聖露西亞現行氣候相關災害處置措施是否涵蓋心理健康層面？

Abstract

目標: 闡明心理健康方面是否已納入聖盧西亞的災害和氣候變化干預措施，聖盧西亞是一個極易受到氣候變化影響的加勒比島嶼. 方法: 彙整聖盧西亞現行國家政策和實施的文件，經由對關鍵利害相關人的半結構化訪談和問卷調查，進而分析（1）文件中健康的相對重要性和（2）健康的概念化。 成果: 分析結果可知在國家政策中，很少有關於氣候變化文件涉及心理健康層面的情況。在與災難有關的文件中，偶爾會提到心理健康方面。在實施的 218 個項目中，只有三項與健康有關，其中兩項與心理健康議題無關，剩下的一項雖然明確地考慮心理健康議題，但根據我們的補充採訪，這個項目似乎沒有實施。 結論: 本研究成果顯示，心理健康尚未納入聖盧西亞的災害和氣候變化處置措施。據我們所知，本研究是目前分析聖盧西亞關鍵政策中有關心理健康議題的唯一研究。

Objective. To elucidate whether mental health dimensions have already been included in disaster and climate change interventions in St. Lucia, a Caribbean island which is highly vulnerable to climate change. Methods. We identified documents for national policy and implementation to analyze (1) the relative importance of health in the documents and (2) the conceptualization of health. These document analyzes were complemented by semi-structured interviews and questionnaires to key stakeholders. Results. In national policy, there were very few instances where mental health dimensions were addressed in climate change documents. In documents related to disasters, mental health dimensions were mentioned occasionally. Of 218 projects implemented, only three were related to health. Two of them were unrelated to mental health dimensions. The remaining one explicitly considered these dimensions, but this project did not appear to be implemented according to our supplementary interview. Conclusion. This research revealed that mental health dimensions have yet to be included in disaster and climate change interventions in St. Lucia. To our best knowledge, this is the only study that addressed this point by analyzing key policy documents.