中華心理衛生協會

Purpose: The objectives of this review are to examine the history of the development of psychiatric rehabilitation institutions in Taiwan over the past 40 years, to explore the current settings and services, and to assess the core concept of the most critical aspect of psychiatric rehabilitation: recovery. We analyzed the practical and political aspects of current psychiatric rehabilitation institutions to propose recommendations for reasonable care and policy development. Methods: We used openly published government information, 27 related publications, and practical experience in the clinical care of patients to describe the current state of psychiatric rehabilitation institutions and to analyze possible problems. Results: The analysis indicated that Taiwan's psychiatric rehabilitation institutions have made significant progress compared with 40 years ago. The number of residential psychiatric rehabilitation institutions exceeds the estimated demand, although there are still a few counties that have not yet opened institutions. The development of day-care psychiatric rehabilitation institutions may be affected by an unreasonable increase in health care payments. In fact, currently, the number of day-care institutions does not meet estimated demand; growth has stagnated. Conclusions: The needs of patients with psychotic disorders are diverse in terms of mental health rehabilitation services. They require integrated resources, especially the case management system, to provide them with more active and practical assistance.