我是台灣酷兒權益推動聯盟Taiwan Gender Queer Rights Advocacy Alliance Taiwan Gender Queer Rights Advocacy Alliance,TGQRAA ) 秘書長胡勝翔（Nelson Hu），今代表17個團體之平行報告提出幾點回應。
Nelson Hu, Secretary General, Taiwan Gender Queer Rights Advocacy Alliance (TGQRAA )
PWD has to be assessed regularly (every 6 months) to qualify for the “disability card”, which entitle them for particular subsidies and services. To persons with invisible disabilities such as those with mental disorders, the cost of undergoing various types of assessments is too huge. They would have to go to assigned local hospitals or medical centers for assessments, pay fees for regular return visits, and request their supervisors in the workplace to approve their sick leave for each return visit, and so on. In addition, the disability card or certificates they succeed in obtaining not only fail to offer them sufficient protection of rights, but may also become an obvious target to be discriminated against by the society as well as the owner’s employers and colleagues. The fact that the safeguarding certificates eventually become a stigma-carrying label leads many persons with invisible disabilities to give up possessing these documents. For persons encountering multiple discrimination (such as PWD who are also LGBTQI or indigenous), it is even more complicated. For LGBTQI persons, there already existed tensions between the individuals and family members, the requirement of regular clinical visits often make situations worse, both at home and at work.
The government’s understanding on accessibility is limited to the physical environment. For persons with psychosocial disabilities and other invisible disabilities, the government often fails to detect their special needs in communication and during the interaction with others. The government should learn to appreciate the unique nature of accessibility in information and services for psychosocial disabilities.
Even though our “People with Disabilities Rights and Protection Act” clearly states that PWDs should receive various support services to promote independent living, However, there are no mechanism to involve and consult PWDs as to their specific needs. The services are developed by experts and scholars who often fail to respond to adjust to the differences and uniqueness in needs of persons with psychosocial disabilities. This results in service options being unsuited to practical subsistence needs or overly stringent criteria for qualification that cause difficulties for PWDs to access needed resources and underutilize services. For example, mood changes were often regarded as “episodes”, without looking into background and emotional factors causing mood variations. The State Reports pointed out that Article 8 of the Mental Health Act required the government to set up cross agency community care, support, and rehabilitation framework, but there has been a general reluctance by the Ministry of Health and Welfare and other government departments to invest sufficient personnel and financial resources to develop alternative and multidisciplinary treatment and rehabilitation support options for people with mental disabilities.
The central and local governments are required by law to set up a “Committee for the Promotion of the Rights of Persons with Disabilities”, which are chaired by local government, composed of directors of various departments, and appointed experts or representatives. These committees gather only infrequently, and the appointed members often do not enjoy autonomy.
The “Mental Illness Mandatory Assessment and Community Treatment Review Committee” (“The Review Committee”) is made up of medical professionals, family members, and legal professionals. However, the appointment of the Review Committee members lacks openness and transparency, although there should be representatives of patient groups, in practice they are also appointed by the government.