中文摘要：

隨著新興毒品氾濫，防制學生藥物濫用工作所面臨的挑戰也不斷變化，但不論從家庭、學校或社區的層面所實施的防制學生藥物濫用方案，政府始終不斷嘗試及修正各種策略尋求最適合國情的做法，各單位全力推動藥物濫用防制工作之際，引起了本次研究的動機；本研究目的冀望透過某縣境內執行防制學生藥物濫用的相關單位，透過質性研究採深度訪談方式及結合部分量化調查資料，以RE-AIM模式進行歸類分析，以瞭解某縣防制學生藥物濫用執行工作之成效評估做成結論，並對校園學生藥物濫用防制作為提出具體可行之建議。
本研究採半結構式深度訪談方式，以立意取樣，對某縣各單位及高中職學校專家代表9位實施深度訪談，7位實施焦點座談，以RE-AIM模式，分別針對涵蓋面、效果面、參與面、執行面及持續面等五面向，將訪談資料結合部分統計量化綜整歸納分析，據以探討某縣執行教育部防制學生藥物濫用實施計畫的成效評估。
研究結果發現:涵蓋面，2018年至2020年期間藥物濫用個案，春暉專案小組大部分均能順利結案，中斷輔導的情形有減少的趨勢；特定人員列冊平均人數，國中、國及高中、高職，近3年比例均有微幅下降趨勢。反毒宣講成果，2018年參加宣講學生人次與當年度縣內國小至高中學生總人數比率約占1.09%，2019年則約佔0.15%，2020年約佔0.16%，發現近2年宣講成果比例大幅減少。效果面，以策略中，強化轉介追蹤機制、綿密防制通報網絡等兩項效果最佳，其中更以強化轉介追蹤機制獲得訪談代表一致認為效果成效最佳。參與面，以策略中，強化轉介追蹤機制，獲得訪談專家共識度最高一致認同執行效果最好。執行面，經訪談分析歸納，專家學者認同目前執行均能有效防制學生藥物濫用之現況，且執行成果與投入人力、資源成正比。持續面，就現今執行策略提出相關修正意見和配合少年事件處理法修正後即將實施的配合精進作法，提出相關建言。
由結果可知，某縣防制學生藥物濫用之成效，經綜合評估後是正向成比例式成長，但現行做法若能結合各單位意見加以修正，相信定能在現今人力不足狀況下，發揮事半功倍的效益，讓學生除課業之外還能從家庭或學校生活環境中以不同途徑多管道方式，從社團或志工活動中獲得肯定及自信心，並結合校園人力加強專業輔導效率，落實教育部防制學生藥物濫用工作，打造出單純無毒的學習環境達成友善校園的境界。

關鍵詞：高中職、防制學生藥物濫用、質性研究、RE-AIM、成效評估

英文摘要：

With the proliferation of emerging drugs, the challenges faced by the prevention of drug abuse among students are constantly changing. However, the government has always tried and modified various strategies to seek the best in the prevention of student drug abuse programs implemented at the family, school or community level. The method that suits the national conditions, when each unit is fully promoting drug abuse prevention and control work, aroused the motivation of this research; its purpose is to use in-depth interviews through qualitative research through relevant units that implement drug abuse prevention among students And combined with part of the quantitative survey data, the RE-AIM model is used to classify and analyze the effectiveness of the implementation of drug abuse prevention in a certain county, and to make specific and feasible recommendations for the prevention of drug abuse by students on campus.
This research adopts a semi-structured in-depth interview method, sampling intentionally, and conducts in-depth interviews with 9 expert representatives from various units and high school vocational schools in a certain county, and 7 focuses on discussion. The RE-AIM model is used to focus on the coverage and effect. , Participation, Implementation, and Continuing. The interview data is combined with some statistical and quantitative comprehensive analysis to discuss the effectiveness evaluation of a county’s implementation of the Ministry of Education’s implementation plan to prevent student drug abuse.
The results of the study found that: for the coverage, most of the drug abuse cases from 2018 to 2020, Chunhui task force were able to successfully close the case, and the number of interrupted counseling tends to decrease; the average number of specific personnel listed, middle school, national and high school, high school In the past three years, the proportions have shown a slight downward trend. Anti-drug propaganda results. The ratio of the number of students participating in the propaganda in 2018 to the total number of students from elementary schools to high schools in the county in that year accounted for about 1.09%, about 0.15% in 2019, and about 0.16% in 2020. It was found that the proportion of results in the past 2 years Significantly reduced. In terms of effect, among the strategies, the enhanced referral tracking mechanism and the dense prevention and notification network have the best results. Among them, the enhanced referral tracking mechanism has been agreed by interview representatives that the effect is the best. Participate in the strategy, strengthen the referral tracking mechanism, and obtain the highest consensus among interviewed experts and agree that the implementation effect is the best. On the implementation side, after interviews and analysis, experts and scholars agree that the current implementation can effectively prevent the current situation of student drug abuse, and the implementation results are proportional to the input of manpower and resources. Continue to face, put forward relevant amendments on the current implementation strategy, and provide relevant suggestions on the coordination and improvement practices that will be implemented after the amendment of the Juvenile Incident Treatment Law.
It can be seen from the results that the effectiveness of a county in preventing drug abuse among students has grown positively and proportionally after comprehensive evaluation. However, if the current practice can be revised in accordance with the opinions of various units, I believe it will be able to achieve twice the result with half the effort under the current manpower shortage. In addition to schoolwork, students can gain affirmation and self-confidence from clubs or volunteer activities in different ways and channels in addition to their homework or school life environment, and combine campus manpower to enhance the efficiency of professional guidance and implement the Ministry of Education’s prevention Prevent students from drug abuse work, create a pure and non-toxic learning environment to achieve a friendly campus.

Keywords: high school vocational, prevention of drug abuse by students, qualitative research, RE-AIM, effectiveness evaluation

文章連結：

https://hdl.handle.net/11296/3gycq4

資料來源：

臺灣博碩士論文知識加值系統