家庭暴力加害人處遇計畫執行現況

Current Status of Management for Domestic Violence Assailants

林世棋(Shih-Chi Lin) ； 陳筱萍(Shiou-Ping Chen) ； 孫鳳卿(Feng-Ching Sun) ； 周煌智(Frank Huang-Chih Chou)

《台灣精神醫學》 21卷3期 (2007/09) Pp. 208-217

https://doi.org/10.29478/TJP.200709.0007

摘要

目的：調查台灣地區家庭暴力加害人處遇計畫之執行現況與所遭遇之困境。方法：以郵寄自行設計經專家效度檢驗之問卷，針對目前台灣地區63家執行家暴加害人處遇計畫之機構進行調查。結果：處遇計畫大多由機構內精神醫療人員執行，其中95%的業務承辦人均具有精神科資歷，執行人員主要為社工師、醫師與心理師。近九成的執行機構都有標準作業流程與配置相當之治療室供治療時使用。約有六成機構之加害人報到率達75%以上，57.1%的機構處遇之加害人流失率在25%以下，而有八成的機構可達50%以上之完成率。處遇的困境主要出現在個案部分，包括否認與防衛的態度、無法繳交治療費、出席狀況差、不遵守治療規定與沉默不說話；以及工作人員部分，包括人力不足、意願不高、增加工作負擔與訓練不足。結論：目前台灣家庭暴力加害人之治療正在起步階段，雖有標準之作業流程，然整體成效仍待評估，尤其針對所遭遇的困境，值得我們投入更多之人力與更充足之訓練。同時，建議對加害人進行分類評估，以提昇整體處遇計劃之成效。

關鍵字

家庭暴力加害人 ； 處遇計畫

並列摘要

Object: This study investigated the current status of treatment programs for domestic violence (DV) assailants in Taiwan. Method: Data were collected from sixty-three facilities using a questionnaire designed by the researchers. Results: Ninety-five percent of therapists treating DV assailants were psychiatric professionals, mainly social workers, doctors, and psychologists. Nearly 90% of facilities had standard protocols and appropriate therapy rooms for treating DV assailants. Sixty percent of these facilities reported attendance rates by assailants of over 75%; 57% reported a dropout rage lower than 25%, and 80% reported completion rates exceeding 50%. The main difficulties in treating DV assailants were: (1) denial and guarded attitudes on the part of DV assailants themselves, inability to pay for treatment, absences, disobedience of the therapeutic rules, and silence or refusal to talk; (2) shortage of personnel, increasing workloads, unwilling attitudes, and inadequate training among therapists. Conclusion: Although there were standard protocols for treating DV assailants in most facilities, treatment outcomes remained unsatisfactory. To resolve these difficulties, more personnel and more training are needed. In addition, classification of DV assailants may improve treatment outcomes and prevent waste of limited resources.

並列關鍵字

domestic violence ； assailant ； treatment outcome

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