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謝謝"},{"start":37.529,"end":61.595,"text":"委員好我想在開始之前我剛剛有聽到委員在講說這一些的霸凌事件非常需要來秉公處理要有第三方的介入來完整的呈現因為這一條人命離去之後應該要留給我們的是教訓以及改革我想部長也是非常認同那我也要反駁一下前一位羅廷偉委員說的就是"},{"start":62.375,"end":87.555,"text":"我會聽政權已經被大法官判定為違憲不要再拿這一件事情來趁機作亂這是一個違憲的事件不需要再拿聽政權所以我希望衛福部一定要來徹底的調查這件事情那剛剛也有講到一個禮拜要提出調查報告這個我們也非常的期待我們也會持續的來關注那接下來呢我就回到我今天原本要來質詢的題目"},{"start":90.026,"end":99.428,"text":"響鐘"},{"start":105.56,"end":126.474,"text":"我想要針對於藻寮預算的部分因為其實我們在講藻寮是非常非常重要的一件事情那我們現在其實藻寮的量能其實都還不足沒有達到一個世界應該有的一個標準但是我卻看到在我們人數上升的時候我們藻寮的預算卻跟去年相比少了1500萬"},{"start":129.266,"end":138.033,"text":"那我有點不太了解就是說明明人數就在增加啊我們量能根本都還沒到為什麼我的預算會少1500萬可不可以請署長做個說明"},{"start":141.539,"end":158.567,"text":"我想我們在找遙的部分分成兩個部分一個是聯評中心的部件的部分那另外一個是我們今年7月要開始推行的6次的一個成長評估的部分那這兩個加起來我們總共的經費應該是在5.5到6億之間"},{"start":163.195,"end":189.993,"text":"對所以所以應該是說我們是有增加嗎跟去年來說我們增加多少呢大概增加了1.73億左右1.73億就是來做剛剛講的部件對不對跟6次的部分好那我想再確認一件事情就是說我知道我們現在在做找療的時候呢如果他今天是透過這個兒童找療的特別門診的話其實我們是會有通報跟追蹤的機制對嗎我理解是這樣子"},{"start":190.473,"end":210.172,"text":"但是如果今天家長是透過一般復健門診的話我們其實就沒有通報了對嗎也沒有辦法去追蹤他還是可以走原來的通報系統但是我確認過醫院現在是這個一般的復健門診進來的是沒有進入通報系統"},{"start":211.175,"end":225.403,"text":"因為通報系統在中央是社交組在地方的話是在社政我們來瞭解一下好那這部分是不是可以跟社政一起來瞭解一下因為我想喔因為現實上就是這些孩子有可能因為我們家長"},{"start":226.563,"end":250.542,"text":"家長的一些覺得這是貼標籤的行為或是他家族壓力不希望自己的小孩有狀況或者是說關於保險所以造成了這些孩子最後沒有進入這個系統來去協助他那這會造成什麼樣子的問題就是等他到上學了之後跟人際衝突那開始就會產生我們所謂的這些學校的衝突霸凌事件都非常有關聯"},{"start":251.883,"end":267.285,"text":"所以這個變成是早期的對家長的教育非常的重要所以我想社家屬也責無旁貸一定要來積極的積極的來協助做更多的溝通跟瞭解為什麼他們不願意通報以及該如何協助他們通報"},{"start":269.131,"end":285.391,"text":"這部分社家署跟國建署是不是可以一起來合作呢我們來研議看看竟然當然先導鼓勵還有怎麼樣來強化兩邊的一個連結因為這個通報系統能夠更完整好那這個署長呢社家署"},{"start":286.561,"end":300.69,"text":"公務員報告其實有關通報的部分其實不管是在門診或者是在找療系統他其實都是可以去通報但是我問了我問的是大型醫院他們是說一般是沒有通報的那沒關係因為我想你的理解跟現場執行上面出現了落差"},{"start":309.476,"end":328.774,"text":"我詢問的還是超大型醫院他都沒有通報可是他這邊是接收到最多的嘛那到底發生了什麼事情那這部分就請社家署跟國健署一起來了解好嗎那我想齁盤點一下我們現在的各大型醫院縣市到底有沒有做一般的門診的通報這部分可以做個盤點嗎"},{"start":333.035,"end":333.515,"text":"國健署署長請回"},{"start":363.188,"end":385.805,"text":"那我想在社家署也可以請回接下來我想要請教部長就是說我們在我想學生自殺率自殺率節節上升而且昨年增加大幅度的增加我想這是不爭的事實我想部長也非常非常的清楚那尤其是在國中端的部分可以幫我按下一頁嗎他沒有反應"},{"start":387.706,"end":410.246,"text":"我們現在是有一些心理的我們國家是有提供一些心理諮商的服務在15到45歲所以我看這張表我想部長你可以看一下在國中的這一條黃色線10到14歲它裡面其實包含的是國中端的部分這一段其實也是在增加可是我們現在其實並沒有提供相關的青壯世代的心理健康支持方案"},{"start":411.067,"end":440.565,"text":"那我在想我們是不是可以針對國中端的這個部分一起來提供來研議啦是不是可以提供這個免費心理諮商的補助之前我其實也有質詢過教育部了那希望他們可以來跟衛福部一起來努力這個部分我想要聽聽看衛福部的意見針對國中端延伸到國中端這一部分好我們會跟教育部來一起協同努力齁那新建室要不要看狀況報告一下"},{"start":442.047,"end":470.587,"text":"謝謝委員關切這個呃國中生的一個呃自殺的一個問題喔那因為現在學校呃在教育部的部分是有呃學校三級輔導的一個機制那興建師這邊主要是在社區這邊做支援的部件但是針對國中生的心理健康我們也非常的關心所以我們會跟教育部這邊一起來演繹如何在呃國中這個階段能夠加強他們的心理健康那我希望可以在一個月內跟教育部討論好嗎呃好那結束之後各位的書面報告謝謝謝謝主席"},{"start":471.469,"end":472.391,"text":"謝謝張委員請楊雄英委員"}],"gazette":[{"speaker":"張委員雅琳","start":"2024-11-21T13:09:28+08:00","guessed":true,"end":"2024-11-21T13:09:44.032000+08:00","text":"謝謝主席，大家如果肚子餓的話就去拿便當，主席非常照顧大家的身體健康，我也非常支持，我會節省時間，讓主席可以不要坐那麼久。","quality":0.056},{"speaker":"張委員雅琳","start":"2024-11-21T13:09:44.032000+08:00","guessed":false,"end":"2024-11-21T13:09:44.372000+08:00","text":"首先我們先來邀請部長，謝謝。","quality":1},{"speaker":"邱部長泰源","start":"2024-11-21T13:10:05.529000+08:00","guessed":false,"end":"2024-11-21T13:10:05.689000+08:00","text":"委員好。","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:06.269000+08:00","guessed":false,"end":"2024-11-21T13:10:13.731000+08:00","text":"在開始之前，我剛剛有聽到羅委員在講，這一些霸凌事件非常需要來秉公處理……","quality":0.969},{"speaker":"邱部長泰源","start":"2024-11-21T13:10:13.731000+08:00","guessed":true,"end":"2024-11-21T13:10:14.731000+08:00","text":"是，當然，有。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:14.091000+08:00","guessed":false,"end":"2024-11-21T13:10:25.574000+08:00","text":"要有第三方介入來完整的呈現，因為這條人命離去之後，應該要留給我們的是教訓以及改革，我想部長也是非常認同。","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:26.094000+08:00","guessed":false,"end":"2024-11-21T13:10:45.467000+08:00","text":"我也要反駁一下前一位羅廷瑋委員說的，就是國會聽證權已經被大法官判定為違憲，不要再拿這一件事情來趁機作亂，這是一個違憲的事件，不需要再拿聽證權，所以我希望衛福部一定要澈底的調查這件事情。是的。","quality":0.92},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:47.989000+08:00","guessed":false,"end":"2024-11-21T13:10:52.673000+08:00","text":"剛剛也有講到一個禮拜要提出調查報告，這個我們也非常的期待，我也會持續地來關注。","quality":0.972},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:53.513000+08:00","guessed":false,"end":"2024-11-21T13:10:55.535000+08:00","text":"接下來我就回到我今天原本要來質詢的題目，就是早療的議題，因為其實我們一直都非常關注。","quality":0.487},{"speaker":"張委員雅琳","start":"2024-11-21T13:10:55.535000+08:00","guessed":true,"end":"2024-11-21T13:11:04.547500+08:00","text":"我可能先邀請國健署署長上臺。","quality":0},{"speaker":"邱部長泰源","start":"2024-11-21T13:11:04.547500+08:00","guessed":true,"end":"2024-11-21T13:11:13.560000+08:00","text":"好，謝謝。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:11:13.560000+08:00","guessed":false,"end":"2024-11-21T13:11:34.474000+08:00","text":"我想要針對早療預算的部分，因為我們在講早療是非常非常重要的一件事情，我們現在早療的量能其實都還不足，沒有達到一個世界應該有的標準，但是我卻看到，在我們人數上升的時候，我們早療的預算跟去年相比卻少了1,500萬。","quality":0.894},{"speaker":"張委員雅琳","start":"2024-11-21T13:11:37.406000+08:00","guessed":false,"end":"2024-11-21T13:11:44.952000+08:00","text":"我有點不太了解，明明人數就在增加，我們的量能根本都還沒到，為什麼我的預算會少1,500萬？","quality":0.946},{"speaker":"張委員雅琳","start":"2024-11-21T13:11:44.952000+08:00","guessed":false,"end":"2024-11-21T13:11:46.013000+08:00","text":"可不可以請署長做個說明？","quality":1},{"speaker":"吳署長昭軍","start":"2024-11-21T13:11:49.539000+08:00","guessed":false,"end":"2024-11-21T13:12:06.567000+08:00","text":"我們在早療的部分分成兩個部分，一個是聯評中心布建的部分，另外一個是我們今年7月1號開始推行的6次成長評估的部分，這兩個加起來我們總共的經費應該是在5.5到6億之間。","quality":0.931},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:11.195000+08:00","guessed":false,"end":"2024-11-21T13:12:15.238000+08:00","text":"對，所以應該是說我們預算是有增加嗎？是。","quality":0.824},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:15.238000+08:00","guessed":false,"end":"2024-11-21T13:12:17.139000+08:00","text":"跟去年來說，我們增加多少呢？","quality":1},{"speaker":"吳署長昭軍","start":"2024-11-21T13:12:17.579000+08:00","guessed":false,"end":"2024-11-21T13:12:20.541000+08:00","text":"大概增加了1.73億左右。","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:21.622000+08:00","guessed":false,"end":"2024-11-21T13:12:23.863000+08:00","text":"1.73億，就是來做剛剛講的布建跟6次成長評估的部分，對不對？對。","quality":0.56},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:24.924000+08:00","guessed":false,"end":"2024-11-21T13:12:26.265000+08:00","text":"好，那我想要再確認一件事情。","quality":0.917},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:27.206000+08:00","guessed":false,"end":"2024-11-21T13:12:37.352000+08:00","text":"我知道我們現在在做早療的時候，如果他今天是透過兒童早療特別門診的話，我們會有通報跟追蹤的機制，對嗎？對。","quality":0.936},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:37.352000+08:00","guessed":false,"end":"2024-11-21T13:12:37.973000+08:00","text":"我的理解是這樣子。","quality":0.875},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:38.473000+08:00","guessed":false,"end":"2024-11-21T13:12:45.380000+08:00","text":"但是如果今天家長是透過一般復健門診的話，我們其實就沒有通報了，對嗎？","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:45.380000+08:00","guessed":false,"end":"2024-11-21T13:12:48.623000+08:00","text":"也沒有辦法去追蹤。","quality":1},{"speaker":"吳署長昭軍","start":"2024-11-21T13:12:48.623000+08:00","guessed":false,"end":"2024-11-21T13:12:51.626000+08:00","text":"他還是可以走原來的通報系統。","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:12:51.626000+08:00","guessed":false,"end":"2024-11-21T13:12:58.172000+08:00","text":"但是我跟醫院確認過，現在從一般的復健門診進來的，是沒有進入通報系統耶。","quality":0.844},{"speaker":"吳署長昭軍","start":"2024-11-21T13:12:59.175000+08:00","guessed":false,"end":"2024-11-21T13:13:05.258000+08:00","text":"因為通報系統在中央是社家署，在地方的話是在社政，我們來了解一下，好不好？","quality":0.844},{"speaker":"張委員雅琳","start":"2024-11-21T13:13:05.759000+08:00","guessed":false,"end":"2024-11-21T13:13:07.840000+08:00","text":"好，這部分是不是可以跟社政單位一起來了解一下？","quality":0.81},{"speaker":"張委員雅琳","start":"2024-11-21T13:13:08.100000+08:00","guessed":false,"end":"2024-11-21T13:13:30.376000+08:00","text":"因為現實上這些孩子有可能因為我們家長，家長的一些覺得這是貼標籤的行為；或是他有家族壓力，不希望自己的小孩有狀況；或者是說關於保險，所以造成這些孩子最後沒有進入早療系統接受協助，這會造成什麼樣子的問題？","quality":0.946},{"speaker":"張委員雅琳","start":"2024-11-21T13:13:30.376000+08:00","guessed":false,"end":"2024-11-21T13:13:55.285000+08:00","text":"就是等到他上學之後出現人際衝突，開始就會產生學校的衝突、霸凌事件，都非常的有關聯，所以這就變成早期的、對家長的教育非常的重要，我想社家署也責無旁貸，一定要積極的來協助做更多的溝通跟了解為什麼他們不願意通報，以及該如何協助他們通報。","quality":0.934},{"speaker":"張委員雅琳","start":"2024-11-21T13:13:57.131000+08:00","guessed":false,"end":"2024-11-21T13:14:01.416000+08:00","text":"這部分社家署跟國健署是不是可以一起來合作呢？","quality":0.952},{"speaker":"吳署長昭軍","start":"2024-11-21T13:14:01.837000+08:00","guessed":false,"end":"2024-11-21T13:14:10.467000+08:00","text":"我們來研議看看，當然要儘量宣導、鼓勵，還有怎樣來強化兩邊的連結，讓這個通報系統能夠更完整。","quality":0.875},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:11.068000+08:00","guessed":false,"end":"2024-11-21T13:14:12.830000+08:00","text":"好，那社家署署長呢？","quality":0.625},{"speaker":"周代理署長道君","start":"2024-11-21T13:14:15.042000+08:00","guessed":false,"end":"2024-11-21T13:14:22.806000+08:00","text":"跟委員報告，有關通報的部分，不管是在門診或者是在早療系統其實都可以去通報，所以當家長在做這一塊的時候……","quality":0.66},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:22.806000+08:00","guessed":false,"end":"2024-11-21T13:14:26.989000+08:00","text":"但是我問了，我問了大型醫院，我問的是大型醫院，他們是說一般是沒有通報的。","quality":0.781},{"speaker":"周代理署長道君","start":"2024-11-21T13:14:26.989000+08:00","guessed":true,"end":"2024-11-21T13:14:27.989000+08:00","text":"如果跟他們來做的話……因為這個部分的話，我們當然可以跟……一起來合作，來提高它的通報的意願。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:27.429000+08:00","guessed":false,"end":"2024-11-21T13:14:28.670000+08:00","text":"沒關係，我想你的理解跟現場的執行上面出現了落差啦！","quality":0.913},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:37.476000+08:00","guessed":false,"end":"2024-11-21T13:14:44.162000+08:00","text":"因為我詢問的真的是超大型醫院，他都沒有通報，可是他這邊一定是接收到最多的嘛，那到底發生了什麼事情？","quality":0.867},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:45.003000+08:00","guessed":false,"end":"2024-11-21T13:14:47.986000+08:00","text":"這部分就請社家署跟國健署一起來了解，好嗎？","quality":1},{"speaker":"邱部長泰源","start":"2024-11-21T13:14:47.986000+08:00","guessed":true,"end":"2024-11-21T13:14:48.986000+08:00","text":"好，我們去了解。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:48.406000+08:00","guessed":false,"end":"2024-11-21T13:14:56.774000+08:00","text":"我想盤點一下我們現在各縣市的大型醫院，到底有沒有做一般性的門診通報，這部分可以做個盤點嗎？","quality":0.905},{"speaker":"吳署長昭軍","start":"2024-11-21T13:14:56.774000+08:00","guessed":true,"end":"2024-11-21T13:14:57.774000+08:00","text":"我們來調查一下。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:57.774000+08:00","guessed":true,"end":"2024-11-21T13:14:58.774000+08:00","text":"好，那大概什麼時候可以給我一個調查結果？","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:58.774000+08:00","guessed":true,"end":"2024-11-21T13:14:59.774000+08:00","text":"大概什麼時候可以給我一個調查結果？","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:14:59.774000+08:00","guessed":true,"end":"2024-11-21T13:15:00.774000+08:00","text":"因為我想這是回到兒少最佳化利益原則，所以這大概什麼時候可以給我？","quality":0},{"speaker":"吳署長昭軍","start":"2024-11-21T13:15:00.774000+08:00","guessed":true,"end":"2024-11-21T13:15:01.774000+08:00","text":"兩個禮拜，好不好？","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:15:01.774000+08:00","guessed":true,"end":"2024-11-21T13:15:02.774000+08:00","text":"好，兩個禮拜，謝謝。","quality":0},{"speaker":"張委員雅琳","start":"2024-11-21T13:15:01.035000+08:00","guessed":false,"end":"2024-11-21T13:15:32.629000+08:00","text":"國健署署長請回，社家署也請回。謝謝。","quality":0.867},{"speaker":"張委員雅琳","start":"2024-11-21T13:15:33.930000+08:00","guessed":false,"end":"2024-11-21T13:15:48.661000+08:00","text":"接下來我想請教部長，我們學生的自傷跟自殺率節節上升，而且逐年大幅度的增加，這是不爭的事實，我想部長也非常非常的清楚。是。","quality":0.907},{"speaker":"張委員雅琳","start":"2024-11-21T13:15:49.542000+08:00","guessed":false,"end":"2024-11-21T13:16:10.539000+08:00","text":"尤其是在國中端的部分，現在我們國家對15到45歲的族群是有提供一些心理諮商的服務，可是我看這張表，我想部長可以看一下，在國中的這一條黃色的線10到14歲，它裡面其實包含了國中端的部分……是。","quality":0.861},{"speaker":"張委員雅琳","start":"2024-11-21T13:16:11.540000+08:00","guessed":false,"end":"2024-11-21T13:16:18.226000+08:00","text":"這一端其實也是在增加，可是我們現在並沒有提供相關的青壯世代的心理健康支持方案。","quality":0.973},{"speaker":"張委員雅琳","start":"2024-11-21T13:16:19.247000+08:00","guessed":false,"end":"2024-11-21T13:16:28.813000+08:00","text":"我在想我們是不是可以針對國中端的這個部分一起來研議，是不是可以提供免費的心理諮商的補助？","quality":0.976},{"speaker":"張委員雅琳","start":"2024-11-21T13:16:29.033000+08:00","guessed":false,"end":"2024-11-21T13:16:34.897000+08:00","text":"之前我其實也有質詢過教育部了，希望他們可以跟衛福部一起來努力。","quality":1},{"speaker":"張委員雅琳","start":"2024-11-21T13:16:36.698000+08:00","guessed":false,"end":"2024-11-21T13:16:41.821000+08:00","text":"這個部分我想要聽聽看衛福部的意見，針對於延伸到國中端這一部分。","quality":0.966},{"speaker":"邱部長泰源","start":"2024-11-21T13:16:42.301000+08:00","guessed":false,"end":"2024-11-21T13:16:45.803000+08:00","text":"好，我們會跟教育部一起來協同努力。","quality":0.933},{"speaker":"邱部長泰源","start":"2024-11-21T13:16:46.884000+08:00","guessed":false,"end":"2024-11-21T13:16:48.545000+08:00","text":"心健司要不要看狀況報告一下？","quality":0.769},{"speaker":"鄭代理司長淑心","start":"2024-11-21T13:16:50.047000+08:00","guessed":false,"end":"2024-11-21T13:17:12.182000+08:00","text":"謝謝委員關切國中生自殺的問題，現在學校端在教育部的部分是有學校的三級輔導機制，心健司這邊主要是在社區端做支援的布建，但是針對國中生的心理健康，我們也非常的關心，所以我們會跟教育部這邊一起來研議，如何在國中這個階段能夠加強他們的心理健康。","quality":0.91},{"speaker":"張委員雅琳","start":"2024-11-21T13:17:12.603000+08:00","guessed":false,"end":"2024-11-21T13:17:14.664000+08:00","text":"好，我希望可以在一個月內跟教育部討論，好嗎？好。","quality":0.95},{"speaker":"張委員雅琳","start":"2024-11-21T13:17:16.545000+08:00","guessed":false,"end":"2024-11-21T13:17:18.427000+08:00","text":"討論結束之後，給我一個書面報告，謝謝。","quality":0.625},{"speaker":"張委員雅琳","start":"2024-11-21T13:17:18.427000+08:00","guessed":false,"end":"2024-11-21T13:17:18.567000+08:00","text":"謝謝主席。好。","quality":0.8},{"speaker":"邱部長泰源","start":"2024-11-21T13:17:18.567000+08:00","guessed":true,"end":"2024-11-21T13:17:19.567000+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2024-11-21T13:17:19.469000+08:00","guessed":false,"end":"2024-11-21T13:17:19.770000+08:00","text":"謝謝張委員。","quality":1},{"speaker":"主席","start":"2024-11-21T13:17:19.770000+08:00","guessed":false,"end":"2024-11-21T13:17:20.391000+08:00","text":"請楊瓊瓔委員質詢，時間4分鐘。","quality":0.333}]},"gazette":{"lineno":1188,"blocks":[["張委員雅琳：（13時9分）謝謝主席，大家如果肚子餓的話就去拿便當，主席非常照顧大家的身體健康，我也非常支持，我會節省時間，讓主席可以不要坐那麼久。首先我們先來邀請部長，謝謝。"],["邱部長泰源：委員好。"],["張委員雅琳：在開始之前，我剛剛有聽到羅委員在講，這一些霸凌事件非常需要來秉公處理……"],["邱部長泰源：是，當然，有。"],["張委員雅琳：要有第三方介入來完整的呈現，因為這條人命離去之後，應該要留給我們的是教訓以及改革，我想部長也是非常認同。我也要反駁一下前一位羅廷瑋委員說的，就是國會聽證權已經被大法官判定為違憲，不要再拿這一件事情來趁機作亂，這是一個違憲的事件，不需要再拿聽證權，所以我希望衛福部一定要澈底的調查這件事情。"],["邱部長泰源：是的。"],["張委員雅琳：剛剛也有講到一個禮拜要提出調查報告，這個我們也非常的期待，我也會持續地來關注。接下來我就回到我今天原本要來質詢的題目，就是早療的議題，因為其實我們一直都非常關注。我可能先邀請國健署署長上臺。"],["邱部長泰源：好，謝謝。"],["張委員雅琳：我想要針對早療預算的部分，因為我們在講早療是非常非常重要的一件事情，我們現在早療的量能其實都還不足，沒有達到一個世界應該有的標準，但是我卻看到，在我們人數上升的時候，我們早療的預算跟去年相比卻少了1,500萬。我有點不太了解，明明人數就在增加，我們的量能根本都還沒到，為什麼我的預算會少1,500萬？可不可以請署長做個說明？"],["吳署長昭軍：我們在早療的部分分成兩個部分，一個是聯評中心布建的部分，另外一個是我們今年7月1號開始推行的6次成長評估的部分，這兩個加起來我們總共的經費應該是在5.5到6億之間。"],["張委員雅琳：對，所以應該是說我們預算是有增加嗎？"],["吳署長昭軍：是。"],["張委員雅琳：跟去年來說，我們增加多少呢？"],["吳署長昭軍：大概增加了1.73億左右。"],["張委員雅琳：1.73億，就是來做剛剛講的布建跟6次成長評估的部分，對不對？"],["吳署長昭軍：對。"],["張委員雅琳：好，那我想要再確認一件事情。我知道我們現在在做早療的時候，如果他今天是透過兒童早療特別門診的話，我們會有通報跟追蹤的機制，對嗎？"],["吳署長昭軍：對。"],["張委員雅琳：我的理解是這樣子。但是如果今天家長是透過一般復健門診的話，我們其實就沒有通報了，對嗎？也沒有辦法去追蹤。"],["吳署長昭軍：他還是可以走原來的通報系統。"],["張委員雅琳：但是我跟醫院確認過，現在從一般的復健門診進來的，是沒有進入通報系統耶。"],["吳署長昭軍：因為通報系統在中央是社家署，在地方的話是在社政，我們來了解一下，好不好？"],["張委員雅琳：好，這部分是不是可以跟社政單位一起來了解一下？因為現實上這些孩子有可能因為我們家長，家長的一些覺得這是貼標籤的行為；或是他有家族壓力，不希望自己的小孩有狀況；或者是說關於保險，所以造成這些孩子最後沒有進入早療系統接受協助，這會造成什麼樣子的問題？就是等到他上學之後出現人際衝突，開始就會產生學校的衝突、霸凌事件，都非常的有關聯，所以這就變成早期的、對家長的教育非常的重要，我想社家署也責無旁貸，一定要積極的來協助做更多的溝通跟了解為什麼他們不願意通報，以及該如何協助他們通報。這部分社家署跟國健署是不是可以一起來合作呢？"],["吳署長昭軍：我們來研議看看，當然要儘量宣導、鼓勵，還有怎樣來強化兩邊的連結，讓這個通報系統能夠更完整。"],["張委員雅琳：好，那社家署署長呢？"],["周代理署長道君：跟委員報告，有關通報的部分，不管是在門診或者是在早療系統其實都可以去通報，所以當家長在做這一塊的時候……"],["張委員雅琳：但是我問了，我問了大型醫院，我問的是大型醫院，他們是說一般是沒有通報的。"],["周代理署長道君：如果跟他們來做的話……因為這個部分的話，我們當然可以跟……一起來合作，來提高它的通報的意願。"],["張委員雅琳：沒關係，我想你的理解跟現場的執行上面出現了落差啦！因為我詢問的真的是超大型醫院，他都沒有通報，可是他這邊一定是接收到最多的嘛，那到底發生了什麼事情？這部分就請社家署跟國健署一起來了解，好嗎？"],["邱部長泰源：好，我們去了解。"],["張委員雅琳：我想盤點一下我們現在各縣市的大型醫院，到底有沒有做一般性的門診通報，這部分可以做個盤點嗎？"],["吳署長昭軍：我們來調查一下。"],["張委員雅琳：好，那大概什麼時候可以給我一個調查結果？大概什麼時候可以給我一個調查結果？因為我想這是回到兒少最佳化利益原則，所以這大概什麼時候可以給我？"],["吳署長昭軍：兩個禮拜，好不好？"],["張委員雅琳：好，兩個禮拜，謝謝。國健署署長請回，社家署也請回。"],["吳署長昭軍：謝謝。"],["張委員雅琳：接下來我想請教部長，我們學生的自傷跟自殺率節節上升，而且逐年大幅度的增加，這是不爭的事實，我想部長也非常非常的清楚。"],["邱部長泰源：是。"],["張委員雅琳：尤其是在國中端的部分，現在我們國家對15到45歲的族群是有提供一些心理諮商的服務，可是我看這張表，我想部長可以看一下，在國中的這一條黃色的線10到14歲，它裡面其實包含了國中端的部分……"],["邱部長泰源：是。"],["張委員雅琳：這一端其實也是在增加，可是我們現在並沒有提供相關的青壯世代的心理健康支持方案。我在想我們是不是可以針對國中端的這個部分一起來研議，是不是可以提供免費的心理諮商的補助？之前我其實也有質詢過教育部了，希望他們可以跟衛福部一起來努力。這個部分我想要聽聽看衛福部的意見，針對於延伸到國中端這一部分。"],["邱部長泰源：好，我們會跟教育部一起來協同努力。心健司要不要看狀況報告一下？"],["鄭代理司長淑心：謝謝委員關切國中生自殺的問題，現在學校端在教育部的部分是有學校的三級輔導機制，心健司這邊主要是在社區端做支援的布建，但是針對國中生的心理健康，我們也非常的關心，所以我們會跟教育部這邊一起來研議，如何在國中這個階段能夠加強他們的心理健康。"],["張委員雅琳：好，我希望可以在一個月內跟教育部討論，好嗎？"],["鄭代理司長淑心：好。"],["張委員雅琳：討論結束之後，給我一個書面報告，謝謝。謝謝主席。"],["邱部長泰源：好。謝謝委員。"],["主席：謝謝張委員。請楊瓊瓔委員質詢，時間4分鐘。"]],"agenda":{"page_end":140,"meet_id":"委員會-11-2-26-10","speakers":["蘇清泉","陳昭姿","林月琴","盧縣一","陳菁徽","王育敏","邱鎮軍","林淑芬","黃秀芳","廖偉翔","黃國昌","賴士葆","邱議瑩","洪孟楷","伍麗華Saidhai‧Tahovecahe","涂權吉","吳春城","羅智強","張雅琳","羅廷瑋","楊瓊瓔","楊曜","王正旭","陳培瑜","劉建國","陳瑩"],"page_start":55,"meetingDate":["2024-11-21"],"gazette_id":"11310501","agenda_lcidc_ids":["11310501_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10次全體委員會議紀錄","content":"審查中華民國 114 年度中央政府總預算案關於衛生福利部主管預算（公務預算及基金）（僅詢\n答）","agenda_id":"11310501_00008"}}},"supported_relations":[],"relations":[]}