隨著社會變遷，精神疾病患者的權益保障與福利意識抬頭，臺灣的精神衛生體系從機構治療轉為社區照護服務，鼓勵病人回歸社區正常生活。從機構走向社區，政府建立通報、追蹤及訪視制度。然而回到社區的精神疾病患者因社區照護資源不足，家庭仍是主要安置場所，家屬成為患者主要照顧者，協助治療及承擔日常生活的照顧責任。 近年關於精神疾病和精神障礙者的討論，於影視作品和報導中有愈來愈的討論，但關於精障照顧者的討論仍在少數，但關於照顧者因照顧壓力過大選擇傷害精障者的新聞仍不時浮出於新聞版面。本文關注在社區生活的精障者和其照顧者，透過本篇報導欲回答以下兩個主要問題：（一）家庭為什麼無法妥善照顧精神疾病患者？他們會面對到哪些問題？（二）他們能夠從政府和社會組織中得到哪些協助？這些協助是否能夠有效幫助患者與照顧者？ 採訪發現，現行精神疾病社區照護制度和長照2.0雖然都有規劃提供給精障者的服務，卻面臨到許多服務不合用和資源分配不均的問題，無法有效提供有效的復健資源給精障者，而針對照顧者的教育訓練和喘息服務亦十分缺乏，難以分擔照顧者的壓力，只能依靠同為精障照顧者的家屬團體相互支持，彼此交流照顧上的經驗。此外，精障者和照顧者還會面臨其他疾病較不會經歷的污名化現象，導致照顧者退縮、難以向外求救，亦是造成照顧壓力有增無減的原因之一。

Alongside the development of society, the protection of rights and welfare of patients with mental illness has risen, which urged the shift of patient care from institute to community where patients can embrace a normal life. The shift was built on the system of reporting, tracking and visiting established by the government. However, due to the shortage of care resources in the communities, the families of patients turned out to be the main place of resettlement. Therefore, family members became the major caregivers, assisting in treatment and patient’s daily life. In recent years, there have been more and more discussions about mental illness in films, television programs (multimedia works)and reports, while the growing stories of caregivers who harmed the patients due to the excessive pressure of providing care are rarely covered. The focus of this dissertation is the patients of mental illness and their caregivers who live in the communities. The purpose of this thesis is to answer the following two major questions: 1. Why do the family unable to provide proper care to their family of mental illness, and what are the problems they are facing? 2. What are the assistances they can access from the government and social organizations? Are these assistances effective in helping patients of mental illness and their caregivers? Through my interviews, the ineffective services and uneven distribution of resources are found in the current mental illness care system of community and Long Term Care 2.0 Policy. The lacking of educational training and respite care for caregivers make it difficult for them ease the pressure, which forced them to rely on the support and experience of other families with patients of mental illness. In addition, the patients with mental illness and their caregivers are more likely to face serious stigmatization than other diseases, which adds up the difficulties for external assistance.

王婉諭（2020）。台灣的社區精神照護發生了什麼問題。取自：https://www.facebook.com/wanyu.claire/photos/a.102159017918319/168194704648083/?type=3 theater

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伊甸基金會（2015），【新聞稿】精神疾病照顧者壓力嘸人知 伊甸辦精神疾病照顧者專線 伴家屬迎向未來。公民行動影音紀錄資料庫，取自：https://www.civilmedia.tw/archives/55192

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