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題名:The Legal Criteria and Trend of Compulsory Psychiatric Admission: A Mini-review and Implications for Taiwan
書刊名:Taiwanese Journal of Psychiatry
作者:蕭婷文吳建昌
作者(外文):Hsiao, Ting-wenWu, Kevin Chien-chang
出版日期:2017
卷期:31:1
頁次:頁38-48+a7
主題關鍵詞:精神衛生法強制住院人權心智能力Mental health actCompulsory psychiatric admissionHuman rightsMental capacityTrend
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:4
  • 點閱點閱:14
世界各國之精神衛生法強制住院之規定及實踐各異,國際精神衛生法之立法趨勢以保障人權為上。最近臺灣出現無差別殺人事件,強制住院的適用範圍成為爭議。檢視世界各國精神衛生法及臺灣之法律標準及趨勢,做為臺灣精神衛生法之修法參考,此乃最佳時機。利用關鍵字,於電子文獻資料庫蒐集不同國家精神衛生法強制住院之標準及趨勢。自臺灣衛生福利部收集強制住院及全民健保精神科住院每年住院人次(2005-2014 年),計算兩者比例,觀察其趨勢。與美國相反,東亞國家,包括臺灣,強制住院不需經過法院程序。但是,臺灣精神衛生法採用軟性家戶長主義,其在人權保障方面各方面表現較佳。而且,自2005 年至2014 年,臺灣強制住院的數目與比例下降達5 倍之多。與許多西方國家不同,臺灣精神衛生法2007 年修訂後,對於強制住院產生下降趨勢之影響。在保障人權及減少強制住院而言,相較於其他國家,臺灣精神衛生法表現優良。 但是,仍需要探索臺灣自願住院過程中,是否有隱藏性的脅迫措施。
The stipulations and practices of mental health law have been various globally. But human rights protection is the trend. Haunting Taiwan, recent episodes of indiscriminate killing have regenerated the debate on broadening practices of compulsory psychiatric admission. Now is the best timing to examine the legal criteria and trend of compulsory psychiatric admission around the world and its implication for Taiwan. Using keywords, we retrieved literature addressing criteria and trend of compulsory psychiatric admission in different countries from digital literature databanks. From the Taiwan Ministry of Health and Welfare, the authors also retrieved the annual numbers of compulsory psychiatric admission and the psychiatric admission covered by national health insurance (NHI) in 2005-2014. Rates of compulsory admission over NHI admission per year were calculated to observe the trend. Contrary to the U.S., in East Asian countries including Taiwan, decisions on compulsory psychiatric admissions are not made through court procedures. However, adopting soft paternalism, the 2007 Taiwan Mental Health Act ranks high in human rights protection. Furthermore, the numbers and rates of compulsory psychiatric admission had decreased by five times from 2005 to 2014. In contrast to many Western countries, Taiwan has had a recent decreasing trend of compulsory psychiatric admission which might be induced by its 2007 legislation reform. The 2007 Taiwan Mental Health Act has served the purpose of human rights protection well when compared to its counterparts of other countries. In the future, it is important, to explore whether there are significant hidden coercion practices in voluntary admission in Taiwan.
期刊論文
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3.周煌智(20150600)。The 2007 Amendment Mental Health Act in Taiwan: To Protect Psychiatric Human Rights。Taiwanese Journal of Psychiatry,29(2),67-69。new window  new window
4.吳建昌、宋維村(20080600)。Ethical Issues in Mandatory Community Treatment。臺灣精神醫學,22(2),84-95。new window  延伸查詢new window
5.Szmukler, George、Daw, Rowena、Callard, Felicity(2014)。Mental health law and the UN Convention on the rights of persons with disabilities。International Journal of Law and Psychiatry,37(3),245-252。  new window
6.林超駿(20040400)。概論限制非刑事被告人身自由正當法律程序--以兒少性交易防制條例與精神衛生法為例。憲政時代,29(4),541-592。  延伸查詢new window
7.Wu, Kevin Chien-chang、Lee, Ming-been(20110900)。Patients' Legal Competence in Treatment Decision-making。醫學教育,15(3),222-231。new window  new window
8.Bartlett, Peter(2012)。The United Nations Convention on the Rights of Persons with Disabilities and mental health law。Modern Law Review,75(5),752-778。  new window
9.Weisstub, D. N.、Carney, T.(2006)。Forensic mental health law reform in Japan: from criminal warehousing to broad-spectrum specialist services?。International Journal of Law and Psychiatry,29(2),86-100。  new window
10.Nakatani, Y.(2012)。Challenges in interfacing between forensic and general mental health: a Japanese perspective。International Journal of Law and Psychiatry,35(5/6),406-411。  new window
11.Ding, C.(2012)。Involuntary detention and treatment of the mentally ill: China's 2012 Mental Health Law。International Journal of Law and Psychiatry,37(6),581-588。  new window
12.Phillips, M. R.、Chen, H.、Diesfeld, K.(2013)。China's new mental health law: reframing involuntary treatment。American journal of psychiatry,170(6),588-591。  new window
13.Chen, H.、Phillips, M. R.、Cheng, H.(2012)。Mental health law of the People's Republic of China。Shanghai Archives of Psychiatry,24(6),305-322。  new window
14.Dressing, Harald、Salize, Hans J.(2004)。Compulsory admission of mentally ill patients in European Union member states。Social Psychiatry and Psychiatric Epidemiology,39(10),797-803。  new window
15.Fistein, E.、Holland, A.、Clare, I.、Gunn, M.(2009)。A comparison of mental health legislation from diverse Commonwealth jurisdictions。International journal of law and psychiatry,32(3),147-155。  new window
16.Appelbaum, P. S.(1997)。Almost a revolution: an international perspective on the law of involuntary commitment。Journal of the American Academy of Psychiatry and the Law,25(2),135-147。  new window
17.Goldman, A.(2015)。Continued overreliance on involuntary commitment: the need for a less restrictive alternative。Journal of legal medicine,36(2),233-251。  new window
18.Anfang, S. A.、Appelbaum, P. S.(2006)。Civil commitment-the American experience。Israel Journal of Psychiatry and Related Sciences,43,209-218。  new window
19.Brown, J.(2016)。The changing purpose of mental health law: from medicalism to legalism to new legalism。International Journal of Law and Psychiatry,47,1-9。  new window
20.Maden, A.(2007)。Dangerous and severe personality disorder: antecedents and origins。British Journal of Psychiatry,190(S49),s8-s11。  new window
21.Richardson, G.(2007)。Balancing autonomy and risk: a failure of nerve in England and Wales?。International journal of law and psychiatry,30(1),71-80。  new window
22.Szmukler, G.、Appelbaum, P. S.(2008)。Treatment pressures, leverage, coercion, and compulsion in mental health care。Journal of Mental Health,17(3),233-244。  new window
23.Dawson, John、Szmukler, George(2006)。Fusion of mental health and incapacity legislation。British Journal of Psychiatry,188(6),504-509。  new window
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學位論文
1.鄭懿之(2011)。論精神衛生法中強制住院治療對人身自由之限制(碩士論文)。東吳大學。  延伸查詢new window
圖書
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2.Winick, Bruce J.(2005)。Civil Commitment: A Therapeutic Jurisprudence Model。Durham, North Carolina:Carolina Academic Press。  new window
3.Rosen, Lawrence(2006)。Law as Culture: An Invitation。Princeton University Press。  new window
4.Holland, S.(2014)。Public health ethics。Cambridge:Polity Press。  new window
5.Bartlett, P.、Lewis, O.、Thorold, O.(2007)。Mental disability and the European Convention on Human Rights。Martinus Nijhoff。  new window
 
 
 
 
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