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.

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.

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.

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.

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.

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.

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.

Kennard (The Retreat, York and the Tuke Centre for Psychotherapy and Counselling) discusses the historical context and benefits of therapeutic communities as well as their day-to-day operation. Topics include therapeutic communities for drug abusers, the mentally ill, and people with severe personality disorders; anti-psychiatry and alternative asylum; the future of therapeutic communities; and working in a therapeutic community. The final section lists professional organizations and therapeutic communities in the UK and in other parts of the world. Distributed by Taylor and Francis. Annotation copyrighted by Book News, Inc., Portland, OR

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.