Background: This study aims to detail the process of integrating occupational therapists into mental health services since the 1995 enactment of the Mental Health Act, culminating in the first legal revision in occupational therapy history. It also i...
Background: This study aims to detail the process of integrating occupational therapists into mental health services since the 1995 enactment of the Mental Health Act, culminating in the first legal revision in occupational therapy history. It also identifies current challenges faced by mental health occupational therapists and offers potential solutions to guide future legislative changes.
Methods: The legislative process of the National Assembly, despite its significant influence, has received limited research attention. Accordingly, I would like to introduce in detail the legislative process of the 20th National Assembly (2018-2020), which passed the Mental Health Welfare Act, and the revision of the enforcement ordinance (2022).
Results: In 1995, at the time of the Mental Health Act's enactment, there were only 266 licensed occupational therapists nationwide, a single formal training institution for the profession, and no references to mental health in the defined scope of practice, resulting in their exclusion from the Act. However, thanks to much effort since then, as of 2020, the number of licenses is 20,445, there are 62 formal occupational therapy training institutions, the scope of work includes phrases related to mental illness, and 1,000 hours of mental health occupational therapist training is operated every year, which has helped revise the Act on the Promotion of Mental Health and Support of Welfare Services for the Mentally Ill.
Conclusion: Currently, there are three tasks that are most necessary. First, acquisition of qualifications for special subjects for mental health occupational therapists. Second, expansion of training institutions for mental health occupational therapists. Third, new occupational therapy insurance premiums were established in the mental health area.