[[alternative]]A Case Study on the Operation Model of a Community Mental Health Center inTaiwan－The Experience Reappearance of The Community Mental HealthCenter in Nantou County after the 921 Earthquake.

[[abstract]]1999年9月21日大地震，行政院衛生署責成草屯療養院辦理南投區心理衛生服務中心，進行五年的災後心理復健計畫與推展各項心理衛生工作。本研究以個案研究法為研究方法，以南投區心理衛生服務中心為研究個案，目的為呈現當時南投區心理衛生服務中心之運作模式，及其工作人員之工作經驗、感受。該研究方法重視多元方式的資料蒐集，故將10名研究參與者區分為：「政策規劃者」1名、「政策執行者」1名、「專業督導者」1名及「工作人員」7名等，每人進行1至1.5小時之訪談工作，藉此深入瞭解其成立背景、執行業務過程及實際工作經驗感受。本研究結果分為經驗再現與感受兩部分呈現。依研究參與者之角色彙整其訪談資料而再現其經驗與感受：一、政策規劃者：當時專案計畫主導者考慮的層面包括法律依據、設置地點、運作模式等，為社區心理衛生工作發展留下特殊的發展經驗。二、政策執行者：中心是依計畫案而設置與結束，其影響層面有利有弊，利是後續的自殺防治工作轉化成以國家政策的角度，擴大層面繼續辦理；弊是組織個案結束，失去延續性，對南投民眾也喪失一個可以求助或直接服務的資源。三、專業督導者：受訪者認為地震後整個大環境強調助人、慈悲等價值觀，對於年輕的工作人員有幫助，帶來正向的心靈發展，也見證了多樣貌的心理衛生工作。四、工作人員：受訪者念念不忘的是團隊工作氣氛中工作上的默契感及豐沛情感支持，對中心的結束有著不捨的感受是來自共同的革命情感，共同開創執行許多從無到有的心理衛生業務，挑戰各項不可能的任務，他們都希望能將寶貴的實務經驗傳承，藉此提供一套完整的災後服務工作模式。[[abstract]]This research employed a case study as its research method by inviting community mental health center of Nantou county. The goal of this study was to present the operation pattern of the center and working experience and the feeling of the staff at the time after the 921 Earthquake in Taiwan. The research focused on multi-dimensional material collection and divided participants into 4 groups: one person as “the policy maker,” one as “the policy administrator,” one as “the professional supervisor,” and seven people as “the staff.” Each person was interviewed for 1 to 1.5 hours so that researcher could get deeper information about the background of founding the center, the service process and the feeling of practical working experience.Findings of this research presented experience reappearances and the feeling of the staff. According to the roles in the team, four dimensions were discussed:1. The policy maker dimension: What the master planner considered included legal basis, the setting, and the operating pattern, which had left behind a special developing experience to the center.2. The policy administrator dimension: The operation of the center brought advantages and disadvantages. The experience of following suicide prevention work transformed into a part of the national policy. While the clients of the center were remained behind without continuing service, and residents in Nantou county also lost the mental health resource for seeking for help as well after the closure of the center.3. The professional supervisor dimension: The entire environment had emphasized the values of service and acts of mercy after the earthquake. It was helpful for young staff on positive mind-developing, and they witnessed a multi-aspect operation in mental health field.4. The staff dimension: The impressive parts of the team work were the unspoken consensus and the rich supportiveness. The staff had shed strong feeling to the closure of the center, and this came from their endeavors of growing out of nothing and challenging all kinds of impossible tasks. They hoped this precious experience could be inherited and provided as a complete service model in the aftermath