精神病患強制送醫團隊合作模式之省思

Reflections on the Teamwork Mode of Compulsory Medical Treatment for Mentally Ill Patients

林幼喻(Yao-Yu Lin) ； 顏文娟(Wen-Jiuan Yen)

《精神衛生護理雜誌》 17卷1期 (2022/04) Pp. 7-12

https://doi.org/10.6847/TJPMHN.202204_17(1).02

摘要

1990年12月『精神衛生法』頒布後，精神病人強制送醫、強制鑑定與強制治療有了法源根據，也保護民眾免於傷害，但近年來接連幾起精神病患殺人、傷人事件致使監察院於2020年1月24日通過對衛福部提出糾正，使得精神病患強制送醫的議題紛紛掀起討論，警察、消防、公衛護理師為主要的緊急送醫團隊成員，筆者研究團隊曾於2019年針對中部警察、消防人員、公衛護理師進行質性訪談，了解前線人員在強制送醫機制中的合作脈絡與問題，本文將特別摘要部分結果分享以提供讀者了解送醫團隊成員在合作上的挑戰及執行困境，作為未來在政策與實務上之參考。

關鍵字

精神衛生法 ； 強制送醫 ； 公衛護理師 ； 社區精神醫療 ； 警察 ； 消防

並列摘要

Taiwan's Mental Health Act, promulgated in December 1990, established a legal basis for the compulsory hospitalization of patients with mental illness and was intended to protect the public from harm. Several contemporary murders and woundings by patients with mental illness further led to the Control Yuan filed a correction the Ministry of Health and Welfare on January 24, 2020. This has led to renewed discussion of the issue of compulsory medical treatment for patients with mental illness. The police, firefighters, and public health nurses are the main members of the emergency medical response teams implementing such compulsory treatment. Most studies on emergency medical responders have focused on the pressure they feel in implementing compulsory treatment. However, this study was inspired by data from our previous qualitative study in 2019 on cooperation among police, firefighter, and public health nurse emergency teams. This study will enable an understanding of the challenges and dilemmas emergency medical team members face in implementing compulsory hospitalization. This study may serve as a guide for future policies and practices.

並列關鍵字

compulsory hospitalization ； public health nurse ； community psychiatric care ； police ； firefighter

參考文獻

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