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題名:疑似嚴重精神病患住院過程之探討
書刊名:中華公共衛生雜誌
作者:張珏許蓉雰
出版日期:1995
卷期:14:5
頁次:頁438-445
主題關鍵詞:精神衛生法嚴重精神病人強制護送Mental health actMental ill patientsHospitalization
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:2
  • 點閱點閱:58
     本研究希望瞭解社區中精神病患家屬與相關人員(包括衛生所護士、警察以及村里 幹事 ) 在護送疑似嚴重精神病患就醫的過程中所遇到的困難, 藉此明瞭社區實際的運作情 形,以提供未來修法的參考。 病患家屬資料以地段護士親自面談訪視而得,共完成 175 份 ,完訪率 93 %;三類相關人員則以郵寄方式,自行填答後寄回,回收結果為:衛生所護士 194 份 (89 % )、警察 104 份、村里幹事 180 份 (32 % )。整體來看,護送過程出現的 問題可從三方面來看:(一 ) 行政方面:精神衛生法目前尚無有關實務細則的提出,並未詳 細規定強制護送的程序,使得護送者不清楚本身應該扮演何種角色,法令規定的權責不詳, 再加上相關人員隸屬不同單位,彼此間的協調聯繫更加不易;(二 ) 個人互動方面:「病人 抗拒厲害」是家屬與相關人員頭痛的問題。護送成員彼此的合作度也是護送過程常被抱怨的 ;(三 ) 醫院方面:「一床難求」是最常出現的問題。本研究結果,反應出精神衛生法自公 佈至今宣導上不足,對保護人的權責也不清,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,建請有關單位加強宣導有關精神衛生法強制護送鑑定與 住院治療的知識,以及建立完善的強制護送鑑定與住院治療的體系,協助各相關單位達成共 識,並成立研究機構,專文出版精神衛生法相關實務或實施手冊。
     This study is intended to understand the difficulties in process of hospitalizing the disturbed psychiatric patients in the community. 175 family members of psychiatric patients, 194 public health nurses, 104 police officers, and 180 neighborhood workers have been interviewed and answereed by them either through one-to-one interview or through mailing questionaires. The problems during the hospitalizing process included: (1) administrative perspective:the Mental Health Act did not clearly indicate how personnel involved would corrdinate during the compulsory escorting process; (2)Interactive perspective. "the resistence of the patients" was the tough issue of the related persons. In addition, "how to cooperate with other related workers" was also a problem; (3)Hospital perspective: "difficult to get a bed for admission into the hospital" was complained by the related persons. Based on these results, the needs of better publicity for the Mental Health Act, the obligations of the guardians, the conditions of compulsory hospital admission, etc. are discussed and recommendations are made for revision of the Mental Health Act in the future.
期刊論文
1.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
2.許蓉雰、張玨(19950500)。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。中華心理衛生學刊,8(2),45-58。new window  延伸查詢new window
3.戴傳文、許瓊玲(1993)。精神疾病嚴重病人強制住院業務概況。衛生報導,3(1),21-25。  延伸查詢new window
4.Wanck, B.(1984)。Two decades of involuntary hospitalization legislation。American Journal of Psychiatry,141(1),33-38。  new window
5.Spensley, J.(1974)。Involuntary hospitalization:what for & how long?。American Journal of Psychiatry,131(2),219-223。  new window
6.Isohanni, M.、Nieminen, P.(1990)。Relationship between involuntary admission and the therapeutic process in a closed ward functioning as a therapeutic community。Acta-Psychiatr-Scand,81(3),240-244。  new window
7.Malla, A.(1988)。Investigation of the criteria for involuntary admission to a general hospital。CMAJ,139(8),749-752。  new window
8.Palmstierna, T.、Lassenius, R.、Wistedt, B.(1989)。Evaluation of the brief psychopathological rating scale in relation to aggressive behavior by acute involuntary admitted patients。Acta-Psychiatr-Scand,79(4),313-316。  new window
研究報告
1.宋維村(1991)。精神衛生法可行性之研究。  延伸查詢new window
其他
1.衛生署(1993)。精神疾病防治工作計畫。  延伸查詢new window
 
 
 
 
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