藥癮媽媽與毒寶寶：家庭中心式處遇服務的理念與反思

Mothers with drug addiction and their babies-The concept and reflection of family-centered treatment

「毒寶寶」是指藥癮媽媽所懷之胎兒及生產後的幼兒。毒寶寶從懷孕前期、懷孕期間、生產前後、後續發展的各個階段，在身心發展上都會出現複雜問題，更重要的是毒寶寶的人權是身為社工所不能漠視的議題。
實務上，女性藥癮者透過懷孕逃避刑期，產下的毒寶寶多被安置。藥癮媽媽能否成為照顧者，，發展出適合的處遇方法。透過爬梳理念與理論框架，期能印證實務工作。
介紹美國對女性藥癮者與毒寶寶家庭處遇的模式，並嘗試梳理比較台灣桃園地區的工作，，期能呈現目前服務樣貌的異同。藥癮媽媽與毒寶寶家庭中心式處遇服務的可能性。
身為社工，關心藥癮媽媽與毒寶寶的權益，期待透過反思，回應家庭中心式的處遇服務是否為可行的方法，在服務過程中各單位串接成為鏈結，是重要關鍵。

' Infants or babies born exposed to drugs '' refer to fetuses and young children were born from mothers with drugs addition. They will have complex problems in their physical and mental development from the early stage of pregnancy, during pregnancy, before and after delivery, and in subsequent development. Furthermore, the human rights of those Infants or babies are the most important issue that social workers cannot ignore.
In practice, mothers with drug addiction evade prison terms by getting pregnant, and most of the Infants or babies are placed in residential care. Can those mothers with drug addiction become caregivers and develop appropriate treatment methods? By organizing documents through concepts and theoretical frameworks, we hope to confirm practical work.
This article introduces the American model of dealing with family-centered treatment for women(mothers) with drug addiction, and attempts to compare the work in Taoyuan, Taiwan, hoping to show the similarities and differences in the current service appearance. Possibility of family-centered treatment for mothers with drug addiction and their babies.
As a social worker, I care about the rights of those infants or babies, and hope to respond through reflection that family-centered treatment is a feasible method. In the service process, the connection of various units to form a link is an important key.