司法精神醫療前瞻計畫：衛生福利部草屯療養院司法精神病房整合照護模式之發展與實踐

The Forensic Psychiatric Healthcare Advancement Project: Development and Implementation of an Integrated Care Model in the Forensic Psychiatric Ward of Tsaotun Psychiatric Center, Ministry of Health and Welfare

本文聚焦於衛生福利部草屯療養院司法精神病房的建置與整合照護模式發展，探討如何在我國司法精神醫療制度建置期，透過多專業合作模式、以可治療性為導向的風險評估、以風險‑需求‑回應模式及好生活模式為基礎的連續性司法精神醫療處遇、分階段出院準備與社區轉銜機制，實現對受監護處分人之整合處遇，提升再犯預防與精神疾病觸法者之社會再融入。目前臺灣司法精神醫療系統邁向專業化、制度化與在地化的重要里程碑，相關制度發展面臨法制、實務面之多項挑戰，需持續透過制度修正、跨部會合作與本土資料累積，建立具在地適應性的司法精神醫療整合照護模式，以兼顧病人權益與社會安全。

This article focuses on the development of the forensic psychiatric ward and its integrated care model at the Tsaotun Psychiatric Center, Ministry of Health and Welfare. It explores how Taiwan’s emerging forensic mental health system provides integrated treatment for individuals under custodial protection through a multidisciplinary approach, treatability-oriented risk assessment, continuity of care based on the Risk-Need-Responsivity and Good Lives Models, and a phased discharge and community reintegration mechanism. As Taiwan moves toward a more professional, institutionalized, and localized forensic mental health system, challenges remain in legal frameworks, clinical practices, and interagency coordination. Ongoing policy reforms, cross-sector collaboration, and local data accumulation are essential to developing a contextually adaptive model that balances patient rights and public safety.