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毒品戒治之跨域治理解析-以台灣基督教福音戒毒為例 An Analysis of Drug Users’ Treatment with Cross-domain Governance -The Example of Taiwan Christian Gospel Rehabilitation

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  • 最後更新日期:110-10-26
  • 資料點閱次數:375

中文摘要:

當台灣毒品戒治的解方,受到聯合國趨勢的影響,從道德觀點的入罪刑罰與監禁,進而調整為納入疾病觀點的醫療介入與刑罰並重的除刑不除罪,且同時考量成癮者的生理、心理與社會因素等,但成癮戒治後復發率仍居高不下。福音戒毒提出一個以靈性為主,兼顧生理、心理與社會的全人復原模式。在2017 年總統府司法改革國是會議中,做出應建構成癮戒治之多元處遇決策時,為「福音戒毒」提供擴大貢獻的機會;因此引發研究者深入探討福音戒毒在台灣的發展,以及未來納入政策與體制之可能性,期許「福音戒毒」模式能為台灣的毒品戒治擴大貢獻。
  本研究以台灣福音戒毒為例,運用跨域治理(Cross-domain Governance, CDG)應用研究架構四區塊十步驟以操作整個研究過程;其中,結合與CDG相容及互補的公共事務管理(Public Affairs Management, PAM)架構解析台灣戒毒現況、社會判斷理論(Social Judgment Theory, SJT)解構個體認知,並運用操作民主協商治理的互動會議(Interactive Management, IM)以探討如下三個目的:(一)解析高屏地區與毒品戒治業務有關之公共管理者、複合領域專家、教會系統及「過來人」等多方當事人等,對於成癮者在福音戒毒期間與社會賦歸階段,戒毒成功或關鍵變數之認知;(二) 以高雄市為例,提出一個上中下游系統化及無縫接軌的福音戒毒模式建議案;(三) 促進台灣福音戒毒模式朝向標準化推進。
  研究發現:透過涵蓋治理結構之CDG四區塊十步驟進行研究設計與操作,可以釐清複雜問題,並將事實、價值與人際判斷做有效地結合。首先,依據CDG應用研究架構建構福音戒毒CDG應用研究架構概念,並獲得多方當事人較為關注的藥物治療、經濟獨立、社會接納、政府支持與生命改變等五個表層線索之事實判斷。第二,SJT探求出公共管理者與「過來人」在藥物治療、經濟獨立、社會接納與生命改變之認知權重有較大差異,並經平均數統計考驗結果,達統計上的顯著水準;再者,宗教類型在社會接納與生命改變之權重有較大差異,並經平均數統計考驗結果,達統計上的顯著水準。第三,以互動會議(IM)建構出一組四階段「如何建構高雄市福音戒毒模式」之增強結構策略圖。

 

英文摘要:

Since affected by the United Nations, the solutions of Taiwan drugs treatment were adjusted from the moral perspective which focuses on punishment and imprisonment to medical interventions which include disease perspective and decriminalization which claims that although drug abuse is not a crime the addicted still have to be punished. Nevertheless, we consider the addicted´s physiological, psychological and social situation, the recurrence rate did not decrease. To address this issue, Gospel Rehabilitation presents a whole person recovery model in which spirituality is the core value and the addicted´s physiological, psychological and social situations are included. In that Taiwan National Conference on Judicial Reform in 2017 concluded that there is a necessity to constitute multiple treatments for the addicted and Gospel Rehabilitation finally has an opportunity to become one of drugs treatment solutions, the author deeply explored the development of Gospel Rehabilitation in Taiwan and the probability of becoming a regular policy and institution. The author hope that the Gospel Rehabilitation model can make a great contribution for the drug abuse treatment.
  The study uses Taiwan Christian Gospel Rehabilitation as an example and applies the research framework of Cross-domain Governance (CDG) including four domains and ten steps to manipulate the study procedure. Furthermore the author combines Public Affairs Management (PAM) framework which is compatible and complementary to CDG framework to analysis the current situation of drug treatment in Taiwan, uses Social Judgment Theory (SJT) to deconstruct individual cognition, and applies Interactive Management (IM) which manipulates the governance of democratic negotiation to explore following three purposes:(1) analysis the cognition of the related public administrators, experts in compound fields and all kinds of stakeholders in Kaohsiung and Pingtung in the success of treatment and essential variables during the period of Gospel Rehabilitation. (2) Using Kaohsiung as an example, offer a proposal of Gospel Rehabilitation which includes upstream, midstream and downstream systems and seamless connection with Gospel Rehabilitation; (3) promote the development and SOP of Taiwan Christian Gospel Rehabilitation model.
The study found that through four domains and ten steps of the research framework of CDG, we can clarify the complicated issues and combine facts, values and interpersonal judgments. Firstly, we constitute the concept of Gospel Rehabilitation of CDG applied research framework and achieve facts judgments of five surface cues including medical care, economic independence, social acceptance, governmental support and life change about which many stakeholders express their concern. Secondly, SJT found that there are significant differences among the weights of medical care, economic independence, social acceptance, and life change between public administrators and recovering substance users and through t test, there is a statistically significant level. Moreover, there is a significant difference between social acceptance and life change in the types of religion. Thirdly, we use IM to constitute a enhancing structure strategy figure including four phases in「How to constitute Gospel rehabilitation in Taiwan」.

 

文章連結:

https://hdl.handle.net/11296/fhp3jq

 

資料來源:

臺灣博碩士論文知識加值系統

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