Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder

IF 0.1 Q4 SUBSTANCE ABUSE

Therapeutic Communities Pub Date : 2023-03-17 DOI:10.1108/tc-06-2022-0007

Nishadi D. Dharmarathna, A. Jayamaha, Nadeeka Dimuthu Kumari Ranadeva, H. Rajapakse, C. Gunasekara, N. Fernando, L. Meegoda

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引用次数: 1

Abstract

Purpose This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD). Design/methodology/approach A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics. Findings Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness. Originality/value There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.

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治疗性社区模式作为斯里兰卡物质使用障碍个体康复方法的感知有效性

目的本研究旨在评估斯里兰卡物质使用障碍(SUD)患者遵循治疗社区(TC)模式的住院治疗的感知效果。设计/方法/方法在两个选定的遵循TC模型作为康复方法的住宅治疗中心进行了描述性横断面研究。选定的住院治疗中心的所有客户都被邀请参加研究，并通过访谈者管理的问卷从75名同意的男性参与者中收集数据。使用治疗效果评估工具评估住院治疗的感知有效性。数据分析采用描述性统计。结果绝大多数患者为僧伽罗人(98.7%，n = 74)，平均年龄27.0±6.0岁。参与者在选定中心的平均停留时间为8.0±4.0个月。大多数参与者反映项目期间的鼓励足够(89.3%，n = 67)，心理支持令人满意(89.3%，n = 67)，自由度(69.5%，n = 52)和设施充足(76.0%，n = 57)。较高比例的参与者认为辅导员和项目指导是友好的(80.0%，n = 60)，参与者被允许与有限制的家人交流(92.0%，n = 69)。平均感知效能得分(评分范围1 ~ 40)为34.0±7.0分，四个领域得分(评分范围1 ~ 10)分别为物质使用(9.0±2.0分)、健康(8.0±2.0分)、生活方式(9.0±2.0分)和社区(9.0±2.0分)。大多数(88.0%，n = 66)的参与者认为治疗效果很高。原创性/价值在包括斯里兰卡在内的南亚国家，缺乏经验证据证明TC模型对患有SUD的个体的有效性。本研究的结果强调，参与者认为斯里兰卡患有SUD的个体遵循TC方法的住院治疗效果更高。

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来源期刊

Therapeutic Communities SUBSTANCE ABUSE-

CiteScore

0.50

自引率

50.00%

发文量

期刊介绍： The Journal publishes academic papers, case studies, empirical research and opinion. The Journal is interested in publishing papers that critically creatively engage with ideas drawn from a range of discourses: the therapeutic community movement and other related professional practice, psychoanalysis, art, literature, poetry, music, architecture, culture, education, philosophy, religion and environmental studies. It will be of value to those who work in health services, social services, voluntary and charitable organizations and for all professionals involved with staff teams in therapeutic and supportive organizations.