相對於非原住民族群，全球的原住民都有顯著的健康不平等，心理衛生是其中的重要議題，然而原住民心理健康政策與相關方案在台灣均相當有限。本研究將回顧加拿大與澳洲的原住民心理衛生政策與介入方案，以提供後續原住民社區心理衛生政策發展參考。
本研究先簡介兩國目前的基本資料，包括原住民處境、健康狀態以及重大歷史事件，主要內容涵蓋三階段的文獻回顧，前兩階段回顧原住民心理衛生政策與社區方案，第三階段則檢視前述方案的成效。過程納入多元文獻資料，包含政策與法令文件、方案計畫與報告、成效評估報告、政府出版品與期刊文章，並以創傷、自殺防治、成癮物質以及心理衛生促進等相關關鍵字搜尋各國政府網站以及學術資料庫。
結果呈現並比較加拿大與澳洲兩國目前的原住民心理衛生政策發展、實務方案以及成效評估。由於原住民對心理衛生的定義較非原住民族群廣泛，涉及與文化、土地、社區之間的關係，由此展開何謂符合原住民需要以及文化適切性的社區心理衛生服務、主流以及原住民專屬的心理衛生服務差異、原住民心理衛生的挑戰，最後並對原住民心理衛生政策與實務發展提出建議。.

Indigenous peoples suffer from health disparities compared to non-indigenous population around the world, mental health is one of the main concerns, however the related policy and program is limited in Taiwan. This study aims to provide reference point for future Indigenous community mental health development in Taiwan by reviewing indigenous mental health policies and programs in Canada and Australia.
This study comprised a three-steps of review, the first two steps review the indigenous mental health policy and community program and the third examined the outcome of program reviewed in previous step. Multiple categories of documents were searched including official policy and plan papers, program reports, and the research related to program effectiveness or outcome evaluation from the federal government website and Academic Database, with related key words.
The results showed the current development of national policy for indigenous mental health, the community mental health programs and the outcome evaluation in Canada, Australia and Taiwan. Since the viewpoint of mental health is different among indigenous and non- indigenous population, the discussion includes the approach of Indigenous-specific and mainstream, scope of mental health and its effect on service, current challenges, and the implication for Taiwan indigenous mental health policy and practice.

Introduction 1
Country Profiles 3
Indigenous People 4
Mental Health Policy 11
Community Mental Health Service 14
Definition of Terms 18
Methods 21
Results 25
National policy for indigenous people’s mental health 25
Community mental health programs for indigenous people 32
1. Collective trauma 32
2. Suicide prevention 33
3. Substance use 34
4. Mental health Promotion 35
5. The levels of prevention 37
The Outcome Evaluation 39
Discussion 41
The scope of mental health & its effect on service 41
Indigenous-specific vs. Mainstream 42
Culture Approiate vs. Cultural Competence 42
Current challenges 43
Implication for indigenous mental health Policy and Practice in Taiwan 46
Reference 47

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