衛生福利部八里療養院司法精神病房設置及評估治療模式規劃經驗

The Experience of Planning the Forensic Psychiatric Ward and its Assessment and Treatment Model in Bali Psychiatric Hospital, Ministry of Health and Welfare

我國刑法採刑罰與保安處分雙軌制度，精神障礙或心智缺陷者在符合法律條件下，除刑罰外，得施以監護處分。第二期社會安全網計畫（2021-2025年）特別提及加強司法心理衛生服務，以利處理精神疾病病人犯法後之鑑定與處置，並明確提及設置司法精神醫院及司法精神病房之目標，俾執行分級、分流處遇及定期評估執行成效，並建立社區銜接機制，協助精神障礙觸法者逐步復歸社區。監護處分受處分人於司法精神醫院／司法精神病房接受處遇在台灣是一個全新的制度，除參考先進國家的文獻及發展經驗，尚需配合本國的法律制度、精神醫療體系、社區支持系統及實務狀況，給予人力及財務的充分支援，加上檢察機關與醫療機構的協調合作，累積本土實證研究資料，才能發展一套完善的監護處分司法精神醫療服務模式。

The second phase of the social safety network plan (2021-2025) specifically highlights the need to strengthen forensic mental health services to facilitate the assessment and treatment of mentally ill offenders, and clearly mentions the goals of setting up forensic psychiatric wards and hospital to implement diversion evaluation and treatment. The custodial disposition of mentally ill offenders in forensic psychiatric hospital/wards represent a new model in Taiwan. In addition to referring to the literature and development experience of advanced countries, this model requires alignment with the Taiwan's legal framework, mental health care system, and community support system. This article aims to share the experience of establishing the forensic psychiatric ward and its assessment and treatment model.(J Med Health. 2025;14(3):95-104)