藥癮康復者復元評估與社會復歸之相關性研究

A correlation study of recovery assessment and social rehabilitation about former drug addicts

蔡佩真(Pei-Jen Tsai)

物質濫用 ； 福音戒毒 ； 復元 ； 社會復歸 ； substance abuse ； Christian gospel rehabilitation ； recovery ； social rehabilitation

東吳社會工作學報

36期（2019 / 06 / 01）

57 - 85

繁體中文

研究目的：藥癮的復元不只是聚焦於戒癮，更關注復歸社會之後的生活，本文試圖了解藥癮康復者的復元與社會復歸狀況。研究方法：研究對象為基督教戒毒村停藥二年以上的藥癮康復者，採郵寄問卷調查法，收回114份有效問卷，受試者整體復元評估以「目標感與成就感」最佳，其次依序為「個人信心與想望」、「尋求協助的意願」、「信任他人」、「不受藥癮狀況支配」等面向，戒癮者對目前康復狀態仍持保守態度。復元評估分數越高，社會復歸實況越好。婚姻、工作、與復元評估量表對於藥癮者的社會復歸具有解釋力。研究結論：復元評估量表可作為評估工具與處遇指引，促進戒癮康復者之社會連結與強化內在復元資本，有助維持長期的戒癮成果以及順利社會復歸。

Purpose: The recovery of drug addiction is not only focused on detoxification, but also on the life after returning to society. The study survey the recovery and social rehabilitation of drug addicts and try to explore what factors are related to the social rehabilitation of drug addicts. Methods: The study participants were drug addicts who had stopped using illegal drugs for more than two years and returned to community. Using the mail survey method, a total of 114 valid questionnaires were retrieved. Results: The overall assessment of the subject's recovery was the best on ＂goal and success orientation＂, followed by the order of ＂personal confidence and hope＂, ＂willingness to ask for help＂, ＂reliance on others＂, ＂no domination by drug addiction situation＂ and so on. The best performing social rehabilitation is ＂avoiding recurrence and increasing resistance＂, the order of ＂friendship and support＂ and ＂keep in touch with institutions and the church＂ and ＂overall satisfaction and working conditions＂ were followed. The higher the recovery assessment score, the better the social rehabilitation. Conclusions: The recovery assessment scale can be used as an assessment tool and treatment guide. Promote social connections and strengthen internal recovery capital can help former drug addicts to maintain abstinence and social rehabilitation.

1. 劉素芬(2011)。社會功能與社區慢性精神病人復元之相關性研究—以社區復健中心與康復之家為例。臺大社會工作學刊，23，137-180。
   連結：
2. 蔡佩真(2015)。靈性與戒癮：基督教戒毒村海洛因戒癮者的靈性之旅。東吳社會工作學報，28，109-137。
   連結：
3. Cloud, W.,Granfield, R.(2008).Conceptualizing Recovery Capital: Expansion of a Theoretical Construct.Substance Use & Misuse,43(12/13),1971-1986.
4. Corrigan, P. W.,Salzer, M.,Ralph, R. O.,Sangster, Y.,Keck, L.(2004).Examining the factor structure of the recovery assessment scale.Schizophrenia bulletin,30(4),1035.
5. Deady, M. (2009). A review of screening, assessment and outcome measures for drug and alcohol settings. Retrieved January 15, 2018, from http://www.drugsandalcohol.ie/18266/1/NADA_A_Review_of_Screening,_Assessment_and_Outcome_Measures_for_Drug_and_Alcohol_Settings. pdf.
6. Dennis, M. L.,Scott, C. K.,Funk, R.,Foss, M. A.(2005).The duration and correlates of addiction and treatment careers.Journal of substance abuse treatment,28(2),51-62.
7. Flynn, P. M.,Joe, G. W.,Broome, K. M.,Simpson, D. D.,Brown, B. S.(2003).Looking back on cocaine dependence: Reasons for recovery.The American Journal on Addictions,12(5),398-411.
8. Giffort, D.,Schmook, A.,Woody, C.,Vollendorf, C.,Gervain, M.(1995).Construction of a Scale to Measure Consumer Recovery.Springfield, IL:Illinois Office of Mental Health.
9. Gonzales, R.,Hernandez, M.,Douglas, S. B.,Yu, C. H.(2015).Exploring the factor structure of a recovery assessment measure among substance-abusing youth.Journal of psychoactive drugs,47(3),187-196.
10. Granfield, R.,Cloud, W.(1999).Coming Clean: Overcoming Addiction without Treatment.New York:New York University Press.
11. Groshkova, T.,Best, D.,White, W.(2013).The assessment of recovery capital: Properties and psychometrics of a measure of addiction recovery strengths.Drug and Alcohol Review,32(2),187-194.
12. Heinz, A.,Epstein, D. H.,Preston, K. L.(2007).Spiritual/Religious experiences and in-treatment outcome in an inner-city program for heroin and cocaine dependence.Journal of Psychoactive Drugs,39(1),41-49.
13. HM Government(2010).,London:Home Office.
14. Jason, L. A.,Mericle, A. A.,Polcin, D. L.,White, W. L.(2013).The role of recovery residences in promoting long-term addiction recovery.American Journal of Community Psychology,52,406-411.
15. Kleinig, J.(2008).Recovery as an ethical ideal.Substance use & misuse,43(12-13),1685-1703.
16. Koslander, T.,Arvidsson, B.(2007).Patients' conceptions of how the spiritual dimension is addressed in mental health care: A qualitative study.Journal of Advanced Nursing,57(6),597-604.
17. Kubicek, K. R.,Morgan, O. J.,Morrison, N. C.(2002).Pathways to long-term recovery from alcohol dependence: Comparison of spontaneous remitters and AA members.Alcoholism Treatment Quarterly,20(2),71-81.
18. Laudet, A. B.(2008).The road to recovery: Where are we going and how do we get there? Empirically driven conclusions and future directions for service development and research.Substance use & misuse,43(12-13),2001-2020.
19. Laudet, A. B.(2007).What does recovery mean to you? Lessons from the recovery experience for research and practice.Journal of substance abuse treatment,33(3),243-256.
20. Laudet, A. B.,Stanick, V.,Sands, B.(2009).What could the program have done differently? A qualitative examination of reasons for leaving outpatient treatment.Journal of substance abuse treatment,37(2),182-190.
21. Laudet, A. B.,White, W.(2010).What are your priorities right now? Identifying service needs across recovery stages to inform service development.Journal of Substance Abuse Treatment,38(1),51-59.
22. Maffina, L.,Deane, F. P.,Lyons, G. C.,Crowe, T. P.,Kelly, P. J.(2013).Relative Importance of Abstinence in Clients’ and Clinicians’ Perspectives of Recovery from Drug and Alcohol Abuse.Substance use & misuse,48(9),683-690.
23. Margolis, R.,Kilpatrick, A.,Mooney, B.(2000).A retrospective look at long-term adolescent recovery: Clinicians talk to researchers.Journal of Psychoactive Drugs,32(1),117-125.
24. McLellan, T.(2010).What is recovery? Revisiting the Betty Ford Institute Consensus Panel definition: The Betty Ford Consensus Panel and Consultants.Journal of substance abuse treatment,38(2),200-201.
25. Miller, W. R.,Bogenschutz, M. P.(2007).Spirituality and addiction.Southern Medical Journal,100(4),433-436.
26. National Institute Drug Abuse Publication(2009).Principles of drug addiction treatment: A research-based guide.‎National Institute on Drug Abuse.
27. Neale, J.,Finch, E.,Marsden, J.,Mitcheson, L.,Rose, D.,Strang, J.,Wykes, T.(2014).How should we measure addiction recovery? Analysis of service provider perspectives using online Delphi groups.Drugs: education, prevention and policy,21(4),310-323.
28. Neale, J.,Nettleton, S.,Pickering, L.(2012).The everyday lives of recovering heroin users.London:Royal Society for the Arts.
29. Slade, M.(2009).The contribution of mental health Services to recovery.Journal of Mental Health,18(5),367-371.
30. US Department of Health and Human Services. (2006). SAMHSA issues consensus statement on mental health recovery. Retrieved January 10, 2018, from https://www.power2u.org/downloads/SAMHSA%20Recovery%20Statement.pdf.
31. Vaughn, M. S.,Deng, F.,Lee, L. J.(2003).Evaluating a prison-based drug treatment program in Taiwan.Journal of Drug Issues,33(2),357-384.
32. White, W. L.(2007).Addiction recovery: Its definition and conceptual boundaries.Journal of substance abuse treatment,33(3),229-241.
33. Wiklund, L.(2008).Existential aspects of living with addiction -part II: Caring needs. A hermeneutic expansion of qualitative findings.Journal of Clinical Nursing,17(18),2435-2443.
34. Witbrodt, J.,Kaskutas, L. A.,Grella, C. E.(2015).How do recovery definitions distinguish recovering individuals? Five typologies.Drug and alcohol dependence,148,109-117.
35. 林儹紘(2011)。以社會復歸觀點反思前科紀錄限制基本權之妥適性—從釋字第五八四號解釋談起。中央警察大學法學論集，20，1-46。
36. 張伯宏,郭文正(2010)。藥癮者復歸社區前之需求調查—出所轉介服務之省思。矯正月刊，211，11。
37. 黃家慶(2011)。臺北大學犯罪學研究所。
38. 黃庭筠(2014)。臺灣大學社會工作學研究所。
39. 楊士隆(2009)。法務部委託研究報告法務部委託研究報告,法務部。
40. 蔡佩真（編）(2016).物質濫用社會工作實務手冊.高雄:巨流圖書有限公司.

1. 韓意慈(2021)。社會支持網絡之再建構：民間宗教型戒癮安置服務內涵的質性分析。臺大社會工作學刊，44，45-84。
2. (2023)。誰會待得久？戒癮者於宗教型戒癮安置機構留置期間的影響因素。中華心理衛生學刊，36(4)，361-385。