來自單親家庭的一位少年,自幼由祖母及父親撫養長大,父親管教態度過於情緒化,在他成長過程中動輒言語羞辱以及體罰管教,因此少年經常與父親發生衝突。國中畢業後,高中只讀一學期便主動申請休學,休學後穩定就業一年半,但因交友不慎加上親子衝突,經常逃家、外宿,更在1年多前開始接觸K他命,使用近一年之久。

不只戒癮 回歸生活改善親子關係

負責此少年的法院調查保護官,將他轉介至臺北市立聯合醫院昆明防治中心接受「獨特少年:青少年評估至輔導就醫之整合性戒癮服務」,希望結合醫療資源,協助少年步上正軌。少年剛開始態度極為防備,經常不接電話,也總是找藉口不到診。但透過昆明防治中心個案管理師持續的陪伴下,才漸漸卸下心防,願意接受協助與追蹤。

昆明防治中心個案管理師並安排這位少年個別心理治療,透過穩定的回診與聯繫,日常生活也趨於穩定,工作也步上軌道。更重要的是,讓少年開始能和父親能主動溝通、打破父子間的隔閡,並藉此機會解開心結,改善與父親之間的關係。同時,也讓少年得以漸漸改善毒品成癮的問題。

整合各科資源 穩定給予協助

臺北市立聯合醫院昆明防治中心組長賴玉芳表示,自從「獨特少年」開辦以來,昆明防治中心與地方少年法院,開始合作司法少年個案的轉介與相關服務。在過程中,看到許多少年對生活造成許多影響,也因使用毒品逐漸改變了家庭關係。為了讓少年能脫離成癮、回歸日常,透過「獨特少年服務方案」,讓有毒品成癮、需要戒治的少年,經過醫師、心理師、社工師或個案管理師的藥癮專業評估後,安排心身醫學科、精神科、成癮戒治科門診治療、深度心理治療及團體治療,希望透過穩定的就醫幫助戒癮。

同時,面對家庭問題,昆明防治中心也會在評估過後,安排家族治療或家屬支持團體,並透過個案管理師持續針對家長面對的親職問題提供相關資訊及服務。因為家庭是否能夠好好支持並陪伴藥癮少年面對問題,是少年能否持續戒癮很重要的因素。

A teenager from a single-parent family was raised by a grandmother and father since childhood. His father’s attitude toward discipline was too emotional. During his growth, he was vocal, humiliated and corporal punishment, so teenagers often clash with his father. After graduating from the middle school, the high school read-only one semester will take the initiative to apply for suspension of school. After the suspension of school, it will be stable for one and a half years. However, due to the carelessness of friends and family conflicts, they often flee home and stay outside, and they have begun to contact K. Used for nearly a year.

Not only addiction, returning to life, improving parent-child relationship

Responsible for the juvenile's court investigation and protection officer, he was referred to the Kunming Prevention and Treatment Center of the Taipei City United Hospital for “Individual Juvenile: Integrated Assessment to Counseling and Integrated Drug Addiction Service”, hoping to combine medical resources to help the teenagers get on the right track. The young boy was extremely prepared at the beginning, often did not answer the phone, and always found an excuse for not being diagnosed. However, through the continued accompanying case manager of the Kunming Prevention and Control Center, the mental defense was gradually removed and he was willing to accept assistance and follow-up.

The case manager of the Kunming Prevention and Control Center also arranged the individual's individual psychotherapy. Through stable return and contact, the daily life has also stabilized and the work has also been on track. More importantly, let the boy begin to communicate with his father actively, break the gap between father and son, and take the opportunity to solve the knot and improve the relationship with his father. At the same time, it also allows teenagers to gradually improve the problem of drug addiction.

Integrate various resources, provide stability and assistance

Lai Yufang, head of the Kunming Prevention and Control Center of Taipei City United Hospital, said that since the opening of the "unique boy", the Kunming Prevention Center and the local juvenile court have begun to cooperate with referrals and related services for judicial juvenile cases. In the process, many teenagers have been seen to have many impacts on their lives, and they have gradually changed their family relationships because of the use of drugs. In order to enable youngsters to break away from addiction and return to their daily lives, through the "unique juvenile service plan", teenagers who are addicted to drugs and need to be treated will be assessed by the drug addiction of doctors, psychologists, social workers or case managers. Arrange for psychosomatic medicine, psychiatry, addiction and treatment, outpatient treatment, intensive psychotherapy and group therapy. I hope to help you with addiction through stable medical treatment.

At the same time, in the face of family problems, the Kunming Prevention and Control Centre will also arrange family therapy or family support groups after the assessment, and continue to provide relevant information and services to the parental problems faced by parents through the case manager. Because the family can support and accompany the drug addicts to face problems, it is a very important factor for teenagers to continue to be addicted.

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