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Health Care in Prisons *
Published in Andrew Stevens, James Raftery, Jonathan Mant, Sue Simpson, Health Care Needs Assessment, 2018
Tom Marshall, Sue Simpson, Andrew Stevens
The term ‘therapeutic community’ is used to refer to a residential, multi-modal treatment programme for people with a variety of mental health problems. Programmes typically include some formal therapeutic components such as group psychotherapy and art therapy, but the key and unique component of the approach involves the observation and analysis of daily interactions within the community. It is a contract-based regime – the prisoner needs to recognise they have a problem, be motivated to do something about it and be capable of entering into a therapeutic contract. Alternative treatment options for people with personality disorder include a range of outpatient based therapies, some of which will occur as part of a typical therapeutic community treatment programme, or an intense period of in-patient psychotherapy in an open ward.
How Were Treatment Effectiveness and Fidelity Measured for the Evaluation of the Juvenile Therapeutic Community?
Published in Jennifer A. Pealer, Correctional Rehabilitation and Therapeutic Communities, 2017
Within a therapeutic community, the members hold a greater role in conducting groups and confronting behavior. For example, each day began with a morning meeting whose purpose was to begin the day on a positive note. The juveniles conducted the morning meeting, and its focus was on sharing information about the community, emphasizing social awareness regarding events in society, providing a positive atmosphere through a thought for the day, and conducting some type of game or energizer to motivate the youth. In addition to the morning meeting, youth conducted evening meetings. The purpose of these meetings was to provide an opportunity for accountability to the community and to refocus on treatment. This meeting was conducted more like a business meeting. It was also during this meeting that members made public any push-ups and pull-ups that were received during the day. In addition, learning experiences were often conducted during the evening meeting.
Economic Costs of Oxford House Inpatient Treatment and Incarceration: A Preliminary Report
Published in Leonard A. Jason, Joseph R. Ferrari, Margaret I. Davis, Bradley D. Olson, Creating Communities for Addiction Recovery, 2014
Bradley D. Olson, Judah J. Viola, Leonard A. Jason, Margaret I. Davis, Joseph R. Ferrari, Olga Rabin-Belyaev
Duration of services is often associated with higher program costs, yet also more successful forms of recovery (Yates, 1994). Length of time within a therapeutic community, for instance, has been associated with more effective recovery outcomes (see Jason et al., 2004). The therapeutic community, one of the most comprehensive and therefore most costly forms of care for substance abuse addiction, has nevertheless demonstrated impressive overall cost-effectiveness estimates (French, Sacks, DeLeon, Staines, & McKendrick, 1999). Cost-benefit ratios can increase further if services are provided that are of equivalent duration as the therapeutic community and similar in other benefits but implemented at lower costs.
The early onset of nicotine dependence, severity of substance use disorder, and relapse: an inpatient study
Published in Journal of Substance Use, 2023
Mei Lin Cabuyoc Valencia, Baronese Peters
The five different treatment facilities we selected for recruiting participants provide comprehensive services for therapeutic community treatment. However, there is a greater risk of nicotine relapse after a brief amount of time at the smoking cessation facility, when inpatients who are released regain access to nicotine smoking (Herd et al., 2009). Our research established a close association between the early onset of nicotine dependence and that of alcohol and substance use, in line with the findings of other studies (Agrawal et al., 2006; Von Diemen et al., 2008). The strength of this study is its use of standardized tools (i.e., the ASI and the FTND) to examine a nationwide cross-section of the population of interest. Our findings fill a gap in the literature by specifically examining the association between the early onset of nicotine use and dependence and the possibility of substance abuse relapse among inpatients with SUDs in the Philippines.
Models of recovery: influence of psychosocial factors on substance use recovery
Published in Journal of Substance Use, 2022
Antonio Molina Fernández, Jesús Saiz Galdós, María Luisa Cuenca Montesino, Francisco Gil Rodríguez
This study uses an exploratory analysis. The sample consists of people in therapeutic community recovery treatment programs run by Proyecto Hombre and the Dianova Therapeutic Communities. These programs are located all over Spain. Both organizations are international references in recovery, being part of national and international recovery groups such as the European Federation of Therapeutic Communities, the World Federation of Therapeutic Communities and other relevant forums such as the Vienna NGO Committee in UNODC. Data from 2171 people in recovery treatment were collected using EuropASI surveys and retrieved from the PH Nemos (Proyecto Hombre Surveys Repository) and Minerva (Dianova Surveys Repository) databases. The sample was divided into two addictive behavior treatment groups based on the main substance being used: alcohol (n = 1519) and cocaine (n = 1330).
The role of the admission phase in the Italian treatment setting: A research on individuating shared practices in psychotropic substance users’ communities
Published in Journal of Ethnicity in Substance Abuse, 2022
Antonio Iudici, Davide Fenini, Daniela Baciga, Giulia Volponi
The admission of a psychotropic substance user in a therapeutic community is one of the elective strategies used by institutions in the treatment of substance abuse. Learning from their experience, these residential communities have moved from an informal welcome toward welcome as part of the treatment—to be conducted in the presence of qualified specialists and professionals (Palumbo, Dondi, & Torrigiani, 2012). Although residential treatment has several facets (i.e., biological, physiological, psychological, and sociocultural), each community tends to prefer interventions specific to one or some of these aspects (Jason et al., 2018). According to this, scientific research deals with further specific aspects such as the type of the users’ disorder (Becker, Midoun, Zeithaml, Clark, & Spirito, 2016; Prendergast, Podus, Finney, Greenwell, & Roll, 2006; Zvolensky, Bernstein, & Vujanovic, 2011), the group activities and strategies pursued by the users (Brown & Abrantes, 2006; Donaldson, 2007), abstinence or substance use cessation (McLellan, Luborsky, Woody, & O’Brien, 1980; Nutt & Lingford‐Hughes, 2009), job training (Layard, 2006) and social reintegration (Bishop, Benz, & Palm Reed, 2017; Buchanan, 2004; Sumnall & Brotherhood, 2012). However, each rehabilitation service differs from others in its specialization, approach and treatment.