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Quality of Life in Therapeutic Communities for Addictions: A Positive Search for Wellbeing and Happiness 成瘾治疗社区的生活质量:对幸福和幸福的积极探索
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1307155
E. Broekaert, J. De Maeyer, S. Vandevelde, W. Vanderplasschen, C. Claes, K. Colpaert, Maurice Walgraeve
{"title":"Quality of Life in Therapeutic Communities for Addictions: A Positive Search for Wellbeing and Happiness","authors":"E. Broekaert, J. De Maeyer, S. Vandevelde, W. Vanderplasschen, C. Claes, K. Colpaert, Maurice Walgraeve","doi":"10.1080/1556035X.2017.1307155","DOIUrl":"https://doi.org/10.1080/1556035X.2017.1307155","url":null,"abstract":"ABSTRACT Although addiction is increasingly considered as a chronic problem, only a limited number of studies have addressed quality of life (QoL) in therapeutic communities (TCs) for addictions. This reflective conceptual article assesses the history, philosophy, and background of the TC movement as modern concept, with roots in existentialism and phenomenology, as well as the QoL approach as a “postmodern” concept, with a positive vision on wellbeing and happiness, grounded in Aristotelian rationalism. The exploration of the QoL concept situated in the context of TC values, facts, and subjects leads to the finding that both visions can go alternatively together and fertilize each other.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"207 - 221"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2017.1307155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48468919","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}
引用次数: 10
Peer Support and Substance Use Disorder Treatment: Benefits and Barriers for Intra-Personal Development in Longer-Term Treatment Programs 同伴支持和物质使用障碍治疗:长期治疗项目中个人内部发展的益处和障碍
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1258683
Aaron Turpin, Micheal L. Shier
{"title":"Peer Support and Substance Use Disorder Treatment: Benefits and Barriers for Intra-Personal Development in Longer-Term Treatment Programs","authors":"Aaron Turpin, Micheal L. Shier","doi":"10.1080/1556035X.2016.1258683","DOIUrl":"https://doi.org/10.1080/1556035X.2016.1258683","url":null,"abstract":"ABSTRACT This qualitative research explores the dynamic roles of peer support in substance use disorder treatment. Interviews were conducted with 41 participants across three long term residential substance use disorder treatment programs in the Greater Toronto Area. Findings indicate four key themes of peer support: 1) Learning opportunities (that provide perspectives of oneself, perspectives of progress, and perspectives of positive social interactions); 2) Treatment opportunities from shared experiences (which help to create trust, provide a common understanding, and alignment based on shared experiences); and 3) Mutual support (which helps to prevent isolation, acts as an informal component of intervention, and supports reassurance and ongoing feedback). Together, the findings provide a comprehensive understanding of the specific nuances of peer support in longer term substance use disorder treatment centers.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"117 - 134"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2016.1258683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44264010","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}
引用次数: 9
Integration: Too Much of a Bad Thing? 一体化：太多的坏事？
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1320487
Rowdy Yates, John Burns, Louise McCabe
{"title":"Integration: Too Much of a Bad Thing?","authors":"Rowdy Yates, John Burns, Louise McCabe","doi":"10.1080/1556035X.2017.1320487","DOIUrl":"https://doi.org/10.1080/1556035X.2017.1320487","url":null,"abstract":"ABSTRACT Integrated and/or multidisciplinary working has become a central guiding principle of addiction treatment throughout the Western world. Indeed, the notion has become virtually synonymous with good practice in intervening in a complex disorder like addiction. There has been surprisingly little analysis or evaluation of the efficacy of this approach. Rather, it is effectively taken for granted that integrated and/or multidisciplinary working is without question a “good thing.” But for complex interventions such as the therapeutic community, it is equally possible that these developments can threaten the underlying principles of the approach. This short literature review considers three areas of integrated working: integrating professional staff into therapeutic community teams; integrating new treatment approaches into existing therapeutic community frameworks; and the issue of therapeutic communities co-working with other treatment services with different philosophies and working practices. The work originated in an evaluative study of a network of Scottish addiction treatment services and the initial findings are that although there are some advantages to broadening the horizons of the therapeutic community movement, there is equally a danger of undermining some core principles.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"196 - 206"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2017.1320487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44975322","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}
引用次数: 5
Gender Differences in the Prevalence of ADHD Among Clients of Therapeutic Communities for Drug Addicts in the Czech Republic: Secondary Analysis of the Pilot Study 捷克共和国戒毒治疗社区患者多动症患病率的性别差异：试点研究的二次分析
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1272072
K. Kalina, Eva Rubášová, Lenka Čablová, Lenka Šťastná, M. Miovský
{"title":"Gender Differences in the Prevalence of ADHD Among Clients of Therapeutic Communities for Drug Addicts in the Czech Republic: Secondary Analysis of the Pilot Study","authors":"K. Kalina, Eva Rubášová, Lenka Čablová, Lenka Šťastná, M. Miovský","doi":"10.1080/1556035X.2016.1272072","DOIUrl":"https://doi.org/10.1080/1556035X.2016.1272072","url":null,"abstract":"ABSTRACT The aim of this study was to identify gender differences between a group with and without attention deficit hyperactivity disorder (ADHD) in the sample of 76 clients of therapeutic communities. The battery of tests contained three questionnaires based on ADHD Self-Report Scale (ASRS), Wender Utah Rating Scale (WURS), and Conners Teacher Questionnaire. Data were analyzed by combining a descriptive approach and sectional processes of qualitative data analysis. Women with ADHD exhibit more complications in the WURS–25 scale and (together with the women without ADHD) in ASRS. Gender differencies in ADHD-related complication in treatment were expressed on a qualitative level; severe complications occurred mainly in the men in both groups.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"135 - 157"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2016.1272072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43464373","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}
引用次数: 1
Drug Abuse Recovery High School in Hong Kong: A Descriptive Study of Christian Zheng Sheng College and the Holistic Interactive Therapeutic Community Model 香港药物滥用康复中学:基督教正盛学院与整体互动治疗社区模式的描述性研究
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1258681
Jiann-guang Lin, Z. Lu, Weiting Wu
{"title":"Drug Abuse Recovery High School in Hong Kong: A Descriptive Study of Christian Zheng Sheng College and the Holistic Interactive Therapeutic Community Model","authors":"Jiann-guang Lin, Z. Lu, Weiting Wu","doi":"10.1080/1556035X.2016.1258681","DOIUrl":"https://doi.org/10.1080/1556035X.2016.1258681","url":null,"abstract":"ABSTRACT This article describes Hong Kong's overall youth drug abuse situation and the society's prevention and intervention with focus on Christian Zheng Sheng College, the only high school that provides drug abuse treatment and recovery services in Hong Kong. Through literature review, site visit, and interview, researchers study the school's Holistic Interactive Therapeutic Community model, its interrelated four emphases, spiritual life, community life, laboring and schooling through the lens of holism, and typical treatment means the school uses. Limitation and future research possibilities are included in the end of the study.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"222 - 237"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2016.1258681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41675099","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}
引用次数: 3
Treatment Outcome Evaluation in Therapeutic Communities in the Czech Republic: Changes in Methamphetamine Use and Related Problems One Year After Discharge 捷克共和国治疗社区的治疗结果评估:出院后一年甲基苯丙胺使用和相关问题的变化
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1280718
Martin Šefránek, M. Miovský
{"title":"Treatment Outcome Evaluation in Therapeutic Communities in the Czech Republic: Changes in Methamphetamine Use and Related Problems One Year After Discharge","authors":"Martin Šefránek, M. Miovský","doi":"10.1080/1556035X.2017.1280718","DOIUrl":"https://doi.org/10.1080/1556035X.2017.1280718","url":null,"abstract":"ABSTRACT The knowledge available on the effectiveness of treatment interventions for methamphetamine users in Europe remains scarce. The present study investigated the patterns of use and treatment outcomes of 176 clients, predominantly injecting methamphetamine users, in 4 residential therapeutic communities in the Czech Republic. Most of the clients were multiple drug users. Overall, methamphetamine users showed favorable outcomes with significant improvements in their substance misuse, injecting, health and criminal behavior at 1 year after discharge from treatment. Findings suggest that many methamphetamine users are able to complete the treatment and achieve considerable improvements.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"68 - 85"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2017.1280718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46922038","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}
引用次数: 5
In Search of Evidence-Based Treatment in TCs for Addictions: 40 Years of Research in TC De Kiem (Belgium) 寻求基于证据的戒毒治疗：比利时TC De Kiem 40年的研究
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1312656
W. Vanderplasschen, S. Vandevelde, C. De Ruysscher, Dirk Vandevelde, E. Broekaert
{"title":"In Search of Evidence-Based Treatment in TCs for Addictions: 40 Years of Research in TC De Kiem (Belgium)","authors":"W. Vanderplasschen, S. Vandevelde, C. De Ruysscher, Dirk Vandevelde, E. Broekaert","doi":"10.1080/1556035X.2017.1312656","DOIUrl":"https://doi.org/10.1080/1556035X.2017.1312656","url":null,"abstract":"ABSTRACT Despite more than 40 years of research, limited evidence is available for the effectiveness of drug-free therapeutic communities (TCs). Worldwide, TCs have attempted succesfully to integrate innovative and evidence-based interventions, while adhering to the “community as method” (De Leon, 2000). This article is a case study of scientific research on practice and innovations in a TC, De Kiem (Belgium), over the past 40 years, illustrating how research and innovative approaches have shaped the TC into its current practice. From the start, scientific research was used to develop and adapt the TC program. International collaboration introduced new ideas, instruments, and methods and promoted a culture of inquiry. Several interventions that were implemented have contributed successfully to increased program retention, like the introduction of a welcome house phase, social network support, and a mother and child program.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"177 - 195"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2017.1312656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45995540","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}
引用次数: 5
Multidimensional Change in Therapeutic Communities for Addictions: The Interplay Between Participant Characteristics, Perceptions of the TC Treatment Process and Time in Treatment 成瘾治疗社区的多维变化：参与者特征、对TC治疗过程的感知和治疗时间之间的相互作用
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1307154
I. Goethals, W. Vanderplasschen, S. Vandevelde, J. Lammertyn, Dafna Etzion, E. Broekaert
{"title":"Multidimensional Change in Therapeutic Communities for Addictions: The Interplay Between Participant Characteristics, Perceptions of the TC Treatment Process and Time in Treatment","authors":"I. Goethals, W. Vanderplasschen, S. Vandevelde, J. Lammertyn, Dafna Etzion, E. Broekaert","doi":"10.1080/1556035X.2017.1307154","DOIUrl":"https://doi.org/10.1080/1556035X.2017.1307154","url":null,"abstract":"ABSTRACT The objective of the current study is to investigate the association between time in treatment and participants' perceptions of the treatment process in therapeutic communities (TCs) for addictions. Using a linear mixed effect model, we assessed whether the rate of participant change was related to motivation, cluster B personality traits, and psychological distress. Longitudinal data were gathered among 155 adults in 4 traditional TCs for addictions in Belgium. The results provide evidence that with time in treatment participants develop more profound perceptions regarding the TC concepts and processes of self-change, which denotes the theoretical assumption of identity change and right living in TC treatment.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"116 - 99"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2017.1307154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44477094","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}
引用次数: 2
Changes in Substance Use and Risk Behaviors One Year After Treatment: Outcomes Associated with a Quasi-Residential Rehabilitation Service for Alcohol and Drug Users in Edinburgh 治疗一年后药物使用和危险行为的变化：与爱丁堡酒精和毒品使用者准寄宿康复服务相关的结果
Journal of groups in addiction & recovery Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1261384
A. Rome, David McCartney, D. Best, R. Rush
{"title":"Changes in Substance Use and Risk Behaviors One Year After Treatment: Outcomes Associated with a Quasi-Residential Rehabilitation Service for Alcohol and Drug Users in Edinburgh","authors":"A. Rome, David McCartney, D. Best, R. Rush","doi":"10.1080/1556035X.2016.1261384","DOIUrl":"https://doi.org/10.1080/1556035X.2016.1261384","url":null,"abstract":"ABSTRACT Despite limited evidence base, rehabilitation services are associated with positive outcomes in U.K. research (Best et al., 2010). The authors investigated outcomes associated following a 12-week abstinence-based treatment program. Data were collected from 145 patients using a European Version of the Addiction Severity Index (ASI-X) at intake, 6 months, and 1 year after completion. Individuals showed significantly better ASI-X scores after participating in program compared to their scores prior to the intervention. Those who completed the program had significantly better outcomes in medical and psychiatric domains at 12-month follow-up than those who dropped out before completion. Attending this abstinence-based program was associated with positive changes to physical health and social wellbeing, which were sustained 12 months after completion.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"86 - 98"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2016.1261384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45397012","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}
引用次数: 4
Recovery Identity and Wellbeing: Is It Better to be ‘Recovered’ or ‘in Recovery’? 康复身份和健康：“康复”还是“康复中”更好？
Journal of groups in addiction & recovery Pub Date : 2017-01-02 DOI: 10.1080/1556035X.2016.1272071
D. Best, C. Andersson, J. Irving, M. Edwards
{"title":"Recovery Identity and Wellbeing: Is It Better to be ‘Recovered’ or ‘in Recovery’?","authors":"D. Best, C. Andersson, J. Irving, M. Edwards","doi":"10.1080/1556035X.2016.1272071","DOIUrl":"https://doi.org/10.1080/1556035X.2016.1272071","url":null,"abstract":"ABSTRACT Although there has been debate about the meaning of recovery, there has been little discussion about how people characterize their own recovery experience, in particular whether people describe themselves as recovered (as with a therapeutic community [TC] philosophy) or as in recovery (typically those engaged in 12-step). The article assesses differences in wellbeing as a function of recovery self-ascriptions, based on the UK Life in Recovery survey. Those who described themselves as recovered or ex-addicts reported better psychological health and lower identification with addicts and recovery and showed stronger recovery functioning. There are clearly multiple pathways to recovery, and philosophy may impact on both trajectory of recovery and the social identity mechanisms underpinning change.","PeriodicalId":88011,"journal":{"name":"Journal of groups in addiction & recovery","volume":"12 1","pages":"27 - 36"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1556035X.2016.1272071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43721749","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}
引用次数: 17
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