藥癮者對於美沙冬維持療法、海洛因輔助療法與安全注射室的認知與態度：採減害觀點之質性研究

The Feasibility of Establishing Heroin-Assisted Treatment and Supervised Injection Facilities: a Qualitative Research from Viewpoints of Harm Reduction

為降低藥癮者因使用海洛因所帶來的傷害，本研究探討藥癮者對於美沙冬維持療法，以及增設海洛因療法與安全注射室的態度。資料收集方式採藥癮者個別訪談。訪談資料編錄為逐字稿後進行內容分析。研究結果發現藥癮者對於美沙冬療法有錯誤的信念與期待，以致於治療效果打折扣。另外，藥癮者對於美沙冬治療效果不佳的病患，給予海洛因療法有正面態度。對於設置安全注射室，則持保留態度，強調要修改毒品危害防制條例，有周全利益與困境的評估，以及民眾的支持，才進行推展。

In order to reduce the harms associated with heroin use, this study aims to investigate attitudes towards methadone maintenance treatment, heroin assisted treatment and supervised injection facilities from drug users' perspective. This study uses face-to-face interviews to collect data. The interviews were transcribed verbatim and analyzed using the content analysis. The results showed that drug uses hold misconception about methadone treatment which deteriorated the treatment efficacy. Positive attitudes towards establishing the heroin assisted treatment for patients who dropped out of methadone programs were found amongst drug users per se, but some respondents did not support to set up supervised injection facilities unless the Drug Prevention and Control Act was revised with comprehensive assessments of benefits and barriers, and citizens' support.