● 中文摘要：

　　毒品在台灣一直都是嚴重的犯罪問題，尤其是二級毒品，犯罪案件收案率是所有級數的毒品之冠。為了解決這個問題，台灣的政策在不斷地修改之下，從原本的嚴刑峻罰，漸漸的轉變與醫療接合，開始正視毒品使用者的醫療需求，並且發展了一套台灣獨有，且專門針對二級毒品使用者的戒治模式。目前國內沒有針對二級緩起訴個案治療模式成效之相關研究，本研究將探討台灣二級毒品緩起訴個案戒治模式的成功率、各治療階段流失之個案特性以及治療失敗的可能因素。 研究資料主要分析對象為2010年至2013年北部某地方法院檢察署轉介至北部某精神專科醫院之二級毒品使用者之有效資料310份。研究結果顯示，毒品戒治者男性(81.6%)明顯高於女性(18.4%)，年齡分佈大多在20-40歲之間(68.7%)，學歷多為高中肄畢業以下(95.2%)，工作多為工礦製造業之勞工階級(47.4%)、平均年資4年且平均收入多數為25001-35000元(28.1%)。37.4%的個案完成了整個戒治的流程，而家庭支持、婚姻以及身邊朋友較少犯毒者，對戒治有著顯著的關係。而越豐富的前科與戒治紀錄，戒治的流失率也隨之增加。 整體而言，毒品使用者雖然需要心理社會支持性團體治療，但未必所有人都適用相同的戒治課程與介入服務。戒治與矯治單位在其生活體系中去建立支持系統，利用有限的資源來提供個別化的戒治，將其戒治效果發揮到最大，即是往後各相關專業與單位需要努力的方向。

● English Abstract:

     Drug use has always been a serious crime problem in Taiwan, especially the use of class two drugs, which has the highest criminal case rate in all classes of the drugs. In order to solve this problem, Taiwan''s policy went under constant changes from strict punishment to medical engagement that addressed medical needs of the drug users, and then an unique rehabilitation model of psychosocial support group therapy on deferred prosecution of class two drug abusers was developed. Currently there was no research to demonstrate the effectiveness of it. Thus, this study examined the success rate, characteristics of cases that failed in each stage of the therapy and possible factors of treatment failure of this model. Data of 310 class two drug abusers on deferred prosecution program in a psychiatric hospital in northern Taiwan were analyzed. The results showed that there are more male drug abusers (81.6%) compared to females ones (18.4%). Most of them are at the age of 20-40 (68.7%). Over 90% of their education level are high school or less (95.2%). Approximately half of them are working class persons who perform manual labor (47.4%). The average work experience is four year and most of their income is between 25001-35000 NTD (28.1%). 37.4% of the cases completed the rehabilitation treatment program. Family support, marriage and less friends of drug traffickers, demonstrate a significant relationship with the treatment program. In addition, more extensive criminal records, records of rehabilitation are associated with treatment failure. Overall, although abusers need psychosocial support group therapy, the same rehabilitation curriculum and intervention services may not be appropriate for everyone. Rehabilitation institutions and treatment units in the system should work on building life support systems for the drug abusers. Utilizing limited resources to provide individualized rehabilitation in older to maximize the effect of rehabilitation is the future direction of the relevant professionals that work with this population.

● 文章連結：

http://hdl.handle.net/11296/ndltd/22236779148043874359

● 資料來源：

臺灣博碩士知識加值系統