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.

A book like no other on the subject of Therapeutic Community (TC). The book is not only an elaboration of the principles and practices of the TC, but an exposition of its original concepts and their relevance to current practices in the treatment of addiction. It provides numerous examples that add clarity and experiential flavor to the entire presentation. There is a dearth of literature on the Concept-Based TC, particularly a standard of practice in the applications of its methods and approaches. Historically, most TC practitioners rely on experiential knowledge in implementing TC programs and disseminating information to clients. It is a book for all practitioners of the arts and science of healing and recovery from substance abuse and other addictions, including some mental afflictions. It covers a wide range of subjects related to evidence-based practices in the treatment of addiction. Besides tackling important issues and challenges facing the TC, it also provides ideas on how to bring the TC approach up to date with current understanding of addiction and treatment practices. Included in the book are client Workbooks, one on Orientation and Introduction of the TC and another on the Encounter Group, both of which are designed to help clients adapt to the TC environment more rapidly. The book is written both from experience and deep understanding of the rich traditions and philosophy of the TC and its potentials for healing addiction and other modern human maladies.

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.

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.

This is a collection of published papers describing modified therapeutic community (TC) programs, presenting adaptations of the TC model and methods implemented in a variety of institutions and settings.

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