2021 Taiwan Lourdes Association Annual Report

Since 1997. Taiwan Lourdes Association (Hereinafter abbreviated as TLA) has entered to its 25th year. Based on the service provided this year, we have summarized our achievements into four main categories :



In 2021, the overall volume of case services remained roughly stable. Observing the age trend of the overall service recipients in recent years, we noticed a gradual increase in the average age of the service recipients. Particularly noteworthy is the fact that in 2020, the average age of heroin users served by our Taipei office surpassed 50 for the first time. While only about one-fifth of the service recipients were new cases this year (2021), comprising 18%, it is evident that the age of those seeking assistance differs from the age distribution in CDC statistics on infection.

Upon further examination, our service recipients include people living with HIV/AIDS(Hereinafter abbreviated as PLWHA) we have served more than 20 years ago, as well as newly added service recipients each year. However, the broader societal stigma and discrimination surrounding "substance abuse," "HIV," and "LGBTQ+" persist to some extent. Additionally, private financial assistance organizations have become increasingly stringent in determining eligibility for emergency relief and other financial aid in recent years. Based on the observation of our referrals situation, we could find a gradual decline on the sources from external units. The reduction is not indicative of a lack of demand but rather reflects a diminishing availability of external system resources and energy. Despite these challenges, the economic needs of service recipients persist. Facilitating their reintegration becomes increasingly difficult.



In 2019, our organization received subsidies from the Ministry of Health and Welfare, allowing us to leverage our accumulated years of experience from the Chaolu  Farm and expand it into a therapeutic community for addiction treatment. After months of preparation, we officially commenced operations in 2020. Guided by a harm reduction approach that respects human dignity, our intervention covers the holistic aspects of individuals, including physical, psychological, interpersonal, social, occupational, and spiritual dimensions. Our goal is to empower individuals on their journey toward recovery. Through reflective learning during the service process, we continuously make rolling adjustments, accumulating localized experience in harm reduction therapeutic community services.

From September to October, a two-month series of international seminars on harm reduction psychology was held, enhancing harm reduction knowledge through online sessions, videos, and post-event discussions. In recent years, there has been an increase in cases involving non-opioid substance users with comorbid mental health conditions. Workshops, practical exercises, and simulations were conducted to enhance the professional capabilities of our staff.



In the first half of 2021, the COVID-19 pandemic led to the suspension of individual counseling and volunteer care visits to detainees in correctional facilities. Instead, we provided counseling services through written correspondence, offering consultations, emotional support, and counseling to maintain continuous support. Furthermore, various in-person gatherings and group activities, such as DA groups, shifted to online formats. This facilitated virtual gatherings, creating a safe and comfortable space for communication and enhancing opportunities for interpersonal support. Taking the Hualien and Taitung regions as examples, where resources are limited and the terrain is challenging, conducting online meetings factored in the reduced travel distance, thereby increasing member participation. As the pandemic situation gradually improves in the latter half of the year, we've resumed both physical and online activities, considering the differences in the nature of in-person and online gatherings. This approach ensures that service recipients can participate in activities, fostering positive connections without being hindered by geographical location or time constraints.


(4) Advocacy

With the international medical research confirming the concept of U=U (Undetectable=Untransmittable), the 21st article of HIV Infection Control and Patient Rights Protection Act. in Taiwan underwent an amendment. The original regulation stated, ‘The definition of unsafe sex involve direct contact without the use of protective barriers for organ mucous membranes or body fluids, with a medical assessment indicating a potential risk of HIV infection.' The amendment now reads, ' The definition of unsafe sex shall be formulated by the central competent authority following the relevant regulations outlined by the World Health Organization.' This amendment was announced and implemented on July 21, 2021. Our organization has used various means such as press conferences and videos to help the public understand the U=U concept. This effort contributes to a reconsideration of the existing systems related to PLWHA and strives to create a more understanding and compassionate society


(5)Statistical Summary Table





Direct Service

Community Care

  • Professional Case management
  • Resources linking
  • Advocacy
  • Direct service contact count of 1,359 people
  • 1,105 cases with simple needs or advisory
  • There are 242 cases with multiple needs constituting 18% of the total cases.
    Gender ration is 9 :1.
    The age distribution is as follows:
    41-50 years old make up the majority at 40.9%, followed by 31-40 years old at 26%, and those aged 51 and above at 17.8%.
    Among them, opioid addicts constitute the largest group at 37.19%, followed by non-opioid substance users at 35.54%, and non-substance users at 27.27%
  • 12 advocacy cases; All related to medical.

The total contact count for various services throughout the year exceeds 400,000 people

Financial Aid

  • Life, Medical, Housing and others(including referrals)
  • 718 times
  • 80% of demands have been alleviated.
  • Total Amount: NTD 1,431,147


  • Telephone consultation, Counseling Sessions, Consultation, Advisory, Greeting and Care
  • 7,169 times. And 8 referrals to psychology counselling

Occupational Guidance

  • Employment Advisory, job matching, work-for-relief programs, referrals
  • 77 times. Nearly half of the times can meet vocational needs.


  • Housing, financial, employment and other referral services
  • 62 times (with financial referrals being the majority at 43 times).

Halfway House

  • Housing
  • Nutrition Supplies
  • Emotional Support
  • Health Management
  • Employment Consulting
  • Life Skill Training
  • Leisure Activities
  • Total of 10 residents. 402 times of accommodation
  • 72% of which are provided short-term housing and achieve self-sufficiency
  • 87% of the resident achieve stability after Halfway services
  • 86% of the resident’s medication adherence has improved and stabilized


  • Services in hospitals, housed of clients or other places
  • 360 instances

Telephone and Internet consultation

  • Advisory through telephone, LINE App and Email
  • Phone services: 523 times.
  • Internet services: 585 times

HIV Test

  • Providing Anonymous HIV Test
  • 111 tests.

Medication pickup service

  • Assist Taiwanese PLWHA residing abroad in adhering to ART(Antiretroviral Therapy)
  • A total of 61 PLWHA, accounting for 310 instances, were assisted in receiving medication abroad due to the inability to return to Taiwan for stable medication and treatment amid the COVID-19 pandemic.

Community Center

  • Support, leisure, socializing event
  • 692 participants


  • Topics includes: Medical, Adaptation, Serodiscordant couples, Intimacy and coming out etc.
  • 14 events.
  • 190 participants.

Support Groups

  • Newly diagnosed support group
  • Drug anonymous harm reduction group (DAHR/DA/D-talk) for opioid & non-opioid DUs
  • Support group in Taoyuan
  • Middle Age Support Group
  • Family support group
  • etc.
  • 6 sessions of Newly diagnosed support group; 27 participants.
  • 63 sessions of DAs; 463participants.
  • 5 sessions of Middle Age Support Groups; 39participants.
  • 1 session of Family Support group; 8 participants.


Growth Activities

  • Festival feasts
  • Tours
  • Personal growth courses
  • Sister Lin story-telling
  • Etc.
  • 87 Leisure Activities ; 1,068 participants.
  • 6 growth activities/workshop; 136 participants



  • Online Support Group
  • LINE app Group
  • 7 sessions of online support group; 132 participants
  • All the groups combined, there are 1,065 people in total

Female PLWHA service

  • Female PLWHA Recording Project
  • 4 Sessions with 33 participants

Prison Visits and


  • Individual/group/correspondence counseling and visits
  • Individual counseling: 16 people;
  • Group counseling: 9 sessions, 78 participants;
  • Correspondence support: 248 times.

Chaolu   Therapeutic Community

  • Group session(Harm reduction, Spiritual etc.)
  • vocational rehabilitation
  • 62 Advisories
  • 41 Assessments
  • 16 cases
  • 350 sessions of agricultural labor, group courses, etc., a total of 2,983 times.
  • 3,175 counseling services
  • 160 individuals benefits from Outreach services
  • 3 family relationship empowerment camps, with a total of 97 participants.
  • 5 cases were positively closed, 4 cases were closed negatively, and among them, 3 cases were transferred to staff positions.


users’ family support plan

  • Beginning with mitigating the harm caused by substance use on the body, mind, and spirit, we offer services to help individuals and families reconnect with society and regain stability.
  • Total 43 clients served;374 advisories
  • 27 visits
  • 280 times of phone/text/social media services
  • 80 financial aid cases (NTD 232,760 in total)
  • 172 referrals/contact/connect to related resources
  • 65 group counseling services (157 participants)
  • 13 educational advocacy (benefiting 699,137 participants);
  • 1 workshop (48 participants)


Researched-Based Interventions for Drug Addiction Inmates Project

Serving HIV-negative inmates in Taichung Abuser Treatment Center, Taichung prison and Taichung Women's Prison

Taichung Scientific Researched-based Group:  124 sessions, 1,548 participants.

Hualian Harm Reduction Center

  • Hualian Rehabilitation Family Community Care
  • Hualien Substance Abuse Family Services
  • Tribal Community Advocacy
  • 10 cases opened on Rehabilitation Family
  • 5 Family group sessions; 36 participants
  • 8 Advocacies benefiting 124 people


Staff Members Training and Supervision System

On Job Training

Helper Workshops and various training courses

Our staff has participated in 119 on-the-job training sessions, totaling 505 hours.

We provide 4 in-service staff with  undergraduate courses ,amounting to a total of 208 hours.



Individual and group supervision

  • Individual/Group Supervision: 52 sessions
  • Case discussion/Study: 75 sessions


Intern Guiding and training

Enhancing professional skills and enriching knowledge and techniques in issues related to HIV/AIDS and drug abuse

14 College students are on internship


Volunteers Recruitment and Training

Volunteers Recruiting, training, supervising, service-learning

  • 5 Recruits with 48 participants
  • 8 members on service-learning; 96 hours in total.


PLWHA Service Providers workshop

Service Providers workshops and seminars

  • 6 sessions
  • 63 participants


International Seminars

Practicing Harm Reduction Psychotherapy- An Alternative Approach To Addictions” online international seminars

We invited the authors of the book, Patt Denning and Jeannie Little, to record video courses and arranged time for online discussions. This enhanced harm reduction knowledge for those assisting substance abuser. By learning from the harm reduction work experiences in the other country, we could brainstorm ways to apply them in our work.

There were 5 sessions with 317 participants.


Publication of promotional materials


  • General public Promotion
  • service providers Promotion
  • Outreach service- setting up a stall
  • General public: 126 sessions, 7,127 participants
  • Service providers: 262 sessions, 6,592 participants
  • Setting up 6 stall; 17,000 reaches.



Publishing brochures, e-books & articles


Public Relations and Concept Promotion

Social Media Promotion


Media report

Reporting about TLA, and engaging in social conversation and cooperation.

TLA reports has been released on Give Circle, Taiwan NPO Information Platform ,People Citizen Jounalism ,charity.yahoo.com and 15 other local media.


Further exploring the issue

Deepen the discussion of the  life of PLWHA in the later years

We organized two focus groups to address the specific needs of senior PLWHA in areas such as friendly medical services, emotional support, biological care, and financial issues.




  • Asian Youth and HIV Peer Empowerment,
  • Asian Stigma and Discrimination Forum,
  • LAS Conference,
  • ViiV_GSK Asia-Pacific HIV Counseling Consultation,
  • ViiV Asia-Pacific HIV White Paper
  • Exploring stigma related to youth services, PrEP, and U=U in various countries, discussing challenges and solutions
  • examining the impact of the COVID-19 pandemic on PLWHA, and
  • investigating each country's progress toward the three 90s targets.


Collaborative Research Project Beyond the Association

  • Research on the impact of adversity interaction, psychological distress, and protective factors among PLWHA
  • a study on the health-related quality of life and medication adherence to antiretroviral therapy in PLWHA in Taiwan.

This year, we collaborated with Assistant Professor Chuang Desmond from the Graduate Institute of Social Work at National Taiwan Normal University and the Taiwan branch of Gilead Sciences, Hong Kong commissioning Kantar Health to conduct two questionnaire surveys.

In both collaborations, our role was limited to assisting in the distribution of the questionnaires, and the results of the surveys have not been disclosed yet. Here, we will provide an overview of the directions these two studies aimed to explore.

The first survey targeted PLWHA aged 20 and above who hold a national health insurance card, as well as those who have provided assistance to PLWHA, either currently or in the past. The main objective was to understand the correlation and protective factors between the adversities and psychological distress experienced by PLWHA. The survey also aimed to explore how PLWHA and those providing assistance interpret the contextual aspects of "adversities" and "psychological distress."

The second survey sought to understand the impact of HIV on the health-related quality of life of PLWHA. It utilized an HIV symptom scale to assess symptom distress and health status, and it also evaluated medication adherence.




HIV Positive Alliance collaborates with our organization, Taiwan HIVStory Association, and the AIDS Nursing Society to host the fourth Poz-Action Conference. Building on the storytelling workshop from 2021, this empowerment camp primarily guides participants in learning various ways to communicate life stories and acquiring new knowledge in HIV medical care. The goal is to help PLWHA reconstruct their lives, grow in strength through mutual sharing, and become advocates who impact others by sharing their stories.

Our organization was selected as a member of the Taiwan AIDS Patient Organization (TAPO) Board for the second term, with Cheng-Lung ,Chen serving as the representative. We maintain a collaborative and friendly relationship with other alliance member organizations, working together to advocate for patients in Taiwan across various health conditions.


Information System Development

Including offices in Taipei, Taichung, ,Hualien and therapeutic community system

During the COVID-19 pandemic, responding to the need for remote work, we adjusted internal networks and equipment, facilitating colleagues to work from home.

The construction of the therapeutic community system has been completed.




檔案下載 2021TaiwanLourdesAssociationAnnualReport.pdf


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