Therapeutic Communities最新文献

{"title":"The alumni club: interpersonal contact and the exchange of recovery oriented helping in a sample of former residents of a therapeutic community for women","authors":"Jessica Linley, K. Warren","doi":"10.1108/TC-05-2018-0011","DOIUrl":"https://doi.org/10.1108/TC-05-2018-0011","url":null,"abstract":"\u0000Purpose\u0000Aftercare is an important predictor of outcomes following treatment for substance abuse. Despite this, there is evidence that the great majority of substance abusing clients choose not to participate in aftercare. Aftercare programs that are tied to specific residential treatment facilities, sometimes known as alumni groups or alumni clubs, might increase participation by offering former residents the opportunity to maintain treatment oriented social networks. Therapeutic communities (TCs), which emphasize mutual aid between residents, are ideal candidates for such programs. The paper aims to discuss these issues.\u0000\u0000\u0000Design/methodology/approach\u0000In total, 100 randomly chosen former TC residents were randomly surveyed regarding their contact with fellow alumni and their exchange of recovery oriented helping behaviors. A thirty day timeline follow-back methodology was used.\u0000\u0000\u0000Findings\u0000Contact was primarily through electronic means, particularly phone calls, texts and the alumni club Facebook page. Participants who reported more electronic contact also reported more days in which they offered and received recovery oriented help. Participants who were African American or had spent more time in TC treatment offered and received recovery oriented help on more days.\u0000\u0000\u0000Research limitations/implications\u0000While this is an exploratory study limited to one TC, this alumni club allows for the maintenance of a mutual aid network after termination. That network primarily consists of electronic forms of contact. A longer time spent in TC treatment may allow for the internalization of the practice of mutual aid. Further research on alumni clubs is warranted.\u0000\u0000\u0000Originality/value\u0000This is the first survey of TC alumni club members.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"94 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83871149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The recovery-oriented therapeutic community for addictions (ROTC): a response to contemporary substance use disorder treatments in the Philippines","authors":"Sixtus Dane A Ramos","doi":"10.1108/TC-12-2017-0037","DOIUrl":"https://doi.org/10.1108/TC-12-2017-0037","url":null,"abstract":"\u0000Purpose\u0000The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s current efforts, substance use disorders continue to persist within the population. The purpose of this paper is to provide recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context.\u0000\u0000\u0000Design/methodology/approach\u0000This conceptual paper reviews the existing facts about the Philippines’ campaign against drugs, the approaches implemented by the government, current state and research developments of TCs, and its resulting impact on contemporary evidence-based treatment for addiction in the country.\u0000\u0000\u0000Findings\u0000A treatment framework outlining a recovery-oriented therapeutic community (ROTC) is presented. The ROTC aims to address addiction as a chronic, relapsing disease. This alternative approach for addiction treatment in the Philippines is based on the concept of recovery, principles of effective substance use disorder treatment, and recent developments in TC best practices from the international community.\u0000\u0000\u0000Originality/value\u0000This paper discusses different recommendations for policy development, interventions and research, aimed at improving the odds of securing recovery for people suffering from addiction.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"135 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72856051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Madness and chaos in the culture of a therapeutic community","authors":"J. Leach","doi":"10.1108/TC-04-2018-0006","DOIUrl":"https://doi.org/10.1108/TC-04-2018-0006","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to explore the perceptions of staff members working in a psychiatric therapeutic community in relation to ideas of “madness” and “chaos”.\u0000\u0000\u0000Design/methodology/approach\u0000The paper is a qualitative study based on oral history group witness seminars.\u0000\u0000\u0000Findings\u0000The findings indicate that many of the participants experienced working in a therapeutic community as both exciting and unsettling; some found themselves questioning their own mental health at the time. Despite a sense of “madness” and chaos in the life of the community, there was also a feeling that it provided a containing environment for some very disturbed patients.\u0000\u0000\u0000Originality/value\u0000This study is unusual in drawing upon staff member’s perceptions of their own relationship to “madness” in response to being involved in the life of a therapeutic community.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"4 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78615715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I have more support around me to be able to change\": A Qualitative Exploration of Probationers' and Parolees' Experiences Living in Sober Living Houses.","authors":"R. de Guzman, Rachael A. Korcha, D. Polcin","doi":"10.1108/TC-04-2018-0008","DOIUrl":"https://doi.org/10.1108/TC-04-2018-0008","url":null,"abstract":"Persons in the U.S. who are incarcerated for drug offenses are increasingly being released into the community as a way to decrease prison and jail overcrowding. One challenge is finding housing that supports compliance with probation and parole requirements, which often includes abstinence from drugs and alcohol. Sober living houses (SLHs) are alcohol- and drug-free living environments that are increasingly being used as housing options for probationers and parolees. Although a few studies have reported favorable outcomes for residents of SLHs, little is known about resident experiences or the factors that are experienced as helpful or counterproductive. This study conducted qualitative interviews with 28 SLH residents on probation or parole to understand their experiences living in the houses, aspects of the houses that facilitated recovery, ways residence in a SLH affected compliance with probation and parole, and ways the houses addressed HIV risk, a widespread problem among this population. Interviews were audiotaped and coded for dominant themes. Study participants identified housing as a critically important need after incarceration. For residents nearing the end of their stay in the SLHs, there was significant concern about where they might live after they left. Residents emphasized that shared experiences and goals, consistent enforcement of rules (especially the requirement of abstinence), and encouragement from probation and parole officers as particularly helpful. There was very little focus in HIV issues, even though risk behaviors were common. For some residents, inconsistent enforcement of house rules was experienced as highly problematic. Research is needed to identify the organizational and operational procedures that enhance factors experienced as helpful. This paper is the first to document the views and experiences of persons on probation or parole who reside in sober living recovery houses. These data can be used by SLH operators to develop houses that are responsive to factors experienced as helpful and counterproductive. The significance of this paper is evident in the trend toward decreasing incarceration in the U.S. of persons convicted of drug offenses and the need for alcohol- and drug-free alternative living environments.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"41 1","pages":"51-65"},"PeriodicalIF":0.2,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85482530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The SCIA Questionnaire: standards for communities for children and adolescents – a tool for the evaluation of good practices","authors":"C. Guarnaccia, A. Ferraro, M. Lo Cascio, S. Bruschetta, F. Giannone","doi":"10.1108/TC-01-2018-0002","DOIUrl":"https://doi.org/10.1108/TC-01-2018-0002","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to present the Italian validation of the standards for communities for children and adolescents (SCIA) Questionnaire, an evaluation tool of communities quality standards, based on the “Service Standards for Therapeutic Communities for Children and Young People – 2nd edition” of the Community of Communities (2009), that enables an empirical, multidimensional and complex evaluation of the therapeutic community (TC) “system”. It is a self-report that sets out and measures variables that allow to get an overview of organisational models and the possible development areas to improve the effectiveness of the protection of child and adolescents in community treatment. The validation and a preliminary analysis to develop a short version of the SCIA are presented.\u0000\u0000\u0000Design/methodology/approach\u0000The questionnaire (composed, in the extended form, by 143 items) was administered to 101 community workers, 20 males (19.8 per cent) and 81 females (81.2 per cent) aged between 24 and 61 years (M=36.20, SD=8.4). The analysis of reliability (Cronbach’s α) and a series of exploratory factor analysis allowed to eliminate redundant or less significant items.\u0000\u0000\u0000Findings\u0000The short form of the self-report consists of 67 items, divided into seven subscales, which explore different areas of intervention in TCs. Despite the limitations due to the small sample size, the utility of this tool remains confirmed by its clinical use and the development of good operating practices.\u0000\u0000\u0000Originality/value\u0000The SCIA Questionnaire responds to the need to adopt empirical variables in the process of evaluation of the communities. The SCIA is also a useful tool for clinical evaluation, as it allows a detailed observation of residential community treatment with children and adolescents that allows to analyse and monitor the structural and organisational aspects and the quality of practices that guide the interventions.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"8 2 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89345288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic communities in Santa Catarina, Brazil","authors":"Ruari-Santiago McBride, T. Lemos, M. D. D. de Souza, J. Goulão","doi":"10.1108/TC-05-2018-0015","DOIUrl":"https://doi.org/10.1108/TC-05-2018-0015","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to present a case study of a programme aimed at raising standards of care and levels of professionalism in private, drug-free therapeutic communities (TCs) in Santa Catarina, Brazil.\u0000\u0000\u0000Design/methodology/approach\u0000The paper describes the Reviver intervention in detail and draws on subjective insights collected during its implementation.\u0000\u0000\u0000Findings\u0000Over 100 TCs applied to the Reviver project, of which 83 qualified to participate. The large majority of TCs were found to combine community-as-method, religious worship and abstinence in their treatment model.\u0000\u0000\u0000Research limitations/implications\u0000The paper highlights the significant role religious organisations have in the treating substance dependency in Brazil and raises ethical and practical questions regarding the incorporation of religious TCs into mainstream public mental health provision.\u0000\u0000\u0000Practical implications\u0000The paper outlines the qualification process, control systems and monitoring procedures employed by the Reviver project.\u0000\u0000\u0000Originality/value\u0000The paper attends to the gap in English language publications regarding TCs in Brazil and raises important questions regarding the role of religion, faith and spirituality in the treatment of substance dependency.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"21 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82210832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Recovery House in Trieste: rational, participants, intervention as the “work”","authors":"R. Casadio, Izabel Marin, Thais Thomé, R. Mezzina, P. Baker, J. Jenkins, P. M. Pérez, Raffaella Pocobello","doi":"10.1108/TC-01-2018-0003","DOIUrl":"https://doi.org/10.1108/TC-01-2018-0003","url":null,"abstract":"PurposeToo often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project.Design/methodology/approachThe Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together.FindingsOver a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation.Originality/valueThis initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"29 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73486529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"70 Years of the Mulberry Bush School","authors":"Kevin Gallagher","doi":"10.1108/TC-12-2018-045","DOIUrl":"https://doi.org/10.1108/TC-12-2018-045","url":null,"abstract":"","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"37 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84153194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The school as a therapeutic community","authors":"Joannah Vaughan, Alison Rodriguez, D. Boduszek","doi":"10.1108/TC-09-2017-0026","DOIUrl":"https://doi.org/10.1108/TC-09-2017-0026","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to explore the facets of Self-Determination Theory (SDT) and the potential relationships with teaching satisfaction in a sample of secondary school teachers (n=1,288). The study explored the potential of the school environment in fostering a beneficial community in which personal needs could be met and investigated potential disparities between male and female teachers.\u0000\u0000\u0000Design/methodology/approach\u0000The study utilised an electronic quantitative questionnaire to collect data from a representative sample. Structural equation modelling was applied and permitted an exploration of potential relationships between the facets of SDT and teaching satisfaction, while controlling for specified covariates.\u0000\u0000\u0000Findings\u0000It was shown that the specified model could be effectively applied to both male and female teachers. The results demonstrate that only competence was related to teaching satisfaction in both samples.\u0000\u0000\u0000Practical implications\u0000Future studies should focus on factors which contribute to teachers’ sense of competence within the professional role. Schools need to facilitate this need in order to promote wellbeing within the educational environment.\u0000\u0000\u0000Originality/value\u0000This is the first known research to explore the specified relationships and the ability of the school environment to foster wellbeing and satisfaction. It is suggested that competence is the more prominent need with regards to teaching satisfaction.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"167 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90879794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recovery capital: a framework for the contemporary Therapeutic Community?","authors":"H. Gosling","doi":"10.1108/TC-01-2018-0001","DOIUrl":"https://doi.org/10.1108/TC-01-2018-0001","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to critically assess the extent to which recovery capital can provide a theoretical and practical way in which to explore, explain and communicate Therapeutic Community (TC) processes and practices.\u0000\u0000\u0000Design/methodology/approach\u0000This is a 31-month ethnographic study of one situated residential TC in England.\u0000\u0000\u0000Findings\u0000The findings are usefully thought out as parallels, process and progress. Parallels can be drawn between the recovery capital literature and longstanding TC principles and prescriptions. The term process is significant as it illustrates how concepts proposed by the recovery capital literature can be employed, alongside traditional TC ideals, to create a practice-focussed framework that is able to open up day-to-day processes and communicate (within and beyond the TC movement) how and why TCs provide an environment that is conducive to recovery. The ethos and application of the term progress illustrate the fundamental premise of this paper. Recovery capital provides a more contemporary way in which to understand and communicate the work that takes place in a TC.\u0000\u0000\u0000Research limitations/implications\u0000Synthesising the concepts proposed by both the TC and recovery capital literature provides a contemporary, practice-focussed framework for the TC, thus re-enforcing the modalities place within an increasingly competitive field.\u0000\u0000\u0000Originality/value\u0000Synthesising the concepts proposed by both the TC and recovery capital literature provides an original, contemporary, practice-focussed framework for the TC, thus re-enforcing the modalities place within an increasingly competitive field.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"24 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79448487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}