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

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。

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.