臺灣社區心理衛生政策回顧、發展現況與未來展望

A Review of Taiwan's Community Mental Health Policies: Current Developments and Future Prospect

姚卿騰(Ching-Teng Yao)

《護理雜誌》 62卷4期 (2015/08) Pp. 5-11

https://doi.org/10.6224/JN.62.4.5

摘要

社區心理衛生是公共衛生重要範疇之一，本文先從社區心理學觀點闡述社區心理衛生工作的理念與實踐基礎，包含預防重於治療、強調個人優勢與能力、生態觀點的重要性、尊重多樣性、賦權、科技合作與統整等面向。繼而回顧我國社區心理衛生工作的發展脈絡，包含社區心理衛生中心設立過程、營運模式、發展現況與面臨的困境，最後，提出臺灣社區心理衛生工作未來展望，希冀政府重視社區心理衛生政策與執行規劃、健全社區心理衛生組織服務及輸送體系、加強社區民眾心理衛生教育等面向，強化社區民眾心理健康促進，提供可近性及連續性的直接服務，整合社區心理衛生資源以及如何支持病患家屬等議題，希望讓臺灣心理衛生工作真正落實於社區之中，實踐社區民眾心理健康的促進。

關鍵字

心理衛生 ； 健康促進 ； 社區心理學 ； 賦權 ； 社區心理衛生中心

並列摘要

Community mental health is an important area of public health. This study initially elaborates from the perspective of community psychology the concept and basis of the practice of community mental health work, including the importance of prevention over treatment, of valuing personal advantages and capabilities, and of adopting an ecological perspective, a respect for diversity, empowerment, and scientific cooperation and integration. Subsequently, this paper reviews the history of the development of community mental health work in Taiwan and of the operations, developmental issues, and difficulties currently faced by community mental health centers. Finally, this paper addresses the future prospects for community mental health work in Taiwan in hopes that the government will attach greater importance to related policies and implementation plans, optimize the service and delivery systems of community mental health organizations, reinforce community mental health education, develop effective community mental health promotion strategies, provide accessible and continuous direct services, integrate community mental health resources, and support the families of mental health patients in order to consolidate and better promote community-based mental health work.

並列關鍵字

mental health ； health promotion ； community psychology ； empowerment ； community mental health center

參考文獻

林家興、杜筱慧（2009）．臺灣社區心理衛生中心之定位調查．北市醫學雜誌，6（1），1–10。[Lin, C. H., & Du, H. H. (2009). An opinion survey on the tasks of community mental health centers in Taiwan. Taipei City Medical Journal, 6(1), 1–10.]

楊聰財、李明濱、吳英璋、魯中興、陳 韺、吳文正（2004）．社區心理衛生中心的歷史沿革．北市醫學雜誌，1（4），393–411。[Yang, T. T., Lee, M. B., Wu, Y, C., Lu, C. H., Chen, Y., & Wu, W. C. (2004). Historic development of community mental health centers. Taipei City Medical Journal, 1(4), 393–411.]

羅雅貞（2003）．新近抗憂鬱劑之使用評估於某家醫學中心之研究（未發表的碩士論文）．台南市：國立成功大學臨床藥學研究所。[Lo, Y. C. (2003). Evaluation for prescribing patterns of newer antidepressants in a medical center (Unpublished master's thesis). National Cheng Kung University, Tainan City, Taiwan, ROC.]

De Leo, D., Dello Buono, M., & Dwyer, J. (2002). Suicide among the elderly: The long-term impact of a telephone support and assessment intervention in northern Italy. The British Journal of Psychiatry, 181(3), 226–229.

Hirofumi, O., Junichi, K., Tomoe, S., & Keiko, K. O. (2004). Community-based prevention for suicide in elderly by depression screening and follow-up. Community Mental Health Journal, 40(3), 249–263.