Challenges in Moving from a Traditional Therapeutic COmmunity to a Women and Children's TC Model

This article explores some of the difficulties inherent in managing risk in those who have committed sexual or other violent offences and how this may impact on their ability to re-integrate into the community. It discusses the work undertaken at HMP Grendon, a prison-based therapeutic community (TC), to address these difficulties and help residents develop a pro-social lifestyle starting in custody and continuing on release. The article aims to describe how the TC model offers a containing and adaptive environment, and how this can provide opportunities to address offence-related behaviour, which is not always possible in other prison settings. Furthermore, it describes some of the difficulties inherent in undertaking work of this nature, in the need for an accurate understanding of the relevant areas of risk, and the tensions developing a therapeutic relationship with individuals with complex needs. Methods of assessment of risk and need are discussed, and how they are used in a collaborative manner to have the most accurate picture of what will help residents to maintain their pro-social lifestyle on release.

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Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence

Journal of Clinical Medicine ◽

10.3390/jcm9010118 ◽

2020 ◽

Vol 9 (1) ◽

pp. 118

Author(s):

Petra K. Staiger ◽

Paul Liknaitzky ◽

Amelia J. Lake ◽

Stefan Gruenert

Keyword(s):

Substance Use ◽

Substance Dependence ◽

Therapeutic Community ◽

Psychosocial Outcomes ◽

Well Being ◽

Community Treatment ◽

Medium Effect ◽

Severity Scores ◽

Tc Model

The Therapeutic Community (TC) model is considered an effective treatment for substance dependence, particularly for individuals with complex presentations. While a popular approach for this cohort across a number of countries, few studies have focussed on biopsychosocial and longer-term outcomes for this treatment modality. This study reports on substance use, dependence, and biopsychosocial outcomes up to 9 months post-exit from two TC sites. Methods: A longitudinal cohort study (n = 166) with two follow-up time points. Measures included substance use, dependence, subjective well-being, social functioning, and mental and physical health. Generalized Linear Models were employed to assess change over time. Results: At 9 months, 68% of participants reported complete 90-day drug abstinence. Alcohol frequency and quantity were reduced by over 50% at 9 months, with 32% of the sample recording 90-day abstinence at 9 months. Both alcohol and drug dependence scores were reduced by over 60%, and small to medium effect sizes were found for a range of psychosocial outcomes at 9 months follow-up, including a doubling of wellbeing scores, and a halving of psychiatric severity scores. Residents who remained in the TC for at least 9 months reported substantially better outcomes. Conclusions: With notably high study follow-up rates (over 90% at 9 months post-exit), these data demonstrate the value of the TC model in achieving substantial and sustained improvements in substance use and psychosocial outcomes for a cohort with severe substance dependence and complex presentations. Implications for optimal length of stay are discussed.

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PENGEMBANGAN MODEL KOMUNITAS TERAPEUTIK (THERAPEUTIC COMMUNITY) BERBASIS IMAN DAN TAKWA UNTUK MEMBINA AKHLAK MULIA

JIV-Jurnal Ilmiah Visi ◽

10.21009/jiv.0602.2 ◽

2011 ◽

Vol 6 (2) ◽

pp. 117-125

Author(s):

Busri Endang

Keyword(s):

Literature Review ◽

Therapeutic Community ◽

Religious Faith ◽

Theoretical Concept ◽

Qualitative Approach ◽

Rehabilitation Center ◽

Faith Based ◽

Character Building ◽

Tc Model

This study was based on the researcher’s concern about worsening drugs abuse in the community. Drugs Rehabilitation Center Wisma Sirih Pontianak provides assistance for parents of drugs abuse victims by applying “Therapeutic Community” (TC) method. The method was considered as containing less religious faith values for character building, so it has further been developed into “Religious Faith-Based Therapeutic Community for Character Building of Drugs Addicts”. The study aims at describing the application of TC method, assessing the strengths and weaknesses of TC method, formulating a theoretical concept of religious faith-based TC model for good character building, and evaluating the effectiveness of TC model in fostering good character. The study adopts R&D method and qualitative approach. Data were collected with interview, observation, and literature review. Findings can be described as follows TC model could develop good behaviors of drugs addicts, the characteristics of the TC model include belief in the essence of Thoyyibah meaning, focused prayers, knowledge and reflection, ikramul muslimin, tash hihun niyyah, dakwah and tabligh, making the residents quit the drugs, recovered faster, get well, and invite their friends to stay away from the drugs.

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