Is the ‘community as method’ approach gender sensitive? Client and treatment characteristics in European therapeutic communities. Results of the BIOMED II (IPTRP) project

There is a lack of research illustrating the extent of psychiatric problems in European TCs. Furthermore, there is a need to obtain more insight into gender differences concerning comorbidity in the TC population. In an attempt to respond to previous shortcomings, three specific goals were formulated for the current study. The primary aim was to explore the lifetime prevalence of affective disorders in European TC clients. The second aim was to focus on related gender differences. And finally, client characteristics measured by the EuropASI were related to mood and anxiety disorders measured by the SCID-I. Nine out of ten substance abusers treated in a European TC program have an affective disorder. Gender differences are noted for two anxiety disorders: men have more obsessive-compulsive disorders; women have more post-traumatic stress disorders. The study illustrates that not only gender but also other client characteristics should be taken into account when organizing treatment.

show abstract

“…Techniques involving targeted sampling were used [25]. Thirty treatment centers were selected for participation (see 26).…”

Section: Methodsmentioning

confidence: 99%

“…At that point, most clients were no longer in crisis and were in a fully detoxified status. Several articles have been written about the results of the IPTRP project [23,26,[31][32][33][34][35], but before this study the SCID had never been used.…”

Section: Methodsmentioning

confidence: 99%

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

et al. 2006

Self Cite

View full text Add to dashboard Cite

show abstract

“…A previous study [27] showed us that the different European TCs do not systematically take women's specifi c needs into account. However, it would be interesting to carry out a large outcome study and search for gender differences.…”

Section: Discussionmentioning

confidence: 96%

“…The whole was coordinated by the Maastricht University in the Netherlands in close collaboration with the Ghent University in Belgium. Results of the IPTRP project have been published in several articles [1,21,22,[26][27][28][29][30][31] .…”

Section: Data Collection and Study Samplementioning

confidence: 99%

See 1 more Smart Citation

Problem Severity Profiles of Clients in European Therapeutic Communities: Gender Differences in Various Areas of Functioning

Wilde

Broekaert²,

Rosseel³

2006

Eur Addict Res

Self Cite

View full text Add to dashboard Cite

The BIOMED II ‘Improving Psychiatric Treatment in Residential Programmes for Emerging Dependency Groups’ project provided a relatively large sample (n = 863) of men (77%) and women (23%) in therapeutic community treatment in nine European countries. This paper’s aim is to search for gender differences in profiles of therapeutic community clients on the basis of the different areas of functioning of the EuropASI. A binary logistic regression model was used to avoid the confounding effects of country and age. Our findings confirm what is found in the American literature: compared to men, women have a much worse profile in various areas of functioning when entering treatment. In response, they may require a gender-adapted set of therapeutic interventions at the moment they enter treatment.

show abstract

Women’s treatment on men’s conditions: a critical evaluation of selected literature and research findings

Segraeus

2017

Self Cite

View full text Add to dashboard Cite

Purpose Deviant behavior was punished during the middle ages. In the seventeenth century, people were locked up in asylums. A first step towards humanization was taken by the founders of the moral treatment movement in the nineteenth century, but it declined at the end of that century. What we today call “milieu therapy” represents a new phase in treating mental illness and deviance. After the Second World War, the therapeutic community (TC) method was widely implemented in Europe, but the needs of different target populations were not dealt with equally. The paper aims to discuss these issues. Design/methodology/approach In this contribution, the treatment needs of diverse populations of female drug abusers are addressed. Selected literature and research findings for women in mixed and gender-specific treatment are presented. Findings The conclusion is that we need a women and family perspective in substance abuse treatment and research. Moreover, a holistic and multidisciplinary treatment approach is needed since so many factors and aspects are involved. Originality/value Treatment programs should focus on long-term lifestyle changes and be tailored to the specific needs of diverse target populations. Modified TCs for women and men with children and/or dual diagnosis are definitely the future for TCs.

show abstract

Is the ‘community as method’ approach gender sensitive? Client and treatment characteristics in European therapeutic communities. Results of the BIOMED II (IPTRP) project

Cited by 5 publications

References 48 publications

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

Problem Severity Profiles of Clients in European Therapeutic Communities: Gender Differences in Various Areas of Functioning

Women’s treatment on men’s conditions: a critical evaluation of selected literature and research findings

Contact Info

Product

Resources

About