Modified Therapeutic Communities for Dual Disorders

Leon, George De

doi:10.1007/978-1-4899-2421-6_8

Cited by 11 publications

(6 citation statements)

References 11 publications

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“…Finally, it should be noted that individuals with an SMI were more likely to be in criminal justice populations than in the general population and they comprised approximately 20% of those with a SUD in each of the offending and non-offending groups. The co-occurrence of SMIs and SUDs has been well documented [ 31 - 33 ], but it is of particular concern when the individual is involved in the criminal justice system due to the inattention of co-occurring disorders in both the substance abuse and mental health treatment systems [ 32 , 33 ]. A supervising agent making a referral to a mental health provider may assume that substance abuse issues would be addressed, or vice versa.…”

Section: Discussionmentioning

confidence: 99%

Treatment at the front end of the criminal justice continuum: the association between arrest and admission into specialty substance abuse treatment

Kubiak

Arfken

Swartz

et al. 2006

Subst Abuse Treat Prev Policy

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Background: To reduce criminal recidivism and drug use, it has been proposed that the substance abuse treatment delivery system cut across different components of the criminal justice continuum. Arrest, at the front end of this continuum, may represent a critical moment to motivate people with substance use disorders (SUD) to seek treatment but is often over looked as an intervention point. We used data from the 2002 National Survey on Drug Use and Health (NSDUH) to compare treatment need and recent treatment admission for participants with no criminal justice (CJ) involvement in the past year, past-year arrest, and CJ supervision (i.e., probation or parole status).

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Section: Discussionmentioning

confidence: 99%

Treatment at the front end of the criminal justice continuum: the association between arrest and admission into specialty substance abuse treatment

Kubiak

Arfken

Swartz

et al. 2006

Subst Abuse Treat Prev Policy

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“…A substantial amount of research has demonstrated the effectiveness of TC treatment for incarcerated adults with substance abuse problems (De Leon, 2000;De Leon, Sacks, & Wexler, 2002). A related body of work has emphasized the importance of family contact and social support for offenders in recovery (Lemieux, 2009), an area that also has received little attention in adolescent TC research.…”

Section: Summary and Implications Of Literature Reviewmentioning

confidence: 98%

Therapeutic Communities for Youths in Secure Care: Participant Characteristics and Predictors of Treatment and Postrelease Supervision

Lemieux

Barthelemy

Schroeder

et al. 2012

Journal of Social Service Research

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The current cross-sectional, descriptive study utilized services data to examine the characteristics, treatment, and postrelease outcomes of 226 male (64.6%) and female (35.4%) youths in therapeutic communities (TCs) housed within three secure-care facilities in one Southern state. The results of hierarchical multiple regression analyses showed that approximately 21% of the variance in amount of TC services received was predicted by demographic, psychosocial, and institutional variables. Girls received less TC treatment than boys, and participants with disciplinary tickets received more treatment than those without tickets. The binary logistic regression model distinguished between youths who were and were not placed under supervision upon release, with relevant predictors explaining about 40% of the variance. Implications for practice and research with youths in institution-based TCs are discussed.This article describes the psychosocial characteristics, substance abuse patterns, treatment utilization, and postrelease outcomes of adolescent male and female participants in therapeutic communities (TCs) housed in three different secure-care facilities. As the gap widens between the need for substance abuse treatment

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“…31 While more traditional TCs may eschew the use of medications during treatment, some modified TCs administer psychotropic medications. 19,25 Sacks notes, however, that even with these alterations, the modified TC for COD retains the core principles and methods, or “essential elements,” of the traditional TC model including personal responsibility and self-help, mutual self-help and peers as role models, structured daily routines, stages of change, vocational emphases, pro-social values of “right living” and community as the method of change. 9 …”

Section: Integrated Care and The Therapeutic Community Approachmentioning

confidence: 99%

The Availability of Integrated Care in a National Sample of Therapeutic Communities

Dye

Roman²,

Knudsen

et al. 2011

J Behav Health Serv Res

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Therapeutic communities (TCs) for substance abusers are oriented toward changing the entire person as a means for facilitating a drug-free future. This vision parallels ideas such as integrated care for the treatment of co-occurring substance abuse and psychiatric conditions. The extent to which integrated services are available in TCs has not been documented. Using data from a national sample of 345 TCs, this paper examines the availability of integrated care in TCs and the structural and cultural characteristics of TCs that offer integrated care. The results indicate that a substantial portion of TCs in this sample admit clients with co-occurring disorders (70.7%), and as many as half of the TCs offer integrated care. TCs that offer integrated care show increased use of professional staff, individual psychotherapy, and a less confrontational milieu, but notably, retain many of the “essential elements” of the traditional TC model.

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Modified Therapeutic Communities for Dual Disorders

Cited by 11 publications

References 11 publications

Treatment at the front end of the criminal justice continuum: the association between arrest and admission into specialty substance abuse treatment

Treatment at the front end of the criminal justice continuum: the association between arrest and admission into specialty substance abuse treatment

Therapeutic Communities for Youths in Secure Care: Participant Characteristics and Predictors of Treatment and Postrelease Supervision

The Availability of Integrated Care in a National Sample of Therapeutic Communities

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