以簡要成癮查核表介入對藥癮緩起訴個案之效果

The Effectiveness of Brief Addiction Monitor Based Intervention on Deferred Prosecuted Cases with Illicit Drug Use

目的：探討個案管理服務中之「彈性與及時提供關心、合適的處遇介入調整：個案管理師於緩起訴個案每月回診，進行簡易成癮查核表(Brief Addiction Monitor/BAM)評估並依評估結果進行不同頻次的關心介入及處遇方向調整」對於戒癮治療—藥癮緩起訴附命戒癮治療之成效。方法：以北部某精神專科醫院之緩起訴戒癮治療者(含海洛因、安非他命及大麻使用者)為研究對象，問卷資料收集含物質使用、心理、改變意願、生活品質滿意度等。統計方式將使用SPSS 26進行Paired T test分析探討組內差異並以費雪正確機率檢定、皮爾森卡方檢定及independent two sample T test統計方式比較組間差異。結果：有BAM追蹤及介入的個案，其內在改變動機比起無BAM追蹤和介入者有顯著上升，此外，在非法藥物的使用上有顯著減少。結論：本研究認為「BAM追蹤及進行相關介入處遇」可作為有效醫療之輔助角色—邁向復歸社會第一步。

Objectives. To explore the effectiveness of individualized case management services involving 'flexible and timely provision of care, appropriate intervention adjustments: Case managers conduct monthly follow-up visits with individuals under deferred prosecution for drug addiction, administering the Brief Addiction Monitor (BAM) assessment and adjusting care interventions and directions based on assessment results on addiction treatment-effectiveness of deferred prosecution drug addiction treatment.
Methods. Participants included individuals undergoing probationary addiction treatment (involving heroin, methamphetamine, and marijuana use) at a psychiatric hospital in Northern Taiwan. Data collection through questionnaires encompassed substance use, psychological factors, willingness to change, and satisfaction with quality of life. Statistical analyses, including Paired T-tests using SPSS 26, were conducted to explore within-group differences, while Fisher’s exact test, Pearson's chi-square test and independent two-sample T-tests were employed for between-group comparisons.
Results. Cases undergoing BAM tracking and intervention exhibit a significant increase in intrinsic motivation for change compared to those without BAM tracking and intervention. Additionally, there is a notable reduction in the use of illegal drugs.
Conclusion. This study suggests that ''BAM tracking and related interventions'' can serve as effective adjuncts to medical treatment, making the crucial initial steps toward societal reintegration.