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The Therapeutic Communities (TCs) movement tends to become from a revolutionary answer to the problem of addiction to another mainstream therapeutic proposal. The author considers that the crisis in 1968 in the seminal TC of Daytop was a pivotal event of this transition. This study aims to evaluate the impact of this historical crisis on the course of the TCs movement, assuming that, to enter into a constructive dialogue that can lead to the overcoming of today’s deadlocks of the movement, an awareness of the history is needed.

The present paper is a perspective/opinion paper and starts with a brief review of the origins of the first TCs for addicts. Emphasis is placed on their inevitable, according to the author, confrontation with the political and scientific status quo of that time. Then, it focuses on the period of the crisis in Daytop TC. The author interprets the events under a whole new scope, based on conversations he personally had with pioneers of that time, on his longstanding experience on the field, and the available literature.

The author attempts a historical and sociological analysis of the course of TCs and the Daytop TC. He concludes with a dispute of the prevailing idea that the Daytop crisis was a product of the confrontation between personal ambitions. He maintains that the collision that took place in Daytop TC was a confrontation between two antipodal perspectives over the notion of therapy. In any case, the subsequent estrangement of the movement from the groundbreaking attributes of the first TCs did not prove to be in the best interests of addicts; it was rather dictated by the need of the leaders of TCs to rescue their professional career.

The present paper attempts to offer a different view from the conventional reading of TCs’ history and their present situation for today’s predicaments of this proposal to be understood and possibly overcome.

The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s current efforts, substance use disorders continue to persist within the population. The purpose of this paper is to provide recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context.

This conceptual paper reviews the existing facts about the Philippines’ campaign against drugs, the approaches implemented by the government, current state and research developments of TCs, and its resulting impact on contemporary evidence-based treatment for addiction in the country.

A treatment framework outlining a recovery-oriented therapeutic community (ROTC) is presented. The ROTC aims to address addiction as a chronic, relapsing disease. This alternative approach for addiction treatment in the Philippines is based on the concept of recovery, principles of effective substance use disorder treatment, and recent developments in TC best practices from the international community.

This paper discusses different recommendations for policy development, interventions and research, aimed at improving the odds of securing recovery for people suffering from addiction.

This article seeks to investigate the ideological visions embedded in the political formulation of the Swedish drug problem and in the bureaucratic management of the Swedish drug treatment services during the years 1960‐2000.

The empirical basis for the analysis consists mainly of parliamentary material from the Swedish Parliament (403 parliamentary bills, 66 government bills, 198 parliamentary records, 14 government letters and 159 standing committee statements) as well as archival materials produced in the application process of 73 aspiring treatment homes from the years 1960‐2001. The empirical material is partly analyzed from a theoretical understanding of political consensus as a doxa and political debate as permeated by naturalizing ideologies.

The article examines drug consumption as a political problem and its ideological undertones. It shows how drugs and drug consumption often have been subordinate in problem descriptions that have fulfilled other political purposes. Worries about politically radical youth, foreign religions or incomprehensible music have been understood as a drug problem. In the Swedish parliament the drug problem has been described in terms of capitalist class oppression, Americanism or cultural superficiality. Modernity, urbanization and industrialization have also been criticized in the name of the drug problem. In the treatment centres and within the ruling bureaucracy it was also elucidated that the drug problem was an ideological problem. The effective treatment method has been elusive, but the effective method has also played second fiddle in the choice of treatment solutions. Other values have been awarded, such as rural romanticism, Swedishness, solidarity and diligence. Individualism, Americanism and profit making have also been opposed within the ideological treatment sector. At the end of the research period such assessments however became subordinate to an overarching ideological quest to make substance abuse treatment a market among others.

A focus on the ideological content both in political discussions and bureaucratic management might enrich the understanding of both politics and bureaucracy as well as the formulation of the drug problem and the suggested solutions. Ideology is not the opposite of facts or evidence‐based solutions; ideology permeates every aspect of problem formulations and solutions. To recognize the drug issue's ideological disposition should therefore not be seen as way of avoiding discussions about the actual dilemma with drugs, it is rather an opportunity to seriously start a discussion on how to solve the problem.

The analyzing of naturalized and apparently self‐evident ideology as part of the rational argument rather than its very opposite would be useful both for further research on the topic as well as for deepening the democratic discussions on, for instance, evidence‐based methods within the drug treatment services.

Interest in using mindfulness as a clinical intervention technique has increased, with evidence suggesting that it can be successfully integrated both into treatment for adolescents and for people with substance use disorders. The purpose of this paper is to explore the degree to which mindfulness training can be implemented among adolescents undergoing residential substance abuse treatment.

Nine adolescent males in a residential therapeutic community (TC) substance use treatment center enrolled in a voluntary mindfulness training program consisting of eight 90 minute sessions, each led by a clinical psychologist trained in mindfulness-based stress reduction. After the training program concluded, a brief participant survey and participant and staff focus groups were conducted.

Both survey and focus group discussions indicate that the mindfulness training program was perceived as helpful, acceptable, and feasible. Suggestions for integrating mindfulness training into residential treatment facilities for adolescents are discussed.

This study highlights the potential of mindfulness training to augment traditional TC treatment for adolescents, and provides enough information for practitioners to implement mindfulness training in their treatment settings.

Eric Broekaert passed away shortly after the XVIth European Working group on Drug-Oriented Research (EWODOR)-conference in Rome on 28 September 2016. He was one of the great TC pioneers in Europe, who founded the first TC for addictions in Belgium (De Kiem) and co-founded the European Federation of Therapeutic Communities and EWODOR. He was a respected Professor of “Orthopedagogics” at Ghent University and a Member of the Editorial Collective of Therapeutic Communities: the International Journal of Therapeutic Communities. The paper aims to discuss the overview of the career of Eric Broekaert.

In this obituary, the authors provide an overview of his career, major achievements and theoretical, methodological and integrative ideas, clustered around four typologies: university professor and scholar; manager and source of inspiration; TC pioneer and believer, and integrative thinker.

Besides his obvious merits as a TC researcher and advocate, one of his major theoretical contributions has been the introduction of the holistic, integrative approach and the idea that diverse types of interventions, as well as methodological approaches can alternatively go together.

He regarded TCs as the ultimate integration of various educational and therapeutic approaches to promote growth and quality of life among severely disadvantaged populations, such as drug addicts and children and adults with emotional and behavioural disorders.

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.

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.

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.

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.

This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).

A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.

Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.

There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.

The purpose of this study is to understand deeply the important elements of the initial phase of treatment. This is important mainly because the retention of patients at the beginning of treatment is associated with better therapeutic results.

The participants were 14 people suffering from addiction to drugs who attended a residential treatment program that follows the principles of therapeutic communities. The data obtained by semi-structured interview were qualitatively analyzed by interpretive phenomenological analysis.

The results showed the importance and value of the group as a therapeutic tool, highlighted the consequences of long-term substance use, optimism as the main emotion and confirmed the controversial role of social support.

The value of the study lies in highlighting the important therapeutic elements of the initial treatment phase through the way the patients themselves experience them. The results are discussed on the basis of the enhancement of the therapeutic interventions that are followed at this initial treatment stage.

Therapy is reflexive but not synonymous with therapists' accounting practices. It is displayed and engenders dominance but it is not an institutional rhetoric or a mechanism of social control. Six properties of therapeutic work are enumerated — reflexiveness, interpretativeness, interventionalism, domination, habituation tendencies and selectivity. All apart from reflexiveness are subject to differences of form and extension in different therapeutic communities. These variations in therapeutic work and communities can be empirically mapped. Such a conception of therapeutic work may have applications to therapeutic work outside the therapeutic communities and any other institutional setting. Two data extracts empirically ground the discussion.