疫起心安－－跨院合作的整合型心理健康計畫

The Integrated Inter-Hospital Mental Health Program in COVID-19 Pandemic

2019年12月自中國發展的新冠肺炎病毒(Coronavirus Disease 2019, COVID-19)疫情，迅速傳播世界各地，構成百年來僅見的全球大流行，儼然形成一種新型態的大規模創傷。隨著疫情於世界各地的爆發，無論對醫護人員、染疫者、檢疫隔離者，乃至一般民眾而言，皆會造成心理上或多或少的影響。倘若臺灣也發生大流行，心理健康問題並非單一區域或醫院所能負荷，跨院的合作與支援有其需要。2020年3月初由桃園療養院發起，結合八里、草屯、嘉南療養院以及玉里醫院臨床心理科設立跨院合作之防疫心理健康計畫。該計畫參照(1)三級預防的概念(2)臺灣臨床心理學會災難與創傷心理委員會(Disaster and Trauma Psychology Committee Disaster , Taiwan Association of Clinical Psychology)發布之「針對新冠肺炎一線醫療人員的心理照護計畫」(3)處理短中期重大災難創傷之「安靜能繫望」的五大要素。本文將分享該計畫的執行歷程，並期待該跨院的合作能夠持續，對民眾與醫療人員的心理健康有所幫助。

The Coronavirus 2019(COVID-19), first identified in December of 2019 in China, has quickly spread worldwide. It is a rare worldwide pandemic unseen for the past century. With the pandemic spreading throughout different areas of the world, it has had negative psychological effects on medical staff members, infected patients, people in quarantine, and the general population. If this pandemic happened in Taiwan, the psychological health issues will be too heavy a burden to be handled by a single hospital. Therefore, inter-hospital cooperation would be crucial. Near the beginning of March 2020, the department of clinical psychology of Taoyuan Psychiatric Center joined with the Department of Clinical Psychology of Bali, Tsoutun, Jianan Psychiatric Center and Yuli Hospital to launch an inter-hospital cooperative mental health program based on (1)Tertiary Prevention, (2)Mental Health Care Plan for Medical Staff Members in Charge of COVID-19 proposed by the Disaster and Trauma Psychology Committee, Taiwan Association of Clinical Psychology, and (3)the Five Essential Elements of Immediate and Mid-term Mass Trauma Intervention, including a sense of safety, calming, a sense of self- and community efficacy, connectedness, and hope. In this article we present how the program was executed and share our expectations that inter-hospital cooperation will continue to support the mental health of medical staff members and the general population.