| 英文摘要 |
In 1990, the Mental Health Act was issued and implemented in Taiwan. In 2000 and 2002, there were minor changes to the act. In 2005, the Department of Health substantially revised the mental health laws. Following those revisions, there were seven chapters with 63 articles in the 2007 edition of the Mental Health Act Amendments (The 2007 Amendments). A summary of the contents of these amendments yields many key points that may provide directions for future research, including the following: (A) Articles 1, 13, 18, and 20: covering patients protection, patient-centered holistic medical treatment, and treatment of physical co-morbidity in patients with mental illness; (B) Articles 15, 41, 42, 45, and 46: A change in the review system. Previously, only two psychiatrists were needed to decide for forced hospitalization of serious mental illness (SMI) patients, and the need to evaluate the effectiveness of compulsory community treatment. But in the 2007 Amendments, only a review committee (Psychiatric Disease Mandatory Assessment and Community Care Review Committee) is needed to make these judgments under two psychiatrist’ suggestions. Those changes were due to a revisions in the decision rights of SMI patients (including schizophrenia, schizoaffective disorders, and bipolar affective disorder, etc.) who were mandatorily hospitalized; and (C) Article 8: This health policy clarifi es which employment, school, medical service and long-term care services are offered for patients with mental illness by multidiscipline authorities other than the healthcare administration, and it encourages/strengthens the establishment of community rehabilitation agencies. Thus, an interesting issue to investigate is how to assess the effectiveness of psychiatric rehabilitation of mentally ill (MI) patients. |
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