● 中文摘要：

       本文針對藥癮者之社會支持接納與藥物濫用處遇措施系統的建構之探討，並對於藥癮/毒品政策下的藥癮者社會情境進行分析，期待可以作為提供臺灣藥癮政策之參考。本文採紮根理論研究方法，訪談藥癮者17名，了解其社會脈絡以及觀察藥癮者社會支持網絡之機制、去除標籤化的相關措施與整合的功能。另以文獻分析法蒐集相關犯罪學與社會學原典著作及論文資料，作為探究與詮釋現象的基礎，以得到兼具統合性與原創性的發現。 結果發現藥癮者「思茫」濫用藥物引發其在物質的、情緒的、尊重的、友伴的社會支持系統崩潰，籌錢用藥導致家庭關係的惡化，家庭成員亦成為受害者，在藥癮朋友相牽之下而成為治安所欲控制之對象。如藥癮者因注射海洛因而感染愛滋病時，藥癮者等於犯罪者的社會烙印上再加上一層。另外，在鉅觀的藥癮/毒品政策觀察發現，能動者在這過程中扮演結構性社會排除的推手，尤其傾重刑罰/保安處分之政策運用，更致藥癮者社會復歸之路難上加難。 最後，藥癮/毒品政策對於藥癮者已發生社會排除的結構條件與壓力，建議未來應避免排除性政策之規劃，增加社會資本的投資，除美沙冬維持療法外，更應提供其他藥癮醫療資源，以符合藥癮者實際戒癮需求，刑罰之處罰應最後手段。

● English Abstract：

     This study attempts to explore the challenges of the social inclusive network of drug addicts’ medical care system. By employing the grounded theory of qualitative research method, 17 heroin addicts cases (some AIDS cases) with Methadone treatment at one Health Center of Yunlin County were interviewed. The goals aim to present these addicts’ perspectives toward their life experience and predicaments of social support of. The analytical dimensions include their family support, peer influence, the interaction with the criminal justice system and AIDS’ stigma. The results reveal the consistent situations of marginalization, social exclusion , dangerous other. Also, it is founded that the heroin cases with huge desire are very likely to lead to material, emotional, respectful and friend relational breakdown of social support system. Moreover, their family relationships become deteriorated and family members are also victims. The drug policy, particularly punitive and coercive penal policy, plays significant role in the social exclusion of these drug addicts and contributes to the fail of social reintegration. The results also reveal that the drug policy has already caused to the structural conditions and pressure of social exclusion. It is suggested that the government should avoid the policy plan which could lead to social exclusion and should increase the social investment of community intervention and treatment. The Methadone treatment needs to maintained and the harm reduction implementation should be expanded with the incorporation of medical resource and service. In addition, the penal control of drug addicts should be the last of social control. It is hoped that this study can offer a critical perspective and a different landscape in analyzing and discussing for the field of drug policy. 

● 文章連結：

https://goo.gl/ffrmNU

● 資料來源：

政府研究資訊系統