A Structured Environment for Heroin Addicts: the Experiences of a Community-Based American Methadone Clinic and a Residential Dutch Therapeutic Community

1981 ◽  
Vol 27 (3) ◽  
pp. 189-203 ◽  
Author(s):  
Thomas Edward Bratter ◽  
Martien Kooyman
Keyword(s):  
Therapeutic Community ◽  
Community Based ◽  
Heroin Addicts ◽  
Methadone Clinic

scholarly journals Development of a compassion-focused and contextual behavioural environment and validation of the Therapeutic Environment Scales (TESS)

2016 ◽  
Vol 40 (1) ◽  
pp. 12-19 ◽  
Author(s):  
David Veale ◽  
Sarah Miles ◽  
Iona Naismith ◽  
Maria Pieta ◽  
Paul Gilbert
Keyword(s):  
Anxiety Disorders ◽  
Interpersonal Relationships ◽  
Positive Reinforcement ◽  
Expressed Emotion ◽  
Therapeutic Community ◽  
Interpersonal Processes ◽  
Community Based ◽  
Specialist Service ◽  
Therapeutic Environment ◽  
Improved Outcomes

Aims and methodThe aims of the study were to develop a scale sensitive enough to measure the interpersonal processes within a therapeutic environment, and to explore whether the new scale was sensitive enough to detect differences between settings, including a community based on compassionate mind and contextual behaviourism. The Therapeutic Environment Scales (TESS) were validated with 81 participants in three different settings: a specialist service for anxiety disorders, a specialist in-patient ward and a psychodynamic therapeutic community.ResultsTESS was found to be reliable and valid. Significant differences were seen between the services on the dimensions of compassion, belongingness, feeling safe, positive reinforcement of members' acts of courage, extinction and accommodation of unhelpful behaviours, inconsistency and high expressed emotion. These processes were over time associated with improved outcomes on a specialist service for anxiety disorders.Clinical implicationsThe TESS offers a first step in exploring important interpersonal relationships in therapeutic environments and communities. An environment based on a compassionate mind and contextual behaviourism offers promise for the running of a therapeutic community.

THE DAILY AFFECT OF HEROIN ADDICTS IN A THERAPEUTIC COMMUNITY: A PILOT STUDY IN HONG KONG

2002 ◽  
Vol 30 (6) ◽  
pp. 561-565 ◽  
Author(s):  
Giovanni B. Moneta ◽  
Oi-Chu Wong
Keyword(s):  
Pilot Study ◽  
Positive Affect ◽  
Flow Model ◽  
Therapeutic Community ◽  
Daily Activities ◽  
Heroin Addicts ◽  
Student Sample ◽  
Lack Of Control ◽  
Daily Affect ◽  
Healthy Functioning

The authors examined how heroin addicts' affect varies in relation to perceived levels of challenges and skills in daily activities. Fourteen male residents of a therapeutic community completed 21 end-of-day diaries measuring affect. Unexpectedly, addicts had comparable positive affect to, and less negative affect, than a nonclinical student sample. Positive affect correlated with the imbalance of challenges and skills. Heroin addicts deviate from the flow model of healthy functioning as they optimize affect in states of either overcontrol or lack of control.

Community Based Heroin Addicts Who Turn to Experimental Treatment Rather Than Conventional Care

1995 ◽  
Vol 14 (2) ◽  
pp. 33-42 ◽  
Author(s):  
Jennifer Michaels ◽  
Marc Galanter ◽  
Richard Resnick ◽  
Michael Marmor ◽  
Harold Lifshutz ◽  
...  
Keyword(s):  
Experimental Treatment ◽  
Conventional Care ◽  
Community Based ◽  
Heroin Addicts

scholarly journals Service innovation: a virtual informal network of care to support a ‘lean’ therapeutic community in a new rural personality disorder service

2008 ◽  
Vol 32 (2) ◽  
pp. 64-67 ◽  
Author(s):  
Mike Rigby ◽  
Dale Ashman
Keyword(s):  
Personality Disorder ◽  
Therapeutic Community ◽  
Therapeutic Communities ◽  
Community Practice ◽  
Informal Networks ◽  
Community Based ◽  
National Programme ◽  
Department Of Health ◽  
Community Programme ◽  
Rural Catchment

This article presents a brief overview of service user-led informal networks of care in therapeutic community practice before discussing the design and evolution of a new kind of network in one of the pilot services of the Department of Health National Programme for the Development of Services for People with Personality Disorder (National Institute for Mental Health in England, 2003a). This network employs well-established internet messaging and chat room facilities uniquely structured and moderated to encompass therapeutic community principles and provide equality of access across a huge mixed urban and rural catchment area. Both hardware and software are inexpensive, easily transferable to similar services and could be modified to suit other applications. The success of this system in allowing challenging work to proceed in a much reduced therapeutic community programme may offer the prospect of many more community-based therapeutic communities at the heart of new personality disorder services.

The MMPI as a Predictor of Retention in a Therapeutic Community for Heroin Addicts

1981 ◽  
Vol 16 (5) ◽  
pp. 893-903 ◽  
Author(s):  
William C. Foureman ◽  
Ronald Parks ◽  
T. Hershel Gardin
Keyword(s):  
Therapeutic Community ◽  
Heroin Addicts

The complexity of the therapeutic experience within the therapeutic community based on an ex-patient’s account

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Daniela Ivanova ◽  
Andrew John Howe ◽  
Patricia Burns ◽  
Merryn Jones
Keyword(s):  
Design Methodology ◽  
Therapeutic Community ◽  
Support Network ◽  
Therapeutic Communities ◽  
Community Based ◽  
Content Type ◽  
Therapeutic Experience ◽  
Key Factor ◽  
The Impact ◽  
E Mail

Purpose The purpose of this paper is to explore the effectiveness of the therapeutic community and to look at the potential changes that some patients may experience following treatment at the therapeutic communities (TC). Design/methodology/approach A thematic analysis was conducted on an e-mail sent by an ex-patient of the TC. The text was reviewed multiple times and codes were generated. Based on the data found, three themes were identified. The e-mail was sent to the patient’s primary therapist, who was asked to provide an account of the e-mail. The therapist was sent six questions created by the authors of the paper; the responses were used to compare the two perspectives. Findings The main findings entailed the changes the patient went through after her treatment at the TC. The patient’s account described her inability to process the adversities she had been through at the time and therefore her inability to communicate them. However, the impact the service had on the patient, according to the e-mail was evident years later. The lack of a support network during treatment at the TC and evidence of one following treatment seemed to be the key factor in the patient’s improvement. Originality/value The authors confirm that the research presented in this paper is their original work. The authors hereby acknowledge that all material included in this piece of work, that has been published or written by another person has been referenced accordingly.

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