多元處遇戒癮治療之短期團體治療成效研究

The Study on Short-Term Rehabilitation Group Treatment Effectiveness with A Multiple-Treatment Approach

毒品危害防制條例不再視非法藥物使用為純然犯罪行為，而納入多元處遇模式來處理此問題。本研究以檢察官附命完成戒癮治療緩起訴處分之使用一、二級毒品緩起訴自願受刑人八人為對象，運用實證有效之戒毒處遇理論與模式設計並進行戒癮團體治療，以戒除或降低非法藥物成癮。戒癮團體一週實施一次，每次兩小時，為期十週。二十小時的團體成效顯示成員對團體、團體內容、團體領導者有高度滿意。團體結束時成員的平均壓力感受、行動性衝動與負向自我效能感顯著提升，總體自我效能感顯著降低，壓力感受和準備改變程度有顯著高度正相關，改變階段雖往前進步但未達顯著。本研究分享處遇經驗，並提出討論與團體設計、實務研究、未來政策等方面之建議以為後續方案之參考。

Currently the Narcotics Hazard Prevention Act does not see substance use as a genuine crime, but adopts a multiple-treatment approach to deal with it. The current study recruited 8 voluntary accused substance addicts who were referred by the prosecutor for deferred prosecution with condition to complete the rehabilitation group treatment. The group project was designed with related evidenced-based theories and intervention strategies. The group was done in a fashion of 2 hours for a session, once a week for consecutive ten weeks. After the group ended, the group members show that significantly increased perceived stress, motor impulsiveness, and negative self-efficacy; while significantly decreased self-efficacy. There is significantly positive correlation between perceived stress and readiness to change. The readiness to change is increased at the posttest but not statistically significant. The group members also show high degree of satisfaction with the group performance. The implications and further suggestions in terms of group program design, intervention research and related policy were discussed.