分流處遇模式的提出與推行：以高雄毒品犯緩起訴分流處遇為例

Promoting and Implementing the Risk and Needs Triage: An example of Drug Probation Diversion Program in Kaohsiung

李思賢(Szu-Hsien Lee) ； 徐倩(Qian Xu) ； 蔡孟璋(Meng-Chang Tsai)

《藥物濫用防治》 4卷2期 (2019/06) Pp. 57-74

https://doi.org/10.6645/JSAR.201906_4(2).3

摘要

分流處遇的主張是基於不同的毒品對於大腦與身體有不同的作用機制，對於大腦與身體的傷害在過去研究證實會導致不同程度的健康問題。對於藥物施用者採取同一套的處遇流程與內容，除了沒有針對藥物施用者的問題進行處遇，導致處遇效果受限，也並非有效的資源配置。李思賢等（2014）提出分流處遇模式，並引進美國法院採用的RANT量表，完成中文化、本土化與建置良好信度與效度（李思賢，2014，2016），銜接檢察官給予緩起訴時，能有客觀評估的工具與依據，並依據評估結果建置多元社區處遇。本文是介紹分流處遇模式與RANT在高雄地檢署與高雄長庚紀念醫院於2018年開始推動下，實際執行的過程與還有待解決的問題。

關鍵字

社區處遇 ； 緩起訴 ； 再犯風險 ； 藥事法庭 ； 分流處遇模式 ； 醫療需求

並列摘要

Diversion is due to the fact that the mechanism of a variety of drugs on the brain and physiology is different. Use the same procedure and intervention to all people who used drugs did not respond to the needs of individuals but also had limited intervention effects, consequently lower the cost benefit of resources allocation. Lee et al. (2014, 2016) proposed a diversion model with a great reliability, validity, and indigenous Chinese version RANT used in the US drug courts to link individuals with deferred prosecution to objective assessment and evaluation which provides opportunity to establish community based programs to correspond to individual needs. This paper is to retrospect the procedures and barriers of delivering the RANT and the proposed Diversion Model collaborated between the Taiwan Kaohsiung District Prosecution Office and Kaohsiung Chang Gung Memorial Hospital.

並列關鍵字

Community treatment ； Deferred prosecution ； Criminogenic needs ； Drug court ； Diversion intervention model ； Medical needs