精神疾病相關人員對精神衛生法強制護送鑑定與住院治療規定之態度

Attitudes Toward Compulsory Evaluation and Involuntary Admission Of The Mentally Ill

本研究以社區中精神病患家屬（175人）與相關人員（包括衛生所護士194人、警察104人以及村里幹事180人）為研究對象，藉由結構式問卷探討其對精神衛生法強制護送鑑定與住院治療相關規定的態度，藉此提供評估的依據，並作為未來修法的參考。研究結果發現，病患家屬和相關人員對於強制住院的態度相近。在接受醫療補助和精神疾病知識方面，表示非常贊成補助精神病患醫療費用而且非常願意接受精神疾病的相關知識；關於人身自由方面，研究對象有點不同意基於人身自由的論點而停辦強制住院，而認為必要時，犧牲病患權益是被允許的。有關保護人的責任，病患家屬與相關人員都持肯定態度，認為保護人或指定保護人都應該為沒有盡到照顧病患義務而負損害賠償責任。為了社區保護，研究對象態度較同意精神病人應該長期強制鑑定或住院。本研究結果，除明瞭與精神病人較有互動的家屬、社工人員，對強制住院的態度外，也反應出精神衛生法自公佈至今的宣導不足，保護人的權責不清，由誰擔任也不明，強制護送鑑定過程的困擾與強制住院條件皆有待釐清。因此，建請有關單位對精神衛生法要加強宣導、提供適切的醫療補助，以及建立完善的強制護送鑑定與住院治療的體系，此外，並宜做各項相關法令的評估研究，以為修法的依據。

By using a structured questionaire, 194 public nurses, 104 local policemen, 180 neighborhood workers, and 175 families of the mentally ill were surveyed for their attitudes toward compulsory assessment and involuntary admission listed in the Mental Health Act which was enacted in 1990. Data were collected through mail for the former three groups while the later group was interviewed. There was no significant difference of attitude toward involuntary admission among various groups. They all agreed that medical expenses should be subsidized by government and acquisition of psychiatric knowledge was important. Besides, they held positive attitude toward the guardian who were supposed to be responsible for the care of the psychiatric patient. However, for community safety reason the subject tended to agree with longer stay of the patient in the hospital. Based on the findings, public education on mental health act either to the families of the mentlly ill or even to the mental health related workers is urgent.