Mark J. Butler, M. Savic, D. Best, V. Manning, K. Mills, D. Lubman
{"title":"Wellbeing and coping strategies of alcohol and other drug therapeutic community workers: a qualitative study","authors":"Mark J. Butler, M. Savic, D. Best, V. Manning, K. Mills, D. Lubman","doi":"10.1108/TC-08-2017-0024","DOIUrl":"https://doi.org/10.1108/TC-08-2017-0024","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to examine the strategies utilised to facilitate the wellbeing of workers of an alcohol and other drug (AOD) therapeutic community (TC)\u0000\u0000\u0000Design/methodology/approach\u0000This paper reports on the findings of a qualitative study that involved in-depth interviews with 11 workers from an Australian AOD TC organisation that provides both a residential TC program and an outreach program. Interviews were analysed using thematic analysis\u0000\u0000\u0000Findings\u0000Three main interconnected themes emerged through analysis of the data: the challenges of working in an AOD TC organisation, including vicarious trauma, the isolation and safety of outreach workers and a lack of connection between teams; individual strategies for coping and facilitating wellbeing, such as family, friend and partner support and self-care practices; organisational facilitators of worker wellbeing, including staff supervision, employment conditions and the ability to communicate openly about stress. The analysis also revealed cross-cutting themes including the unique challenges and wellbeing support needs of outreach and lived experience workers.\u0000\u0000\u0000Research limitations/implications\u0000Rather than just preventing burnout, AOD TC organisations can also play a role in facilitating worker wellbeing.\u0000\u0000\u0000Practical implications\u0000This paper discusses a number of practical suggestions and indicates that additional strategies targeted at “at risk” teams or groups of workers may be needed alongside organisation-wide strategies.\u0000\u0000\u0000Originality/value\u0000This paper provides a novel and in-depth analysis of strategies to facilitate TC worker wellbeing and has implications for TC staff, managers and researchers.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"37 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80605361","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}
M. Lyvers, V. Jones, Mark Edwards, Kim Wood, F. A. Thorberg
{"title":"Traits associated with treatment retention in a therapeutic community for substance dependence","authors":"M. Lyvers, V. Jones, Mark Edwards, Kim Wood, F. A. Thorberg","doi":"10.1108/TC-10-2016-0020","DOIUrl":"https://doi.org/10.1108/TC-10-2016-0020","url":null,"abstract":"\u0000Purpose\u0000The treatment of severe and chronic substance dependence is challenged by high rates of treatment attrition, highlighting the need to identify factors that hinder treatment retention. The paper aims to discuss this issue.\u0000\u0000\u0000Design/methodology/approach\u0000The present study examined certain neurocognitive and personality traits in relation to treatment retention in a sample of 46 residents of an Australian therapeutic community (TC). The traits examined were previously found to be associated with problematic substance use in non-clinical samples and were also previously shown to differentiate TC clients from social drinkers. The hypothesis was thus that traits that appear to be risk factors for addictions are also likely to impact on TC treatment retention.\u0000\u0000\u0000Findings\u0000Group comparisons of those retained for more than the recommended 90 days vs those who left treatment prematurely showed that after controlling for the influence of depression, those who left treatment prematurely reported significantly higher levels of trait impulsivity, punishment sensitivity and executive cognitive dysfunction. There was a very high rate of alexithymia in the sample (52 per cent), but alexithymia was unrelated to retention.\u0000\u0000\u0000Research limitations/implications\u0000The final sample size was less than planned but reflected the strict participation criteria and temporal limitations of this study. No statistical assumptions were violated and the reliability indices of the scales completed by clients ranged from acceptable to excellent. Another limitation was that dropout cannot be assumed to mean relapse, as the reasons for client dropout were not available.\u0000\u0000\u0000Originality/value\u0000Findings highlight the important roles of trait factors in TC treatment retention in addition to the motivational and interpersonal factors identified in previous work.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"80 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79989206","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 effects of craving on implicit cognitive mechanisms involved in risk behavior: can dialectical behavior therapy in therapeutic communities make a difference? A pilot study","authors":"S. Rabinovitz, Maayan Nagar","doi":"10.1108/TC-12-2017-0034","DOIUrl":"https://doi.org/10.1108/TC-12-2017-0034","url":null,"abstract":"PurposeThe purpose of this paper is to examine pre- to post-change in two components of implicit cognitive functioning following craving induction – attentional bias (AB) and executive control – of patients in a long-term drug-free residential treatment center that incorporated dialectical behavioral therapy (DBT) with usual therapeutic community (TC) practices.Design/methodology/approachThree groups of alcohol and cannabis dependent female adolescents were compared: pre-treatment (n=12), following four months of treatment (n=11), and following 12 months of treatment (n=7).FindingsThe results indicate significantly lower AB (as measured by visual probe task) and improved response inhibition (as measured by stop signal task) under craving conditions, after 12 months of DBT.Research limitations/implicationsNaturalistic character of the study did not allow the use of repeated measures design, drug using control groups, randomized clinical trial, or performing a longitudinal follow-up. However, the findings show that DBT for drug abusing female adolescents in a long-term residential setting may be an effective intervention to enhance cognitive and executive functions critical to the risk chain involved in relapse and recidivism, supporting the implementation of DBT in TC residential settings.Originality/valueThis is the first research paper that examined effects of DBT+TC on substance dependent female adolescents’ cognitive mechanisms using well-validated behavioral tasks. The research provides some empirical evidence for the improvement in AB and response inhibition under craving conditions following treatment.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"72 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88228710","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":"Generosity, fairness, trust and time: the performance of therapeutic community residents in economics experiments","authors":"Anup Gampa, Jessica Linley, B. Roe, K. Warren","doi":"10.1108/TC-06-2017-0017","DOIUrl":"https://doi.org/10.1108/TC-06-2017-0017","url":null,"abstract":"\u0000Purpose\u0000Therapeutic communities (TCs) assume that residents are capable of working together to overcome substance abuse and criminal behavior. Economic games allow us to study the potential of cooperative behavior in TC residents. The paper aims to discuss this issue.\u0000\u0000\u0000Design/methodology/approach\u0000The authors analyze results from a sample of 85 corrections-based TC residents and a comparison group of 45 individuals drawn from the general population who participated in five well-known economic experiments – the dictator game, the ultimatum game, the trust game, risk attitude elicitation and time preference elicitation.\u0000\u0000\u0000Findings\u0000TC residents keep less money in the dictator game and return more in the trust game, and prefer short-term rewards in the time preference elicitation. In the ultimatum game, nearly half of all residents refuse offers that are either too low or too high.\u0000\u0000\u0000Research limitations/implications\u0000While the study involves a sample from one TC and a comparison group, the results suggest that residents are at least comparable to the general public in generosity and appear willing on average to repay trust. A substantial minority may have difficulty accepting help.\u0000\u0000\u0000Practical implications\u0000Rapid peer feedback is of value. Residents will be willing to offer help to peers. The TC environment may explain residents’ tendency to return money in the trust game. Residents who refuse to accept offers that are either too low or too high in the ultimatum game may also have difficulty in accepting help from peers.\u0000\u0000\u0000Social implications\u0000Economic games may help to clarify guidelines for TC clinical practice.\u0000\u0000\u0000Originality/value\u0000This is the first use of economic games with TC residents.\u0000","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"5 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85169622","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}
L. Janeiro, Eugénia Ribeiro, L. Faísca, María José López Miguel
{"title":"Therapeutic alliance dimensions and dropout in a therapeutic community: “Bond with me and I will stay”","authors":"L. Janeiro, Eugénia Ribeiro, L. Faísca, María José López Miguel","doi":"10.1108/TC-12-2017-0036","DOIUrl":"https://doi.org/10.1108/TC-12-2017-0036","url":null,"abstract":"PurposeA better therapeutic alliance at the beginning of treatment for addictive behaviours has been found to prevent dropout. The purpose of this paper is to evaluate how the development of therapeutic alliance dimensions was associated with the dropout prevention.Design/methodology/approachA total of 23 participants presented a substance use disorder related to heroin or cocaine and were in three distinct treatment phases of a therapeutic community. Each participant filled in the therapeutic alliance measures once a week after mini-groups. A naturalistic prospective research design was used to collate 198 repeated alliance measures.FindingsParticipants who presented stable bond development at higher levels tended to stay in treatment, whereas those who developed stable bonds at lower levels tended to drop out. The goals and tasks dimension increased significantly across the phases and was not associated with dropout.Practical implicationsTo prevent dropout, therapists should pay special attention to residents who manifest difficulties in establishing stable and secure bonds and not overestimate the impact of the goals and tasks alliance dimension, as it is not a failsafe indicator of treatment retention.Originality/valueThe alliance dimensions were differentiated (bond, goals and tasks) and studied throughout the treatment, pointing out the importance of therapeutic relationship dynamic variables to prevent dropout.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"10 1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90681982","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":"Governing a therapeutic community prison in an age of managerialism","authors":"J. Bennett","doi":"10.1108/TC-06-2017-0020","DOIUrl":"https://doi.org/10.1108/TC-06-2017-0020","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000Recent ethnographic research has examined the forces that shape the working lives of prison managers, in particular, the growth of managerialism, pushing in from the outside and the deeply rooted local cultures that exist within. The purpose of this paper is to reconsider the interplay of these forces in the context of a therapeutic community (TC) prison. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000This paper draws upon ethnographic research conducted in two prisons and expands this using an autoethnographic approach to examine the experience of governing a TC prison. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The original study described how the dynamic interaction of globalised change and local culture created gave rise to “prison managerialism”. This notion reflects the negotiation between the global managerialism and local occupational culture. This concept is equally relevant in a TC prison, albeit it exists in an altered form reflecting the distinct characteristics of the local culture. \u0000 \u0000 \u0000 \u0000 \u0000Research limitations/implications \u0000 \u0000 \u0000 \u0000 \u0000The approach builds upon an ethnographic study, expanding this through autoethnography. This inevitably limits the scope and perspective as it is looking at a specific context. It nevertheless highlights the distinctive challenges of managing a TC prison. \u0000 \u0000 \u0000 \u0000 \u0000Practical implications \u0000 \u0000 \u0000 \u0000 \u0000The work has implications for the management of TC prisons in practice, including human resource management such as recruitment, selection, appraisal and development of those managers. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000The paper applies and revisits a recent in-depth study of prison managers, re-imagining and revising this to reflect the distinct context of managing a TC prison.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"7 12 1","pages":"14-25"},"PeriodicalIF":0.2,"publicationDate":"2018-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83753606","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":"Gangs and groups: the impact on therapeutic processes","authors":"G. Akerman","doi":"10.1108/TC-09-2017-0025","DOIUrl":"https://doi.org/10.1108/TC-09-2017-0025","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000The purpose of this paper is to consider the impact having been in a gang has on being in a group in a democratic therapeutic community (DTC). In particular what characteristics attract (in this case) males to join a gang and or group, and what is the impact on a DTC of having former gang members in it. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000The paper is a discussion paper considering the implications of the points raised above. It also includes results of research relating to the “Changing the Game” programme. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The findings result from experience of having worked in the environment, reviewing available literature, conducting research and having managed some of the issues raised. It is not a research paper but does present findings. \u0000 \u0000 \u0000 \u0000 \u0000Research limitations/implications \u0000 \u0000 \u0000 \u0000 \u0000This is a conceptual paper which incorporates findings from this author and others on the impact of gangs in a DTC. There is limited research in this area and so much is drawn from findings in other settings. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000Little is written on the impact of having been in a gang and the dynamics that introduces in a forensic DTC. Therefore, it is hoped that it will encourage further research in this area.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"78 1","pages":"50-58"},"PeriodicalIF":0.2,"publicationDate":"2018-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77672155","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 utility of peer-support in enhancing the treatment of incarcerated sexual offenders","authors":"C. Perrin, Andrew Frost, J. Ware","doi":"10.1108/TC-06-2017-0018","DOIUrl":"https://doi.org/10.1108/TC-06-2017-0018","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000In the quest to maximize treatment gains, recent research has shifted focus from treatment itself to the context in which treatment takes place. Such investigations have alluded to rehabilitative climate, therapeutic alliance, prison social climate, and the efficacy of group process. The purpose of this paper is to review peer-support as a mechanism via which these goals might be reached. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000A review of the literature on peer-support in carceral settings was undertaken in February 2017. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000While there is very little research exploring peer-support in the context of offender rehabilitation, there are some promising signs from many qualitative investigations that peer-led roles can bridge many gaps in support within the therapeutic context. \u0000 \u0000 \u0000 \u0000 \u0000Research limitations/implications \u0000 \u0000 \u0000 \u0000 \u0000More research on the potential negative impact of peer-support in carceral setting is needed. \u0000 \u0000 \u0000 \u0000 \u0000Practical implications \u0000 \u0000 \u0000 \u0000 \u0000This paper proposes that the implementation of peer-support programs that operate alongside treatment interventions represent an encouraging direction for the future. It is argued that prisoner-led peer-support initiatives that are characterized by shared problem solving and reciprocal emotional support can greatly reduce the anxiety prisoners face surrounding treatment. It is suggested that, through peer-support, treatment gains may be enhanced and better assimilated into program-completers’ lives. \u0000 \u0000 \u0000 \u0000 \u0000Social implications \u0000 \u0000 \u0000 \u0000 \u0000Peer-support may assist current treatment approaches with sexual offenders and could therefore potentially contribute to reductions in recidivism. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000This paper is the first to review peer-support in the context of imprisonment and offender therapy. It therefore provides an important status update for future researchers wishing to investigate this topic, and outlines several priorities that such research might interrogate further.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"172 1","pages":"35-49"},"PeriodicalIF":0.2,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81611922","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 experience of change in a Prison Therapeutic Community: an Interpretative Phenomenological Analysis","authors":"Gareth Ross, J. M. Auty","doi":"10.1108/TC-11-2016-0024","DOIUrl":"https://doi.org/10.1108/TC-11-2016-0024","url":null,"abstract":"Democratic Therapeutic Communities (TCs) provide an environment for offenders to work on longstanding emotional and relational problems and address their offending behaviour. The purpose of this paper is to explore the experience of making psychological changes on a TC from the perspective of residents.,Interpretative Phenomenological Analysis was used to explore the experience of five former residents of the TC at HMP Gartree.,Four main themes emerged, each with two sub-themes: Motivation to Change (sub-themes: Engagement, Determination); Environment (sub-themes: Boundaries, Experience of care); Removal of Masks (sub-themes: Embracing vulnerability, Emerging authenticity) and Relationships (sub-themes: Re-enacting the past, Challenge from peers). Findings are discussed in relation to existing literature.,Understanding service users perspectives on what helps facilitate change can help staff empathise with their experiences and strengthen their relationships. The importance of clear and consistent boundaries that are perceived as fair and the development of meaningful relationships with staff in creating an atmosphere that enables change has implications for other therapeutic or supportive environments. This research represents the experiences of five participants who were motivated to take part and comfortable to speak to a professional about their experiences. As such, generalisations about the wider TC population should be made cautiously and further research would be beneficial.,The research adds to the underrepresented area of service user perspectives in a forensic TC. It contributes a rich account of the experience of psychological change that can help staff working in TCs understand and relate to their residents experiences.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"3 1","pages":"59-70"},"PeriodicalIF":0.2,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78742528","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":"“Homeliness, hope and humour” (H3) – ingredients for creating a therapeutic milieu in prisons","authors":"I. Williams, G. Winship","doi":"10.1108/TC-05-2017-0015","DOIUrl":"https://doi.org/10.1108/TC-05-2017-0015","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000The purpose of this paper is to build a new theoretical framework for inscribing the constituents of therapeutic community (TC) practice in prisons and other secure psychiatric settings looking at three core element: homeliness, hope and humour. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000The study is based on theory building, review of related literature, including research and policy, and synthesis from related funded research projects (Sociology of Health and Illness, Arts Humanities Research Council). \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000Home-as-method, and the concept of transitional home, highlights how a well-designed therapeutic environment looks and feels and can act as a base for effective rehabilitation. The TC aspires to offer a corrective new synthesis of home superseding the resident’s prior experience. A through-going definition of hope-as-method is outlined. It is argued that hope is co-constructed on the TC, and that there is a necessary challenge in gauging fluctuations in hope across time. Humour is a much overlooked idea but arguably an integral ingredient of healthy transactions between prisoners and staff. The particularities of humour present a challenge and an opportunity for harnessing the conditions when humour can flourish and conversely, the chain of events when mal humour damages community atmosphere. \u0000 \u0000 \u0000 \u0000 \u0000Practical implications \u0000 \u0000 \u0000 \u0000 \u0000H3 provides a new framework for reflecting on current TC practice, and also a model for developing novel ways of seeing, including the development of research and policy guidance. H3 also provides a philosophical base for developing a curriculum for education and training. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000The 3Hs offers a rubric for positively narrating the aspirations of a prison milieu. The idea is purposively simple, and so far the authors have found that staff, prisoners and service directors are receptive to the concept, and there are plans for the 3Hs are set to be a narrative descriptor for developing practice in prisons.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"16 1","pages":"4-13"},"PeriodicalIF":0.2,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85171129","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}