發展本土戒治醫療專業處遇方案－社區追蹤治療模式與社區藥癮復健治療模式之比較

Development of Local Drug Cessation Treatment Project-Comparison of Therapeutic Community and Case Management Focus on Community Treatment

薛瑞元(Jui-Yuan Hsueh)

《研考雙月刊》 31卷6期 (2007/12) Pp. 49-59

https://doi.org/10.6978/YKSYK.200712.0049

摘要

在行政院研考會及衛生署的推動下，國內第一家社區藥癮復健治療模式及社區追蹤治療模式，終於誕生。社區追蹤治療模式所需的成本與人力較少，並可依個案需求，提洪醫療服務與社會資源轉銜，但由於缺乏強制力，個案行蹤掌握不易且醫病關係不易維持。反觀社區藥癮復健治療模式的居民，可隨時接受各種治療，協助個案處理各種問題，並與原來使用毒品的環境脫離，惟其所需之成本與人力較高，需要居住時間夠久才有治療成效，因缺乏法律上的強制力，所以管理不易。但相較於替代療法只能針對海洛因注射的個案提洪治療服務，社區追蹤治療模式與社區藥癮復健模式則可以提洪治療服務給所有的藥癮病患，故發展這兩種有系統地、完整的本土化戒治醫療專業處遇模式，是不可缺少的重要一環。

關鍵字

社區藥癮復健治療治療性社區 ； 社區追蹤治療

並列摘要

Eventually the first therapeutic patterns of communal drug addiction rehabilitation and tracing were established under the supports of RDEC and DOH, Executive Yuan. The cost and human resources needed by the communal tracing therapeutic pattern are less, and which also provide the transfer of medical services and social resources by different case's demand. But due to the lack of legal compulsion, it is difficult to track the case and maintain the physician-patient relationship . The habitants of communal drug addiction rehabilitation therapeutic pattern can take various therapy whenever they need it and be departed from the original drugged environments. The cost and human resources demand of the latter are higher and it takes time to reach the effects. It is difficult to manage without the legal compulsion. These preceding two patterns are able to provide all drug addicts therapy, comparing with the displacing therapy which can only serve the heroin-addicts. It is unexpendable to develop these two systematic and completed local professional abstained patterns due to the above.

並列關鍵字

therapeutic community ； community treatment