戒癮動機中的處遇準備與家庭支持的關聯性：針對社區處遇中物質使用者的分析

Relationship between motivational readiness and family support: an examination of clients with substance use disorder in community-based treatment

目標：相較於司法處遇帶來的外在戒癮動機，社區處遇能否有益於內在戒癮動機，國內研究相對有限。本研究目的為探討動機中的處遇準備與家人支持的關聯性。方法：本研究以全台灣13所民間戒癮處遇社區的150位入住者為對象，包含130位男性與20位女性，其中有94人具有更生人身分。本研究應用自陳式家庭支持網絡及功能問卷、戒癮動機問卷進行測量。本文將家人社會支持功能區分為情緒支持、實質支持與資訊支持；戒癮動機以處遇準備為主要探討問題。結果：研究發現家人支持總分與動機之處遇準備呈現正相關（r=.204, p<0.05）；家人之情緒支持與處遇準備（r=.212, p<0.05）呈現正相關；在控制相關變項後，僅性別、家人戒癮協助、家人支持總分對於處遇準備具有統計顯著。結論：未來政策考量提供家庭支持服務時，應重視家庭關係改善的內涵，更加重視情感性的支持功能，並關注性別差異對於成癮者處遇準備的影響；實務上若能關注增進成癮者處遇準備的相關服務，將可能提升其處遇動機，裨益於整體處遇結果。

Objectives: Current policies emphasize diverse interventions for individuals struggling with illicit drug addiction, highlighting the pivotal role of individual motivations. However, limited research and discussion have been conducted on this topic in Taiwan. Methods: This study targeted 150 residents, comprising 130 men and 20 women, with 94 having a criminal history, from 13 private addiction treatment centers across Taiwan. Self-reporting measures were employed, namely the Social Support Network and Function Questionnaire, Addiction Motivation Questionnaire, and Treatment Readiness. Family social support was categorized into emotional, instrumental, and informational support, with the primary focus being on treatment readiness in addiction motivation. Results: The study found a positive correlation between total family support scores and treatment readiness motivation (r = .204, p < .05). Emotional support from family was also positively correlated with treatment readiness (r = .212, p < .05). After controlling for the relevant variables, only gender, family addiction assistance, and total family support showed statistical significance in relation to treatment readiness. Conclusions: Future policies emphasizing family support services should prioritize the reconstruction of family relationships, particularly focusing on emotional support. Additionally, attention should be given to the influence of gender differences on the treatment readiness of individuals with addiction, thus enhancing the overall treatment outcomes.