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 Therapeutic Community: Research and Practice brings together the diverse lens of these communities, illuminating and challenging current practice models and research. The book seeks to demonstrate the working collaboration between research-based and practice-based research, as well as filling the gaps for professions in behavioral health, neurobiology, corrections and workforce development. Each chapter explores how both environment and modality work together to change the quality of an individual's life. The reader is provided with a foundation and introduction to the language of 'Democratic' and 'Concept-based' TCs. This book presents case studies, protocols, fidelity measures and emerging research to help readers incorporate applications into their own practice. - Provides a foundation, including historical perspective to present day therapeutic communities - Presents case studies, protocols and fidelity measures, including emerging research to help guide application towards a more unified practice - Addresses future implications, including modifications and/or adaptations for expanding treatment settings and populations

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.

In 1989, the first drug-treatment court was established in Florida, inaugurating an era of state-supervised rehabilitation. Such courts have frequently been seen as a humane alternative to incarceration and the war on drugs. Enforcing Freedom offers an ethnographic account of drug courts and mandatory treatment centers as a system of coercion, demonstrating how the state uses notions of rehabilitation as a means of social regulation. Situating drug courts in a long line of state projects of race and class control, Kerwin Kaye details the ways in which the violence of the state is framed as beneficial for those subjected to it. He explores how courts decide whether to release or incarcerate participants using nominally colorblind criteria that draw on racialized imagery. Rehabilitation is defined as preparation for low-wage labor and the destruction of community ties with “bad influences,” a process that turns participants against one another. At the same time, Kaye points toward the complex ways in which participants negotiate state control in relation to other forms of constraint in their lives, sometimes embracing the state’s salutary violence as a means of countering their impoverishment. Simultaneously sensitive to ethnographic detail and theoretical implications, Enforcing Freedom offers a critical perspective on the punitive side of criminal-justice reform and points toward alternative paths forward.

Drawing upon original qualitative research with prisoners in three democratic therapeutic communities (TCs), this book provides a unique sociological portrayal and new criminological understanding of the TC's rehabilitative regime and culture.

Global Perspectives on Interventions in Forensic Therapeutic Communities: A Practitioner’s Guide explores the validity and effectiveness of secure settings as therapeutic communities (TCs). Rooted in practice, this book examines the transferability of approaches within international TCs to other forensic settings, while considering how the environment contributes to effectiveness. In this volume, Akerman and Shuker bring together leading clinicians from across the world to offer insight into critical topics, including the impact of gang membership on therapeutic process and the community, how core creative therapies are integrated and how the model is applied in international settings and across varied contexts. Leading clinicians draw on rare reports and papers to explain the therapeutic community model while keeping in mind the diverse contexts within which it is practiced. The book provides a much-needed global perspective on the diverse role TCs have across forensic services. This groundbreaking book is valuable reading for forensic and clinical psychologists, counsellors, social workers and psychiatrists working in secure prison or rehabilitation settings, as well as students in these fields.

Nick Manning tells the story of the therapeutic community movement, analyses the leading British community, the Henderson Hospital and examines the development of community based therapeutic communities in Australia.