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\"end\": 606.909, \"score\": 0.0}, {\"word\": \"態\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"楊\"}, {\"word\": \"委\", \"start\": 608.251, \"end\": 608.331, \"score\": 0.72}, {\"word\": \"員\"}, {\"word\": \"、\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"部\", \"start\": 608.331, \"end\": 608.351, \"score\": 0.0}, {\"word\": \"長\"}], \"language\": \"zh\"}","srt":"1\n00:00:01,702 --> 00:00:26,297\n謝謝主席,楊瓊瓔發言,邀請部長。部長好,今天主席安排的這個議題我覺得非常有意義,而且也是我們整個臺灣非常重要關鍵的議題。所以本席首先請教,在上個禮拜,桃園龜山有發生女童被當街\n\n2\n00:00:28,379 --> 00:00:46,780\n強行的來這個強暴被擄在這樣的情況之下還好有路人來幫忙有路人來幫忙但是他的心裡已經是心生恐懼那我們看到了這個加害者呢是什麼呢是18歲的中度智障這個障礙人士\n\n3\n00:00:47,481 --> 00:01:11,157\n那當然相關的單位他會去做評估是否是要需要加強的醫療也會請社會單位來介入孩子需不需要這個心理輔導但是目前整個案件偵查中進度只有有限量的去透露在這樣子的案件我們實在是看到很不捨而且層出不窮\n\n4\n00:01:12,137 --> 00:01:30,663\n這是我們社會不定時的炸彈不定時的炸彈所以我們整個政府的社會安全網他到底出了什麼狀況為什麼會如此所以我首先要請教部長在精神病患社區照護的困境\n\n5\n00:01:31,423 --> 00:01:32,284\n請教部長\n\n6\n00:01:53,416 --> 00:02:19,778\n好,非常謝謝委員那我們衛生法、精神衛生法在今年12月14號實行那也是過去兩年前也是委員的指導大家的努力把它通過整個修法那我們希望更周全那當然實行到現在我們就講直接的困境第一個就是當然對精神疾病的認知不足還有無名化那這個部分我們希望能夠\n\n7\n00:02:21,759 --> 00:02:48,048\n從衛教、各級政府來讓民眾能夠正確認識精神病的一個建立一個友善的支持環境。第二個,我們的疑似個案的通報這個機制要再加強。強化社區疑似精神病的通報及轉介。特別是醫療外展的一個服務,這個部分我們在衛福部也很努力在做。社區支援的部件也需要來加強。我們會爭取預算。\n\n8\n00:02:55,528 --> 00:03:06,391\n部長你現在所說的這一些就是我們非常明顯導致目前的漏洞是非常的清楚\n\n9\n00:03:07,091 --> 00:03:24,061\n你所說的這五項包括認知不足你要怎麼做你是不是應該到整個我們的社團團體裡頭趕快去做宣導加強宣導你如果沒有這麼做大家當然認知不足啊第二個你說通報機制\n\n10\n00:03:26,125 --> 00:03:46,970\n這個部分要怎麼樣去做調整第三個你說外展非常的重要這個外展非常的重要要怎麼去能夠銜接的上接下來你說社區你到底在12月14號你12月14號你所謂的要修法後要上路\n\n11\n00:03:48,110 --> 00:04:07,943\n那你支援你剛才說的5年13.92億是不是是5年13.92億你怎麼有辦法去解決目前台灣現在所面臨的困境那當然只是強化這是不過嘛這是社區而已啦對啊當然很多疾病當然我們的剛剛有報告所以部長本期認為我們在12月14號直接討論12月14號\n\n12\n00:04:14,207 --> 00:04:33,364\n你這個上路有關係到整個嚴重病人強制住院那你要怎麼樣去做你強制住院強制就醫你強制就醫的部分你要由兩名的精神科醫師來提出申請但是你改為向法院去申請\n\n13\n00:04:35,061 --> 00:04:55,883\n兩名醫師那你現在改為由法院去申請而且你還要由法官據醫師身份來做參選員參審員而且跟病人的權益代表來組成一個合議體由過半意見來決定之針對於強制住院的延長次數有限制\n\n14\n00:04:57,008 --> 00:05:19,963\n部長這一個有限制我提出高度的懷疑你應該是針對他所需而不是去限制他的次數那這樣子沒有辦法去落實所以本席針對這個議題我非常的關心也就是說你把它改為由兩名精神科醫師提出由剛剛本席所說的這個合議制\n\n15\n00:05:21,624 --> 00:05:48,445\n和議會裡頭來做決定而且限制他強制住院這個一個那所以本席首先要請教也就是你針對於你的相關的教育訓練教育訓練還有你的治療所需的這個資源那因為12月14號現在已經是11月了我們剩下一個月左右的時間就要上路你的\n\n16\n00:05:50,340 --> 00:05:52,312\n這一個教育訓練你做足了功課嗎?\n\n17\n00:05:54,563 --> 00:06:21,497\n請教消息信念的話我們新鮮師請新鮮師跟委員報告委員剛剛特別關切的就是有關於這個強制住院改由法院來做審理我們準備好了沒有這件事情因為跟司法院相關的這個部分我們的施行日期是要行政院會同司法院訂定所以他的施行日期目前還沒有確定那今年12月14號要上路的是針對強制住院以外的這些\n\n18\n00:06:22,697 --> 00:06:44,489\n這個相關的條文會在今年的12月14號12月14部長我再跟你討論以外的部分就是外展那未來醫院他這個機構他會背負著越來越多越來越多你的法定責任跟公衛的業務對不對是不是部長是那你要怎麼樣去增加他們相關的醫療這個資源\n\n19\n00:06:49,264 --> 00:06:50,365\n部長,我請你\n\n20\n00:07:10,737 --> 00:07:32,766\n把你怎麼增加因為未來這些機構會增加很多公衛的這個業務也會要增加很多的法定的責任對不對你輸給人家你要支援人家嘛你要怎麼支援你把你的相關的步驟以及你預定的資源你應該有一套配套嘛\n\n21\n00:07:33,627 --> 00:07:47,768\n對嗎才能夠真正就落實嘛你把這個書面資料給本席喔但是我還是要告訴你一句話也就是我們現在社會面臨到這麼大的挑戰黑數因為漏洞導致黑數沒有辦法去就診\n\n22\n00:07:48,929 --> 00:08:11,562\n這一塊是我非常的關心因為從社會學的角度去看這個是社會面向非常迫切需要非常迫切需要怎麼樣讓我們的社會安全網能夠真正的安全這是全民的共識全民的希望所以因此我要特別的來告訴你也就是你要怎麼樣的我剛剛特別講了精神復健\n\n23\n00:08:12,643 --> 00:08:29,869\n也就是他的資源你要怎麼做分配所以我告訴你從醫院到你的社區到你的社區的照護你有沒有個管的平台因為最佳的漏洞點就是在這個醫院到社區這個空窗期\n\n24\n00:08:30,569 --> 00:08:54,375\n你有沒有個管的平台?你建構了個管的平台嗎?你們目前掌控的情況到底是怎麼樣?因為必須要從社政、從勞政、從衛政以及從教育的行政這些要聯合成一個整體的安全網才能夠真正落實所以本需要請教到底你們個管的平台建構了沒?\n\n25\n00:08:54,935 --> 00:09:20,928\n包委員那個公館平臺我們非常努力在建立請說說跟委員報告我們為了要銜接從醫院出院之後回到社區希望他能夠無縫銜接對現在我們12月14號即將這個上路的這個法規裡面就有規定就是說醫院必須要做出院準備計畫而且通報到衛生局讓我們能夠把這些出院病人能夠把他接下來不要讓他在出院之後\n\n26\n00:09:21,348 --> 00:09:21,368\n部長\n\n27\n00:09:47,928 --> 00:10:06,909\n我一個結論也就是從醫院到社區你這個銜接這個銜接的個管平台是非常的重要因為你必須要透過社區關懷照護而且你要掌控這一位精神病患者他在就醫、就學、就養以及就業的這個型態\n\n28\n00:10:08,251 --> 00:10:08,351\n謝謝楊委員、謝謝部長\n\n","tsv":"start\tend\ttext\n1702\t26297\t謝謝主席,楊瓊瓔發言,邀請部長。部長好,今天主席安排的這個議題我覺得非常有意義,而且也是我們整個臺灣非常重要關鍵的議題。所以本席首先請教,在上個禮拜,桃園龜山有發生女童被當街\n28379\t46780\t強行的來這個強暴被擄在這樣的情況之下還好有路人來幫忙有路人來幫忙但是他的心裡已經是心生恐懼那我們看到了這個加害者呢是什麼呢是18歲的中度智障這個障礙人士\n47481\t71157\t那當然相關的單位他會去做評估是否是要需要加強的醫療也會請社會單位來介入孩子需不需要這個心理輔導但是目前整個案件偵查中進度只有有限量的去透露在這樣子的案件我們實在是看到很不捨而且層出不窮\n72137\t90663\t這是我們社會不定時的炸彈不定時的炸彈所以我們整個政府的社會安全網他到底出了什麼狀況為什麼會如此所以我首先要請教部長在精神病患社區照護的困境\n91423\t92284\t請教部長\n113416\t139778\t好,非常謝謝委員那我們衛生法、精神衛生法在今年12月14號實行那也是過去兩年前也是委員的指導大家的努力把它通過整個修法那我們希望更周全那當然實行到現在我們就講直接的困境第一個就是當然對精神疾病的認知不足還有無名化那這個部分我們希望能夠\n141759\t168048\t從衛教、各級政府來讓民眾能夠正確認識精神病的一個建立一個友善的支持環境。第二個,我們的疑似個案的通報這個機制要再加強。強化社區疑似精神病的通報及轉介。特別是醫療外展的一個服務,這個部分我們在衛福部也很努力在做。社區支援的部件也需要來加強。我們會爭取預算。\n175528\t186391\t部長你現在所說的這一些就是我們非常明顯導致目前的漏洞是非常的清楚\n187091\t204061\t你所說的這五項包括認知不足你要怎麼做你是不是應該到整個我們的社團團體裡頭趕快去做宣導加強宣導你如果沒有這麼做大家當然認知不足啊第二個你說通報機制\n206125\t226970\t這個部分要怎麼樣去做調整第三個你說外展非常的重要這個外展非常的重要要怎麼去能夠銜接的上接下來你說社區你到底在12月14號你12月14號你所謂的要修法後要上路\n228110\t247943\t那你支援你剛才說的5年13.92億是不是是5年13.92億你怎麼有辦法去解決目前台灣現在所面臨的困境那當然只是強化這是不過嘛這是社區而已啦對啊當然很多疾病當然我們的剛剛有報告所以部長本期認為我們在12月14號直接討論12月14號\n254207\t273364\t你這個上路有關係到整個嚴重病人強制住院那你要怎麼樣去做你強制住院強制就醫你強制就醫的部分你要由兩名的精神科醫師來提出申請但是你改為向法院去申請\n275061\t295883\t兩名醫師那你現在改為由法院去申請而且你還要由法官據醫師身份來做參選員參審員而且跟病人的權益代表來組成一個合議體由過半意見來決定之針對於強制住院的延長次數有限制\n297008\t319963\t部長這一個有限制我提出高度的懷疑你應該是針對他所需而不是去限制他的次數那這樣子沒有辦法去落實所以本席針對這個議題我非常的關心也就是說你把它改為由兩名精神科醫師提出由剛剛本席所說的這個合議制\n321624\t348445\t和議會裡頭來做決定而且限制他強制住院這個一個那所以本席首先要請教也就是你針對於你的相關的教育訓練教育訓練還有你的治療所需的這個資源那因為12月14號現在已經是11月了我們剩下一個月左右的時間就要上路你的\n350340\t352312\t這一個教育訓練你做足了功課嗎?\n354563\t381497\t請教消息信念的話我們新鮮師請新鮮師跟委員報告委員剛剛特別關切的就是有關於這個強制住院改由法院來做審理我們準備好了沒有這件事情因為跟司法院相關的這個部分我們的施行日期是要行政院會同司法院訂定所以他的施行日期目前還沒有確定那今年12月14號要上路的是針對強制住院以外的這些\n382697\t404489\t這個相關的條文會在今年的12月14號12月14部長我再跟你討論以外的部分就是外展那未來醫院他這個機構他會背負著越來越多越來越多你的法定責任跟公衛的業務對不對是不是部長是那你要怎麼樣去增加他們相關的醫療這個資源\n409264\t410365\t部長,我請你\n430737\t452766\t把你怎麼增加因為未來這些機構會增加很多公衛的這個業務也會要增加很多的法定的責任對不對你輸給人家你要支援人家嘛你要怎麼支援你把你的相關的步驟以及你預定的資源你應該有一套配套嘛\n453627\t467768\t對嗎才能夠真正就落實嘛你把這個書面資料給本席喔但是我還是要告訴你一句話也就是我們現在社會面臨到這麼大的挑戰黑數因為漏洞導致黑數沒有辦法去就診\n468929\t491562\t這一塊是我非常的關心因為從社會學的角度去看這個是社會面向非常迫切需要非常迫切需要怎麼樣讓我們的社會安全網能夠真正的安全這是全民的共識全民的希望所以因此我要特別的來告訴你也就是你要怎麼樣的我剛剛特別講了精神復健\n492643\t509869\t也就是他的資源你要怎麼做分配所以我告訴你從醫院到你的社區到你的社區的照護你有沒有個管的平台因為最佳的漏洞點就是在這個醫院到社區這個空窗期\n510569\t534375\t你有沒有個管的平台?你建構了個管的平台嗎?你們目前掌控的情況到底是怎麼樣?因為必須要從社政、從勞政、從衛政以及從教育的行政這些要聯合成一個整體的安全網才能夠真正落實所以本需要請教到底你們個管的平台建構了沒?\n534935\t560928\t包委員 那個公館平臺我們非常努力在建立請說說跟委員報告我們為了要銜接從醫院出院之後回到社區希望他能夠無縫銜接對現在我們12月14號即將這個上路的這個法規裡面就有規定就是說醫院必須要做出院準備計畫而且通報到衛生局讓我們能夠把這些出院病人能夠把他接下來不要讓他在出院之後\n561348\t561368\t部長\n587928\t606909\t我一個結論也就是從醫院到社區你這個銜接這個銜接的個管平台是非常的重要因為你必須要透過社區關懷照護而且你要掌控這一位精神病患者他在就醫、就學、就養以及就業的這個型態\n608251\t608351\t謝謝楊委員、謝謝部長\n","txt":"謝謝主席,楊瓊瓔發言,邀請部長。部長好,今天主席安排的這個議題我覺得非常有意義,而且也是我們整個臺灣非常重要關鍵的議題。所以本席首先請教,在上個禮拜,桃園龜山有發生女童被當街\n強行的來這個強暴被擄在這樣的情況之下還好有路人來幫忙有路人來幫忙但是他的心裡已經是心生恐懼那我們看到了這個加害者呢是什麼呢是18歲的中度智障這個障礙人士\n那當然相關的單位他會去做評估是否是要需要加強的醫療也會請社會單位來介入孩子需不需要這個心理輔導但是目前整個案件偵查中進度只有有限量的去透露在這樣子的案件我們實在是看到很不捨而且層出不窮\n這是我們社會不定時的炸彈不定時的炸彈所以我們整個政府的社會安全網他到底出了什麼狀況為什麼會如此所以我首先要請教部長在精神病患社區照護的困境\n請教部長\n好,非常謝謝委員那我們衛生法、精神衛生法在今年12月14號實行那也是過去兩年前也是委員的指導大家的努力把它通過整個修法那我們希望更周全那當然實行到現在我們就講直接的困境第一個就是當然對精神疾病的認知不足還有無名化那這個部分我們希望能夠\n從衛教、各級政府來讓民眾能夠正確認識精神病的一個建立一個友善的支持環境。第二個,我們的疑似個案的通報這個機制要再加強。強化社區疑似精神病的通報及轉介。特別是醫療外展的一個服務,這個部分我們在衛福部也很努力在做。社區支援的部件也需要來加強。我們會爭取預算。\n部長你現在所說的這一些就是我們非常明顯導致目前的漏洞是非常的清楚\n你所說的這五項包括認知不足你要怎麼做你是不是應該到整個我們的社團團體裡頭趕快去做宣導加強宣導你如果沒有這麼做大家當然認知不足啊第二個你說通報機制\n這個部分要怎麼樣去做調整第三個你說外展非常的重要這個外展非常的重要要怎麼去能夠銜接的上接下來你說社區你到底在12月14號你12月14號你所謂的要修法後要上路\n那你支援你剛才說的5年13.92億是不是是5年13.92億你怎麼有辦法去解決目前台灣現在所面臨的困境那當然只是強化這是不過嘛這是社區而已啦對啊當然很多疾病當然我們的剛剛有報告所以部長本期認為我們在12月14號直接討論12月14號\n你這個上路有關係到整個嚴重病人強制住院那你要怎麼樣去做你強制住院強制就醫你強制就醫的部分你要由兩名的精神科醫師來提出申請但是你改為向法院去申請\n兩名醫師那你現在改為由法院去申請而且你還要由法官據醫師身份來做參選員參審員而且跟病人的權益代表來組成一個合議體由過半意見來決定之針對於強制住院的延長次數有限制\n部長這一個有限制我提出高度的懷疑你應該是針對他所需而不是去限制他的次數那這樣子沒有辦法去落實所以本席針對這個議題我非常的關心也就是說你把它改為由兩名精神科醫師提出由剛剛本席所說的這個合議制\n和議會裡頭來做決定而且限制他強制住院這個一個那所以本席首先要請教也就是你針對於你的相關的教育訓練教育訓練還有你的治療所需的這個資源那因為12月14號現在已經是11月了我們剩下一個月左右的時間就要上路你的\n這一個教育訓練你做足了功課嗎?\n請教消息信念的話我們新鮮師請新鮮師跟委員報告委員剛剛特別關切的就是有關於這個強制住院改由法院來做審理我們準備好了沒有這件事情因為跟司法院相關的這個部分我們的施行日期是要行政院會同司法院訂定所以他的施行日期目前還沒有確定那今年12月14號要上路的是針對強制住院以外的這些\n這個相關的條文會在今年的12月14號12月14部長我再跟你討論以外的部分就是外展那未來醫院他這個機構他會背負著越來越多越來越多你的法定責任跟公衛的業務對不對是不是部長是那你要怎麼樣去增加他們相關的醫療這個資源\n部長,我請你\n把你怎麼增加因為未來這些機構會增加很多公衛的這個業務也會要增加很多的法定的責任對不對你輸給人家你要支援人家嘛你要怎麼支援你把你的相關的步驟以及你預定的資源你應該有一套配套嘛\n對嗎才能夠真正就落實嘛你把這個書面資料給本席喔但是我還是要告訴你一句話也就是我們現在社會面臨到這麼大的挑戰黑數因為漏洞導致黑數沒有辦法去就診\n這一塊是我非常的關心因為從社會學的角度去看這個是社會面向非常迫切需要非常迫切需要怎麼樣讓我們的社會安全網能夠真正的安全這是全民的共識全民的希望所以因此我要特別的來告訴你也就是你要怎麼樣的我剛剛特別講了精神復健\n也就是他的資源你要怎麼做分配所以我告訴你從醫院到你的社區到你的社區的照護你有沒有個管的平台因為最佳的漏洞點就是在這個醫院到社區這個空窗期\n你有沒有個管的平台?你建構了個管的平台嗎?你們目前掌控的情況到底是怎麼樣?因為必須要從社政、從勞政、從衛政以及從教育的行政這些要聯合成一個整體的安全網才能夠真正落實所以本需要請教到底你們個管的平台建構了沒?\n包委員 那個公館平臺我們非常努力在建立請說說跟委員報告我們為了要銜接從醫院出院之後回到社區希望他能夠無縫銜接對現在我們12月14號即將這個上路的這個法規裡面就有規定就是說醫院必須要做出院準備計畫而且通報到衛生局讓我們能夠把這些出院病人能夠把他接下來不要讓他在出院之後\n部長\n我一個結論也就是從醫院到社區你這個銜接這個銜接的個管平台是非常的重要因為你必須要透過社區關懷照護而且你要掌控這一位精神病患者他在就醫、就學、就養以及就業的這個型態\n謝謝楊委員、謝謝部長\n","vtt":"WEBVTT\n\n00:01.702 --> 00:26.297\n謝謝主席,楊瓊瓔發言,邀請部長。部長好,今天主席安排的這個議題我覺得非常有意義,而且也是我們整個臺灣非常重要關鍵的議題。所以本席首先請教,在上個禮拜,桃園龜山有發生女童被當街\n\n00:28.379 --> 00:46.780\n強行的來這個強暴被擄在這樣的情況之下還好有路人來幫忙有路人來幫忙但是他的心裡已經是心生恐懼那我們看到了這個加害者呢是什麼呢是18歲的中度智障這個障礙人士\n\n00:47.481 --> 01:11.157\n那當然相關的單位他會去做評估是否是要需要加強的醫療也會請社會單位來介入孩子需不需要這個心理輔導但是目前整個案件偵查中進度只有有限量的去透露在這樣子的案件我們實在是看到很不捨而且層出不窮\n\n01:12.137 --> 01:30.663\n這是我們社會不定時的炸彈不定時的炸彈所以我們整個政府的社會安全網他到底出了什麼狀況為什麼會如此所以我首先要請教部長在精神病患社區照護的困境\n\n01:31.423 --> 01:32.284\n請教部長\n\n01:53.416 --> 02:19.778\n好,非常謝謝委員那我們衛生法、精神衛生法在今年12月14號實行那也是過去兩年前也是委員的指導大家的努力把它通過整個修法那我們希望更周全那當然實行到現在我們就講直接的困境第一個就是當然對精神疾病的認知不足還有無名化那這個部分我們希望能夠\n\n02:21.759 --> 02:48.048\n從衛教、各級政府來讓民眾能夠正確認識精神病的一個建立一個友善的支持環境。第二個,我們的疑似個案的通報這個機制要再加強。強化社區疑似精神病的通報及轉介。特別是醫療外展的一個服務,這個部分我們在衛福部也很努力在做。社區支援的部件也需要來加強。我們會爭取預算。\n\n02:55.528 --> 03:06.391\n部長你現在所說的這一些就是我們非常明顯導致目前的漏洞是非常的清楚\n\n03:07.091 --> 03:24.061\n你所說的這五項包括認知不足你要怎麼做你是不是應該到整個我們的社團團體裡頭趕快去做宣導加強宣導你如果沒有這麼做大家當然認知不足啊第二個你說通報機制\n\n03:26.125 --> 03:46.970\n這個部分要怎麼樣去做調整第三個你說外展非常的重要這個外展非常的重要要怎麼去能夠銜接的上接下來你說社區你到底在12月14號你12月14號你所謂的要修法後要上路\n\n03:48.110 --> 04:07.943\n那你支援你剛才說的5年13.92億是不是是5年13.92億你怎麼有辦法去解決目前台灣現在所面臨的困境那當然只是強化這是不過嘛這是社區而已啦對啊當然很多疾病當然我們的剛剛有報告所以部長本期認為我們在12月14號直接討論12月14號\n\n04:14.207 --> 04:33.364\n你這個上路有關係到整個嚴重病人強制住院那你要怎麼樣去做你強制住院強制就醫你強制就醫的部分你要由兩名的精神科醫師來提出申請但是你改為向法院去申請\n\n04:35.061 --> 04:55.883\n兩名醫師那你現在改為由法院去申請而且你還要由法官據醫師身份來做參選員參審員而且跟病人的權益代表來組成一個合議體由過半意見來決定之針對於強制住院的延長次數有限制\n\n04:57.008 --> 05:19.963\n部長這一個有限制我提出高度的懷疑你應該是針對他所需而不是去限制他的次數那這樣子沒有辦法去落實所以本席針對這個議題我非常的關心也就是說你把它改為由兩名精神科醫師提出由剛剛本席所說的這個合議制\n\n05:21.624 --> 05:48.445\n和議會裡頭來做決定而且限制他強制住院這個一個那所以本席首先要請教也就是你針對於你的相關的教育訓練教育訓練還有你的治療所需的這個資源那因為12月14號現在已經是11月了我們剩下一個月左右的時間就要上路你的\n\n05:50.340 --> 05:52.312\n這一個教育訓練你做足了功課嗎?\n\n05:54.563 --> 06:21.497\n請教消息信念的話我們新鮮師請新鮮師跟委員報告委員剛剛特別關切的就是有關於這個強制住院改由法院來做審理我們準備好了沒有這件事情因為跟司法院相關的這個部分我們的施行日期是要行政院會同司法院訂定所以他的施行日期目前還沒有確定那今年12月14號要上路的是針對強制住院以外的這些\n\n06:22.697 --> 06:44.489\n這個相關的條文會在今年的12月14號12月14部長我再跟你討論以外的部分就是外展那未來醫院他這個機構他會背負著越來越多越來越多你的法定責任跟公衛的業務對不對是不是部長是那你要怎麼樣去增加他們相關的醫療這個資源\n\n06:49.264 --> 06:50.365\n部長,我請你\n\n07:10.737 --> 07:32.766\n把你怎麼增加因為未來這些機構會增加很多公衛的這個業務也會要增加很多的法定的責任對不對你輸給人家你要支援人家嘛你要怎麼支援你把你的相關的步驟以及你預定的資源你應該有一套配套嘛\n\n07:33.627 --> 07:47.768\n對嗎才能夠真正就落實嘛你把這個書面資料給本席喔但是我還是要告訴你一句話也就是我們現在社會面臨到這麼大的挑戰黑數因為漏洞導致黑數沒有辦法去就診\n\n07:48.929 --> 08:11.562\n這一塊是我非常的關心因為從社會學的角度去看這個是社會面向非常迫切需要非常迫切需要怎麼樣讓我們的社會安全網能夠真正的安全這是全民的共識全民的希望所以因此我要特別的來告訴你也就是你要怎麼樣的我剛剛特別講了精神復健\n\n08:12.643 --> 08:29.869\n也就是他的資源你要怎麼做分配所以我告訴你從醫院到你的社區到你的社區的照護你有沒有個管的平台因為最佳的漏洞點就是在這個醫院到社區這個空窗期\n\n08:30.569 --> 08:54.375\n你有沒有個管的平台?你建構了個管的平台嗎?你們目前掌控的情況到底是怎麼樣?因為必須要從社政、從勞政、從衛政以及從教育的行政這些要聯合成一個整體的安全網才能夠真正落實所以本需要請教到底你們個管的平台建構了沒?\n\n08:54.935 --> 09:20.928\n包委員那個公館平臺我們非常努力在建立請說說跟委員報告我們為了要銜接從醫院出院之後回到社區希望他能夠無縫銜接對現在我們12月14號即將這個上路的這個法規裡面就有規定就是說醫院必須要做出院準備計畫而且通報到衛生局讓我們能夠把這些出院病人能夠把他接下來不要讓他在出院之後\n\n09:21.348 --> 09:21.368\n部長\n\n09:47.928 --> 10:06.909\n我一個結論也就是從醫院到社區你這個銜接這個銜接的個管平台是非常的重要因為你必須要透過社區關懷照護而且你要掌控這一位精神病患者他在就醫、就學、就養以及就業的這個型態\n\n10:08.251 --> 10:08.351\n謝謝楊委員、謝謝部長\n\n","segments":[{"start":1.702,"end":26.297,"text":"謝謝主席,楊瓊瓔發言,邀請部長。部長好,今天主席安排的這個議題我覺得非常有意義,而且也是我們整個臺灣非常重要關鍵的議題。所以本席首先請教,在上個禮拜,桃園龜山有發生女童被當街"},{"start":28.379,"end":46.78,"text":"強行的來這個強暴被擄在這樣的情況之下還好有路人來幫忙有路人來幫忙但是他的心裡已經是心生恐懼那我們看到了這個加害者呢是什麼呢是18歲的中度智障這個障礙人士"},{"start":47.481,"end":71.157,"text":"那當然相關的單位他會去做評估是否是要需要加強的醫療也會請社會單位來介入孩子需不需要這個心理輔導但是目前整個案件偵查中進度只有有限量的去透露在這樣子的案件我們實在是看到很不捨而且層出不窮"},{"start":72.137,"end":90.663,"text":"這是我們社會不定時的炸彈不定時的炸彈所以我們整個政府的社會安全網他到底出了什麼狀況為什麼會如此所以我首先要請教部長在精神病患社區照護的困境"},{"start":91.423,"end":92.284,"text":"請教部長"},{"start":113.416,"end":139.778,"text":"好,非常謝謝委員那我們衛生法、精神衛生法在今年12月14號實行那也是過去兩年前也是委員的指導大家的努力把它通過整個修法那我們希望更周全那當然實行到現在我們就講直接的困境第一個就是當然對精神疾病的認知不足還有無名化那這個部分我們希望能夠"},{"start":141.759,"end":168.048,"text":"從衛教、各級政府來讓民眾能夠正確認識精神病的一個建立一個友善的支持環境。第二個,我們的疑似個案的通報這個機制要再加強。強化社區疑似精神病的通報及轉介。特別是醫療外展的一個服務,這個部分我們在衛福部也很努力在做。社區支援的部件也需要來加強。我們會爭取預算。"},{"start":175.528,"end":186.391,"text":"部長你現在所說的這一些就是我們非常明顯導致目前的漏洞是非常的清楚"},{"start":187.091,"end":204.061,"text":"你所說的這五項包括認知不足你要怎麼做你是不是應該到整個我們的社團團體裡頭趕快去做宣導加強宣導你如果沒有這麼做大家當然認知不足啊第二個你說通報機制"},{"start":206.125,"end":226.97,"text":"這個部分要怎麼樣去做調整第三個你說外展非常的重要這個外展非常的重要要怎麼去能夠銜接的上接下來你說社區你到底在12月14號你12月14號你所謂的要修法後要上路"},{"start":228.11,"end":247.943,"text":"那你支援你剛才說的5年13.92億是不是是5年13.92億你怎麼有辦法去解決目前台灣現在所面臨的困境那當然只是強化這是不過嘛這是社區而已啦對啊當然很多疾病當然我們的剛剛有報告所以部長本期認為我們在12月14號直接討論12月14號"},{"start":254.207,"end":273.364,"text":"你這個上路有關係到整個嚴重病人強制住院那你要怎麼樣去做你強制住院強制就醫你強制就醫的部分你要由兩名的精神科醫師來提出申請但是你改為向法院去申請"},{"start":275.061,"end":295.883,"text":"兩名醫師那你現在改為由法院去申請而且你還要由法官據醫師身份來做參選員參審員而且跟病人的權益代表來組成一個合議體由過半意見來決定之針對於強制住院的延長次數有限制"},{"start":297.008,"end":319.963,"text":"部長這一個有限制我提出高度的懷疑你應該是針對他所需而不是去限制他的次數那這樣子沒有辦法去落實所以本席針對這個議題我非常的關心也就是說你把它改為由兩名精神科醫師提出由剛剛本席所說的這個合議制"},{"start":321.624,"end":348.445,"text":"和議會裡頭來做決定而且限制他強制住院這個一個那所以本席首先要請教也就是你針對於你的相關的教育訓練教育訓練還有你的治療所需的這個資源那因為12月14號現在已經是11月了我們剩下一個月左右的時間就要上路你的"},{"start":350.34,"end":352.312,"text":"這一個教育訓練你做足了功課嗎?"},{"start":354.563,"end":381.497,"text":"請教消息信念的話我們新鮮師請新鮮師跟委員報告委員剛剛特別關切的就是有關於這個強制住院改由法院來做審理我們準備好了沒有這件事情因為跟司法院相關的這個部分我們的施行日期是要行政院會同司法院訂定所以他的施行日期目前還沒有確定那今年12月14號要上路的是針對強制住院以外的這些"},{"start":382.697,"end":404.489,"text":"這個相關的條文會在今年的12月14號12月14部長我再跟你討論以外的部分就是外展那未來醫院他這個機構他會背負著越來越多越來越多你的法定責任跟公衛的業務對不對是不是部長是那你要怎麼樣去增加他們相關的醫療這個資源"},{"start":409.264,"end":410.365,"text":"部長,我請你"},{"start":430.737,"end":452.766,"text":"把你怎麼增加因為未來這些機構會增加很多公衛的這個業務也會要增加很多的法定的責任對不對你輸給人家你要支援人家嘛你要怎麼支援你把你的相關的步驟以及你預定的資源你應該有一套配套嘛"},{"start":453.627,"end":467.768,"text":"對嗎才能夠真正就落實嘛你把這個書面資料給本席喔但是我還是要告訴你一句話也就是我們現在社會面臨到這麼大的挑戰黑數因為漏洞導致黑數沒有辦法去就診"},{"start":468.929,"end":491.562,"text":"這一塊是我非常的關心因為從社會學的角度去看這個是社會面向非常迫切需要非常迫切需要怎麼樣讓我們的社會安全網能夠真正的安全這是全民的共識全民的希望所以因此我要特別的來告訴你也就是你要怎麼樣的我剛剛特別講了精神復健"},{"start":492.643,"end":509.869,"text":"也就是他的資源你要怎麼做分配所以我告訴你從醫院到你的社區到你的社區的照護你有沒有個管的平台因為最佳的漏洞點就是在這個醫院到社區這個空窗期"},{"start":510.569,"end":534.375,"text":"你有沒有個管的平台?你建構了個管的平台嗎?你們目前掌控的情況到底是怎麼樣?因為必須要從社政、從勞政、從衛政以及從教育的行政這些要聯合成一個整體的安全網才能夠真正落實所以本需要請教到底你們個管的平台建構了沒?"},{"start":534.935,"end":560.928,"text":"包委員 那個公館平臺我們非常努力在建立請說說跟委員報告我們為了要銜接從醫院出院之後回到社區希望他能夠無縫銜接對現在我們12月14號即將這個上路的這個法規裡面就有規定就是說醫院必須要做出院準備計畫而且通報到衛生局讓我們能夠把這些出院病人能夠把他接下來不要讓他在出院之後"},{"start":561.348,"end":561.368,"text":"部長"},{"start":587.928,"end":606.909,"text":"我一個結論也就是從醫院到社區你這個銜接這個銜接的個管平台是非常的重要因為你必須要透過社區關懷照護而且你要掌控這一位精神病患者他在就醫、就學、就養以及就業的這個型態"},{"start":608.251,"end":608.351,"text":"謝謝楊委員、謝謝部長"}]}}},"gazette":{"lineno":712,"blocks":[["楊委員瓊瓔：（11時30分）謝謝主席，楊瓊瓔發言，邀請部長。"],["主席：請部長。"],["邱部長泰源：委員好。"],["楊委員瓊瓔：部長好，今天主席安排這個議題我覺得非常的有意義，而且也是我們整個臺灣非常重要、關鍵的議題，所以本席首先請教，在上個禮拜桃園龜山有發生女童當街強行強抱被擄，在這樣的情況之下，還好有路人來幫忙，但是他的心理上已經是心生恐懼，我們看到了這個加害者是18歲的中度智障、障礙人士，當然相關的單位會去做評估是不是需要加強醫療，也會請社會單位來介入，看看孩子需不需要心理輔導。但是目前整個案件因為在偵查中，進度只是有限量的透露，看到這樣子的案件，我們實在很不捨，而且層出不窮，這是我們社會不定時的大炸彈，我們整個政府的社會安全網到底出了什麼狀況、為什麼會如此？所以我首先要請教部長，在精神病患社區照護的困境上，到底目前是什麼？因為到目前為止，精神病被污名化的誤解還是存在的，導致這些病患沒有去就診的漏洞、沒有就診的黑數，那我們到底要怎麼應對？請教部長。"],["邱部長泰源：謝謝委員，為什麼我們新版精神衛生法在今年12月14日……"],["楊委員瓊瓔：12月14號上路。"],["邱部長泰源：兩年前也是委員的指導，在大家的努力下修法通過，希望可以更周全。施行到現在，我就直接講困境。第一個，對精神疾病的認知不足，還有污名化，這部分我們希望各級政府能夠從衛教來讓民眾正確認識精神病，建立一個友善的支持環境；第二個，對疑似個案通報的機制要再加強，強化社區疑似精神病人的通報及轉介，特別是醫療外展的服務，衛福部在這部分也很努力在做；至於社區資源的布建也需要加強，我們會爭取預算，預計五年內挹注13.92億，強化精神病人社區資源服務。"],["楊委員瓊瓔：部長，你現在所說的這些，其實就是導致目前狀況的漏洞，這點非常明顯，非常清楚。你所說的這五項，包括認知不足，請問你要怎麼做？是不是應該到社團加強宣導？如果沒有這麼做，大家當然認知不足！第二個，通報機制要怎麼調整？第三個，你說外展非常重要，既然外展非常重要，所以要怎麼樣才能銜接得上？接下來是社區部分，12月14日修法即將上路，你說五年投入13.92億資源，是不是？"],["邱部長泰源：是。"],["楊委員瓊瓔：5年13.92億怎麼有辦法解決目前臺灣現在所面臨的困境？"],["邱部長泰源：當然只是強化……"],["楊委員瓊瓔：這是不夠的！"],["邱部長泰源：社區而已！"],["楊委員瓊瓔：對啊……"],["邱部長泰源：很多疾病，剛剛有報告……"],["楊委員瓊瓔：所以在12月14日，我們就直接討論12月14日修法上路後，關係到嚴重病人需強制住院，請問要怎麼做？以強制住院、強制就醫來說，強制就醫同樣是由2名精神科醫師提出聲請，但改為向法院聲請，並且由法官、具醫師身分的參審員和病人權益代表組成合議庭，採過半意見決定；不僅如此，針對於強制住院的延長次數亦有限制。部長，對這樣的限制我提出高度懷疑，因為我們應該是針對他所需要的，而不是去限制次數，否則沒有辦法落實。針對這個議題，本席非常關心，現在改為由兩名精神科醫師提出聲請，組成剛剛本席所說的合議庭來做決定，而且還要限制強制住院次數。本席請教，針對相關的教育訓練及治療所需資源……因為12月14日即將上路，現在已經11月了，剩下一個月左右時間，請問對於教育訓練你做足功課了嗎？請教。"],["邱部長泰源：有關教育訓練，我請心健司說明。"],["鄭代理司長淑心：跟委員報告，委員剛剛特別關切有關強制住院改由法院審理我們是否準備好了一事，與司法院相關的部分，施行日期需要行政院會同司法院另定，所以施行日期目前還沒有確定。"],["楊委員瓊瓔：你看，還好！"],["鄭代理司長淑心：至於今年12月14日要上路的，是針對強制住院以外的相關條文，這部分會在今年12月14日……"],["楊委員瓊瓔：部長，我再跟你討論。以外的部分就是外展，未來醫院機構會背負越來越多的法定責任與公衛的業務，對不對？是不是，部長？"],["邱部長泰源：是的。"],["楊委員瓊瓔：你要怎麼樣增加相關的醫療資源？請說，因為不能只做半套！你剛才說的第三點很重要，也就是外展，所以相關資源要放下去，訓練也要，對不對？"],["邱部長泰源：我們不只在人力跟機構……"],["楊委員瓊瓔：因為社會面向實在很緊張啊！"],["邱部長泰源：機構跟人力都一直在增加……"],["楊委員瓊瓔：一直在增加？部長，請把怎麼增加……未來這些機構會增加很多公衛業務，也增加很多法定責任，對不對？你把病人送給人家就要支援人家，所以你要怎麼支援？對於相關步驟以及預定資源，你應該有配套，對不對？這樣才能真正落實！請把書面資料給本席。","但我還是要告訴你一句話，現在社會面臨這麼大的挑戰，尤其因為漏洞所導致的黑數而沒有辦法就診的部分，這是我非常關心的！從社會學角度來看，這是社會面向非常迫切需要的，因此，怎麼樣讓社會安全網能夠真正安全，這是全民的共識、是全民的希望。所以我要特別告訴你，剛剛也特別講了，有關精神復健，即資源方面要怎麼做分配？從醫院到社區、到社區照護有沒有個管平臺？因為最佳的漏洞點就是從醫院到社區的這段空窗期，這部分有沒有個管平臺？有建構個管平臺嗎？你們目前掌控的情況到底怎麼樣？因為必須從社政、勞政、衛政以及教育行政來聯合組成整體安全網，這樣才能真正落實。所以本席請教，到底你們個管平臺建構了沒？"],["邱部長泰源：報告委員，我們非常努力在建立個管平臺。"],["楊委員瓊瓔：請做說明。"],["鄭代理司長淑心：跟委員報告，為了要銜接從醫院出院之後回到社區這段，希望能夠無縫銜接，因此12月14日即將上路的法規裡就規定，醫院必須做出院準備計畫並通報到衛生局，讓我們能夠把這些出院病人接下來，不要讓他在出院之後形成空窗期，沒有人關心……"],["楊委員瓊瓔：這是最恐怖的空窗期。"],["鄭代理司長淑心：是，所以現在法規已經明定，且有關社區訪視人力上也逐年補助地方政府進用，慢慢把這些人力補足，我們希望對於社區精神病人的照顧能更加完整，同時也會依照個案及案家需要幫忙連結其他的服務資源。"],["楊委員瓊瓔：部長，我一個結論：從醫院到社區銜接的個管平臺非常重要，因為必須透過社區關懷照護，還要掌控這些精神病患者在就醫、就學、就養以及就業的型態，畢竟瞬息萬變！所以對於個管平臺本席具體建議，一定、務必要掌控好，至於整個聯繫要怎麼做，希望你能把整套計畫與詳實資料給本席辦公室，特別是所挹注的資源方面。這是部長你的責任，你要怎麼做非常重要，好嗎？"],["邱部長泰源：好的，謝謝委員指教，我們會提出。"],["主席：謝謝楊委員，謝謝部長。","繼續請林淑芬委員質詢。"]],"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"}}}