
衛生福利部桃園醫院精神部主任蘇柏文指出,反毒工作應包含防堵、預防、辨識、治療與復原的連續過程,強調查緝與專業介入不可偏廢,並分享成癮治療經驗,強調理解使用原因並非找藉口,而是尋找安全替代方案的關鍵,復原非一條直線,減害旨在減少傷害並維持治療連續性。
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近日毒品防制與戒癮減害政策成選戰熱門攻防議題,社會大眾關心毒品問題增加。
2026/10/04 10:53
衛生福利部桃園醫院精神部主任蘇柏文表示,反毒並非單一措施,查緝與專業介入不可偏廢。(桃園醫院提供)
〔記者鄭淑婷/桃園報導〕近日毒品防制與戒癮減害政策成選戰熱門攻防議題,衛生福利部桃園醫院精神部主任蘇柏文表示,社會大眾關心毒品問題是一件好事,但反毒並非單一措施,而是從防堵、預防、辨識,到治療與復原的連續性過程,「對還沒使用毒品的人,與已經開始接觸甚至成癮的人,本來就不能只用同一套方法」。
蘇柏文指出,當一個人已經開始使用毒品,甚至逐漸形成依賴時,專業介入就是協助他走向復原的重要途徑。查緝與專業介入並不衝突,更不可偏廢。前端透過查緝、檢驗與預防,降低毒品進入社會及毒品取得的機會;當一個人已經受到毒品影響,則需要醫療、心理、家庭與社會支持。
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蘇柏文分享第一線成癮治療經驗,許多個案與家屬常過度聚焦於「有無再次吸毒」,一旦復發便認定戒毒失敗、過去努力歸零。在桃園醫院的成癮治療過程中,團隊經常陪伴個案探討「是什麼讓你這麼需要毒品帶來的效果」,這個問題對不少個案來說非常陌生,因為很少有人陪著他理解,為什麼明明知道可能造成傷害,自己還是一次又一次回到毒品身上。
蘇柏文強調,理解使用原因絕非替其找藉口,而是唯有釐清毒品滿足了何種生理或心理需求,專業人員才能協助個案尋找安全且健康的替代方案。例如因工作需提神者,可透過藥物與作息調整維持功能,因空虛無聊者,則需重新探索其他生活重心。
蘇柏文表示,復原並不容易,也很少是1條直線。有些人一開始還做不到完全停止使用,治療過程中就會先和他討論如何保護自己、減少使用及降低傷害,陪伴他走在戒毒的復原之路,「減害不是鼓勵使用毒品,而是在一個人還沒有辦法完全停止以前,先想辦法減少傷害,也讓他有機會繼續留在治療裡」。而過程中可能再次使用或遭遇挫折,但1次復發並不代表過去所有努力歸零,更重要的是理解這次為什麼再次使用、當時真正需要的是什麼,以及下1次能不能多1個不同的選擇。
「反毒工作需要不同階段彼此銜接。」蘇柏文表示,對尚未接觸毒品的人,需要預防、識毒與拒毒;對毒品製造、運輸與販賣,需要查緝與防堵;對已經受到毒品影響的人,則需要戒癮治療與專業支持,「反毒不是一道單選題,查緝與專業介入不可偏廢,不只要把毒品擋在外面,也要接住已經掉進去的人」。
☆少一份毒品就多一份健康,自由時報提醒您遠離毒品☆

The Chiayi County Government has provided influenza and COVID-19 vaccination services since October 1. Those who complete the vaccination will be rewarded with health coins. People who receive both vaccines at the same time can receive up to 1,350 health coins. County Mayor Weng Zhangliang and Health Director Zhao Wenhua call on the public to actively get vaccinated to improve their protection.

The dermatology team of the University of Bologna in Italy reported at the 2026 meeting of the European Society of Dermatology and Venereology that 39% of those who used GLP-1 receptor agonists reported nail peeling, compared with only 9% of the control group; 66% reported at least one nail abnormality, and scalp problems such as hair loss and redness, but the study only showed correlation and not causation.

Children's General Hospital celebrated its 55th anniversary and held the "55 Children's Walk, Green Life" sports party at Chung Kong High School, attracting nearly 3,000 employees and their families. The event was based on the concept of green sustainability and included food stalls, parent-child activities and competitions. It received support from Chen Liangyu, Director of the Health Insurance Agency of the Ministry of Health and Welfare, Chen Lijuan, Deputy Director of the Taichung City Health Bureau, Legislators Tsai Chi-chang, He Xinchun and many legislators.

In line with the national drug prevention policy, the Taichung City Government provides methadol and butylnorphine maintenance treatment and clean needle harm reduction services. Currently, there are 18 designated drug addiction institutions and drug administration points, and more than 50 hospitals, pharmacies, and health clinics provide clean needle recycling, aiming to reduce the risk of infectious diseases for drug addicts and assist in drug rehabilitation.

In line with the national drug prevention policy, the Taichung City Government provides methadone maintenance treatment and clean needle harm reduction measures. There are 18 designated drug addiction institutions and drug administration points in the city, serving approximately 4,000 people under drug control, aiming to reduce the harm of drug addiction and blood-borne infectious diseases.

Zhang Tianhao, a specialist in tourism medicine at Zhubei Dongyuan General Hospital, pointed out that before going abroad, you should check the "International Travel Prescription" on the official website of the CDC to understand the epidemic situation and prevention recommendations at the destination, and then discuss the vaccination needs with the doctor. He also recommends confirming the latest epidemic situation again 4 to 6 weeks before departure to ensure a healthy journey and a safe return home.