Search results

The purpose of this paper is to highlight theoretical and clinical similarities between therapeutic communities (TCs) and group analysis (GA).

Literature review shows comparison of TC and group-analytic concepts with illustrative case material.

Findings reveal many similarities between TCs and GA, but also significant divergences, particularly in practice.

This paper provides theoretical basis for TC practice, and highlights the need for greater theorising of TC practice.

This paper highlights the importance of group-based treatment approaches in mental health.

This is the first paper to review the relevant literature and compare theory and practice in TCs and GA, highlighting their common roots in the Northfields Experiments in the Second World War.

The purpose of this paper is to critically assess the extent to which recovery capital can provide a theoretical and practical way in which to explore, explain and communicate Therapeutic Community (TC) processes and practices.

This is a 31-month ethnographic study of one situated residential TC in England.

The findings are usefully thought out as parallels, process and progress. Parallels can be drawn between the recovery capital literature and longstanding TC principles and prescriptions. The term process is significant as it illustrates how concepts proposed by the recovery capital literature can be employed, alongside traditional TC ideals, to create a practice-focussed framework that is able to open up day-to-day processes and communicate (within and beyond the TC movement) how and why TCs provide an environment that is conducive to recovery. The ethos and application of the term progress illustrate the fundamental premise of this paper. Recovery capital provides a more contemporary way in which to understand and communicate the work that takes place in a TC.

Synthesising the concepts proposed by both the TC and recovery capital literature provides a contemporary, practice-focussed framework for the TC, thus re-enforcing the modalities place within an increasingly competitive field.

Synthesising the concepts proposed by both the TC and recovery capital literature provides an original, contemporary, practice-focussed framework for the TC, thus re-enforcing the modalities place within an increasingly competitive field.

Team coaching (TC) is a popular new addition to the team learning and development toolkit. However, the conceptualization of TC and the distinction between TC, team training, team development and team building interventions remains unclear. The paper aims to discuss these issues.

The authors address this significant gap by abductively exploring how TC is conceptualised in practice (n=410). The authors survey practitioners engaged in delivering TC to ask how they would define TC and distinguish it from other team interventions.

A thematic analysis of the data reveals eight themes, which can be used to define TC and illustrate areas of overlap and distinctiveness with other team interventions.

The absence of a clearly defined construct is hindering the development of a rigorous theory of TC. The contribution of the paper is, therefore, a clear and comprehensive definition of TC, which can be used by researchers and practitioners alike when working within the domain of TC.

The paper provides the first systematic exploration of a definition of TC in relation to alternative team interventions. By utilising an abductive approach in the research, the authors are able to capitalise on practitioner experience in this practice-led field.

The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s current efforts, substance use disorders continue to persist within the population. The purpose of this paper is to provide recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context.

This conceptual paper reviews the existing facts about the Philippines’ campaign against drugs, the approaches implemented by the government, current state and research developments of TCs, and its resulting impact on contemporary evidence-based treatment for addiction in the country.

A treatment framework outlining a recovery-oriented therapeutic community (ROTC) is presented. The ROTC aims to address addiction as a chronic, relapsing disease. This alternative approach for addiction treatment in the Philippines is based on the concept of recovery, principles of effective substance use disorder treatment, and recent developments in TC best practices from the international community.

This paper discusses different recommendations for policy development, interventions and research, aimed at improving the odds of securing recovery for people suffering from addiction.

Recent ethnographic research has examined the forces that shape the working lives of prison managers, in particular, the growth of managerialism, pushing in from the outside and the deeply rooted local cultures that exist within. The purpose of this paper is to reconsider the interplay of these forces in the context of a therapeutic community (TC) prison.

This paper draws upon ethnographic research conducted in two prisons and expands this using an autoethnographic approach to examine the experience of governing a TC prison.

The original study described how the dynamic interaction of globalised change and local culture created gave rise to “prison managerialism”. This notion reflects the negotiation between the global managerialism and local occupational culture. This concept is equally relevant in a TC prison, albeit it exists in an altered form reflecting the distinct characteristics of the local culture.

The approach builds upon an ethnographic study, expanding this through autoethnography. This inevitably limits the scope and perspective as it is looking at a specific context. It nevertheless highlights the distinctive challenges of managing a TC prison.

The work has implications for the management of TC prisons in practice, including human resource management such as recruitment, selection, appraisal and development of those managers.

The paper applies and revisits a recent in-depth study of prison managers, re-imagining and revising this to reflect the distinct context of managing a TC prison.

Eco-labeling will grow in importance as natural resources grow scarcer and environmental concerns increase. The purpose of this study considers team collaboration (TC) and integration capability (IC) to examine the possible effects of team member’s shared vision (SV) on the performance of marketing eco-labeled products.

Theoretical perspectives on SV, IC and TC were studied to evaluate the development of eco-labeled products and to improve their marketing performance. A total of 247 eco-label products were sampled; confirmatory factor analysis and structural equation modeling were used for statistical analysis.

The results demonstrate that team members’ SV is positively correlated with TC. Both TC and IC are positively correlated with the performance of eco-labeled product marketing, but SV does not correlate positively with IC. The results herein also demonstrate that TC significantly mediates the effect of SV on the performance of eco-labeled product marketing.

Firstly, this research aimed to study the effects of SV, TC and IC, particularly on the performance of marketing eco-labeled products. The analysis on other organizational performance, for example, human resource management performance or financial performance can be further studied. Secondly, further study of different products is necessary as different eco-labeled products have dissimilar product life cycle patterns. As human environmental concern grows, firms engaging in the manufacture of eco-labeling products will increase significantly and cover many different products. The analyses on different products or applications require further study to elucidate diverse management strategies.

An effective SV can rapidly clarify the goals and directions associated with eco-labeled marketing performance. Managers with high expectations of marketing performance can improve marketing performance when they clearly share eco-labeled product development objectives and directions. Proper IC and TC are also essential to the performance of eco-labeled product marketing.

This study introduces the concept of SV to explain the relationship between TC and IC as they pertain to eco-labeling product marketing. A theory of eco-labeling marketing is also presented.

The purpose of this paper is to describe transient therapeutic communities (TCs) and their value for training.

This is a descriptive account which includes the findings of two field study evaluations, and direct participant feedback. It is an exploration of the application of TC and group analytic theory to transient TCs.

The transient TC format is an excellent training format for creating a powerful and effective environment for learning and personal development in the very short time frame of three days.

These courses are a very efficient and effective way of promoting reflective practice, enabling environments, and emotionally safe working practices. The trainings are useful for a wide range of people from mental health professions, those working in human resources, and those in senior positions in industrial, commercial and public sector fields.

This paper will raise awareness that target-driven training is insufficient to improve quality of services beyond a certain point. A relational focus of training is needed to deal with issues of complexity which cannot be resolved by simple managerial methods. This experiential training can help to meet the need for inculcating compassion, kindness, and empathy in its participants.

Although other psychotherapy and group relations courses exist, and are used beyond the mental health field, the focus on generating an experience of belonging, emotional safety and democratic empowerment in the relational field of the course itself – by use of TC methodology – is novel, and could be of considerable value more widely.

Therapeutic communities (TCs) use social learning between peers in treating substance abuse. One mechanism for fostering social learning is peer affirmations for prosocial behavior. The purpose of this study is to use consistency of affirmations as a test of whether social learning does occur.

Using the results of a social network survey of 50 women in a corrections-based TC, the authors compared affirmations and nonprogrammatic compliments exchanged between residents as two directed social networks. The authors evaluated consistency of judgment using the hubs and authorities algorithm, and tested to see whether more senior residents are more likely to be hubs, thereby showing more consistent judgment.

More senior residents show greater consistency with peers in program affirmations but not in nonprogrammatic compliments. Hub status in the network of affirmations increases most rapidly in the first 200 days of residence, with slower increases thereafter.

This study is limited to one survey of the women in one TC. The external validity of the findings is therefore unclear. The results suggest that social learning of TC principles and prosocial behavior does occur and that it is not simply a function of popularity among peers. This seems to happen most rapidly in the first 200 days, suggesting that programs much shorter than six months may limit this process.

This is the first use of the hubs and authorities algorithm with a social network drawn from a therapeutic community and the first attempt to verify social learning through a social network analysis.

The purpose of this paper is to present the Italian validation of the standards for communities for children and adolescents (SCIA) Questionnaire, an evaluation tool of communities quality standards, based on the “Service Standards for Therapeutic Communities for Children and Young People – 2nd edition” of the Community of Communities (2009), that enables an empirical, multidimensional and complex evaluation of the therapeutic community (TC) “system”. It is a self-report that sets out and measures variables that allow to get an overview of organisational models and the possible development areas to improve the effectiveness of the protection of child and adolescents in community treatment. The validation and a preliminary analysis to develop a short version of the SCIA are presented.

The questionnaire (composed, in the extended form, by 143 items) was administered to 101 community workers, 20 males (19.8 per cent) and 81 females (81.2 per cent) aged between 24 and 61 years (M=36.20, SD=8.4). The analysis of reliability (Cronbach’s α) and a series of exploratory factor analysis allowed to eliminate redundant or less significant items.

The short form of the self-report consists of 67 items, divided into seven subscales, which explore different areas of intervention in TCs. Despite the limitations due to the small sample size, the utility of this tool remains confirmed by its clinical use and the development of good operating practices.

The SCIA Questionnaire responds to the need to adopt empirical variables in the process of evaluation of the communities. The SCIA is also a useful tool for clinical evaluation, as it allows a detailed observation of residential community treatment with children and adolescents that allows to analyse and monitor the structural and organisational aspects and the quality of practices that guide the interventions.

The purpose of this paper is to provide an overview of the application of therapeutic community (TC) method in non-TC environments.

Milieu treatment is defined and differentiated from TC “proper”. Literature is reviewed covering attempts to use TC methods in inpatient wards, across hospitals, and more recently in the criminal justice system and more widely through the enabling environments initiative.

It is unclear whether TC milieu treatments proved helpful in acute ward environments in their heyday in the 1950s, 1960s and 1970s, in particular those involving people suffering from acute psychosis, and the changing landscape of psychiatric provision may make further investigation difficult. The reasons for this, and for the difficulties reaching a firm conclusion, are outlined. In contrast, TC milieu interventions appear to be demonstrating usefulness more recently in less mixed populations without the implementation of full TC “proper”.

Much of the research is old and the methodology poor, which limits the conclusions that can be drawn.

Recent innovations pick up in a more accessible way principles of therapeutic communities that can inform and improve care in a variety of contexts. They are sufficiently well defined to lend themselves to research, which should now be a priority.

After a gap in developments in the field, recent innovations are reintroducing elements of TC functioning to new contexts including criminal justice settings, inpatient wards, homeless shelters and city communities.