目的：研究精神疾病病人接受台北慈濟醫院提供的社區關懷服務後的預後因子。方法：從2011 年4 月1 日至2015 年9 月30 日收集接受社區關懷服務的精神疾病病人共319 案，做一個追蹤研究去分析個案預後因子。結果：病人合併人際衝突（修正後風險比 [AHR] =2.59, 95% CI = 1.52 - 4.41, p ＜ 0.01）、急性精神症狀 (AHR = 1.99, 95% CI = 1.14 - 3.46, p ＜O.05)、非法物質的使用 (AHR = 2.24, 95% CI = 1.18 - 4.28, p ＜ 0.05)，其不良的修正後風險比在統計上有顯著的區別意，表示為不佳預後的預測因子。結論：研究發現精神疾病病人在接受社區關懷照顧時，需要積極評估是否合併非法物質使用，是否有急性精神症狀，或合併人際衝突，以期有良好預後。

Objective: In this study, we intended to identify possible predictors of the clinical outcome in patients receiving community care services provided by Taipei Tzu-Chi Hospital. Methods: We recruited patients with mental illness who received community care services (CCS) between April 1, 2011 and September 30, 2015. We included 319 patients with mental illness in this study. In this cohort study, we compared CCC-participated patients with a favorable or an unfavorable outcomes. Results: The adjusted hazard ratios (AHR) with their 95% confidence intervals (CIs) of predictors such as having interpersonal conflicts (AHR = 2.59, 95% CI = 1.52 - 4.41, and p ＜ 0.01), active psychiatric symptoms (AHR = 1.99, 95% CI = 1.14 - 3.46, p ＜ 0.05), and illicit drugs use (AHR = 2.24, 95% CI = 1.18 - 4.28, p ＜ 0.05) were significantly higher than those of their control groups, meaning that those three clinical characteristics were predictors of a poor outcome in those CCS patients. Conclusion: Our findings highlight the need for psychiatric evaluation and intervention for patients with mental illness, comorbid with substance use disorder, or active psychiatric symptoms, and those who have ongoing interpersonal conflicts.