理司長淑心：跟委員報告，有關於強制住院改由法院審理這部分的新制，因為上路的日期必須要行政院會同司法院來訂定，但是我們這邊已經有針對新法規範的部分，也已經在製作相關的宣導單張，目前我們是在製作當中，之後我們會把它做成讓民眾……"],["林委員月琴：預計什麼時候？"],["蔡副署長鴻德：這個我們可能需要一點時間，因為新制的關係，所以包含一些相關流程我們都會寫在懶人包裡，讓民眾跟住院病人能夠理解……"],["林委員月琴：希望儘快，不希望到時候人員一直被留置。再者，出院、出獄都要提前準備。其實出院計畫的目的是為了能在出院前，提前連結社會資源來建立服務關係，對於受刑人來說，建立關係非常重要，尤其涉及服刑期間戶籍需要隨著轉至當地，這是戶籍法第四十七條、第五十條的規定。如果今天有新北市的人在花蓮服刑，期滿之後回到新北市，有時候得不到該市的服務，甚至人就找不到了！所以社區處遇應該要提前，事實上，這是能否與病人建置關係的關鍵，我們認為最好的是做好關係轉銜，而不是只有資料轉銜而已。所以我想問，衛福部可不可以預做這樣的準備？之後請再把資料給我辦公室，因為主席都站起來了。","最後我還是要呼籲社會大眾，精障者比任何人更期待平等、公平，並能融合到社會當中好好生活。所以希望政府部門可以協力，理解他的困難，甚至去包容他。"],["邱部長泰源：謝謝委員，政府在這方面非常用心，精神衛生法是我擔任召委時通過的，所以我很重視，看怎麼樣能把它落實。"],["林委員月琴：主席有點不太公平，前面那個你還沒有站起來，以上。"],["邱部長泰源：謝謝委員，謝謝召委。"],["主席：謝謝林委員，謝謝部長。","繼續請廖偉翔委員質詢。"]],"agenda":{"page_end":272,"meet_id":"委員會-11-2-26-7","speakers":["蘇清泉","陳昭姿","陳菁徽","林月琴","廖偉翔","邱鎮軍","涂權吉","王正旭","鍾佳濱","林國成","楊瓊瓔","林淑芬","賴士葆","黃秀芳","陳雪生","王育敏","劉建國","牛煦庭","楊曜","陳瑩","黃國昌","盧縣一"],"page_start":199,"meetingDate":["2024-11-04"],"gazette_id":"1139301","agenda_lcidc_ids":["1139301_00004"],"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7次全體委員會議紀錄","content":"一、繼續處理中華民國113年度中央政府總預算有關衛生福利部主管預算凍結報告案1案；二、邀\n請衛生福利部部長針對「社區精神病患照護優化」進行專題報告，並備質詢","agenda_id":"1139301_00003"}}}