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題名:精神疾病相關人員對精神衛生法強制護送鑑定與住院治療規定之態度
書刊名:中華心理衛生學刊
作者:許蓉雰張玨
出版日期:1995
卷期:8:2
頁次:頁45-58
主題關鍵詞:精神衛生法強制護送強制鑑定Mental health actCompulsory evaluationInvoluntary admission
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(3) 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:3
  • 共同引用共同引用:11
  • 點閱點閱:30
     本研究以社區中精神病患家屬(175人)與相關人員(包括衛生所護士194人、警察104人以及村里幹事180人)為研究對象,藉由結構式問卷探討其對精神衛生法強制護送鑑定與住院治療相關規定的態度,藉此提供評估的依據.並作為未來修法的參考。 研究結果發現,病患家屬和相關人員對於強制住院的態度相近。在接受醫療補助和精神疾病知識方面,表示非常贊成補助精神病患醫療費用而且非常願意接受精神疾病的相關知識;關於人身自由方面,研究對象有點不同意基於人身自由的論點而停辦強制住院,而認為必要時,犧牲病患權益是被允許的。有關保護人的責任,病患家屬與相關人員都持肯定態度,認為保護人或指定保護人都應該為沒有盡到照顧病患義務而負損害賠償責任。為了社區保護,研究對象態度較同意精神病人應該長期強制鑑定或住院。 本研究結果,除明瞭與精神病人較有互動的家屬、社工人員,對強制住院的態度外,也反應出精神衛生法自公佈至今的宣導不足,保護人的權責不清,由誰擔任也不明,強制護送鑑定過程的困擾與強制住院條件皆有待釐清。因此,建請有關單位對精神衛生法要加強宣導、提供適切的醫療補助,以及建立完善的強制護送鑑定與住院治療的體系,此外,並宜做各項相關法令的評估研究,以為修法的依據。
     By using a structured questionaire, 194 public nurses, 104 local policemen, 180 neighborhood workers, and 175 families of the mentally ill were surveyedfor their attitudes toward compulsory assessment and involuntary admission listed inthe Mental Health Act which was enacted in 1990. Data were collected through mailfor the former three groups while the later group was interviewed. There was no significant difference of attitude toward involuntary admission amongvarious groups. They all agreed that medical expenses should be subsidized by government and acquisition of psychiatric knowledge was important. Besides, they held positive attitude toward the guardian who were supposed to be responsible for the care ofthe psychiatric patient. However, for community safety reason the subject tended toagree with longer stay of the patient in the hospital. Based on the findings, public education on mental health act either to the families of the mentlly ill or even to the mental health related workers is urgent.
期刊論文
1.葉英堃、胡海國、葉元麗(19870400)。Social Changes and Prevalences of Specific Mental Disorders in Taiwan。中華心理衛生學刊,3(1),31-42。new window  延伸查詢new window
2.陳喬琪、王守珍(19870400)。從日本精神醫療現況試論 : 臺灣地區未來精神醫療系統之發展。中華心理衛生學刊,3(1),207-215。new window  延伸查詢new window
3.宋維村、林令世、陳尚義、丘彥南(19940500)。我國精神衛生法之檢討。中華心理衛生學刊,7(1),37-50。new window  延伸查詢new window
4.林清山(19830100)。「第四代小吉飛」(Little Jiffy, Mark IV) 因素分析的理論和計算方法。測驗年刊,30,157-172。new window  延伸查詢new window
5.町野朔(1991)。精神醫療中患者、治療者間之法律關係。醫事法學,1,41-47。  延伸查詢new window
6.葉英堃、吳英璋、陳朝灶、林幸魄(1981)。台北市居民對精神疾病的態度。心理衛生,24,56-63。  延伸查詢new window
7.Binder, R. L.、McNiel, D. E.、Fishman, P. S.(1985)。Attitude change concerning right to refuse treatment: the impact of experience。American Journal of Psychiatry,142(11),1362-1365。  new window
8.Bloom, J. D.、Fauldner, L. R.(1987)。Competency determinations in civil commitment。American Journal of Psychiatry,144(2),193-196。  new window
9.Brown, J.、Rayne, J. T.(1989)。Some ethical considerations in defensive Psychiatry: a case study。American Journal of Psychiatry,59(4),534-541。  new window
10.Chodoff, P.(1976)。The case for involuntary hospitalization of the mentally ill。American Journal of Psychiatry,133(5),496-501。  new window
11.Ford, J. D.(1980)。The psychiatrist's double bind: the right to refuse medication。American Journal of Psychiatry,137(3),332-339。  new window
12.Greenblatt, M.(1977)。The need for balancing the right to treatment and the right to treat。Hospital and Community Pychiatry,28,382-383。  new window
13.Hoge, S. K.、Appelbaum, P. S.、Greer, A.(1989)。An empirical comparison of the stone and dangerousness criterion for civil commitment。American Journal of Psychiatry,146(2),170-175。  new window
14.McFarland, B. H.、Faulkner, L. R.、Bloom, J. D.、Bray, J. D.(1990)。Family members' opinions about civil commitment。Hospital and Community Psychiatry,41(5),537-540。  new window
15.McNiel, D. E.、Binder, R. L.(1987)。Predictive validity of judgments of dangerousness in emergency civil commitment。American Journal of Psychiatry,144(2),197-200。  new window
16.Roth, Loren H.、Meisel, Alan、Lidz, Charles W.(1977)。Tests of competency to consent to treatment。American Journal of Psychiatry,134(3),279-284。  new window
17.Sadoff, R. L.(1983)。Patient rights versus patient needs: who decides?。Journal of Clinical Psychiatry,44(6),27-32。  new window
18.吳英璋、葉英堃、林幸魄、陳朝灶(1981)。臺北居民對偏差行為及其治療態度。心理衛生,24,49-55。  延伸查詢new window
會議論文
1.戴傳文、許文耀(1991)。社區居民與病患家屬對精神疾病態度。中國人的心理衛生國際研討會,394-421。  延伸查詢new window
2.戴傅文、許文耀(1992)。社區居民對精神病患的概念與態度。中國人心理衛生國際研討會專輯,84-115。  延伸查詢new window
研究報告
1.宋維村(1981)。精神衛生法可行性之研究。  延伸查詢new window
學位論文
1.陳小慈(1993)。臺灣地區精神醫療政策之分析:以精神衛生法為例(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.林憲(1991)。行為規範與心病。臺北市:健康世界。  延伸查詢new window
2.Cavadino, M.(1989)。Mental Health Law in Context: Doctors' Orders。Vermont:Gower。  new window
 
 
 
 
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