臺北市社區精神復健中心

Community Rehabilitation Centers in Taipei City

高麗芷(Lee-Jyy Kau) ； 周美華(Mei-Hua Chou)

《北市醫學雜誌》 1卷4期 (2004/10) Pp. 503-511

https://doi.org/10.6200/TCMJ.2004.1.4.17

摘要

衛生署於民國77年公告「精神病患社區復健試辦計畫」，臺灣邁入社區復健紀元。臺北市立療養院於78年9月向仁濟院借60坪開辦社區職能工作坊，服務36名病患。至92年底，在北市南、北、東區分設工作坊，總容量313名，佔北市的80％、全國的１／4。同時衛生署試辦「全國精神復健機構評鑑」，該院三坊皆列為績優機構，其中草山坊為榜首。14年來，該院為慢性精神病患回歸社區努力，本文從結構面、過程面及成效面，介紹臺北模式的演進：從舊社區進入新社區；從經營一家到分區提供可近性服務；從提供傳統手工藝與產業活動到提供都會多元職能活動；從低調經營到積極與里鄰互動。此演進反映民眾可接受精神醫療往社區發展。我國應迎頭趕上先進國家以社區服務為主流的趨勢，為慢性精神病患提供台乎人性、符合經濟效益的精神復健體系。

關鍵字

慢性精神病患 ； 社區職能工作坊 ； 社區復健中心 ； 職業復健

並列摘要

Since the Executive Yuan’s Department of Health proposed community rehabilitation programs for chronic psychotics in 1988, psychiatry in Taiwan has progressed formally toward the era of community rehabilitation. Taipei City Psychiatric Center (TCPC) established the first community rehabilitation center(CRC) in 1989. The capacity of service was 36 patients. There were three community rehabilitation centers scattered in the south, north and east region of Taipei City till 2003. The maximum capacity was then 313, which occupied 80% capacity in Taipei City, and 25% in Taiwan. The National Assessment to the Community Rehabilitation Organizations in 2003 recognized three centers of TCPC were among the top 10 excellent community rehabilitation organizations. During the past 14 years, TCPC made efforts in order to achieve the goals of helping chronic psychotics to reintegrate into the community. The purposes of this article introduce the progress of the Taipei model from the structure, process and efficacy aspects, including establishment location from the old community to the new one, management from one community rehabilitation center to three regions to provide services, provision from the traditional handcrafts and industrial activities to the pluralistic modern occupations to satisfy the need of patients in different functional levels. They not only have good relationships with neighbors, but also cooperate with the Bureau of Labor Affairs to provide employment services to psychotics. They get the recognition from patients, their families and the society for the quality of service. The progress reflects the people in Taipei City accept rather than reject the development of community rehabilitation center. It also suggests Taiwan should work harder to catch up the steps of advanced nations toward the community-oriented psychiatry. (Full text in Chinese)

並列關鍵字

chronic psychotics ； community rehabilitation center ； vocational rehabilitation