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00:00:54,143\n可是這個問題是牽涉到社會安全網的一個大問題但是醫療的問題當然是衛福部所以當然啦所有的問題也不能苛責邱部長這邊但最起碼整個社會網社會網的司令是一定要去檢討的\n\n3\n00:00:56,505 --> 00:01:18,491\n所以啊我從台北啊10月9號有一個一名女子啊無緣無故坐了公車就被人家推下去這個就是精神有問題那然後然後這個不是只有一次喔他有推人推下車的紀錄12次\n\n4\n00:01:21,021 --> 00:01:41,715\n在10月12號在台南也是列管的精神病患但是季節就醫持刀啊祭補對抗警察這個接下來10月27在桃園也是發生一個女童被一個中度身心障礙\n\n5\n00:01:43,716 --> 00:02:02,443\n強弩的案件這等等10月份就有三件這個當然跟社區這些醫療網當然有關所以要讓部長瞭解這整個社區醫療網的重要性重要性所以我在這裡特別\n\n6\n00:02:03,283 --> 00:02:29,490\n要強調我們不是對這些生病身經障礙有歧視不是可是這個是一個問題所以我們該怎麼樣來解決所以我在想這社會網的問題很重要但是我們醫療網的治療就醫也是非常重要所以我要特別提醒部長在這裡只要只要\n\n7\n00:02:30,350 --> 00:02:45,719\n有這個機會當然這個是行政院要跨部會把他當成真正一個問題所以我在這裡就要請教我們社工師你認為這個社工人力以及他的流動力你認為\n\n8\n00:02:47,781 --> 00:03:01,728\n針對這個部分當然社工還要做很多事啦在這個部分可以看得出來地方政府的社工啊在等等這些確確實實流動力是很高的人力是不足的你看針對這個問題\n\n9\n00:03:03,749 --> 00:03:20,405\n對於這些社區醫療丸你有什麼看法來市長在市長回答前我先報告一下我想感謝我們委員過去在臺北市擔任一座的時候協助我們臺北市醫師公會跟社會來邁出腳步來跟社會安全網\n\n10\n00:03:24,208 --> 00:03:24,369\n來,來,那個司長\n\n11\n00:03:48,673 --> 00:04:07,675\n謝謝委員的關心那的確這些社會問題除了我們社工專業人員之外因為個案的問題跟家庭比較複雜所以其實我們在社安網的第二期除了社工人力我們也增加了其他的專業人員包括心理師還有相關的復健師還有觀訪員等等一起來努力\n\n12\n00:04:08,155 --> 00:04:27,915\n好,那在整個工作的過程裡面,我們也是一個跨網路的工作,比方說要跟警察還有教育單位、勞動單位的人一起來合作。那至於委員您這邊所提供的這個社工人員流動的一個狀況,基本上因為我們每一年的人力都在增加,所以我們的進入率各位可以看到比較高,是因為都人在增加嗎?\n\n13\n00:04:28,516 --> 00:04:28,776\n市長我知道了\n\n14\n00:04:43,618 --> 00:05:11,826\n我主要的問題點出兩點一個人力不足的問題流動力偏高的問題這個你要幫部長去把問題找出來懲告被部長來做你的後盾其實社工不足是一個非常重要還有流動力之高為什麼流動力之高因為高危險欸高危險他連警察他都敢殺因為他精神上有問題連警察都敢殺社工呢那更不要講\n\n15\n00:05:12,586 --> 00:05:28,512\n危險力、風險這個很重要所以你要幫部長把這些做一個研究來呈報給部長去做決策好不好最後最後我要特別提醒啦我說實在有時候你們責任很重大\n\n16\n00:05:29,592 --> 00:05:55,816\n現在大法官做成解釋死刑啊連精神病患也不能判死刑欸全部責任丟給你們這是對你們當然不公平但是你們要面對啊沒辦法精神病患不能判死刑等等這些這個我們也知道病人家屬那種千頭萬系的那種痛苦是非常痛苦的\n\n17\n00:05:56,806 --> 00:06:19,882\n但是不要忘了社區只要有一個精神病患那整個社區也不得安寧所以我在這裡要特別跟部長建議第一個法令三個月的觀察期這個部分該強制的就要強制就是用暫時性的這些就醫也是一個辦法\n\n18\n00:06:20,663 --> 00:06:41,056\n你這個人不把他放出來他什麼時候為非作歹他根本就是精神失掉控制所以這些用暫時性的東西不要在那邊三個月觀察再來去做這些我跟你講一個正常人說實在的被殺死了以後講快點以現在的這種法律制度來講\n\n19\n00:06:43,117 --> 00:07:09,648\n該死的人不死不該死的人死這是很殘忍的事啊所以拜託部長在這個部分法令不足的地方拜託社區安全的這個部分部長你要拿出因應之道不要說還有觀察期才可以就醫該暫時就醫就要就醫這樣可以緩緩很多事情好不好部長謝謝委員指教我們來好不好我們來研議好好好謝謝部長謝謝主席\n\n20\n00:07:12,355 --> 00:07:12,578\n謝謝林委員謝謝部長\n\n","tsv":"start\tend\ttext\n5609\t28882\t好,謝謝主席。我請邱部長,心理代理科的鄭師長,社工科的蘇師長。好,邱部長辛苦了啦,因為我想這個議題當然啦,這看起來似乎責任是衛福部。\n30188\t54143\t可是這個問題是牽涉到社會安全網的一個大問題但是醫療的問題當然是衛福部所以當然啦所有的問題也不能苛責邱部長這邊但最起碼整個社會網社會網的司令是一定要去檢討的\n56505\t78491\t所以啊我從台北啊10月9號有一個一名女子啊無緣無故坐了公車就被人家推下去這個就是精神有問題那然後然後這個不是只有一次喔他有推人推下車的紀錄12次\n81021\t101715\t在10月12號在台南也是列管的精神病患但是季節就醫持刀啊祭補對抗警察這個接下來10月27在桃園也是發生一個女童被一個中度身心障礙\n103716\t122443\t強弩的案件這等等10月份就有三件這個當然跟社區這些醫療網當然有關所以要讓部長瞭解這整個社區醫療網的重要性重要性所以我在這裡特別\n123283\t149490\t要強調我們不是對這些生病身經障礙有歧視不是可是這個是一個問題所以我們該怎麼樣來解決所以我在想這社會網的問題很重要但是我們醫療網的治療就醫也是非常重要所以我要特別提醒部長在這裡只要只要\n150350\t165719\t有這個機會當然這個是行政院要跨部會把他當成真正一個問題所以我在這裡就要請教我們社工師你認為這個社工人力以及他的流動力你認為\n167781\t181728\t針對這個部分當然社工還要做很多事啦在這個部分可以看得出來地方政府的社工啊在等等這些確確實實流動力是很高的人力是不足的你看針對這個問題\n183749\t200405\t對於這些社區醫療丸你有什麼看法來市長在市長回答前我先報告一下我想感謝我們委員過去在臺北市擔任一座的時候協助我們臺北市醫師公會跟社會來邁出腳步來跟社會安全網\n204208\t204369\t來,來,那個司長\n228673\t247675\t謝謝委員的關心那的確這些社會問題除了我們社工專業人員之外因為個案的問題跟家庭比較複雜所以其實我們在社安網的第二期除了社工人力我們也增加了其他的專業人員包括心理師還有相關的復健師還有觀訪員等等一起來努力\n248155\t267915\t好,那在整個工作的過程裡面,我們也是一個跨網路的工作,比方說要跟警察還有教育單位、勞動單位的人一起來合作。那至於委員您這邊所提供的這個社工人員流動的一個狀況,基本上因為我們每一年的人力都在增加,所以我們的進入率各位可以看到比較高,是因為都人在增加嗎?\n268516\t268776\t市長我知道了\n283618\t311826\t我主要的問題點出兩點一個人力不足的問題流動力偏高的問題這個你要幫部長去把問題找出來懲告被部長來做你的後盾其實社工不足是一個非常重要還有流動力之高為什麼流動力之高因為高危險欸高危險他連警察他都敢殺因為他精神上有問題連警察都敢殺社工呢那更不要講\n312586\t328512\t危險力、風險這個很重要所以你要幫部長把這些做一個研究來呈報給部長去做決策好不好最後最後我要特別提醒啦我說實在有時候你們責任很重大\n329592\t355816\t現在大法官做成解釋死刑啊連精神病患也不能判死刑欸全部責任丟給你們這是對你們當然不公平但是你們要面對啊沒辦法精神病患不能判死刑等等這些這個我們也知道病人家屬那種千頭萬系的那種痛苦是非常痛苦的\n356806\t379882\t但是不要忘了社區只要有一個精神病患那整個社區也不得安寧所以我在這裡要特別跟部長建議第一個法令三個月的觀察期這個部分該強制的就要強制就是用暫時性的這些就醫也是一個辦法\n380663\t401056\t你這個人不把他放出來他什麼時候為非作歹他根本就是精神失掉控制所以這些用暫時性的東西不要在那邊三個月觀察再來去做這些我跟你講一個正常人說實在的被殺死了以後講快點以現在的這種法律制度來講\n403117\t429648\t該死的人不死不該死的人死這是很殘忍的事啊所以拜託部長在這個部分法令不足的地方拜託社區安全的這個部分部長你要拿出因應之道不要說還有觀察期才可以就醫該暫時就醫就要就醫這樣可以緩緩很多事情好不好部長謝謝委員指教我們來好不好我們來研議好好好謝謝部長謝謝主席\n432355\t432578\t謝謝林委員 謝謝部長\n","txt":"好,謝謝主席。我請邱部長,心理代理科的鄭師長,社工科的蘇師長。好,邱部長辛苦了啦,因為我想這個議題當然啦,這看起來似乎責任是衛福部。\n可是這個問題是牽涉到社會安全網的一個大問題但是醫療的問題當然是衛福部所以當然啦所有的問題也不能苛責邱部長這邊但最起碼整個社會網社會網的司令是一定要去檢討的\n所以啊我從台北啊10月9號有一個一名女子啊無緣無故坐了公車就被人家推下去這個就是精神有問題那然後然後這個不是只有一次喔他有推人推下車的紀錄12次\n在10月12號在台南也是列管的精神病患但是季節就醫持刀啊祭補對抗警察這個接下來10月27在桃園也是發生一個女童被一個中度身心障礙\n強弩的案件這等等10月份就有三件這個當然跟社區這些醫療網當然有關所以要讓部長瞭解這整個社區醫療網的重要性重要性所以我在這裡特別\n要強調我們不是對這些生病身經障礙有歧視不是可是這個是一個問題所以我們該怎麼樣來解決所以我在想這社會網的問題很重要但是我們醫療網的治療就醫也是非常重要所以我要特別提醒部長在這裡只要只要\n有這個機會當然這個是行政院要跨部會把他當成真正一個問題所以我在這裡就要請教我們社工師你認為這個社工人力以及他的流動力你認為\n針對這個部分當然社工還要做很多事啦在這個部分可以看得出來地方政府的社工啊在等等這些確確實實流動力是很高的人力是不足的你看針對這個問題\n對於這些社區醫療丸你有什麼看法來市長在市長回答前我先報告一下我想感謝我們委員過去在臺北市擔任一座的時候協助我們臺北市醫師公會跟社會來邁出腳步來跟社會安全網\n來,來,那個司長\n謝謝委員的關心那的確這些社會問題除了我們社工專業人員之外因為個案的問題跟家庭比較複雜所以其實我們在社安網的第二期除了社工人力我們也增加了其他的專業人員包括心理師還有相關的復健師還有觀訪員等等一起來努力\n好,那在整個工作的過程裡面,我們也是一個跨網路的工作,比方說要跟警察還有教育單位、勞動單位的人一起來合作。那至於委員您這邊所提供的這個社工人員流動的一個狀況,基本上因為我們每一年的人力都在增加,所以我們的進入率各位可以看到比較高,是因為都人在增加嗎?\n市長我知道了\n我主要的問題點出兩點一個人力不足的問題流動力偏高的問題這個你要幫部長去把問題找出來懲告被部長來做你的後盾其實社工不足是一個非常重要還有流動力之高為什麼流動力之高因為高危險欸高危險他連警察他都敢殺因為他精神上有問題連警察都敢殺社工呢那更不要講\n危險力、風險這個很重要所以你要幫部長把這些做一個研究來呈報給部長去做決策好不好最後最後我要特別提醒啦我說實在有時候你們責任很重大\n現在大法官做成解釋死刑啊連精神病患也不能判死刑欸全部責任丟給你們這是對你們當然不公平但是你們要面對啊沒辦法精神病患不能判死刑等等這些這個我們也知道病人家屬那種千頭萬系的那種痛苦是非常痛苦的\n但是不要忘了社區只要有一個精神病患那整個社區也不得安寧所以我在這裡要特別跟部長建議第一個法令三個月的觀察期這個部分該強制的就要強制就是用暫時性的這些就醫也是一個辦法\n你這個人不把他放出來他什麼時候為非作歹他根本就是精神失掉控制所以這些用暫時性的東西不要在那邊三個月觀察再來去做這些我跟你講一個正常人說實在的被殺死了以後講快點以現在的這種法律制度來講\n該死的人不死不該死的人死這是很殘忍的事啊所以拜託部長在這個部分法令不足的地方拜託社區安全的這個部分部長你要拿出因應之道不要說還有觀察期才可以就醫該暫時就醫就要就醫這樣可以緩緩很多事情好不好部長謝謝委員指教我們來好不好我們來研議好好好謝謝部長謝謝主席\n謝謝林委員 謝謝部長\n","vtt":"WEBVTT\n\n00:05.609 --> 00:28.882\n好,謝謝主席。我請邱部長,心理代理科的鄭師長,社工科的蘇師長。好,邱部長辛苦了啦,因為我想這個議題當然啦,這看起來似乎責任是衛福部。\n\n00:30.188 --> 00:54.143\n可是這個問題是牽涉到社會安全網的一個大問題但是醫療的問題當然是衛福部所以當然啦所有的問題也不能苛責邱部長這邊但最起碼整個社會網社會網的司令是一定要去檢討的\n\n00:56.505 --> 01:18.491\n所以啊我從台北啊10月9號有一個一名女子啊無緣無故坐了公車就被人家推下去這個就是精神有問題那然後然後這個不是只有一次喔他有推人推下車的紀錄12次\n\n01:21.021 --> 01:41.715\n在10月12號在台南也是列管的精神病患但是季節就醫持刀啊祭補對抗警察這個接下來10月27在桃園也是發生一個女童被一個中度身心障礙\n\n01:43.716 --> 02:02.443\n強弩的案件這等等10月份就有三件這個當然跟社區這些醫療網當然有關所以要讓部長瞭解這整個社區醫療網的重要性重要性所以我在這裡特別\n\n02:03.283 --> 02:29.490\n要強調我們不是對這些生病身經障礙有歧視不是可是這個是一個問題所以我們該怎麼樣來解決所以我在想這社會網的問題很重要但是我們醫療網的治療就醫也是非常重要所以我要特別提醒部長在這裡只要只要\n\n02:30.350 --> 02:45.719\n有這個機會當然這個是行政院要跨部會把他當成真正一個問題所以我在這裡就要請教我們社工師你認為這個社工人力以及他的流動力你認為\n\n02:47.781 --> 03:01.728\n針對這個部分當然社工還要做很多事啦在這個部分可以看得出來地方政府的社工啊在等等這些確確實實流動力是很高的人力是不足的你看針對這個問題\n\n03:03.749 --> 03:20.405\n對於這些社區醫療丸你有什麼看法來市長在市長回答前我先報告一下我想感謝我們委員過去在臺北市擔任一座的時候協助我們臺北市醫師公會跟社會來邁出腳步來跟社會安全網\n\n03:24.208 --> 03:24.369\n來,來,那個司長\n\n03:48.673 --> 04:07.675\n謝謝委員的關心那的確這些社會問題除了我們社工專業人員之外因為個案的問題跟家庭比較複雜所以其實我們在社安網的第二期除了社工人力我們也增加了其他的專業人員包括心理師還有相關的復健師還有觀訪員等等一起來努力\n\n04:08.155 --> 04:27.915\n好,那在整個工作的過程裡面,我們也是一個跨網路的工作,比方說要跟警察還有教育單位、勞動單位的人一起來合作。那至於委員您這邊所提供的這個社工人員流動的一個狀況,基本上因為我們每一年的人力都在增加,所以我們的進入率各位可以看到比較高,是因為都人在增加嗎?\n\n04:28.516 --> 04:28.776\n市長我知道了\n\n04:43.618 --> 05:11.826\n我主要的問題點出兩點一個人力不足的問題流動力偏高的問題這個你要幫部長去把問題找出來懲告被部長來做你的後盾其實社工不足是一個非常重要還有流動力之高為什麼流動力之高因為高危險欸高危險他連警察他都敢殺因為他精神上有問題連警察都敢殺社工呢那更不要講\n\n05:12.586 --> 05:28.512\n危險力、風險這個很重要所以你要幫部長把這些做一個研究來呈報給部長去做決策好不好最後最後我要特別提醒啦我說實在有時候你們責任很重大\n\n05:29.592 --> 05:55.816\n現在大法官做成解釋死刑啊連精神病患也不能判死刑欸全部責任丟給你們這是對你們當然不公平但是你們要面對啊沒辦法精神病患不能判死刑等等這些這個我們也知道病人家屬那種千頭萬系的那種痛苦是非常痛苦的\n\n05:56.806 --> 06:19.882\n但是不要忘了社區只要有一個精神病患那整個社區也不得安寧所以我在這裡要特別跟部長建議第一個法令三個月的觀察期這個部分該強制的就要強制就是用暫時性的這些就醫也是一個辦法\n\n06:20.663 --> 06:41.056\n你這個人不把他放出來他什麼時候為非作歹他根本就是精神失掉控制所以這些用暫時性的東西不要在那邊三個月觀察再來去做這些我跟你講一個正常人說實在的被殺死了以後講快點以現在的這種法律制度來講\n\n06:43.117 --> 07:09.648\n該死的人不死不該死的人死這是很殘忍的事啊所以拜託部長在這個部分法令不足的地方拜託社區安全的這個部分部長你要拿出因應之道不要說還有觀察期才可以就醫該暫時就醫就要就醫這樣可以緩緩很多事情好不好部長謝謝委員指教我們來好不好我們來研議好好好謝謝部長謝謝主席\n\n07:12.355 --> 07:12.578\n謝謝林委員謝謝部長\n\n","segments":[{"start":5.609,"end":28.882,"text":"好,謝謝主席。我請邱部長,心理代理科的鄭師長,社工科的蘇師長。好,邱部長辛苦了啦,因為我想這個議題當然啦,這看起來似乎責任是衛福部。"},{"start":30.188,"end":54.143,"text":"可是這個問題是牽涉到社會安全網的一個大問題但是醫療的問題當然是衛福部所以當然啦所有的問題也不能苛責邱部長這邊但最起碼整個社會網社會網的司令是一定要去檢討的"},{"start":56.505,"end":78.491,"text":"所以啊我從台北啊10月9號有一個一名女子啊無緣無故坐了公車就被人家推下去這個就是精神有問題那然後然後這個不是只有一次喔他有推人推下車的紀錄12次"},{"start":81.021,"end":101.715,"text":"在10月12號在台南也是列管的精神病患但是季節就醫持刀啊祭補對抗警察這個接下來10月27在桃園也是發生一個女童被一個中度身心障礙"},{"start":103.716,"end":122.443,"text":"強弩的案件這等等10月份就有三件這個當然跟社區這些醫療網當然有關所以要讓部長瞭解這整個社區醫療網的重要性重要性所以我在這裡特別"},{"start":123.283,"end":149.49,"text":"要強調我們不是對這些生病身經障礙有歧視不是可是這個是一個問題所以我們該怎麼樣來解決所以我在想這社會網的問題很重要但是我們醫療網的治療就醫也是非常重要所以我要特別提醒部長在這裡只要只要"},{"start":150.35,"end":165.719,"text":"有這個機會當然這個是行政院要跨部會把他當成真正一個問題所以我在這裡就要請教我們社工師你認為這個社工人力以及他的流動力你認為"},{"start":167.781,"end":181.728,"text":"針對這個部分當然社工還要做很多事啦在這個部分可以看得出來地方政府的社工啊在等等這些確確實實流動力是很高的人力是不足的你看針對這個問題"},{"start":183.749,"end":200.405,"text":"對於這些社區醫療丸你有什麼看法來市長在市長回答前我先報告一下我想感謝我們委員過去在臺北市擔任一座的時候協助我們臺北市醫師公會跟社會來邁出腳步來跟社會安全網"},{"start":204.208,"end":204.369,"text":"來,來,那個司長"},{"start":228.673,"end":247.675,"text":"謝謝委員的關心那的確這些社會問題除了我們社工專業人員之外因為個案的問題跟家庭比較複雜所以其實我們在社安網的第二期除了社工人力我們也增加了其他的專業人員包括心理師還有相關的復健師還有觀訪員等等一起來努力"},{"start":248.155,"end":267.915,"text":"好,那在整個工作的過程裡面,我們也是一個跨網路的工作,比方說要跟警察還有教育單位、勞動單位的人一起來合作。那至於委員您這邊所提供的這個社工人員流動的一個狀況,基本上因為我們每一年的人力都在增加,所以我們的進入率各位可以看到比較高,是因為都人在增加嗎?"},{"start":268.516,"end":268.776,"text":"市長我知道了"},{"start":283.618,"end":311.826,"text":"我主要的問題點出兩點一個人力不足的問題流動力偏高的問題這個你要幫部長去把問題找出來懲告被部長來做你的後盾其實社工不足是一個非常重要還有流動力之高為什麼流動力之高因為高危險欸高危險他連警察他都敢殺因為他精神上有問題連警察都敢殺社工呢那更不要講"},{"start":312.586,"end":328.512,"text":"危險力、風險這個很重要所以你要幫部長把這些做一個研究來呈報給部長去做決策好不好最後最後我要特別提醒啦我說實在有時候你們責任很重大"},{"start":329.592,"end":355.816,"text":"現在大法官做成解釋死刑啊連精神病患也不能判死刑欸全部責任丟給你們這是對你們當然不公平但是你們要面對啊沒辦法精神病患不能判死刑等等這些這個我們也知道病人家屬那種千頭萬系的那種痛苦是非常痛苦的"},{"start":356.806,"end":379.882,"text":"但是不要忘了社區只要有一個精神病患那整個社區也不得安寧所以我在這裡要特別跟部長建議第一個法令三個月的觀察期這個部分該強制的就要強制就是用暫時性的這些就醫也是一個辦法"},{"start":380.663,"end":401.056,"text":"你這個人不把他放出來他什麼時候為非作歹他根本就是精神失掉控制所以這些用暫時性的東西不要在那邊三個月觀察再來去做這些我跟你講一個正常人說實在的被殺死了以後講快點以現在的這種法律制度來講"},{"start":403.117,"end":429.648,"text":"該死的人不死不該死的人死這是很殘忍的事啊所以拜託部長在這個部分法令不足的地方拜託社區安全的這個部分部長你要拿出因應之道不要說還有觀察期才可以就醫該暫時就醫就要就醫這樣可以緩緩很多事情好不好部長謝謝委員指教我們來好不好我們來研議好好好謝謝部長謝謝主席"},{"start":432.355,"end":432.578,"text":"謝謝林委員 謝謝部長"}]}}},"gazette":{"lineno":699,"blocks":[["林委員國成：（11時23分）謝謝主席，請邱部長、心理健康司鄭代理司長、社工司蘇司長。"],["邱部長泰源：委員好。"],["林委員國成：邱部長辛苦了，我想這個議題看起來似乎責任是在衛福部，可是這也牽涉到社會安全網的一個大問題，醫療的問題當然是歸衛福部，當然所有的問題也不能苛責邱部長這邊，但最起碼整個社會網的失靈是一定要去檢討的。像臺北10月9號，有一名女子坐了公車無緣無故就被人家推下去，這個就是精神有問題，而且不只有一次，他推人下車的紀錄是12次；10月12號在臺南，也是列管的精神病患，因拒絕就醫且持刀拒捕、對抗警察；接下來10月27在桃園發生一個女童被一個中度身心障礙強擄的案件，這類案件10月份就發生了3件，跟社區這些醫療網當然有關，所以要讓部長了解這整個社區醫療網的重要性。","我在這裡特別要強調，我們不是對這些生病者、身心障礙者有歧視，不是！但這是一個問題，我們該怎麼樣來解決？的確，這個社會網的問題很重要，但是我們醫療網的治療、就醫也是非常的重要，我要特別提醒部長，只要有機會，當然這個是行政院要跨部會處理，把它當成一個真正的問題。所以我在這裡就要請教我們社工司，關於社工人力以及他的流動率，當然社工還要做很多事，所以我們可以看得出來，地方政府的社工等等確確實實流動率是很高的，人力是不足的，針對這個問題、針對社區醫療網，司長你有什麼看法？"],["邱部長泰源：在司長回答前，我先報告一下，感謝我們委員過去在臺北市擔任議座的時候，協助我們台北市醫師公會跟社會來邁出腳步，就社會安全網這個部分做了很多的結合，也就是符合你剛剛所提的，我們醫療是有外展的，尤其是你關心的很多基層診所，他們其實都跟地方很熟，所以這個結合的確非常重要，也感謝您過去的幫忙跟投入，至於剛才提到的部分，請司長說明。"],["林委員國成：請司長。"],["蘇司長昭如：謝謝委員的關心，的確，這些社會問題除了我們社工專業人員之外，因為個案的問題跟家庭比較複雜，所以在社安網的第2期，除了社工人力，我們也增加了其他的專業人員，包括心理師、相關的復健師、還有觀訪員等等一起來努力，在整個工作的過程裡面，我們也是有一個跨網絡的工作，比方說要跟警察還有教育單位、勞動單位一起來合作。","至於委員所提供社工人員流動的一個狀況，基本上，因為我們每一年的人力都在增加，所以各位可以看到我們的進入率比較高，是因為人在增加，因此關切的是退出率，退出率的部分，在2023年有稍微多一點點，是因為我們這樣一個人力的需求增加，所以人也會流動，比方說在區域之間流動等等。"],["林委員國成：司長，我知道了。我主要的問題是要點出兩點，就是人力不足的問題、流動率偏高的問題，這個你要幫部長去把問題找出來，呈報給部長來做決策，其實社工不足是一個非常重要的問題；還有，為什麼流動率很高，因為高危險，他精神上有問題，連警察都敢殺，社工就更不要講，所以危險性、風險這個很重要，你要幫部長把這些做一個研究來呈報給部長去做決策，好不好？","最後，我要特別提醒，說實在的，有時候你們的責任很重大，現在就死刑的部分大法官做成解釋，連精神病患也不能判死刑，把全部責任丟給你們，這對你們來說當然不公平，但是你們要面對啊！沒辦法啊！精神病患不能判死刑等等這些，我們也知道病人家屬千頭萬緒的那種痛苦，那是非常痛苦的，但是不要忘了社區，只要有一個精神病患，整個社區也會不得安寧。所以我在這裡要特別跟部長建議，第一個，法令三個月觀察期的部分，該強制的就要強制，就是用暫時性的就醫也是一個辦法，這個人把他放出來，否則他可能什麼時候就去為非作歹，甚至他根本就是精神失去控制，所以用暫時性的東西，不要在那邊用3個月的觀察，再來去做這些處置，我跟你講，一個正常人被殺死了，講快一點，以現在的法律制度來講，該死的人不死，不該死的人死，這是很殘忍的事。所以拜託部長，就這個部分法令不足的地方，還有社區安全的部分，請部長拿出因應之道，不要說還有觀察期才可以就醫，該暫時就醫就要就醫，這樣可以防範很多事情的發生，好不好？"],["邱部長泰源：謝謝委員指教，我們來研議。"],["林委員國成：好，謝謝部長，謝謝主席。"],["主席：謝謝林委員，謝謝部長。接續我們請楊瓊瓔委員質詢。"]],"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"}}}