Core characteristics, treatment process and retention in therapeutic communities for addictions: a summary of four studies

Author(s):  
Ilse Goethals ◽  
Wouter Vanderplasschen ◽  
Stijn Vandevelde ◽  
Eric Broekaert

Purpose – The purpose of this paper is to summarize the main findings and conclusions of four separate studies on treatment in therapeutic communities (TCs) for addictions. Design/methodology/approach – The first two studies address the core characteristics of the TC approach: a study on the workable and destructive elements of the Synanon model; and a comparative study on the essential elements of TCs for addictions in Europe and in the USA. The final two studies highlight clients’ perceptions of the TC treatment process in relation to retention: a study on clients’ first month perceptions of the TC treatment process and the influence of fixed and dynamic client factors; and a longitudinal study on changes in clients’ perception of the TC treatment process and the impact of motivation, psychological distress and cluster B personality traits. Findings – The first study showed that Synanon’s therapeutic and pedagogical methods are still highly valued despite its negative reputation. The results of the second study suggest that while traditional TCs operate as concept-based TCs in Europe, modified TCs might differ in the extent to which they apply the core principles and elements of the TC approach. The third study provides evidence that suitability for treatment is a very important predictor for clients’ first month perceptions of the community environment. The fourth study shows that with time in treatment clients develop more profound perceptions regarding the essence of TC treatment. Research limitations/implications – Finally, implications for clinical practice, general limitations and some concrete recommendations for future research are presented in this paper. Originality/value – The PhD summary study contributes to the existing literature on TC treatment.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tim O. Peterson ◽  
Claudette M. Peterson ◽  
Brian W. Rook

Purpose The overall purpose of this paper is to determine to what extent organizational citizenship behaviors predict followership behaviors within medical organizations in the USA. This is the first part of a two-part article. Part 1 will refine an existing followership instrument. Part 2 will explore the relationship between followership and organizational citizenship. Design/methodology/approach Part 1 of this survey-based empirical study used confirmatory factor analysis on an existing instrument followed by exploratory factor analysis on the revised instrument. Part 2 used regression analysis to explore to what extent organizational citizenship behaviors predict followership behaviors. Findings The findings of this two-part paper show that organizational citizenship has a significant impact on followership behaviors. Part 1 found that making changes to the followership instrument provides an improved instrument. Research limitations/implications Participants in this study work exclusively in the health-care industry; future research should expand to other large organizations that have many followers with few managerial leaders. Practical implications As organizational citizenship can be developed, if there is a relationship between organizational citizenship and followership, organizations can provide professional development opportunities for individual followers. Managers and other leaders can learn how to develop organizational citizenship behaviors and thus followership in several ways: onboarding, coaching, mentoring and career development. Originality/value In Part 1, the paper contributes an improved measurement for followership. Part 2 demonstrates the impact that organizational citizenship behavior can play in developing high performing followers.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Praveen Puram ◽  
Anand Gurumurthy

Purpose International Journal of Lean Six Sigma (IJLSS) has completed a decade. To celebrate the same, this study aims to review the articles published in IJLSS from its inception to the year 2020. The journal’s trends and professional impact over the years are investigated and potential future research directions are proposed. Design/methodology/approach A bibliometric analysis comprising of citation, co-citation and keyword co-occurrence methods is used on all the articles published in IJLSS till the year 2020. Content analysis is further done to analyse the type of research, type of industry studied and the articles’ target audience. Findings The journal has improved its reputation, productivity and impact over the years. Currently, studies published in IJLSS have been cited more than 5,000 times, with the most prominent themes being Six Sigma, Lean Six Sigma (LSS) and Lean in manufacturing and services. Researchers from India, the USA and the UK have contributed a significant number of publications. Most of the work published is case-based. There is a need for more empirical or survey-based research having high generalizability. Future studies should also focus on integrating LSS with emerging topics such as sustainability, Industry 4.0 and the like. Research limitations/implications The study provides evidence of the impact of IJLSS and highlights the trend in the domain of LSS. It can be of use for the editorial board members to identify potential areas to focus on in the future. Researchers can use it to further their research by working on the research gaps identified. Originality/value This paper is the first to trace the progress of IJLSS from its inception till the year 2020.


Author(s):  
Jaimie Chloe Northam ◽  
Lynne Magor-Blatch

Purpose The purpose of this paper is to explore the applicability of the Australasian Therapeutic Communities Association (ATCA) Standard to Australian youth-specific modified therapeutic communities (MTCs). An Interpretive Guide for Youth MTCs and Residential Rehabilitation (RR) Services was developed and a pilot trial conducted with three Australian youth MTC services. Design/methodology/approach Using a mixed-methods design, this study included three components: a consultation process with residential youth MTCs (N=15), which informed the development of the ATCA Standard Interpretive Guide for Youth MTCs and RR Services; a pilot trial of the materials with three Australian youth MTCs (N=53); and an evaluation of the interpretive guide and assessment of applicability of the ATCA standard to youth MTCs through pre- (N=32) and post- (N=19) pilot trial administrations of the Survey of Essential Elements Questionnaires (SEEQ), and post-pilot trial focus groups (N=21). Findings Results indicate that the ATCA Standard is applicable to youth MTC settings when applied with the Interpretive Guide, although no significant differences were found between the pre- and post-pilot trial administrations of the SEEQ. Practical implications Future research is recommended to explore active mechanisms of youth-specific MTCs, differences between adults and youth MTCs, and the development of TC-specific training. Originality/value To date, no standard for youth residential substance use services in Australia has been developed, and this is the first study of its kind internationally to explore the efficacy of standards in a youth MTC.


Author(s):  
Anisha Vyas ◽  
Cathy Spain ◽  
David Rawlinson

Purpose The purpose of this paper is to explore the impact working in a therapeutic community (TC) has on staff practice and personal development. Design/methodology/approach Eight female members of staff who work in the TC participated in semi-structured interviews. Interviews were recorded and transcribed. Thematic analysis was used. Findings The findings of this paper show three superordinate themes: confidence gained within TC; the staff impact of the intensity of TC; and staff value for specific TC principles. Research limitations/implications Limitations include researcher bias as both authors work in the TC and/or in the service. Reasonable adjustments were made in order to account for this. Practical implications Implications for future research include understanding and supporting the needs of staff and further exploration of the impact of staff working within TCs for people diagnosable with emotionally unstable personality disorders. Originality/value The research was carried out at one of the longest running TCs for people with emotional instability in the country. It offers a unique opportunity to garner the views of staff members with up to 27 years of experience. Findings may be of value to practitioners, administrators, policy makers and researchers interested in therapeutic communities.


2018 ◽  
Vol 37 (6) ◽  
pp. 503-511 ◽  
Author(s):  
Margaret Hopkins ◽  
R. Deepa

Purpose The purpose of this paper is to investigate the important relationships between emotional intelligence (EI) and ethical decision making (EDM). Design/methodology/approach Participants were 100 students from MBA programs in the USA and India who completed two surveys: one measuring their EI, and the second their use of four different ethical perspectives in three scenarios. Multiple regression analyses were performed to discover relationships between overall EI, certain dimensions of EI and their ethical judgments. Findings The authors’ results found that the composite EI score as well as the EI subscale of decision making were both significantly related to the relativism ethical perspective. Age was an additional significant factor for EI and EDM. Research limitations/implications Future research should attempt to replicate these findings among different managerial levels, industries and countries to further understand the distinctive relationships between EI and ethical judgments. Practical implications This study highlights the importance of integrating EI and ethical judgment within corporate training programs and business school curricula, as important is the emphasis on moving the subject of ethical judgment from one of awareness to sustained ethical behavior through accountability. Originality/value This study contributes to the literature by identifying how EI and its decision-making subscale are significant to EDM.


2019 ◽  
Vol 31 (1) ◽  
pp. 145-168 ◽  
Author(s):  
Isabela Maganha ◽  
Cristovao Silva ◽  
Luis Miguel D. F. Ferreira

Purpose The purpose of this paper is to investigate the current level of reconfigurability implementation and its impact on manufacturing systems’ operational performance empirically. Design/methodology/approach This study is based on a questionnaire survey. Statistical analysis procedures were adopted to accomplish its objectives, namely, clustering methods based on cluster centroids. An ANOVA analysis was used to test for cluster differences among the variables. Findings The results show that the manufacturing companies surveyed can be divided into three clusters, with different levels of reconfigurability implemented. The implementation of the core characteristics of reconfigurability depends on the product’s complexity and demand variability, in terms of volume and product mix, as these have an impact on the operational performance, in terms of quality, delivery and flexibility. Research limitations/implications The data for this survey were collected from manufacturing companies based in Portugal. Therefore, the replication of this questionnaire in other countries is recommended for future research to confirm its findings. Practical implications The questionnaire developed could be used by managers to assess the level of reconfigurability of their production systems and for internal/external benchmarking. The findings may help managers to decide which core characteristics should be implemented in their manufacturing systems. Originality/value The majority of the research addressing performance issues in reconfigurable manufacturing systems has been applied to case studies. This research reports an empirical investigation using a questionnaire-based methodology to provide generalisable empirical evidence.


2019 ◽  
Vol 28 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Maree Conway

Purpose This study aims to identify and explore the nature of ideas of the university in the present to demonstrate how the ideas both enable and constrain the emergence of its possible futures. Design/methodology/approach An integrated literature review of work on the western university was undertaken to identify the defining elements of ideas discussed in the literature – purpose, social legitimacy and embedded future – for the university in each idea. Findings Four contested and co-existing ideas of the university in the present were identified, and the nature of their co-existence and their underpinning assumptions about the purpose and social legitimacy and the embedded future held by each idea are made explicit. Research limitations/implications The paper focuses only on public, non-profit western universities as they exist in Australia, Europe, the UK, Canada and the USA in the present. Whether other forms of the university such as private non-profit and private for-profit “fit” into the four ideas and university types identified here was not explored and is a topic for future research. Originality/value The paper draws on an extensive literature to identify a new frame to understand the evolution of multiple ideas of the university, the impact of these ideas on the empirical organisational form of the university and how they shape assumptions about the university’s possible futures.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kathryn Krase ◽  
Leina Luzuriaga ◽  
Donna Wang ◽  
Andrew Schoolnik ◽  
Chantee Parris-Strigle ◽  
...  

PurposeRepercussions to everyday life caused by the COVID-19 pandemic disproportionately impacted certain segments of the population, including older adults, communities of color and women. The societal response to reduce the impact of the pandemic, including closing schools and working from home, has been experienced differentially by women. This study explored how individual challenges and coping mechanisms differed for women as compared to men.Design/methodology/approachThis study used an anonymous, cross-sectional, online survey early in the COVID-19 pandemic. Convenience, snowball and purposive sampling methods were used. Data were collected in June 2020 targeting adults living in Canada and the USA, with a total of 1,405 people responding, of which, the respondents were primarily women, White and with high education levels.FindingsThe results of this study confirm previous research that women struggled more to adapt to the pandemic and felt less prepared than men during the COVID-19 pandemic. Further, this study found significant differences in the sources of information and support used by women as compared to men.Originality/valueThe findings of this study not only confirm past research but also highlight that practice and policy responses to this pandemic, and future research on national level crises need to be targeted by gender, so that different needs are effectively addressed. Additionally, this article also identifies sources or challenges, as well as support, in order to inform and strengthen such responses.


2016 ◽  
Vol 38 (2) ◽  
pp. 163-181 ◽  
Author(s):  
Katherine Karl ◽  
Joy Van Eck Peluchette ◽  
Leda McIntyre Hall

Purpose – The increasing prevalence of unconventional appearance attributes (e.g. tattoos, piercings, unnatural hair color, alternative clothing) is a concern among employers as these appearance attributes are often viewed negatively. Because much of the existing employee appearance research has been conducted in the USA, the purpose of this paper is to examine employee beliefs regarding the impact of unconventional employee appearance on customer perceptions of service quality in Mexico and Turkey. The authors also examine the impact of gender, age, and position level. Design/methodology/approach – The sample consisted of 295 white collar employees in various service industries in Turkey and Mexico. Respondents reported how they thought eight employee appearance factors (tattoos, facial piercings, unconventional hair color, unconventional hair styles, sweat pants, clothing with rips or tears, clothing that bears midriffs, belly-buttons, or cleavage, and uniforms) would affect customer perceptions of service quality. Findings – Employees in both Mexico and Turkey indicated that uniforms would have a positive impact on customer perceptions of service quality and all seven unconventional employee appearance attributes would have a negative impact. Significant differences for country, gender, age, and position level were also found. Research limitations/implications – Future research including a more diverse group of countries and cultures is needed. Future research should also attempt to control for differences in type of organization, organizational culture, and job type. Practical implications – Alternative fashion and appearance styles may be trendy but there are risks in how these might be perceived by customers and by colleagues at work. Originality/value – This study examines employee beliefs regarding the impact of a variety of unconventional employee appearance attributes on customers’ perceptions of service quality in Mexico and Turkey.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
David R. White ◽  
Joseph Schafer ◽  
Michael Kyle

PurposeThe purpose of this study is to explore the impacts coronavirus disease 2019 (COVID-19) had on US police academies’ production of police recruits.Design/methodology/approachThe study used a national online survey of police academy directors in the USA, followed by purposive, semi-structured interviews of select academy directors. A combination of quantitative and qualitative data is combined in a mixed methods approach.FindingsThe findings suggest that academies experienced a range of impacts related to COVID-19. These impacts lead to more questions concerning how academies and state-level governing boards responded not only to pandemic-related challenges, but also to their willingness to accept more online and alternative curriculum delivery strategies.Originality/valuePolice academies are a required step in the production of new police recruits in the USA, but researchers have paid little attention to how academies operate. While exploratory, this study provides some insights into how this aspect of policing weathered the COVID-19 pandemic, and offers suggestions for future research, as well as policy implications.


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