台灣本土藥癮治療模式之建構及成效

The Assessment of Treatment for Drug Users in Taiwan

本研究以1996年7月至1997年2月接受藥癮戒治模式之住院藥癮患者80名為研究對象，主要目的是進行台灣藥癮治療模式之一-A戒治模式的評估，以及評估患者對治療的滿意度，同時進行4個月後戒治結果之追蹤。研究工具包括「成癮嚴重度指標」、「成癮藥物態度量表」、「對治療滿意度量表」、「個案工作紀錄」、「團體治療活動個案出席紀錄」。研究結果顯示：1.治療計劃與患者的需求並不一致；2.在法律約束力量的影響下，造成治療後追蹤不易，且影響醫療過程的運作；3.藥癮患者的成癮嚴重度在出院4個月後追蹤並沒有達到顯著改善。本研究建議應建立清楚的醫療模式，治療活動採個別性的治療，戒治場所減少約束的方式。結果提供台灣藥癮患者及建構藥癮戒治模式的參考文獻。

This study aims : (1) to evaluate the process and outcome of the 'A Treatment Model' — a drug user treatment program;(2) to measure the degree of satisfaction with the program by the participants;(3) to build the knowledge about drug users and treatment programs in Taiwan. A sample(N= 80) was selected from the A Hospital Drug Addiction Unit between July 1996 and February 1997. The measurement instruments included ASI (Addictive Severity Index); AA(Addiction Attitude); TS(Treatment Satisfaction Scale); and clinical records. The data analysis included chi-square tests, ANOVA tests, t-test and Pearson correlations, with the following results:(1) the treatment program was not compatible with the needs and concerns of different drug users;(2) the drug users were associated with legal problems which interfered with the medical system and jeopardizing the drug treatment program;(3) the treatment effects after a four month follow-up data indicated non-significance.