減害計畫中愛滋帶原之海洛因成癮者團體心理治療：團體個案報告

Group Therapy in HIV Sero-positive Heroin Addicts of The Harm Reduction Program: A Group Case Report

HIV sero-positive heroin addicts may bring lots of challenges to our public health services in recent days, especially in AIDS transmission and further consequences. However, there's no marked local study focus on the effect of psychosocial interventions to the sharing drug paraphernalia, high risk behaviors and heroin abstinence rate in these patients. This report explored HIV sero-positive heroin addicts who received a psychoeducative group therapy whether got greater improvements in craving, addictive believes, cognition about high risk behaviors/ situations. Ten individuals who had been HIV-seropositive and had been receiving standard methadone maintenance treatment for at least 1 months prior to inclusion in the study were entered in a weekly psychoeducative group therapy. All members met the DSM-IV-TR criteria of heroin dependence and all are assigned to harm reduction program by the Public Prosecutors Office. We evaluated the effect of this group by testing questionnaires and investigating the qualitative data in whole group process. The results of group therapy were summarized in this paper. Through group activities, these members learned accurate attitudes toward heroin addiction and made strong belief to abstinence. The intensity of heroin craving and methadone dosage decreased. And the readiness for heroin abstinence was enhanced. The important therapeutic factors were universality, suggestion, interpersonal learning, catharsis, family re-enactment, instillation of hope and cohesiveness of group. The process and dynamic changes throughout this group were been evaluated and mentioned below. Our findings suggested that psychoeducative group therapy can made a lot of benefits for HIV sero-positive heroin addicts.