The protection of gender equality should be implemented in the long term care and service act. Besides, multiple scales should be used simultaneously to differentiate chronic psychiatric patients. Thus, scales' stability and accuracy can be assured. To implement the spirit of Enforcement Act of Convention on the Elimination of All Forms of Discrimination against Women, institutions judge whether physical and mental disability, ADLs and IADLs should consider gender differences based on physical, mental, and social functions, especially when the long term care and service act is going to enforce. Furthermore, in terms of occupational environment, female practitioners dominate long term care market; working environment should enforce gender equality. Besides, chronic psychiatric patients have great influence on themselves, family, and society. Multiple scales can increase the stability and accuracy in terms of making decisions on being chronic psychiatric patients or not. Traditional scales should take ICF into consideration, which increase an additional environment factor on July 2012 issued by WHO.