藥癮與社工：社會工作者的職責、處遇與反思

Drug addiction and Social Work: Responsibilities, interventions and reflections of social workers

藥癮者與家庭面臨複雜而深層的生命困境，社會工作者越來越需要涉入藥癮相關業務，在各種服務輸送系統中，包含兒童福利、醫院、學校、心理健康、家庭服務、街友服務、刑事司法以及家庭暴力的處遇，社會工作者是否做好相應的準備？國內外遭遇的考驗包括社會工作者教育訓練缺乏藥物濫用的課程準備，且有些社會工作者缺乏服務意願且持負向與抗拒的服務態度看待這些有高度污名化個案，並且不願意對他們進行干預，形成非自願社工服務非自願案主的現象，唯有更多的理解才能產生真正的接納，並且願意陪伴案主面對復發與高難度的社會賦歸。本文希望透過文獻的檢閱與探討，透過作者多年實務工作的反思，面對藥癮者，社會工作者的角色與職責、服務模式以及專業發展的方向，以期促使台灣社會工作者在藥癮問題的處遇上有更積極的參與。

People with drug abuse and their families are facing complex and deep life difficulties. More and more social workers involved in drug abuse related issues. There are many service delivery systems including child welfare, medical care, schools, mental health, family services, criminal justice and domestic violence. Are social workers ready for the preparations to solve the social problems of drug abuse? The actual challenges include the insufficient social work education and training programs, and the negative attitudes of social workers to these who are suffered and stigmatized. These reasons might cause involuntary social workers and the involuntary service receivers. The more social workers understand issues of drug abuse, the more people with drug abuse will be accepted and encouraged. This paper aims to review the literatures in order to discuss the roles, the service models, and the future professional developments for social workers and people with drug abuse. Furthermore, the author hopes to raise awareness of social work practitioners and have more engagements in solving the problems that people with drug abuse might develop.