Addiction chronic relapsing disease Drug problems biopsychosocially related

藥癮是慢性疾病 • Addiction: chronic relapsing disease 成癮: 慢性易復發疾病 • Drug problems: bio-psycho-socially related phenomenon, also involve with cultural, political, economical issues and more. 藥物濫用問題: 生理心理社會因素, 文化, 政治, 經濟等

門診模式 • 以門診追蹤持續提供治療服務 • Drug Free, 不使用替代藥物 – – – Drug counseling，個別及團體 Cognitive behavior treatment, relapse prevention Motivational interviewing, enhancement, Contingency Management Family therapy • 持續的監測 • 建立不使用毒品的生活

BRENDA model • Biopsychosocial evaluation • Report to the patient on assessment • Empathic understanding of the patient’s situation • Needs collaboratively identified by the patient and treatment provider • Direct advice to the patient on how to meet those needs • Assess reaction of the patient to advice and adjust as necessary for best care

Reported Cases of HIV/AIDS by Year of Diagnosis in Taiwan, 1984 -2008 HIV AIDS § Cumulative HIV cases: 16, 748 § Cumulative AIDS cases: 5, 183 § Cumulative AIDS deaths: 2, 199

Annual Numbers of Newly Reported HIV Cases by Mode of Transmission, 1984 -2008 2, 377 1, 761 613 705 377

Effects of education on harm-reduction programmes Shu-Yu Lyu, Lien-Wen Su, *Yi-Ming Arthur Chen Lancet 2011

自助團體 self-help group • AA Alcohol Anonymous • NA Narcotic Anonymous • 12 step program

減害原則的介入方式 • 個案管理 • SBIRT – Screen – Brief Intervention – Refer to Treatment