The learning from action (LfA) programme: reflections on how it has evolved
This study aims to provide a learning experience for therapeutic communities (TCs) workers. During these years, the LfA work has developed by creating a dialogue between the experiential conferences and the group relations conferences (GRC) run by the Tavistock Institute. In this paper, the author explores the dialogue between (the leadership-oriented) GRC and (democratic) TC culture. The authors intend to show how this dialogue has developed in LfA, describing tasks, purposes and critical aspects of LfA specific events: decision-making plenary, decision-making, TCs, action, dialog between cultures, GRC, learning meth...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - June 10, 2022 Category: Psychiatry & Psychology Authors: Giada Boldetti Luca Mingarelli Source Type: research

Inquiry into faith-based social reintegration programs for recovering drug addicts in Nigeria
Oluyinka Olutola Olajire, Isaac Akintoyese Oyekola Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this study is to subject faith-based organizations (FBOs)-operated social reintegration programs for recovering drug addicts to scrutiny to understand their effectiveness in addressing the three-pillar social needs. Using concurrent mixed methods research design, a sample size of 156 respondents, 15 in-depth interviewees and 12 key informants was selected purposely from three FBOs and three National ...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - May 28, 2022 Category: Psychiatry & Psychology Authors: Oluyinka Olutola Olajire Isaac Akintoyese Oyekola Source Type: research

Understanding the therapeutic factors of the initial treatment phase in a residential treatment setting: a qualitative approach
Katerina Flora Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this study is to understand deeply the important elements of the initial phase of treatment. This is important mainly because the retention of patients at the beginning of treatment is associated with better therapeutic results. The participants were 14 people suffering from addiction to drugs who attended a residential treatment program that follows the principles of therapeutic communities. The data obtained by semi-structured intervie...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - February 15, 2022 Category: Psychiatry & Psychology Authors: Katerina Flora Source Type: research

Unboxing the therapeutic community for addictions: a locus-of-hope theory perspective
Sixtus Dane Asuncion Ramos, Allan B. I. Bernardo Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- The therapeutic community (TC) is a widely used treatment approach for substance use disorders. Several psychological theories have been used to explain its processes but have put less emphasis on the specific contributions of the person’s cognitive resources. This paper aims to offer a theoretical conceptualization using the locus-of-hope theory which expounds on the person’s goal-directed thinking and how it bolsters ...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - February 10, 2022 Category: Psychiatry & Psychology Authors: Sixtus Dane Asuncion Ramos Allan B. I. Bernardo Source Type: research

The difference between inpatient and outpatient programs regarding trait -anxiety, social support and state-anxiety in during the covid-19 pandemic in Israel
This study aims to assess anxiety and its severity among patients and staff from different types of addiction services in Israel during this emergency. The study was conducted during the period from March–July 2020. Participants included patients and staff (N = 282) from three different types of addiction services, were administered the State-Trait Anxiety Inventory, the multi-dimensional scale of perceived social support and demographic variables. In addition, a logistic regression model was applied to identify predictors of state anxiety by using statistical package for the social sciences software. The resul...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - December 20, 2021 Category: Psychiatry & Psychology Authors: Amnon Michael Paola Roska Source Type: research

Good practices in Italian therapeutic communities. Outcomes 2020 of quality accreditation program “Visiting DTC Project”
Simone Bruschetta Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- This paper aims to present results achieved by the first, and to date only, Democratic Therapeutic Communities (DTC) quality improvement program developed in Italy, in the past 10 years, named “Visiting DTC Project.” Process of bottom-up identification, definition and evaluation of good practices of TCs for adult users with long term severe mental disorders will be described. In addition, a five-phase clinical care pathway will be presented for the s...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - December 4, 2021 Category: Psychiatry & Psychology Authors: Simone Bruschetta Source Type: research

Emotional reactivity and difficulties in emotional regulation in drug users: a study in adolescents undergoing treatment in a therapeutic community
This study demonstrated that the emotional problems of adolescents admitted to a therapeutic community are predictors of illicit substance use. (Source: Therapeutic Communities: The International Journal of Therapeutic Communities)
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - December 2, 2021 Category: Psychiatry & Psychology Authors: L ídia Serra Lu ís Silva Duarte Vilar Source Type: research

Resident interactions when affirming and correcting peers in a therapeutic community for women
Keith Leverett Warren, Nathan Doogan, Uwe Wernekinck, Fiona Claire Doherty Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- While recent years have seen a number of studies of social networks in therapeutic communities (TCs) and other residential settings, these have primarily focused on male residents. This paper aims to conduct a longitudinal social network analysis of interpersonal interactions in a TC for women. The data consists of a longitudinal directed social network of instances of feedback between 56 resi...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - November 24, 2021 Category: Psychiatry & Psychology Authors: Keith Leverett Warren Nathan Doogan Uwe Wernekinck Fiona Claire Doherty Source Type: research

An acute change? Does treatment within a therapeutic community for personality disorders affect local acute service use
This study aims to understand if the use of acute services was also affected via a service evaluation project. The authors collected data from electronic records on the use of local services in the two years before, during and the two years after treatment in the TC. Specifically, the authors counted inpatient bed days, Emergency department (ED) presentations and days under home treatment team and liaison psychiatry; the authors used ANOVA to analyse the data. The study included 25 adult service users, 17 female and 8 male, with an average age of 40. Whilst there were reductions in the use of inpatient beds a...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - October 4, 2021 Category: Psychiatry & Psychology Authors: Vafa Pirjamali Daniela Ivanova Andrew John Howe Source Type: research

Therapeutic community work with people who have sexually offended: responding to developments in research and practice
Richard Shuker, Lawrence Jones Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- This paper aims to review the clinical approach adopted in prison-based therapeutic communities (TCs) for working with residents who have committed sexual offences. It reviews recent research and practice developments and explores the implications for TCs. This paper describes a “think tank” review process which explores and reviews practice. This paper discusses the current approach adopted by TCs when working with those who have s...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - September 1, 2021 Category: Psychiatry & Psychology Authors: Richard Shuker Lawrence Jones Source Type: research

Book Review
Keith L. Warren Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. 42, No. 2, pp.109-110 (Source: Therapeutic Communities: The International Journal of Therapeutic Communities)
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - August 2, 2021 Category: Psychiatry & Psychology Authors: Keith L. Warren Source Type: research

Taking the therapeutic community outside in the COVID-19 pandemic
This study aims to present the authors’ experience with one client who was interviewed afterwards about the experience. A total of 10 walking therapy sessions of 60-min duration were conducted with the patient. After the sessions, both the patient and therapist were interviewed about their experience. The resulting interviews with both patient and therapist were thematically analysed independently by both authors. There were common themes to both the client and therapist’s account following thematic analysis. These were: modelling and normalising in the real world, replacing what COVID-19 had taken away from ...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - June 28, 2021 Category: Psychiatry & Psychology Authors: Merryn Jones Andrew John Howe Source Type: research

What am I seen – who do I seem? Hidden discursive processes in the large group of a TC
Zsolt Zalka Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of the paper is to present a possible way of discourse analysis of the meaning giving processes in a therapeutic community (TC). Presentation of a research project, which aim is to analyse the attitudes towards the large group within the TC, is based on analysing the conceptual metaphors in semi-structured interviews. The findings delineate a possible discourse, namely, the TC’s hidden discourse of working through the mirror-transferenc...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - June 28, 2021 Category: Psychiatry & Psychology Authors: Zsolt Zalka Source Type: research

The complexity of the therapeutic experience within the therapeutic community based on an ex-patient ’s account
The complexity of the therapeutic experience within the therapeutic community based on an ex-patient’s account Daniela Ivanova, Andrew John Howe, Patricia Burns, Merryn Jones Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. ahead-of-print, No. ahead-of-print, pp.- 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). A thematic analysis was conducted on an e-mail sent by an ex-patient of the TC. ...
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - May 10, 2021 Category: Psychiatry & Psychology Authors: Daniela Ivanova Andrew John Howe Patricia Burns Merryn Jones Source Type: research

Editorial
Gary Winship Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. 42, No. 1, pp.1-3 (Source: Therapeutic Communities: The International Journal of Therapeutic Communities)
Source: Therapeutic Communities: The International Journal of Therapeutic Communities - May 3, 2021 Category: Psychiatry & Psychology Authors: Gary Winship Source Type: research