家庭暴力庇護所的物質濫用與治療需求: 新北市服務提供者的觀點

Abstract

本研究旨在探討新北市家庭暴力庇護所中物質濫用治療的需求與選擇，以期能更深入理解尋求或可能尋求庇護的婦女其酒精、毒品及其他物質濫用問題的性質與範圍，透過專業人員的意見，探究家庭暴力庇護所中有效且可行的治療選擇及需求，評估這些選項是否能為我國當前社會所接受及使用，並藉此作為未來相關研究及實務工作之參考。研究結果顯示物質濫用在新北市家庭暴力庇護所中普遍存在，多數專業人員認同物質濫用與家庭暴力有顯著關聯，但庇護所內提供的戒癮治療與支持服務普遍被認為資源不足、面臨居民參與度低及專業人員短缺及經費限制等挑戰，大多數受訪者支持將物質濫用治療納入庇護所，認為有助於改善家庭關係和居民健康，但也擔憂可能增加庇護所的運營壓力與資源分配不均、不同專業領域人員對於庇護所內物質濫用問題的認知略有差異。研究建議強化庇護所內戒癮治療的資源與政策支援，也應加強跨專業合作，促進社政、醫療、衛政等單位共同提升對物質濫用問題的處理能力，並結合藥物輔助治療與心理社會介入等實證方案，透過政策支持與跨領域協作，建構更完善的社會防治網絡，未來研究應進一步評估在庇護所內實施物質濫用治療的可行性與成效，並考量資源限制與住民安全。

This study examines the needs and treatment options for substance abuse in domestic violence shelters in New Taipei City. It aims to better understand the nature and scope of alcohol, drug, and other substance use issues among women seeking refuge, and to explore effective and feasible treatment approaches based on professionals’ insights. The goal is to assess the acceptability and applicability of these options within Taiwan’s social context and provide a reference for future research and practice.Results show substance abuse is common in these shelters, with most professionals recognizing a strong link between substance abuse and domestic violence. However, existing addiction treatment and support services face challenges such as limited resources, low resident participation, staff shortages, and funding constraints. Most respondents support integrating substanceabuse treatment into shelter services, seeing it as beneficial for improving family relationships and resident health, though concerns remain about increased operational pressure and resource allocation. Differences in perceptions across professional fields were also noted.The study recommends enhancing resources and policy support for addiction treatment in shelters and promoting interdisciplinary cooperation among social services, healthcare, and public health sectors. It suggests combining medication-assisted treatment with psychosocial interventions to build a more effective prevention network. Future research should further assess the feasibility and impact of these treatments in shelters, considering resource limits and resident safety.