The potential of prison-based democratic therapeutic communities

2017 ◽  
Vol 13 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Jamie Bennett ◽  
Richard Shuker

Purpose The purpose of this paper is to describe the work of HMP Grendon, the only prison in the UK to operate entirely as a series of democratic therapeutic communities and to summarise the research of its effectiveness. Design/methodology/approach The paper is both descriptive, providing an overview of the work of a prison-based therapeutic community, and offers a literature review regarding evidence of effectiveness. Findings The work of HMP Grendon has a wide range of positive benefits including reduced levels of disruption in prison, reduced self-harm, improved well-being, an environment that is experienced as more humane and reduced levels of reoffending. Originality/value The work of HMP Grendon offers a well established and evidenced approach to managing men who have committed serious violent and sexually violent offences. It also promotes and embodies a progressive approach to managing prisons rooted in the welfare tradition.

2013 ◽  
Vol 21 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Sian Lockwood

PurposeThis paper seeks to explore the potential of micro‐enterprises to assist local health and well‐being boards in delivering their strategies, especially in relation to tackling health inequalities, prevention and community support.Design/methodology/approachThis paper draws on experience gained by Community Catalysts from its work supporting social care and health micro‐enterprise across the UK. There has been little formal research into social care and health micro‐enterprise and so the paper relies heavily on data gathered by Community Catalysts in the course of its work and uses local case studies to illustrate points.FindingsThe paper explains the importance of social care and health micro‐enterprise to the work of health and well being boards, emphasising its potential to help tackle health inequalities and contribute to effective health and well‐being strategies.Originality/valueThere are no examples as yet of imaginative health and well‐being boards engaging effectively with micro‐providers, but boards can draw on learning from local authorities actively stimulating and supporting local micro‐enterprise.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sandra Gauer ◽  
Barbara Germann

Purpose The purpose of this paper is to develop a framework on how to deal with stressors emerging from the COVID-19 outbreak. The theoretical framework aims to explain pandemic-related stressors and potential ways to prevent them, considering a wide range of interacting factors at individual, team and organizational levels to ensure their employees’ health. Design/methodology/approach The authors drew on an integrative literature review to identify pandemic-related stressors influenceable by the organization and gathered solution approaches to counteract them. Popular psychological stress theories served as a theoretical base for the framework. Findings The authors based the framework on an integration of the transactional stress theory (Lazarus and Folkman, 1984) and the job demands resources model (Schaufeli and Bakker, 2004), focusing on their respective theoretical strengths. The final framework offers a solid orientation for scholars regarding the introduction of holistic and strategic measures in coping with pandemic-related stressors. A section describing possibilities for practitioners’ use of the framework has been integrated. Originality/value To the best of the authors’ knowledge, this study is the first to offer a framework on how to handle COVID-19-related stressors in the workplace by implementing teamwide and companywide measures.


2020 ◽  
Vol 24 (3) ◽  
pp. 117-123 ◽  
Author(s):  
Sue Holttum

Purpose This paper aims to examine recent papers on the effects of the COVID-19 pandemic on mental health, including implications for some of the groups of people already less included in society. Design/methodology/approach A search was carried out for recent papers on mental health and the COVID-19 pandemic. Findings Two papers describe surveys of adults in the UK and Irish Republic in the first days of lockdown. Low income and loss of income were associated with anxiety and depression. These surveys could not examine distress in Black and minority ethnicities, who have higher death rates from COVID-19. Two surveys of children and young people report distress and what can help. One paper summarises a host of ways in which the pandemic may affect mental well-being in different groups, and what might help. Another calls for research to understand how to protect mental well-being in various groups. Originality/value These five papers give a sense of the early days of the pandemic, especially in the UK. They also highlight the needs of some specific groups of people, or the need to find out more about how these groups experience the pandemic. They suggest some ways of trying to ensure that everyone has the best chance to thrive in the aftermath of the pandemic.


2015 ◽  
Vol 11 (3) ◽  
pp. 141-156
Author(s):  
Joanna Gee ◽  
Del Loewenthal ◽  
Julia Cayne

Purpose – The purpose of this paper is to outline research which aimed to explore psychotherapists’ experience of working with despair, in the UK prison setting, through a qualitative phenomenological approach. Within the forensic psychological literature, despair is considered a pathology, associated with suicide and self-harm, resulting from the prisoners histories and the coercive prison setting. In turn, therapeutic writings outline the importance of therapy in the prison setting with despair in providing coping skills, containment and learning opportunities for the prisoners involved. Design/methodology/approach – Within the study, ten psychotherapists were interviewed as to their experience of working with clients in despair in the prison setting. The data were analysed via the phenomenological research method Empirical Phenomenological Analysis (EPA), and a secondary analysis through reverie. Findings – Through the analysis by EPA, despair emerged in the prison setting as a destabilising phenomenon to which there was no protocol for working with it. Participants also described the prisoners’ despair and the despairing prison setting, touching on their own sense of vulnerability and despair. However, drawing on the secondary analysis by reverie, the researcher also became aware of how the phenomenon of despair emerged not simply through the said, but also through the intersubjective. Originality/value – It was therefore through the secondary analysis by reverie that the importance of the attendance to aspects of intersubjectivity in prison research emerged. This paper contributes to the therapeutic writings on despair in the prison setting, alongside holding implications for qualitative research in the prison setting.


2006 ◽  
Vol 26 (7/8) ◽  
pp. 326-341 ◽  
Author(s):  
J. Stewart ◽  
M. Rhoden

PurposeTo consolidate and review current literature that relates children's health to their housing and living environments.Design/methodology/approachA range of published sources which review the relationship between children, housing and health. The sources consolidate research that applies specifically to children and their domestic situation. The paper also reviews literature around municipal tower block estates and the unique health/architecture relationship before turning to children living in temporary bed and breakfast accommodation. An overview of current public health policy that seeks to reintegrate housing and well‐being is undertaken.FindingsDecent housing lies at the heart of health for all. Generally, the picture is more positive, but action remains slow. Children's needs must be given a higher priority in housing in future to promote physical and emotional well‐being.Research limitations/implicationsIt is not an exhaustive list and the sources are mainly UK publications.Practical implicationsThe UK approach to children, housing and health may be of interest to a number of overseas countries in Eastern Europe, Africa and Asia.Originality/valueThis paper fulfils an identified information/resources need and offers readers such as students, academics and practitioners an overview of the UK approach.


Author(s):  
Martin K. Bhurruth

Purpose – The purpose of this paper is to illustrate how psychoanalytic thinking can help therapeutic communities think about how the defence of psychic retreat can develop and take hold in the face of organisational transition and overwhelming loss. Design/methodology/approach – This paper draws upon the paradigm of psychoanalysis and is a case study orientated by a participant/observer stance. Findings – This paper posits that unless loss is worked through then perverse clinical cultures can develop including bullying and denial of reality. Originality/value – This paper illustrates the unique selling point of therapeutic communities incorporating justice into the treatment frame. It also identifies that unless loss is emotionally worked through then it can become the ground soil in which perverse cultures can develop.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Miles Richardson ◽  
Iain Hamlin

Purpose To explore the associations between noticing nature, nature connectedness, time in nature and human and nature’s well-being during the corona pandemic restrictions. Design/methodology/approach Natural England’s people and nature survey (PANS) data (n = 4,206) from the UK was used to assess a number of well-being outcomes (loneliness, life satisfaction, worthwhile life and happiness) and pro-nature behaviours as a function of longer-term physical time in nature and psychological connectedness to nature and shorter-term visits and noticing of nature. Findings Longer-term factors of nature connectedness and time in nature were both consistent significant predictors of well-being measures (apart from loneliness) and pro-nature conservation behaviours. Considered alone short-term visits and noticing were again consistent and significant predictors of three well-being measures, but recent visits to nature were not associated with pro-nature conservation behaviours. A combined regression highlighted the importance of a longer-term relationship with nature in all outcomes apart from loneliness but also revealed that even when considered in concert with longer-term factors, currently noticing nature had a role in feeling one’s life was worthwhile, pro-nature behaviours and loneliness. Originality/value The closeness of the human-nature relationship and noticing nature have rarely been examined in concert with nature visits. Further, the reciprocal benefits of pro-nature behaviours are often overlooked.


Author(s):  
Steve Pearce ◽  
Oliver Dale

Purpose Training in therapeutic community and related approaches has not been widely available, and there is debate about the form this should take. This has had a negative impact on the field. The paper aims to discuss this issue. Design/methodology/approach The authors consider the history of training in democratic therapeutic community methods in the UK in particular, and trace some of the reasons for its lack of development. Findings With the expansion of TC methodology into new areas, such as therapeutic and enabling environments, the ability to provide training in DTC approaches and techniques is increasingly important. The developing evidence base, and the increasing detail in which the method has been described, make dedicated TC training increasingly important. Originality/value Training in therapeutic community methods, and enabling and therapeutic environment approaches, provides a grounding in technique and theory that would otherwise be impossible to acquire for most workers, and can lead to a general increase in the level of competence and confidence in the way these environments operate.


Author(s):  
Penelope Campling

Purpose – This paper is about therapeutic containment. It makes links between what the author understands about containment in therapeutic communities and wider perspectives on containment in the context of organisational and social forces within which the author lives and works in modern society. The paper aims to discuss these issues. Design/methodology/approach – The author explores relational dynamics, focusing particularly on the English NHS, using evidence from a cross-section of disciplines including ethology, anthropology and economic philosophy. Findings – The author suggests that the crisis in healthcare culture reflects a wider crisis of containment in the modern world; and that the theoretical legacy from, and lived experience in, therapeutic communities offers a rich perspective on the issues and points to ways forward. Social implications – The paper suggests ways that therapeutic community thinking can be applied more widely to topical problems such as the undermining of healthcare culture. The paper argues that an explicit focus on values is important in order to mitigate the forces that distract from co-operative and therapeutic relationships. To illustrate this, the author describes a simple model for nurturing the conditions for intelligent kindness. Originality/value – The paper draws important parallels between therapeutic community philosophy and practice, and the culture at large.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jade Richardson ◽  
Valentina Zini

Purpose The purpose of this paper is to detail the impact and efficacy of Her Majesty’s Prison and Probation Service ((HMPPS) Therapeutic Communities (TCs) (both democratic and hierarchical). This paper outlines recent developments in the TC literature, to provide readers with an up-to-date overview of the outcomes of prison-based TC treatment, while highlighting the strengths and challenges of this treatment approach. Trends within the research are discussed, and the authors draw attention to any gaps in the current knowledge. Design/methodology/approach This paper uses a narrative literature review approach to review the most current literature around the effectiveness of prison-based TCs in HMPPS. Academic literature published predominantly from 2010 onwards is discussed because of limited literature review publications on this topic post-2010. To obtain literature, searches of relevant databases were conducted, and/or clinical leads at prison sites were contacted for relevant publications. Findings There is a body of research which demonstrates that TCs are an effective form of treatment for people with an offending history and personality difficulties. Evidence indicates that Democratic TC treatment plays a part in reducing reoffending rates, as well as improving psychological features. Further research is needed in a number of areas, specifically with female offenders and individuals who undertake treatment in hierarchical TCs in the UK. It is also suggested that TC treatment aftercare may help to further the positive outcomes identified. Originality/value To the best of the authors’ knowledge, there is no up-to-date review of the impact and efficacy of HMPPS TC treatment. This paper reflects on available research within the current context of TC treatment and provides an original overview of the current UK TC practice. It has value in recommending areas for further research and consideration.


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