成癮受刑人出監前團體輔導之成效：自我瞭解與情緒因應、家庭關係、戒癮信心、滿意度

The Effectiveness of A Group Guidance Program before Discharge for Addicted Inmates

目的：自2008年，桃園縣毒品危害防制中心對成癮受刑人出監前實行團體輔導（簡稱團輔），建立良好關係以利出監後的追蹤輔導。但更生人失聯率仍高，聯絡到本人比例偏低，所以毒危中心重新擬定出監前團輔。評估新式團輔對成癮受刑人在出監前的自我瞭解與情緒因應、家庭關係與戒癮信心之成效。方法：採前、後測有對照的介入研究。實驗組採新式團輔（2個月8次）。對照組採舊式團輔（1個月2次）。結果：2010年4-7月，實驗組38人，對照組85人完成團輔。實驗組優於對照組，且達統計顯著差異有：戒癮信心的後測分數 (3.5 vs. 3.3, p=0.0314)、自我瞭解與情緒因應的前後測分數改變 (0.2 vs. -0.04, p=0.0077)、有助於情緒管理 (85.3% vs.29.7%, p＜0.0001)、有助於人際互動 (61.8% vs. 31.1%, p=0.0026)、有助於家庭關係 (58.8% vs. 20.3%, p＜0.0001)。結論：新式團輔對成癮受刑人在出監前的戒癮信心、自我瞭解與情緒因應的成效優於舊式團輔，滿意度卻沒差異。

Purposes: Since 2008, the Taoyuan Drug Abuse Prevention Center (DAPC) has provided addicted inmates with a group guidance program before their discharge. It was hoped that the addicted inmates would contact DAPC and use the services of DAPC after discharge from prison. However, the 2006-2008 records of the Taoyuan DAPC revealed that the lost to follow-up rate was high and the proportion of addicted offenders who accessed services was low. Hence, the Taoyuan DAPC redesigned the group guidance program to provide more activities and different content. The aim of this study was to evaluate the effectiveness of the newly-designed group guidance program before discharge on inmates’ self-discovery and coping with emotion, family relationships, abstinence confidence, and satisfaction. Methods: A pre- and post-test intervention trial with a control group was used. The intervention group took the new group guidance program with 8 activities in 2 months. The control group took the old group guidance program with 2 activities in one month. Results: During April – July, 2010, 38 inmates in the experimental group and 85 in the control group completed the trial. Significantly better performances for those in the experimental group than for those in the control group were found in: post-test scores for abstinence confidence (3.5 vs. 3.3, p=0.0314), pre- and post-test scores for self-discovery (0.2 vs. -0.04, p=0.0077), management of emotions (85.3% vs. 29.7%, p<0.0001), interacting with people (61.8% vs. 31.1%, p=0.0026), and family relations (58.8% vs. 20.3%, p<0.0001). Conclusions: Better scores for self-discovery and coping with emotions, and abstinence confidence were seen in the experimental group (newly-designed group guidance program) than in the control group; however, there was no difference in satisfaction with the program between the two groups.