應用綠色照護改善精神醫院與其鄰近社區關係的歷程與成果

Green Care: Process and Outcome of a Relationship Improvement Program Between a Psychiatric Hospital and Adjacent Communities

研究目的：探討四年來應用綠色照護改善精神醫院與其鄰近社區關係的歷程與成果。研究方法：應用行動研究法，分為草創期：連結錫瑠基金會，利用綠色照護改善與社區的疏離關係。建構期：連結錫瑠基金會等機構，建構療癒森林，並邀請社區里民進入院區耕種。深耕期：連結信義社大，持續三年開設友善農耕課程。研究結果：1.共有23位里民持續三年參與友善農耕，10位里民正面回饋，平均年齡67.52歲，顯著改善本院和鄰近社區的關係。2.有3位里民成為醫院志工；3.有10位里民接受客家電視台採訪，錄製成10分鐘的「靚靚綠世界」節目播出；4.榮獲2019年臺北市田園城市競賽團體優勝獎。結　　論：應用綠色照護，有助於打開精神醫院邊界，深化與社區的連結。

Objectives: To improve the relationship between our psychiatric hospital and adjacent communities, we haved employed a green care program since 2016. Herein, the program is described, and the outcome is assessed. Methods: An action research design was employed, and three major periods were established. In the initial stage, we employed ecological resources in our psychiatric hospital in collaboration with the Hsi Liu Environmental Greening Foundation to generate a closer relationship with local communities. In the construction stage, we created a therapeutic forest garden in the hospital in cooperation with the Hsi Liu Foundation. Residents in adjacent communities were invited to cultivate plants in the garden. In the growth stage, we introduced a farming course in partnership with a community college. Results: 1. In total, 23 residents participated in this program for more than 3 years. Their average age was 67.52 years. ten of them rated the program positively. This result indicated that the participants enjoyed the ecological farming. 2. Three community residents became hospital volunteers. 3. Ten participants appeared in television program interviews to discuss their ecological farming. 4. The therapeutic garden was awarded a prize at the Taipei Garden City construction achievement competition in 2019. Conclusion: The green care program has broken the boundary of the psychiatric hospital and connected it with adjacent communities.