scholarly journals Therapeutic community research: past, present and future

2002 ◽  
Vol 26 (2) ◽  
pp. 65-68 ◽  
Author(s):  
Rex Haigh
Keyword(s):  
Therapeutic Community ◽  
Community Research ◽  
Therapeutic Communities ◽  
Outcome Study ◽  
Community Practice ◽  
Action Research Project ◽  
Research Areas ◽  
Continuous Quality ◽  
Cost Offset ◽  
Multi Level

This paper gives an outline of four research areas examining therapeutic community practice: an international systematic review, health economics cost-offset work, a cross-institutional multi-level modelling outcome study and a proposed action research project to deliver continuous quality improvement in all British therapeutic communities. Results of the first two have been published and are summarised here; the third is under way and the fourth is seeking funding.

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.

Leading from below? Decisions, responsibility and creativity as a group dynamic

2020 ◽  
Vol 41 (2) ◽  
pp. 47-55
Author(s):  
Robert Douglas Hinshelwood
Keyword(s):  
Social Science ◽  
Design Methodology ◽  
Therapeutic Community ◽  
Therapeutic Communities ◽  
Community Practice ◽  
Group Dynamic ◽  
Content Type ◽  
The Past ◽  
Disadvantaged People

Purpose This paper aims to bring back into view some of the original ideas from which the Therapeutic Community (TC) developed today. If we forget the origins of therapeutic communities way back in the past, we cannot be in the best position to make decisions for the present. The underlying principles of the TC are a combination of social science ideas, psychotherapeutic practices and a political urgency to do something for disadvantaged people. There is a need to try to keep all branches of the past roots in play together. Design/methodology/approach Learning from the past. Findings The past has a relevance that must not be forgotten in present reflection. Originality/value This is a reflective exercise at the heart of the therapeutic community practice.

Drug Free Therapeutic Community — A Five-Year Follow UP

1981 ◽  
Vol 11 (3) ◽  
pp. 275-280 ◽  
Author(s):  
V. Charles Charuvastra
Keyword(s):  
Residential Treatment ◽  
Therapeutic Community ◽  
Methadone Maintenance ◽  
Treatment Center ◽  
Veterans Administration ◽  
Therapeutic Communities ◽  
Outcome Study ◽  
Drug Free

An original follow-up study of fifty patients from the Brentwood Veterans Administration Residential Treatment Center (RTC) was conducted in 1974 with favorable results for 44 per cent of the sample [1]. The difficulty in obtaining a favorable outcome in drug treatment is well documented with few modalities daring to claim long-term effectiveness. The therapeutic community is one modality that does purport to be effective and there is evidence that this is true [2]. Kleber et al. find that residential treatment graduates seem to do better compared to dropouts [3]. Bale et al, comparing long-term therapeutic communities with methadone maintenance in a two-year-outcome study, showed superior results for the residential treatment [4]. The purpose of the following study is to continue follow-up of the original sample of RTC residents from our 1974 report. This five-year perspective should present further information on the long-term effectiveness of residential treatment.

Participant Observation of a Therapeutic Community Model for Offenders in Drug Treatment

1997 ◽  
Vol 27 (2) ◽  
pp. 209-314 ◽  
Author(s):  
Cátia Olivier Mello ◽  
Flavio Pechansky ◽  
James A. Inciardi ◽  
Hilary L. Surratt
Keyword(s):  
Criminal Justice ◽  
Drug Treatment ◽  
Therapeutic Community ◽  
Participant Observation ◽  
Therapeutic Communities ◽  
Therapeutic Tool ◽  
Theoretical Understanding ◽  
Community Model ◽  
Therapeutic Procedures

This paper reports the participant observation of a Brazilian psychologist and a Brazilian psychiatrist during a 1-month period in two therapeutic communities (TCs) for drug-using offenders. A description of the activities undertaken by the prisoners who are serving their sentences at the Multi-Purpose Criminal Justice Facility in Wilmington, Del., is complemented with a theoretical understanding of the process. Clinical and developmental psychological approaches are used to explain the functioning of TCs when applied to a correctional environment. The theory of scripts and the use of metacommunication as a therapeutic tool are used in the explanation of these therapeutic procedures.

Legal Pressure in Therapeutic Communities

1988 ◽  
Vol 18 (4) ◽  
pp. 625-640 ◽  
Author(s):  
George De Leon
Keyword(s):  
Substance Abusers ◽  
Therapeutic Community ◽  
Recovery Process ◽  
Treatment Retention ◽  
Therapeutic Communities ◽  
Compulsory Treatment ◽  
Differential Outcomes ◽  
Retention In Treatment ◽  
Legal Pressure ◽  
Indirect Relationship

Therapeutic community (TC) studies are reviewed to assess the effects of legal referral on treatment retention and outcome. The main findings reveal little evidence for differential outcomes between legally referred and non-legally referred clients in TCs, although legal referrals to TCs remain longer in treatment than do “voluntary” clients. Thus, there is an indirect relationship between legal referral and outcome which is mediated through retention in treatment. Issues are discussed which have confounded interpretation of research on the efficacy of compulsory treatment, e.g., definitions, client perception of pressure, implementation of legal referral procedures and the complexity of the recovery process itself. It is hypothesized that legal pressure can have a limited but potent role in the recovery process for appropriately identified substance abusers.

scholarly journals Cross-Docking Operations for Supply Chain Logistics in JIT Production and Distribution Systems

1970 ◽  
Vol 8 (1-2) ◽  
pp. 219-230
Author(s):  
Gyan Bahadur Thapa ◽  
Tanka Nath Dhamala ◽  
Shankar Raj Pant
Keyword(s):  
Supply Chain ◽  
Distribution Systems ◽  
Operation Time ◽  
Just In Time ◽  
Sequencing Problem ◽  
Supply Chain Logistics ◽  
Research Areas ◽  
Cross Docking ◽  
Production And Distribution ◽  
Multi Level

The multi-level production problem is one of the challenging research areas in supply chain management. We present brief literature review and mathematical models of multi-level just-in-time sequencing problem with a view of cross-docking approach for supply chain logistics. Describing cross-docking operations, we propose a mathematical model for the cross-docking supply chain logistics problem to minimize the operation time as truck sequencing problem. We establish a proposition as the synthesis of the production and logistics.Key Words: Just-in-time; Supply chain; Logistics; Cross-dock; Operation timeDOI: http://dx.doi.org/10.3126/jie.v8i1-2.5114Journal of the Institute of Engineering Vol. 8, No. 1&2, 2010/2011Page: 219-230Uploaded Date: 20 July, 2011

Crisis and Confrontation

1968 ◽  
Vol 114 (507) ◽  
pp. 169-174 ◽  
Author(s):  
Maxwell Jones ◽  
Paul Polak
Keyword(s):  
Group Therapy ◽  
Daily Living ◽  
Therapeutic Community ◽  
Individual Psychotherapy ◽  
Community Practice ◽  
Individual Interview ◽  
Therapeutic Tool ◽  
Living Situation ◽  
The Individual

It is part of the magical aura of the physician that he must have some omnipotent tool with which he dramatically makes patients better. In individual psychotherapy the individual interview and the interpretation, like the surgeon's scalpel, provides such an omnipotent instrument. In therapeutic community practice it is often group therapy in the form of the daily ward meeting and the review that plays the role of the omnipotent therapeutic tool. But in our opinion it is the daily living situation and not the formally organized therapeutic meeting which provides the greatest potential for learning and growth on the part of patients and staff. We have found the crisis situation and its resolution to be potentially the most useful of these daily living situations.

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