毒品的存在由來已久，近年在生活壓力漸增下，毒品濫用的問題愈演愈烈，此可見諸於我國吸毒入監人數以及毒品吸食的再犯率屢創新高。在這樣的發展趨勢下，政府為了抑制社會毒品濫用的問題，減少犯罪與社會危害，遂推動地方毒品危害防制中心的政策措施，希望能結合政府與民間的資源與力量，共同進行反毒作戰。此一新的反毒政策創新成為本研究的主要焦點，在該政策預期達到的政策目的上，實質蘊含了政策網絡的組織連結概念，因此本研究運用政策網絡的概念分析工具與觀察架構，以現有反毒文獻較缺乏的政策執行過程面向切入，意圖深入了解地方毒品危害防制中心的實際運作。 本研究主要採取深度訪談法與次級資料分析法，從縱貫面的觀察架構輔以橫切面的要素分析，企圖了解地方毒品危害防制中心的實際運作內涵。研究發現該政策主要是植基於應急式的反毒政策推動，為了因應漸趨嚴重的毒品問題，政府採取運用現有的組織資源方式來做政策推動，在此資源侷限下，主責單位僅能以建立網絡、遊說與政策指導、尋找資源的策略來加以因應，實際產生的政策變革有限，組織間的連結也為初步形成的弱連結型態。除此之外，中心組織運作所抱持的反毒醫療、輔導觀點在實質運作中也遭遇吸毒犯心理依賴強烈與病識感不足的困境，實質進展有限。因此，本研究建議應在中央政府成立專責的反毒機構，擺脫現有反毒資源不足的困境；對於民間而言，更應擴大其政策參與的角色；而就現有的政府機關協調問題上，應指派專門的政務委員進行部門間的政策協調工作，讓毒品政策的組織衝突能獲得解決；最後，在現有的社區輔導成效有限下，應回歸監獄輔導與職訓功能的強化。 / Drug has existed for a long time. Recently, due to the escalating life stress, drug abuse problem becomes much more serious in the society. The growing number of people sent to jail for drug abuse and high percentage of retaking drugs are evidences in this trend. In order to tackle this problem, our government set up the local drug prevention and control center. Through this organization, they hoped that it can put government and non-governmental organizations together to prevent drug abuse and crimes. This research focuses on this innovative organization. By using policy network analysis, the research tries to understand the policy implementation of local drug prevention and control center. This research adopts in-depth interview and secondary data analysis to investigate the implementation of local drug prevention and control center. The research findings reveal several things. First, the government set up local drug prevention and control center to solve drug problem. However, because drug policy had long been neglected and drug users had strong psychological dependence, the resources that anti-drug actors can use were always scarce. Under this circumstance, the local drug prevention and control center took the form of task force but had few resources available. Second, network-building, persuading, policy guidance and resource-seeking were the strategies that actors used in policy implementation. In fact, the policy transformation did happen, but limited. Policy network formation was one of the changes worth noting, even though the networks were primary type and weak-tied. Last, lack of sick awareness in drug user group made policy implementation even more difficult. Based on these findings, the research suggests that it should set up a specialized, dedicated organization responsible for drug policy in the central government; drug policy planning and implementation must include more non-governmental actors; the government should designate one minister of state in charge of drug policy coordination; finally, the drug policy implementation ought to focus on the counseling and job training in the jail, rather than in the community.

毒品濫用問題乃世界各國共通之施政難題，我國政府於1993年宣布向毒品宣戰，並在2005年8月引進美沙酮替代療法（Methadone Maintenance Treatment，MMT），於全國各縣市推動毒品減害計畫。但歷經十餘年之努力，毒品人口與整體毒品再犯率截至2010年底並未明顯降低，足見毒品防制政策有全面檢視問題癥結，重新調整執行策略之必要。本研究就此現象探討三項議題：1.毒品防制領域，IT有無著力之空間？ 2.以美沙酮替代療法為主之毒品防制策略在台灣地區推行是否發揮預期的效果？現行做法有無改善空間？ 3.出監毒癮者復歸社會後再犯率高，其最需要政府的幫助為何，方能有效降低再犯毒品罪之誘因？。三項議題互為關聯。 本研究探訪毒品防制第一線工作人員，並參考國內外毒品減害文獻，歸納目前毒品危害防制工作推動上的困境，探究IT可出力之空間，並提出“毒品成癮者資訊總歸戶”的概念。整合法務、警政、衛生醫療等毒品防制資訊，建立跨部會即時歸戶資料庫並建立部會間協同作業之標準作業程序（SOP），以提升毒品防制工作之效率。進而運用歸戶系統之客觀數據，評量毒品替代療法政策之推行成效，並實際訪問領域專家及調查毒品犯社會適應之困難與需求，以歸納具體、可行之解決方案。 研究發現資訊系統可改善毒品危害防制中心效率，但不能單獨讓毒品防制工作之網絡有效運轉，現行毒品防制組織、制度問題之發現與解決更是關鍵。本文並依客觀數據之分析及實地訪問、調查結果，提出多項制度變革之建議，以供政府權責機關參採。 / Background:Drug abuse problems have been a global concern issue. Taiwan’s government introduced Methadone Maintenance Treatment (MMT) in Aug. 2005, now it has become one of the major strategies in fighting drug abuse. Whereas, up to 2010 MMT strategy still not shows effectiveness in reduce drug population and recidivism. The aim of this study is to: Provide the value to the Drug Abuse Provention System in R.O.C.through IT approach,and to evaluate whether MMT is performed adequately in Taiwan.If not,what are the key factors? The study will provide objective evidence and suggestions to authorities for better decision making. Methods: This study used Prove of Concept (POC) and experiment approachs. Build software system and SOP to prove the concept of “National Drug Addicts Supporting and Monitoring System (NDASMS)” can enhance the efficiency of Information Intergration among government agencies of drug prevention effectively. The study also used the data of NDASMS to evaluate the efficacy of MMT implementation in Taiwan, and find the reasons why MMT dose not work as expected. Result: The IT approach have been proved that enhance the infromation integration effectively among agencies, but IT can,t make the Chain of National Drug Provention Mechanism improve alone.The adequacy of MMT implementation and its supporting measures in Taiwan need to be further examined.