社區慢性失能族群之心理健康促進

Mental Health Promotion among the Chronic Disabled Population in the Community

老化社會及慢性疾病型態將導致失能族群增加，由於慢性失能患者肇因於疾病及個人因素易衍生心理問題，不僅影響整體生活品質更衍生照護需求；目前，失能族群之健康照護政策目標以朝向社區式照顧為主，因此如何在社區照護服務中提供失能族群合適心理健康促進活動實屬重要議題。本文依照慢性失能患者之心理照護、心理健康促進策略（包含：音樂治療、懷舊治療與園藝治療），及社區心理衛生專業人員的角色功能進行論述，藉此做為推動社區慢性失能患者之心理健康促進方案之參考，期盼更落實社區化照護，以提升慢性失能患者之心理健康。

Societal ageing and the rising prevalence of chronic disease are important causes that underlie the growth in the number of disabled individuals. The disease-induced psychological distress experienced by this population not only decreases quality of life but also increases demand for healthcare. The healthcare policy for the disabled population currently focuses on community healthcare. Therefore, developing appropriate programs to promote mental health among the disabled population in community settings is a critical issue. The present paper reviews current mental health promotion initiatives that target the disabled population in the community and addresses mental healthcare issues that are prevalent among the chronically disabled; strategies of mental health promotion that use music therapy, reminiscence therapy, and horticultural therapy; and the roles and responsibilities of community professionals in mental healthcare. We offer these perspectives as a reference to promote mental health and to establish holistic community healthcare for chronically disabled individuals.