課程資訊
課程名稱
全球心理精神健康與自殺防治與社區實務
Global Mental Health and Suicide Prevention and Practices in the Community 
開課學期
108-1 
授課對象
公共衛生學院  全球衛生碩士學位學程  
授課教師
張書森 
課號
HBCS7029 
課程識別碼
850EM0300 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
 
上課地點
 
備註
初選不開放。本課程以英語授課。時間:1-9,12/23-12/27.教室:公衛601A.與傅美蓁、Anthony Jorm合授與傅美蓁合授
總人數上限:18人
外系人數限制:2人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1081HBCS7029_ 
課程簡介影片
 
核心能力關聯
核心能力與課程規劃關聯圖
課程大綱
為確保您我的權利,請尊重智慧財產權及不得非法影印
課程概述

The course is aimed to introduce important concepts and frameworks of mental health and suicide prevention in global settings. It will provide the students an opportunity to understand critical issues in mental health, mental illness, suicidal behaviour, and suicide prevention, with a focus on major differences in settings with low and high levels of resources and their implications for prevention and intervention. Emphasis will be put on public health, population-based, life course, and social ecological perspectives to address the substantial global health burden from mental disorders and suicidal behaviour.
The content of this course will be separated into three parts. First, the students will learn from selective readings such as peer-reviewed journal articles, book chapters, or other references on various issues of global mental health, wellbeing, and suicide prevention before the course. Second, the course will introduce the aspects of global mental health such as historical perspectives, current situations, determinants, and existing promotion / prevention / intervention strategies on population mental health, mental disorders, and suicidal behaviour thru classroom based lectures and activities. Third, students will have an opportunity to immerse themselves in different hospital and community-based settings where mental disorders are treated and suicide prevention efforts are made thru field trips to department of psychiatry in general hospital, psychiatric hospital, psychiatric clinic, community family support group, and helpline organization.
本課程旨在介紹全球情境中,心理健康和自殺預防的重要概念和架構。將為學生提供了解心理健康,精神疾病,自殺行為和自殺預防等關鍵議題的機會,重點關注於低和高資源環境的主要差異及其對預防和介入的影響。 另外將把重點放在公共衛生,以群體為基礎人口,生命歷程和社會生態觀點上,以解決心理疾患和自殺行為造成的重大全球健康負擔。
本課程的內容將分為三個部分。首先,學生於課前將從精選過的閱讀材料學習,如同儕審閱期刊文章、書本章節、或其他多樣關於全球心理健康、福祉、自殺預防議題的文獻。其次,該課程將透過課堂的講座和活動來介紹有關群體心理健康、心理疾患和自殺行為的歷史觀點、現況、決定因素及現有的促進/預防/介入策略。第三,學生將有機會進入治療心理疾患的不同醫院與社區場域,並透過至綜合醫院,精神專科醫院,身心科診所,社區家庭支持團體及生命線組織的實地考察,了解心理疾患如何被治療及如何進行自殺預防工作。 

課程目標
Students in this class are expected to:
1. To correctly describe the current global situation and major determinants of mental disorders and suicidal behaviors.
2. To apply the population-based, life course, and social ecological perspectives to appraise contemporary issues of mental health and suicide prevention at the individual and community levels.
3. Learn the historical foundations of contemporary Taiwanese and Chinese psycho-social-political cultures, with a focus on the perspectives, presentations, and need for mental health.
4. Learn the current state of knowledge in Taiwanese and Chinese psychological practice.
5. Examine personal attitudes, experiences, and beliefs as they relate to the component and ethical delivery of mental health services to Taiwanese and Chinese populations.
6. Learn the potentials and principles of applying knowledge and skills in the area of mental health in a culturally, socially, and politically sensitive way to promote mental health in global health settings, including but not restricted to Taiwanese and Chinese communities. 
課程要求
Students are expected to:
• Be curious about learning the subject and participating in lecture and discussions.
• No prior knowledge is required.
1. read assigned readings
2. actively participate in small group discussions
3. submit written assignments (journals and the final paper) by the deadlines 
預期每週課後學習時數
 
Office Hours
另約時間 
指定閱讀
1. Selective Chapters from Patel, V., Minas, I.H., Cohen, A., and Prince, M., Global mental health: principles and practice. 2014, New York: Oxford University Press.
2. Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P.Y., Cooper, J.L., Eaton, J., Herrman, H., Herzallah, M.M., Huang, Y., Jordans, M.J.D., Kleinman, A., Medina-Mora, M.E., Morgan, E., Niaz, U., Omigbodun, O., Prince, M., Rahman, A., Saraceno, B., Sarkar, B.K., De Silva, M., Singh, I., Stein, D.J., Sunkel, C., and UnÜtzer, J., The Lancet Commission on global mental health and sustainable development. The Lancet, 2018. 392: 1553-1598.
3. World Health Organization, Preventing suicide: A global imperative, 2014, World Health Organization: Geneva.
4. Cheng K-D, Lin Y-C, Chen C-C, Shen WW. Section 3 Greater China-Ch13 The care of the mentally ill in Taiwan. In: Bhugra D, Tse S, Ng R, Takei N, eds. Routledge Handbook of Psychiatry in Asia. New York: Routledge; 2016.
5. Wu HY-J, Cheng AT-A. A History of Mental Healthcare in Taiwan. In: Minas H, Lewis M, eds. Mental Health in Asia and the Pacific Historical and Cultural Perspectives. New York, NY: Springer Berlin Heidelberg; 2017.
6. *Chang, S.S., Stuckler, D., Yip, P., and Gunnell, D., Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ, 2013. 347: f5239.
*Publications from faculty members based at CPH, NTU 
參考書目
1. *Chang, S.S., Sterne, J.A., Wheeler, B.W., Lu, T.H., Lin, J.J., and Gunnell, D., Geography of suicide in Taiwan: Spatial patterning and socioeconomic correlates. Health Place, 2011. 17: 641-650.
2. *Lin, C.Y., Hsu, C.Y., Gunnell, D., Chen, Y.Y., and Chang, S.S., Spatial patterning, correlates, and inequality in suicide across 432 neighborhoods in Taipei City, Taiwan. Social Science & Medicine, 2019. 222: 20-34.
3. *Wu, C.Y., Liu, S.I., Chang, S.S., and Sun, F.J., Surveys of medical seeking preference, mental health literacy, and attitudes toward mental illness in Taiwan, 1990-2000. Journal of the Formosan Medical Association, 2014. 113: 33-41. 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
Participation  
20% 
**Grading of Participation** 1. Being absent without a good reason will lead to a loss of one point out of your participation grade. 2. Students are expected to actively participate in the group discussion, asking or answering questions during class. 
2. 
Reflection papers 
40% 
2 reflection papers, one by the end of Day 2 of the field trip, one by the end of Day 5 
3. 
Final group project  
40% 
**Final group project ** Students will work in groups of 3-5 persons to develop a ‘consultation product’ (7-10 A4 pages) based on visits during the field trip, which will include a representative literature review (minimum five articles) and recommendations to inform the practices of the institutes / organizations which they visited. 
 
課程進度
週次
日期
單元主題
第1週
  課程簡介
Introduction to the course and global mental health
 
第2週
  Introduction to suicide prevention 
第3週
  台灣全球健康論壇特別講座:
澳洲自殺與自殺預防 (Prof Matthew Large)
Special talks at the Global Health Forum
Suicide and suicide prevention in Australia (Prof Matthew Large) 
第4週
  台灣全球健康論壇特別講座:
心理健康急救 (Prof Anthony Jorm)
Special talks at the Global Health Forum
Mental Health First Aid (Prof Anthony Jorm)
 
第5週
  精神心理健康急救工作坊 (Prof Anthony Jorm)
Workshop in Mental Health First Aid (Prof Anthony Jorm)
 
第6週
  實地考察:台大學生心理輔導中心
Field trip: NTU Student Counseling Center
 
第7週
  實地考察:社會復健旅行
Field trip: Social Rehabilitation Tour (Red Cross Foodbank in Taichung)
 
第8週
  實地考察:照顧者社工協會
Field trip: Social Workers Associations for Caregivers
 
第9週
  實地考察:孤兒院或兒童學校
Field trip: Orphanage or schools for children
 
第10週
  實地考察:阿茲海默症照顧協會
Field trip: Elderly care or Alzheimer’s Association
 
第11週
  實地考察:女性議題(庇護機構)
Field trip: Women’s Issues (Shelter or safe space)
 
第12週
  實地考察:精神專科醫院(居善醫院)
Field trip: psychiatric hospital(居善醫院)
 
第13週
  實地考察: 921地震教育園區
Field trip: 921 Earthquake Museum of Taiwan
 
第14週
  實地考察:綜合醫院之精神科(台大醫院精神科)
Field trip: department of psychiatry in general hospital (台大醫院精神科)
 
第15週
  實地考察:身心科診所
Field trip: psychiatric clinic
 
第16週
  實地考察:台北市生命線
Field trip: Taipei Lifeline (台北市生命線
 
第17週
  Student groups work on final term paper 
第18週
  Student groups work on final term paper