Factors Associated with Dropout of Suspended Indictment Drug Offenders from Coerced Group Therapy

緩起訴毒品犯強制團體治療之退出相關因素

劉明倫(Ming-Lun Liu) ； 黃孋娟(Li-Chuan Huang) ； 許鶯珠(Ying-Chu Hsu)

《台灣精神醫學》 22卷4期 (2008/12) Pp. 278-286

https://doi.org/10.29478/TJP.200812.0004

摘要

目的：本研究的目的在評估毒品犯強制團體治療的結果，分析退出治療的可能原因。方法：研究針對41位被判緩起訴的毒品犯，進行四個梯次，每一梯次為期24週的強制團體治療，比較完成團體組與未完成團體組之間的差異。結果：完成團體治療與中途退出治療的毒品犯在性別、年齡、教育程度、毒品前科、非毒品前科、使用毒品的種類、以及使用時間長短各變項間無顯著差異。團體過程中，無法完成團體者其缺席次數，遲到次數，以及尿液毒品篩檢呈陽性反應的比例，與完成團體者之間達統計上的差異。結論：完成團體的毒品犯在減少毒品使用行為上有明顯的效果。從基本資料以及過去的犯罪史與毒品使用史，無法預期強制治療的結果。團體治療過程中缺席、遲到、工作情形、與毒品陽性反應，可以預期毒品犯是否無法完成治療。

關鍵字

緩起訴毒品犯 ； 強制團體治療 ； 退出原因

並列摘要

Objective: To evaluate and to analyze the possible factors associated with dropout of drug abusers from coerced group treatment. Methods: We divided 41 suspented indictment drug offenders into four 24-week coerced group treatment programs. Comparisons were made between those who completed the group treatment (completers) and those who did not (dropouts). Results: We did not find any significant difference between the completer and dropout groups in gender, age, education level, previous drug abuse convictions, non-drug-related convictions, types of substance use, or substance use duration. But the significant differences were found between the groups in the number of absences, latenesses, and the percentage of positive urine tests. Conclusion: In this study, the completers were found to have a significant reduction in illicit drug use behavior. Future treatment dropouts cannot be predicted from the demographic data, previous conviction history, and past substance abuse history. But the number of absences from treatment and latenesses for treatment, employment status, and positive urine drug tests can predict whether the offender will complete the group therapy.

並列關鍵字

suspended indictment drug offenders ； coerced group therapy ； reasons for dropout

參考文獻

Weiss RD,Jaffee WB,De Menil VP,Cogley CB(2004).Group therapy for substance use disorders: what do we know?.Harv Rev Psychiatry.12,339-350.

Marques AC,Formigoni ML(2001).Comparison of individual and group cognitive-behavior therapy for alcohol and/or drug dependent patients.Addiction.96,835-846.

Department of Health,Ministry of Justice,Ministry of Education,Executive Yuan(2005).(Taiwan: Anti-drug Report).

Wild TC,Roberts AB,Cooper EL(2002).Compulsory substance abuse treatment: An overview of recent findings and issues.Eur Addict Res.8,84-93.

Klag S,O''Callagban F,Creed P(2005).The use of legal coercion in the treatment of substance abusers: An overview and critical analysis of thirty years of research.Subst Use Misuse.40,1777-1795.