Providing Treatment in a Prison-Based Therapeutic Community for Those Who Have Committed Sexual Offences

2021 ◽  
Vol 65 (12) ◽  
pp. 1267-1281
Author(s):  
Geraldine Akerman
Keyword(s):  
Therapeutic Relationship ◽  
Therapeutic Community ◽  
Sexual Offences ◽  
Complex Needs ◽  
Accurate Picture ◽  
Adaptive Environment ◽  
Managing Risk ◽  
Tc Model ◽  
Violent Offences

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.

Providing therapeutic community initiatives for individuals on opioid substitution treatment

2017 ◽  
Vol 38 (2) ◽  
pp. 79-86
Author(s):  
Carolyn Stubley ◽  
Garth Popple
Keyword(s):  
Therapeutic Community ◽  
Substitution Treatment ◽  
Completion Rates ◽  
Opioid Substitution Treatment ◽  
Community Initiatives ◽  
Content Type ◽  
Complex Needs ◽  
Research Findings ◽  
The Individual ◽  
Opioid Substitution

Purpose Developing therapeutic community (TC) programs in Australia for individuals on opioid substitution treatment (OST) has been a process spanning 16 years for the We Help Ourselves (WHOS) organization. Supported reduction of OST and stabilization services for those remaining on OST are offered to this population and continue to break down barriers of discrimination in offering the same services to all drug using populations. The paper aims to discuss these issues. Design/methodology/approach A number of research projects have been undertaken with the WHOS Opioid Treatment Program (OTP) TC services profiling clients accessing the services; looking at health benefits whilst in the programs; looking at retention and completion rates and conducting an evaluation post-treatment for one of the two programs currently being offered. Findings The excerpts from the research findings are presented identifying the complexity of individuals accessing WHOS services; highlighting the benefits for individuals on OST and assessing the effectiveness of the TC model for the client groups. Originality/value Working with multiple complex needs clients on OST in a residential TC environment offers many challenges and opportunity to work with an array of issues that present before during and after the residential stay. Provision of a history and overview of the WHOS OTP TC services and recent enhancements to these programs highlight a continuum of care for the individual on OST.

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

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.

Healing Complex Trauma through Therapeutic Residential Care: The Lighthouse Foundation Therapeutic Family Model of Care

2014 ◽  
Vol 39 (3) ◽  
pp. 169-176 ◽  
Author(s):  
Pauline J. McLoughlin ◽  
Rudy Gonzalez
Keyword(s):  
Residential Care ◽  
Therapeutic Community ◽  
Traumatic Experiences ◽  
Positive Development ◽  
Model Of Care ◽  
Discussion Paper ◽  
Complex Needs ◽  
Community Approach ◽  
Family Model ◽  
The Impact

Therapeutic Residential Care (TRC) has attracted increasing interest in Australia, as a specialised out-of-home care option for children with complex needs. Extending beyond the limitations of traditional residential programmes, TRC aims to address the impact of trauma and promote positive development and wellbeing. The Lighthouse Foundation is a not-for-profit organisation based in Melbourne, providing a long-term programme of TRC to young people aged 15 to 22 at intake. The organisation has developed an attachment and trauma-informed therapeutic community approach, embodied in the Therapeutic Family Model of Care. This discussion paper explores how the therapeutic community approach taken by Lighthouse provides a different experience of the cultural ‘sites’ in which early traumatic experiences occur – including the home environment, experiences of family, and the wider community. In doing so, we propose that an important dimension of TRC is the capacity to challenge traumatic relational blueprints of abuse and neglect. This, in turn, supports children to form and sustain positive and reciprocal relationships, and to live inter-dependently in the community.

A Survey of the Criminal Careers of Restriction Order Patients

1983 ◽  
Vol 143 (4) ◽  
pp. 370-375 ◽  
Author(s):  
T. C. N. Gibbens ◽  
G. Robertson
Keyword(s):  
Mentally Ill ◽  
Hospital Admissions ◽  
Criminal Careers ◽  
Sexual Offences ◽  
Dramatic Fall ◽  
Property Offences ◽  
Violent Offences

SummaryThe offenders committed to local hospitals in 1962 and 1964 under a hospital order with restriction of discharge were followed up for 15 years with regard to subsequent court appearances, hospital admissions, and death. One hundred and forty-six were traced. Of these, 49 per cent had been diagnosed as mentally ill: most of this group were committed for violent offences. Thirty-five per cent were mentally subnormal: they were frequently committed for sexual offences, arson and property offences. Twelve per cent were diagnosed psychopathic: this group had a wide variety of committal offences.Fourteen per cent of the mentally ill and 17 per cent of the mentally subnormal were still in hospital after 15 years, but 51 per cent of the mentally ill and 36 per cent of the mentally subnormal were released within three years. Sixty-one per cent of the psychopaths were released within two years. Few of the subsequent offences were serious in any of the diagnostic groups.Since 1973 there has been a dramatic fall in restriction orders, especially for mentally subnormal patients.

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

1996 ◽  
Vol 28 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Vivian B. Brown ◽  
Suzan Sanchez ◽  
Joan Ellen Zweben ◽  
Tanya Aly
Keyword(s):  
Therapeutic Community ◽  
Tc Model

Comparing persons found not criminally responsible on account of mental disorder for sexual offences versus nonsexual violent offences

2018 ◽  
Vol 24 (2) ◽  
pp. 143-156
Author(s):  
Michael C. Seto ◽  
Marichelle C. Leclair ◽  
Catherine M. Wilson ◽  
Tonia L. Nicholls ◽  
Anne G. Crocker
Keyword(s):  
Mental Disorder ◽  
Sexual Offences ◽  
Not Criminally Responsible ◽  
Violent Offences

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

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.

scholarly journals Minor - The Victim of Sexual Violence in Swedish, Austrian and Russian Law // Dete - žrtva seksualnog nasilja u švedskom, austrijskom i ruskom pravu

2017 ◽  
Vol 7 (7) ◽  
pp. 55
Author(s):  
Dragan Jovašević
Keyword(s):  
Sexual Violence ◽  
Criminal Law ◽  
Legal System ◽  
Practical Aspect ◽  
Sexual Offences ◽  
Russian Law ◽  
Violent Offences

Violent offences directed against sexual integrity of other persons are indisputably considered as the most dangerous forms and aspects of criminality. They are known as the offences against sexual integrity or “sexual offences”. Due to its significance, nature, characteristics and consequences, the crime of sexual violence, for which all contemporary legislations prescribe the most severe types and measures of punishment, particularly stands out among these criminal offences. All contemporary criminal legislations are familiar with various forms and aspects of the crime of sexual violence, depending on the division criteria. In these of offences are specially accenting crimes of sexual violences against minors The Convention for the Protection of Children against Sexsual Exploitation and Sexsual Abuse (2007) laid down the criminal law standards for the protection of minors. After the ratification of the Convention, these standards became part of domestic legal system. This paper discusses the term, characteristics, and elements of the crime of sexual violence in the cases when the attribute of minor as the element of their description in Swedish, Austrian and Russian law, from both – theoretical as well as practical aspect.

scholarly journals Exploring the development and maintenance of therapeutic relationships through e-Health support: A narrative analysis of therapist experiences

2021 ◽  
Vol 5 ◽  
pp. 239920262110180
Author(s):  
Matthew J Wood ◽  
Hannah MN Wilson ◽  
Sarah L Parry
Keyword(s):  
Mental Health ◽  
Therapeutic Relationship ◽  
Narrative Analysis ◽  
Learning Experience ◽  
Therapeutic Relationships ◽  
Specific Training ◽  
Mental Health Support ◽  
Health Support ◽  
Managing Risk ◽  
The Impact

Objective: Amid COVID-19 disruptions, e-therapy has become even more essential and has rapidly expanded across statutory, private and third sectors to meet growing demands for digital mental health support. A challenge in digital therapeutic care is how to develop and maintain a supportive, collaborative therapeutic relationship, built upon mutual trust and respect; intrinsic values of relationships that are often implied through complex non-verbal cues. Online practitioners are eager to learn how to adapt to online delivery, although platform-specific training is limited. The aim of the current study was to focus upon the therapist experience of online therapeutic relationships with young people, exploring a range of factors through their perspectives, including the impact of anonymity. Methods: Eight e-therapy practitioners were recruited from Kooth, an online mental health service. Narrative interviews undertaken via Skype facilitated reflective conversational one-to-one discussions, based upon the practitioners’ individual experiences, led by the interviewee. Following transcription and anonymisation, a narrative analysis was undertaken to explore participants’ experiences, perspectives and reflections. Results: Four analytic layers arose from the narratives, which explored the challenging learning experience of translating existing therapeutic skills to online working, rapidly building therapeutic relationships, managing risk in the online therapeutic relationship, and techniques for maintaining a digital therapeutic relationship. Conclusion: The study provides novel insights into the flexibility and adjustments therapists can make to improve online interventions and delivery through the development and maintenance of positive therapeutic relationships. Recommendations are also made in relation to platform-specific training, communicative adaptations, risk management and practitioner support.

Dislocation structures around SiO2 Particles in aged Cu-Cr-SiO2

1978 ◽  
Vol 36 (1) ◽  
pp. 594-595
Author(s):  
N.J. Long ◽  
M.H. Loretto ◽  
C.H. Lloyd
Keyword(s):  
Flow Stress ◽  
Single Crystals ◽  
Room Temperature ◽  
Thin Foil ◽  
Age Hardening ◽  
Dispersion Strengthening ◽  
Accurate Picture ◽  
The Matrix ◽  
Very High ◽  
Good Agreement

IntroductionThere have been several t.e.m. studies (1,2,3,4) of the dislocation arrangements in the matrix and around the particles in dispersion strengthened single crystals deformed in single slip. Good agreement has been obtained in general between the observed structures and the various theories for the flow stress and work hardening of this class of alloy. There has been though some difficulty in obtaining an accurate picture of these arrangements in the case when the obstacles are large (of the order of several 1000's Å). This is due to both the physical loss of dislocations from the thin foil in its preparation and to rearrangement of the structure on unloading and standing at room temperature under the influence of the very high localised stresses in the vicinity of the particles (2,3).This contribution presents part of a study of the Cu-Cr-SiO2 system where age hardening from the Cu-Cr and dispersion strengthening from Cu-Sio2 is combined.

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