The Therapeutic Community Series

From the 1950s onwards different movements have contributed to Therapeutic Communities (TCs). This book follows these post-war changes to the present day and discusses the influence they had on the practice of psychiatry. Providing a thorough analysis of the emergence and progression of TCs, this book is essential reading for anyone in the field.

First published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment. The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic. The chapters are written so as to be accessible for clinicians across specialties and professions. The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public

Democratic therapeutic communities have been set up all over the world, but until now there has not been a manual that sets out the underlying theories, and describes successful practice. Based on their own substantial experience and expertise, the authors of this new textbook explain how to set up and run modern therapeutic communities as effective evidence-based interventions for personality disorder and other common mental health conditions. Including detailed templates and practical information alongside a wider historical context, this encyclopaedic handbook will enable clinicians to develop and implement a democratic therapeutic community model with confidence. Highlighting the importance of belonging to a wider community, this book also shows how to ensure the needs of patients are considered and met, and that patients themselves can see in detail what this approach entails. This is an invaluable resource for clinicians and service commissioners working in the field of recovery from personality disorder, as well as those working in mental health and healthcare. This book also provides a useful model for professionals working in prisons and the justice system, long-term drug and alcohol rehabilitation and education, and students of group analytic, psychotherapy, and counselling courses.

This collection of papers written by respected experts with extensive experience builds a powerful picture of the theory and practice of therapeutic community work with young people. A wide variety of therapeutic community approaches is considered alongside an analysis of the implications of this model for mainstream residential practice.

Dynamic Security describes the theory, practice and management of democratic therapeutic communities (TCs) in prisons using clinical examples and case studies. The contributors explore the complexities of working in TCs and the powerful emotional impact generated in the process of therapy in the forensic setting.

This unique collection of research and practice papers highlight HMP Grendon’s groundbreaking and sustained contribution to our understanding of the role therapeutic communities have in effective interventions with offenders. Reveals the history and research behind HMP Grendon, one of the first prisons to develop therapeutic communities Combines a mixture of quantitative and qualitative research papers, coupled with historical, theoretical and practice commentary Features quantitative research based on unusually complete and extensive records, collected over an extended period and stored in Grendon’s database Provides an international perspective with prominent figures from America and Holland

Drawing on original research on the effectiveness of a therapeutic community (TC) in reducing recidivism among juvenile male offenders, Correctional Rehabilitation and Therapeutic Communities: Reducing Recidivism Through Behavior Change provides a comprehensive review of the current state of drug treatment for the offending population, especially the link between juvenile offending and substance abuse. The book assesses the factors predicting successful completion of treatment as well as the methodological limitation of previous TC program reviews, and suggests policy implication and routes for future research. Using improvements such as multiple outcome criteria, long-term follow-up, matching groups on risk and needs, and the employment of a standardized instrument to measure program quality, Correctional Rehabilitation assesses the degree to which participation in the TC affects antisocial attitudes and reduces delinquency. Readers will explore how TCs can be designed to influence adolescent drug offenders and ultimately reduce recidivism. This book is essential reading for students, researchers, practitioners, and other stakeholders focusing on the development of treatment programs.

Based on work carried out by staff at a therapeutic community over a number of years. Therapeutic Approaches in Work with Traumatized Children and Young People provides a clear and comprehensive link between theory and practice. The author shows how practice in residential child care, fostering and other areas of work with children can be developed in a way that is thoughtful and underpinned by a sound theoretical base. An invaluable record of working with emotionally traumatized children, this book is an in-depth account of a 'thinking culture' which provides continual opportunities to respond to children's needs in innovative ways - these include useful suggestions on a range of key issues including education and play, primary provision, sexuality and aggression.

A Life Well Lived follows a friendship between two key figures in social psychiatry and the evolution of therapeutic communities. A close friend collaborator of Maxwell Jones, Dennie Briggs recounts the latter's revolutionary work in mental hospitals, prisons and schools, offering a rare insight into the mind of a pioneer in the therapeutic field.

This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.

The Northfield Experiments, conducted during the Second World War, mark an important moment in the development of the therapeutic community movement. This is the first book to record the experiments in detail. The book provides a fascinating account of a significant advance in psychiatry.

This timely handbook surveys the U.S. government's efforts to control illegal drugs. Inciardi and his contributors offer a useful way of thinking about and understanding the problem of illegal drugs, and provide the history of and research on drug policy so that policy makers have a necessary tool for developing a realistic and effective national drug policy.

This book grew out of a project to improve evaluation and treatment of dual diagnosis patients at St. Luke's-Roosevelt Hospital Center in New York City. Based on such practical experience, the clinical information and case studies presented here will enable clinicians, teachers, and researchers to enhance services for this grossly underserved population.

Mental health services tend to view and treat mental health problems in an individual-centric way. This book argues for an alternative route to recovery that is cognizant of our social nature, needs and difficulties. Focusing on the therapeutic value of meeting others with similar experiences, it explores how mutual support can help ease the distress of mental health problems and foster emotional and psychological wellbeing. The author provides an overview of the theory, history and processes of mutual support, including how it can be understood from a developmental perspective and its importance in normalising and validating experiences and lessening feelings of isolation. She provides in-depth summaries of various approaches that harness mutual support including group therapy and therapeutic communities. Clear guidance is given on how to access, set up and facilitate mutual support groups, along with detailed information on services and organisations that utilise mutual support in the UK and beyond. This book will provide both mental health professionals and those experiencing mental health difficulties with essential information on mutual support, and the positive impact it can have on people's lives.

Asylum to Action offers an alternative history of a libertarian therapeutic community at Paddington Day Hospital in West London in the 1970s. Helen Spandler recaptures the radical aspirations, as well as the conflicts, of the early therapeutic community movement, radical psychiatry and the patients' movement. The author's account of the formation of the Mental Patients' Union, the first politicised psychiatric survivors group in the UK, raises questions about the connections between the service user movement, therapeutic communities, critiques of psychiatry and psychoanalytic models of intervention. In particular, Spandler challenges Claire Baron's dominant account of the subject in her influential book Asylum to Anarchy. She points out that some of the key difficulties that beset Paddington Day Hospital persist in modern therapeutic community practice and, indeed, in mental health services in general. Arguing that these dilemmas require sustained attention, Asylum to Action also informs a wider analysis of the significance of social movements, social action and critical social theory.

Therapeutic Communities for Psychosis offers a uniquely global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Within this edited volume contributors from around the world look at the range of treatment programmes on offer in therapeutic communities for those suffering from psychosis. Divided into three parts, the book covers: the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context treatment settings and clinical models alternative therapies and extended applications. This book will be essential reading for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy and group analysis.