對藥癮者而言，是需要互相信賴的合作與協調的處遇方法，須由社會與藥癮者共同面對的 困難，本研究期待探討推動社區化藥癮戒治方案的成效與困境。首先以戒治所收容的藥癮者為 研究對象，參考健康信念模式（health belief model）瞭解其就醫行為，再者針對毒品危害防制中 心相關業務負責人員及醫療機構執行美沙冬（methadone）療法之團隊成員進行焦點團體訪談， 以進一步了解推動藥癮戒治個案社區化工作模式的看法。研究分析歸納出藥癮戒治服務團隊面 臨的困境包含：（1）各機構間的個案管理工作權責有待協調整合；（2）藥癮個案聯繫追蹤困 難重重，需要更多配套機制及技巧；（3）仍需加強各機構間垂直委任關係並提高其互動緊密度。 藥癮戒治工作模式儼然發展出團隊工作模式，本研究依輔導人員服務面臨的困境，期能透過（1） 以個案管理模式來整合藥癮戒治服務團隊；（2）政府政策是推動個案管理工作的重要主導力量； （3）儘速法制化毒品危害防制中心的組織定位，以發展出整合及協調的機制。此外，藥癮個案 接受減害計畫方案確實能使其情況日漸穩定，團隊服務的成效也獲得個案肯定，為達藥癮個案 面對藥物濫用的成癮行為與藥癮戒治的管理之雙贏局面，建議加強各機構間個案管理工作的統 合，並建構更具持續性、多元性的藥癮戒治社區化政策，同時法制化及強化毒品危害防制中心 的功能。

Drug addicts are in need of a reliable community scheme that encourages them to make a determined effort to turn over a new leaf. Given that drug addicts are isolated in the state from the society. This study first employed the health belief model to investigate the health-care-seeking behavior of drug addicts at a treatment center and then conducted focus-group interviews with practitioners at drug abuse prevention centers and with methadone replacement therapy to explore their opinions on the implementation of a community-based customized drug treatment program. The plight faced by drug addiction physical therapy services team comprises: (1) the jobs and duties of the local drug treatment practitioners should be integrated to handle individual cases; (2) drug treatment institutions should coordinate their authority and responsibility regarding case management; (3) government intervention is the driving force behind the implementation of case management. Team to develop integration and coordination mechanisms: (1) the considerable difficulty in tracing individual addicts should entail more contingency approaches; (2) supervisor-subordinate communication at drug treatment institutions should be improved; and (3) drug abuse prevention centers should be empowered to exercise some extent of legal authority. This study also found that drug addicts previously involved in a harm-reduction program would live a progressively better life. Therefore, to create a win-win situation between drug addicts and drug treatment management systems, case management tasks performed by each treatment institution in a local region should be coordinated, thereby yielding a sustainable, varied community-based treatment program and enhancing the capabilities drug abuse prevention centers.