藥物濫用役男諮商介人成效認知之研究

A Study on Effective Cognition of Consultative Intervention o fDrug-abuse soldiers

毒品犯罪向來為我國重大犯罪問題，毒品問題嚴重之處，不但在於使用毒品將導致身體健康之危害，更在於非法藥物成癮之後衍生偏差與犯罪行為。雖然世界各國為防範役男藥物濫用問題，業已建置藥物濫用預防及輔導措施；考量軍中為封閉體系，對於藥物濫用役男戒毒輔導成效，則欠缺相關的實證研究。本文即針對服役中藥物濫用替代役役男進行輔導機制與接受諮商輔導成效探討。為達此目的，本研究邀請五位藥物濫用替代役役男、六位諮商師接受訪談及管理役男之人員參加座談然後透過資料整理及參採藥物濫用替代役役男短期再犯率分析，彙整出三個面向，包括「諮商抒解藥物濫用役男負面情緒」、「運用治療團隊強化諮商服成效」、「服勤管理監控必要性」等三個重要成效分析。本研究就此結果進行討論，並建議將藥物濫用替代役役男視為偏差行為者而非病犯，且採取接納及輔導的態度取代標籤化的譴責；同時醫院應運用治療團隊提供諮商服務以及服勤單位應對役男加強驗尿管控，始能強化外控效用具成效，減少再犯行為。

Drug-related crime has always been our major issue. Usingdrugs not only endangers health but also causes aberrations andcrimes after illicit drug addiction. Although countries all over theworld have set up drug abuse prevention and counseling measuresto prevent drug abuse problem of servicemen, counselingeffectiveness of Drug-abuse servicemen’s abstinence in aconsiderably closed military system lacks relevant positiveresearch.This study will investigate the effect on progressingcounseling mechanisms and consultative counseling todrug-abuse servicemen. For the study, five drug-abuse servicemenand six counselors were invited for interviews and servicemaninspectors were invited to forums. Data compilation andshort-term recidivism rate analysis of drug-abuse servicemen hadled the study to three important effect analysis, “Negativeemotion relieving for drug-abuse by counseling,” “Usingtreatment team to enhance counseling effect” and “Necessity ofduty management and monitoring.” Therefore, the study willdiscuss this outcome further, and suggests regarding drug-abuseservicemen as deviants instead of convict patients, replacinglabeling condemnation with acceptance and counseling.Simultaneously, hospitals should utilize treatment teams toprovide consultative services and duty service should increase servicemen’s urinalysis control. Thus, it can enhance externalcontrol effect and reduce relapse.