優勢觀點運用於緩起訴藥癮團體處遇

本研究以立意取樣方式，由地方檢察署轉介緩起訴附命戒癮治療之非法藥物使用者，至中部某區域醫院參與緩起訴戒癮療程。共招募十位，每位藥物使用者皆參與12次的優勢觀點團體工作。資料蒐集方式為量化、質化並行，以增強權能量表、貝克憂鬱量表、生活滿意度量表在團體前、中、後期施測。並以團體歷程記錄表、團體結束後個別深度訪談方式進行研究結果分析。本研究整理出結論如下： 1.團體成員透過優勢觀點團體看見個人及團體的優勢，讓成員重新看待使用藥物的行為，以提升自我感及希望感，並建構團體外正向的人際網絡關係。 2.優勢觀點共融於每位藥物使用者，能提高團體出席率，對自我的揭露程度高，團體投入度及凝聚力更佳。 3.優勢觀點團體幫助藥物使用者往復元之路邁進，看見全人的復元狀況。 4.本研究團體對於藥物使用者的情緒議題、對生活滿意程度，未具有顯著影響性，可再搭配優點個案管理方式，持續進行處遇工作。根據研究發現與結論，提出藥物戒治實務工作上的建議，包含優點評量的運用時機、從團體工作延伸至個案及家庭工作、強化與地方毒品防制中心聯繫等，提供未來相關研究及實務工作之參考。

關鍵字

優勢觀點；復元；緩起訴附命戒癮治療；非法藥物使用者；團體工作

並列摘要

The study conducts strengths based group work with ten people, who were illicit drug users and the case of deferred prosecution forced to participate in the drug treatment according to the referral of District Prosecutors Office, by purposive sampling. Each participant fulfilled the treatment at a regional hospital in the central part of Taiwan and completed the strengths based group work 12 times in total. Based on the Empowerment Scale, Beck Depression Inventory, the satisfaction with life scale, we combine quantitative with qualitative to do the data collection, and fill in these questionnaires before, during and after the group work. The conclusions of this study are as follows: 1.Group Member can find advantage of himself (or herself) or group through strengths based group work. They will revise the perspective of using drugs, enhance the self-awareness and hope. Eventually, they can build the positive interpersonal relationships outside of the group as well. 2.Illicit drug users had a great feeling of the communion between himself (or herself) and strengths perspective. This approach can increase attendance, highly self-disclosure, and enhance the involvement and cohesion. 3.The strengths based group activities help participant stepping forward to recover himself (or herself), that is whole person recovery. 4.Participant can follow up this treatment with the case management when this treatment does not have significant effect to the case about the emotional issues and life satisfaction. We make some recommendations for the practice of drug treatment according to the results and conclusions. Such as (1) when to practice the strengths perspective; (2) how to extend to case and his (or her) family from group; (3) how to enhance the communication with local drug abuse prevention center. All these can be reference for practitioner and future study.