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Dissertations / Theses on the topic 'Therapeutic community'

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Published: 4 June 2021

Last updated: 29 July 2024

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1

Millard, David Walter. "Collected writings on the therapeutic community." Thesis, University of Birmingham, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.606102.

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SYNOPSIS This thesis has two objectives: ( i ) to place on record work on the therapeutic community published between 1976 and 1994; ( i i ) to substantiate the argument that therapeutic community approaches offer a well defined and empirically established (but perhaps neglected) method of treatment in the mental health and related fields. In respect of the first, the printed work comprises four book chapters, seven papers from the professional literature and fifteen signed editorials from the International Journal of Therapeutic Communities. Some hitherto unpublished pieces have been added in support of the second objective. Concerning the second, the previously printed work is not presented chronologically but is organised in the following sections: The Characteristics of the Therapeutic Community Evaluation Applications of the Model in Practice Contributions to Therapeutic Community Theory Staff Issues. In addition there is a general introduction (The Writer to the Readers) and a separate Introduction to each Section designed to make clear my thesis that (i) therapeutic community approaches can be soundly characterised; (ii) substantial efforts have been made to tackle the question: does it work?; (iii) there is well-described experience of the application across a range of situations of therapeutic community principles; (iv) an intellectually convincing set of theories underlying this approach exists; and (v) the problems of equipping staff to function in a demanding form of social therapy can be adequately addressed.

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2

Macfarlane, Selma Ingeborg, and simacfar@deakin edu au. "Support and recovery in a therapeutic community." RMIT University. Global Studies, Social Science and Planning, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080205.152052.

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This research project began from an interest in 'what happened' at a residential psychiatric disability support service (therapeutic community) where I had previously worked as a social worker, or, as it was termed in the program, support worker. Residents used the program in various ways, to get back on track with their lives, and workers aimed to support them in that process. My approach to data collection was, as for many social work researchers, qualitative. As my work on the project developed over time, I was consistently informed and re-informed not only by ideas arising from my engagement with participants and relevant literature, but also by new concepts and areas of interest that opened up as a result of my teaching in a progressive Bachelor of Social Work course. Gradually, as my understanding of critical and reflective postmodern social work theory evolved, new interpretations crept into my writing. Some of the tensions that arose as a result of th is overlaying of new conceptual frameworks are evident in the thesis. While I have tried to create internal cohesion, the layers of different approaches that informed me are sometimes evident, like the sides of a canyon that display evidence of its historical and ongoing formation. This may not be dissimilar to social work itself in the new millennium, as new ideas variously challenge, consolidate, destabilise and/or reshape theory and practice. While this thesis began as an exploration of the experiences of individuals in a therapeutic community and the role of support workers in that process, it became, additionally, an exploration of ways in which the role and practice of social work is constructed. However, the stories of participants remain a central feature. Chapters include: the professional gaze and the construction of subjects; problematising worker power and professionalism; boundaries, vulnerability and authority; therapeutic community; sensemaking, meaning ascription and the creation of cul ture; change and turning points; and problematising and exploring outcomes in mental health.

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3

Murphy, Colin. "ADHD, developmental trauma & Therapeutic Community discourses." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16468/.

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Quantitative research based on diagnostic classification has been limited in developing an understanding of ADHD and its related behaviour among children who have experienced Developmental Trauma, including neglect and abuse. Clinical practice may not attend sufficiently to the emotional experiences of these children with a diagnosis of ADHD, due to the dominance of biomedical discourse. This study utilised discourse analysis to examine discourses, of Therapeutic Community staff, about ADHD and its related behaviour among looked after children who have had experiences of Developmental Trauma. Non-medical and environmental discourses were dominant in this setting. A Biopsychosocial discourse legitimised multi-disciplinary collaboration between Therapeutic Community and mainstream practice for complex difficulties among this population of children. Children’s understanding of ADHD and stimulant medication prescribed for this diagnosis, along with clinical and research implications, were considered.

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4

Manning, N. P. "Charisma and routinisation : The therapeutic community movement." Thesis, University of Kent, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.380611.

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5

Merrett, Richard. "Domestic violence : treatment within a therapeutic community." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/296.

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Breathing Space is a residential centre offering therapeutic intervention for up to twelve men who engage in domestic violence. This research was a qualitative programme evaluation of the processes used within the Breathing Space therapeutic community. Observations and interviews were conducted on ten residents and eight staff. Positive findings revealed that both residents and staff perceived significant benefits from attending Breathing Space. Neither staff nor residents uniformly believed that treatment would reduce violence. Two of the most beneficial factors reported by residents were the ability to talk about their issues and the non-judgemental environment. Suggested improvements included strengthening of professional boundaries, greater screening of residents, enforced attendance at group therapy, and a greater focus on criminogenic needs.

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6

Grove, R. N. "Negotiation and social order in the therapeutic community." Thesis, University of Bristol, 1985. http://hdl.handle.net/1983/e4c13609-e457-4772-bcd5-2d729eef8343.

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7

Geel, Annelize. "A community link project for Weskoppies Hospital psychiatric hospital." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-11302005-103859.

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8

Boyling, Elaine. "Quakerism and therapeutic environments : dynamic resources in the management of a therapeutic community 1962-1995." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3305/.

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This thesis considers the role of individual members and groups of the Religious Society of Friends (Quakers) in the development of therapeutic communities and other types of therapy that consider social environments. The thesis focuses on the history of one specific therapeutic community (anonymised in the research) established and governed by a group of Quakers. The study also provides a contextual history of therapeutic environments, particularly those involving Quakers. The thesis then considers attitudes towards dealing with conflict, and how this topic has been explored in notions of 'youth' and 'adolescence', in therapeutic environments, and in Quakerism. This work was initiated as the first studentship to be supported collaboratively by the University of Birmingham and the Institute for the History and Work of Therapeutic Environments. The thesis is just one part of a process of encouraging multidisciplinary discussion of this topic among historians, archivists, practitioners and policy makers.

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9

Edgmon, Kreg J. "Therapeutic Benefits of a Wilderness Therapy Program and a Therapeutic Community Program for Troubled Adolescents." DigitalCommons@USU, 2001. https://digitalcommons.usu.edu/etd/2605.

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Wilderness therapy is increasingly seen as a viable treatment alternative for troubled youth, yet there is a noticeable dearth of research comparing the effectiveness of wilderness therapy with more traditional treatment programs. To help address this research need, this study conducted an exploratory analysis of the therapeutic benefits of a wilderness therapy program, Wilderness Quest (WQ), compared to a therapeutic community program, Life-Line (LL). The WQ and LL programs both are based on a 12- step recovery philosophy and emphasize the integral role of the family in adolescent treatment. The study employed a qualitative methodology, beginning with an extended period of observation (approximately eight weeks) in each program. The primary data for the study came from follow-up surveys with youth and their parents which were conducted about 13-15 months after the time of enrollment. Twenty-one families were represented in the study (10 from the WQ program and 11 from the LL program). The WQ program was perceived to be a "pivotal experience" for many youth and the most common reported benefit was increased self-confidence. The most common reported benefit for youth in the LL program was a "pivotal change" in lifestyle, with groups and one-on-one talks with staff and peers being the most beneficial. The study discussed the subtle distinction found with the short-term wilderness program being a " pivotal experience" and the long-term therapeutic community program leading to "pivotal change." The most common reported benefit for families in both programs was an increase in communication and closeness. In the follow-up behavior assessments there were no perceived differences between WQ and LL youth in areas of family relations, school/education, and job/work. There was a slight difference in peer relations with LL youth behaviors slightly more positive than WQ youth, and there was a notable difference in substance abuse with LL youth behaviors being more positive. The data also indicated that certain post-treatment factors were related to youth progress after leaving the programs, with aftercare and association with positive peers being the most in1portant for WQ youth and program graduation and association with positive peers being the most important for LL youth. Interpretive models were developed to illustrate the developmental growth patterns of youth in the two programs.

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10

Furlong, Joni. "Assimilation into a Therapeutic Community for Substance-Abusing Women." TopSCHOLAR®, 2007. http://digitalcommons.wku.edu/theses/396.

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Therapeutic communities provide structure, support and a safe living environment for individuals attempting to recover from addiction. Using peer influence, counseling, education, self-help groups, and case management, they assist residents in conforming to social norms and developing effective coping mechanisms while remaining drug-free. Prior studies have consistently demonstrated the effectiveness of these programs. But, why are they effective for some and not others? This study explored the residents1 backgrounds and the methods employed by them to assimilate into the therapeutic community, the recovering community, and then society at large. The data confirmed my suspicion that the women's ability to conform to social norms and develop effective coping mechanisms was dependent upon the level of attachment to prosocial others they attained while in a therapeutic community. The rules and requirements of Flower House are designed to promote prosocial attachments and conformity to social norms. Face-to-face interviews were conducted with 15 past and present residents of Flower House, a therapeutic community for substance-abusing women and their children. These women volunteered to participate.

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11

Northey, Sara K. "Treatment of personality disorder in a prison therapeutic community." Thesis, University of Surrey, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.576081.

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For many years it has been asserted that those with personality disorder were "untreatable" however in more recent times this has been challenged and the therapeutic community has come to be seen as the most effective model of treatment. This thesis investigates the impact of treatment in a prison therapeutic community on personality disordered offenders. The participating samples were therapeutic community residents (N=58) and a comparison group from mainstream prison (N=14). The research used a longitudinal design and both groups of participants were followed-up after twelve months . .. /~,.., .. The thesis presents an historical overview of personality disorder, including definitions and theoretical explanations before elucidating the links between personality disorder and criminality. A description of prison interventions and interventions specifically for personality disorder is provided. The specific aims of the research were to examine the efficacy of treating personality disordered male offenders within a prison therapeutic community. The prevalence of personality disorder within this setting was also investigated and two methods of diagnosing personality disorder were compared (self-report and clinical interview). The results of the current research show that the therapeutic community is effective in improving the symptoms of paranoid personality disorder, in particular, and provides some encouraging support for the treatability of personality disordered offenders. However, antisocial personality disorder may well get worse during time in the therapeutic community and more work is to be done to develop an effective treatment for this type of offender. In the concluding chapter of the thesis, the results are discussed in terms of links to existing literature and their contribution to theory. Implications for practice are proposed, the limitations of the research are discussed along with areas for future research.

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12

Clarke, William Francis Eugene. "Therapeutic community principles and practice within a secure environment." Thesis, University of Brighton, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304526.

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13

Masson, John Dean. "A study of the Church as a therapeutic community." Thesis, University of Aberdeen, 1985. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU354556.

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"The local congregation should continually strive to be a therapeutic community". "The Church is called to be itself a therapeutic community, whose members are coming to terms with both the brokeness and the goodness of life, and in which people may find acceptance, support and Christ's word of healing". The idea that the Church should be, in some way, a therapeutic community has gained increasing prominence in recent years. Usually, the general sense seems to be that of health-engendering community. However, exactly what is to be understood by such terminology very rarely has been spelled out. It would appear that while people consider that the idea is worthy of assertion, the content and implications of such an assertion have never been worked through fully. Yet, if we are serious in accepting the notion that the Church is, or should be, a therapeutic community, there has to be more precision and content given to the term. In Section One of this thesis, there will be an investigation of the literature on the theory and practice of three different approaches to caring undertaken by communities which would term themselves therapeutic communities - the psychotherapeutic community; the hospice; and L'Arche. From this survey an attempt will be made to highlight those important key characteristics which make a community therapeutic. These will form essential background material for an investigation of the Church as a therapeutic community. Section Two will consist of an attempt to construct an overall theological framework for a Christian understanding of the therapeutic and of the Church as a therapeutic community. In the Third Section there will be an analysis, in theory and practice, of three basic aspects of traditional congregational life - Ministerial Structure and Pastoral Organisation; Worship and Spirituality; and Christian Education. This analysis will be undertaken in the light of the previous investigation into the nature of therapeutic community and the theological understanding of the therapeutic. The aim of all this is to put some flesh onto the bare bones of the claim that the Church is called to be a therapeutic community. Notes 1 Special Committee on Healing, Church of Scotland Handbook, 1981 2 D. Hamilton, The Church's Ministry of Healing in Life and Work (March 1981).

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14

SOLERIO, ALESSIA. "Anthropological changes in drug addiction and therapeutic devices. Ethnographies of a Ser.T. and a Therapeutic Community." Doctoral thesis, Università degli studi di Genova, 2018. http://hdl.handle.net/11567/930000.

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15

Cowan, Kam Hing Rosanna. "Change and transformation : a study of the process of change for female drug-abusers in the Women's Treatment Centre, Society for the Aid and Rehabilitation of Drug Abusers, Hong Kong." Thesis, University of Bristol, 2000. http://hdl.handle.net/1983/1170fd71-66b3-44ff-95ab-9bffa311a034.

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16

Kochenderfer, Mary Anne. "Music after war : therapeutic music programmes in Bosnia and Herzegovina." Thesis, University of Edinburgh, 2006. http://hdl.handle.net/1842/1956.

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This thesis is a study of therapeutic music programmes in post-war Bosnia and Herzegovina. This study focuses on how different participant groups perceive programme aims and benefits and what these different perceptions reveal about the programmes as well as ways in which the local context impacts the programmes. Analysis is based on data gathered through interviews, observation, participant observation, and questionnaires obtained during five fieldwork visits undertaken between November 2003 and November 2004. While all participant groups agree that the programmes are beneficial, there are important differences in the ways different participant groups perceive programme benefits and the different ways in which the programmes approach sessions. Constructions of therapy appear to differ both between programmes and between international and local staff. All participant groups identified improved client communication and social skills as primary session outcomes. Clients appear to be largely unaware of the therapeutic aims of their sessions. Parents appear to have little influence and are not always notified that their children are involved with the programmes. International staff members appear to be intolerant of parents who do not heed their advice or reinforce progress made during sessions. In addition to running therapeutic sessions, these programmes work to increase inter-ethnic tolerance and to improve the skills of other local professionals. Programme success appears to be hindered by uncertainties inherent in working in a post-war environment. Developed and largely influenced by internationals, the programmes also face uncertainty as to whether they possess the necessary local leadership and ownership for long-term sustainability. There is evidence that tensions within, between, and outwith the programmes limit programme potential. Many of these tensions appear to be tied to local-international relations within programmes, which are exacerbated by national local-international tensions. A funding shortage has contributed to a competitive rather than a cooperative relationship between programmes. As the first detailed study of post-war therapeutic music programmes, this study has the potential to impact similar work in other regions and provides a more informed backdrop against which judgements can be made regarding the role and appropriateness of music as a form of therapy in post-war regions.

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17

Capone, Georgina. "Staff and service users' evaluations of therapeutic principles at a High Secure Learning Disability Therapeutic Community (LDTC)." Thesis, University of Lincoln, 2017. http://eprints.lincoln.ac.uk/29721/.

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Background: Growing evidence has been provided on the efficacy of Democratic Therapeutic Community (DTC) treatment in forensic LD populations (known as learning disability therapeutic communities, LDTC) in the form of reduced violence, personality pathology and interpersonal difficulties. Recently, the LDTC model has been introduced within a high secure setting at one of three high secure hospitals in the U.K., for males with a dual diagnosis of mild LD and PD, and produced equally successful results. While a number of outcome studies exist, on-going difficulties have remained in regard to applying a post-positivist approach to research design of Therapeutic Communities (TCs) as the approach fails to capture its matrix of interrelated treatment components. Consequently, there has been a call for investigation of processes within DTCs to identify important treatment mechanisms that support therapeutic change. While Haigh (2013) has updated the theoretical background on DTCs via formulating ‘quintessential principles’ within a given therapeutic environment the principles have not been empirically validated within a TC setting. Study aims: To explore service user and staff members’ evaluations of the quintessence principles as outlined by Haigh (2013) and identify whether any further important principles exist within the social climate of the LDTC that were not captured by current TC theory. Design: A single case study design was employed, with the ‘case’ being defined as the LDTC based at one of three high secure hospitals in the U.K. A qualitative approach was employed within the case study to enable initial analysis of TC members’ experience of therapeutic principles, any additional principles and to also permit identification of any shared experiences. The results of the qualitative analysis were used to develop a set of statements that can be used by future research to determine the importance of existing TC principles and additional elements identified in qualitative findings to TC members. Method: A qualitative approach was employed to enable analysis of TC members’ experience and evaluation of therapeutic principles in addition to identification of shared experiences. Data were collected via semi-structured interviews with 12 participants (6 staff members and 6 service users). The interview transcripts were initially analysed via deductive content analysis (Mayring, 2001) in order to identify whether Haigh’s (2013) quintessence principles were evident in the LDTC. Inductive thematic analysis (Braun & Clarke, 2006) was then performed on remaining data, which also involved completion of saliency analysis (Buetow, 2010) in the final stage to justify selection of themes and ensure identification of codes that did not recur but remained important to the research questions posed. Results: The deductive content analysis identified all five quintessence principles were experienced in the LDTC environment by staff and service users. Some limits to the principle of ‘agency’ were highlighted, with specific reference to difficulties implementing a flattened hierarchy in a forensic setting. Additional themes were identified via inductive thematic analysis and a saliency analysis indicated the following themes as both important and recurrent; security and risk, responsivity, trust, more physical freedom. Further themes that were identified as important but not recurrent within the saliency analysis included: staff fit with LDTC, moving on, being reflective. The theme of security and risk was specifically related to the context of the LDTC functioning in a high secure environment and ‘trust’ was understood to fall within Haigh’s (2013) conceptualization of the containment quintessence principle. While the remaining themes may not primarily contribute to the experience of secondary emotional development outlined by Haigh’s (2013) five quintessence principles they remain important considerations within therapeutic environments in light of their role in facilitating enactment of TC principles within secure environments, such as the LDTC. Conclusions: This is the first research paper that has attempted to test whether Haigh’s (2013) quintessence principles are evident within a given therapeutic community. The single case study provides empirical evidence for the quintessence principles in a novel TC setting along with further elements in the environment that help support implementation of quintessence principles. Fundamentally, the study suggests important recommendations for future research.

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18

Warren, Fiona Marie. "Outcome of specialist therapeutic community treatment for severe personality disorder." Thesis, St George's, University of London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.416634.

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19

Sees, Carly. "Does masculinity affect progress made in a forensic therapeutic community?" Thesis, University of Surrey, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441721.

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20

Bitter, James. "Adlerian Family Counseling: Toward a Therapeutic Community (pre-convention workshop)." Digital Commons @ East Tennessee State University, 1995. https://dc.etsu.edu/etsu-works/6124.

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21

Munro, Ealasaid. "Therapeutic museum? : social inclusion and community engagement in Glasgow museums." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/8000.

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In this thesis, I address the role of museums in contemporary Scotland, with specific reference to Glasgow Museums, the city of Glasgow’s municipal museums service. The empirical research focused on both the policy landscape within which Scottish museums are emplaced, and the activities and practices of museum staff. The research involved interviews with museum professionals, and participant observation within the museums service. The research findings emphasise the complexity of the role that museums play in contemporary society. In the thesis, I attempt to articulate the policy concept of social inclusion insofar as is it articulated within Glasgow Museums. I argue that in recent years Glasgow Museums has attempted to re-orientate its service around social inclusion, and yet the diffuse nature of the concept, coupled with the complexity of the institutional and organisational configurations within which it is implemented, means that many different – and extremely diverse – activities come to be considered part of the social inclusion agenda. The complex set of power relations through which social inclusion is articulated often results in conflict between different museum venues, departments and cohorts of staff. Through an examination of the theory underpinning the concept of social inclusion, and the practices privileged as part of Glasgow Museums’ commitment to social inclusion, I argue that it could usefully be understood as a therapeutic technology. I also suggest that community engagement has become an increasingly important part of socially inclusive practice within Glasgow Museums, yet I contend that community engagement represents a new and largely uncharted territory for many museum professionals. Through an exploration of the planning and execution of a community engagement project – entitled Curious – I argue that community engagement could usefully be thought of as a form of care. As a result, I contend that community engagement requires distinctive skills, and that these skills are often explicitly gendered.

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22

Ezzell, Matthew Brewer Kleinman Sherryl. "Identity, empathy, and inequality in a drug-focused therapeutic community." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2009. http://dc.lib.unc.edu/u?/etd,2808.

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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2009.
Title from electronic title page (viewed Mar. 10, 2010). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Sociology." Discipline: Sociology; Department/School: Sociology.

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23

Michaels, Meredith. "The Therapeutic Benefits of Community Gardening| An Exploration of the Impact of Community Gardens Through the Lens of Community Psychology." Thesis, Alliant International University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3567663.

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Community psychology is a unique field of psychology that perceives individuals as linked to their context. The role of psychologist within this branch of psychology is viewed as one who is responsible for addressing the individual, as well as the social patterns and structures that adversely affect well-being. The use of community gardens as a therapeutic tool may serve as a two-fold intervention that can be used at both the individual and community levels. This doctoral project explores the therapeutic benefits of community gardening through the lens of the community psychology perspective. Framed within a community psychology perspective in which clients are inextricably linked to their social and physical context, engaging with nature through community gardening may lead to healthier client outcomes. A literature review was conducted to inform the author of current data related to the study of community gardens and their impact on mental health. The reviewed data pointed to the impact of community gardens on individual physical and mental health, and the social and physical community contexts that additionally affect mental health. Additional consultations with experts in the field were used to corroborate and extend research findings in the literature. The information collected from the current body of literature and consultations were presented as a professional presentation to mental health workers to increase their knowledge of the therapeutic benefits of community gardening. The limitations of the current body of literature, considerations for application in clinical practice, and recommendations for future areas of study were also considered.

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24

Maglinger, Lee. "A Modified Therapeutic Community: Reducing Violence in a Medium Security Prison." TopSCHOLAR®, 2006. http://digitalcommons.wku.edu/theses/295.

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This study explores the impact a modified therapeutic community has on institutional disorder. Treatment programs are normally evaluated by their ability to prevent recidivism and relapse. This study examines the efficacy of a modified therapeutic community in reducing the number and severity of write-ups of its clients in a medium security male prison. The study describes research findings regarding the relationship between the write-ups of clients in a modified therapeutic community compared with the write-ups of inmates in a non-treatment unit. To carry out this study, the author reviewed the write-up records from the treatment program and a non-treatment unit for the period of March 2001 through October 2005. The results of this study indicated that the write-ups of the modified therapeutic community clients, as a whole, were less severe as compared to the general population clients residing in a similar dorm. They were also proportionally less specifically violent. The implication of this research for corrections administration was also discussed.

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25

Hugues, Gregoire Edwin L. "Community psychiatric nurses, support workers and clients perspectives on therapeutic interventions." Thesis, Liverpool John Moores University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.421401.

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26

McGurie-Snieckus, Rebecca. "Understanding and assessing the therapeutic relationship in community mental health care." Thesis, Queen Mary, University of London, 2006. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1773.

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The clinician-patient relationship is at the core of community mental health care and impacts on outcome, but no instrument has been specifically developed for its assessmentE. xisting scalesh ave either unproven psychometric properties in community mental health care settings, or have been designed for other therapeutic settings, or both. My aim in this thesis is to develop a scale to assess the therapeutic relationship in community mental health care (STAR) that has both clinician and patient versions. In part one, understanding the therapeutic relationship in community care, I considered the rationale for mental health care in the community and explore theoretical presuppositions, pre-existing measures, and influences on the therapeutic relationship. In part two, assessing the therapeutic relationship in community care, I developed an assessment tool in four stages. In stage one I generated an item pool using semi-structured interviews and existing scales. In stage two I administered this item pool to 133 community care patients and their 26 clinicians. I constructed subscales based on principal components analyses. In stage three, for final item selection, I assessed retest-reliability. In stage four the scales were administered to a new sample of 180 patients and their 84 clinicians. The factorial structure of the scale was confirmed with a good fit. The end result is both a patient and clinician version of STAR which has 12 items comprising 3 subscales: positive collaboration (6 items) and positive clinician input (3 items) in both versions, non-supportive clinician input in the patient version and emotional difficulties in the clinician version (3 items each). Psychometric properties are satisfactory. STAR is a specifically developed, brief scale to assess therapeutic relationships in community care. The two versions cover three similar factors each, and may be used in research and routine care.

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27

Ersser, Steven Jeffrey. "An ethnographic study of the therapeutic effect of nursing." Thesis, King's College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336408.

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28

Harvey, Carole Lynn. "From a corrections-based therapeutic community to residential community reentry: A qualitative study of offenders’ lived experiences." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1322621967.

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29

Spandler, Helen. "Asylum to action : Paddington Day Hospital, therapeutic communities and beyond." Thesis, Manchester Metropolitan University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.247203.

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30

Simmons, Robert Earl. "African therapeutic systems : their place in health care in Liberia." Thesis, University of Liverpool, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387349.

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31

Abrishami, Golee Farshbaf. "Therapeutic Alliance and Outcomes in Children and Adolescents Served in a Community Mental Health Setting." Diss., CLICK HERE for online access, 2009. http://contentdm.lib.byu.edu/ETD/image/etd2804.pdf.

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32

Chapman, G. E. "Text, talk and discourse : nurses' use of language in a therapeutic community." Thesis, University of London, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297236.

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33

Sadler, K. "Community-based therapeutic care : treating severe acute malnutrition in sub-Saharan Africa." Thesis, University College London (University of London), 2009. http://discovery.ucl.ac.uk/16480/.

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Severe acute malnutrition (SAM) affects approximately 13 million children under-five and is associated with over 1.5 million preventable child deaths each year. Case fatality rates in hospitals treating SAM remain at 20-30%, and coverage of those affected remains low. Training and support to improve centre-based management can reduce case fatality rates. However, an exclusive inpatient approach does not consider the many barriers to accessing treatment that exist for poor people in the developing world. Community-based therapeutic care (CTC) is a new approach for the management of SAM that uses Ready-to-Use Therapeutic Foods (RUTF) and triage to refer cases without complications to outpatient care and those with complications to inpatient treatment. This thesis aims to test the hypotheses that a CTC strategy can treat children with SAM effectively and can achieve better population treatment coverage than a centre-based approach. Five studies, using primary data, are presented. The first 3 studies evaluate the clinical effectiveness of CTC through examination of individual outcome data from research programmes in Ethiopia and Malawi. The fourth study examines the coverage of a CTC programme for SAM in Malawi and compares this with coverage of a centre- based programme. The final study is a multi-country evaluation of 17 CTC programmes implemented across Africa. Results from all studies that use the CTC treatment model show that outcomes can meet the international Sphere standard indicators of < 10% mortality and > 50% coverage. Coverage of a CTC programme in Malawi was three times that of a centre-based programme in the same region (73.64% (95% C.I. 66.0%, 81.3%) vs. 24.5% (95% C.I. 17.8%, 31.4%)). A number of factors were vital to achieving low mortality and high coverage in these programmes. These included decentralisation of outpatient treatment services and community mobilisation techniques to encourage early presentation, and the use of appropriate triage criteria, to identify children suffering from SAM with no complications that could be treated safely as outpatients. The use of triage did not appear to increase mortality (OR 0.51 95% CI 0.28, 0.94). This thesis suggests that CTC does not increase case fatality rates associated with SAM and could reduce them, and that it could increase the number of children receiving treatment.

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Golbandi-Nazif, Mahin. "Borderline patient's quest for empathy : four female patients in a therapeutic community." Thesis, University of Essex, 2017. http://repository.essex.ac.uk/20939/.

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One of the main diagnostic criteria of Borderline Personality Disorder (BPD) is an absence of empathy. The concept of empathy does not feature greatly in the literature of the British Psychoanalytic Object Relations Schools. However, the work of both Klein and Bion suggests that there is a normal development of empathy: from ‘part-object’ to ‘whole-object’ relationship. Given this, the development of empathy should be central to the treatment of those with BPD. The communal structure of the Therapeutic Community (TC) would appear to offer an ideal environment in which to foster the development of empathy. This study explored the development of empathy in individuals who have a diagnosis of BPD and had completed a year in a TC. Three women, drawn from one TC, were interviewed in a pilot study. The textual analysis of these interviews suggested an increased appreciation of their thoughts and feelings and an empathic understanding of themselves and others. The interviews of four female, from a different TC, were analysed in the main study. No increase in empathy was identified. These participants reported being taught to manage their symptoms through repression of destructive thoughts and behaviours rather than through the development of empathy. Tentative conclusions and future research: 1. At least in some circumstances people with BPD can increase in empathy: insight, self-reflection, and changes in self-experience; 2. The fact that some participants showed no increase in empathy while others did may reflect individual differences in response to the intervention; and/or 3. There may be critical elements of the TC experience which promote the development of empathy; these elements need to be identified to make interventions more effective.

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Gampa, Anup. "Comparing the Social Preferences of Therapeutic Community Participants to General Population Controls." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1316551143.

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Tabor, Jessica. "The Impact of Prison-Based Therapeutic Community Programs on Motivation for Treatment." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7256.

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The sentencing and use of mandated treatment policies throughout the country have heightened the number of inmates incarcerated for drug related offenses. The purpose of this quasi-experimental, archival, correlational descriptive study was to determine whether motivation changes during therapeutic community (TC) treatment among a group of incarcerated adult male offenders, as measured by differences in pre and post levels of motivation. The hypothesis that was tested was that there would be significant differences between levels of motivation as measured upon entry and discharge from treatment. The theoretical framework that guided the study was the stages of change theory. Data were collected from archived pre and post treatment Texas Christian University, Treatment Motivation scale (MOT) scores. The target population comprised adult males, who were incarcerated in the state of New Jersey between January 1, 2014 and December 31, 2016, and had completed a TC program. A paired sample t test was completed, which indicated that there was a significant difference between levels of motivation from admission to discharge in the TC program. Discharge MOT scores for motivation were determined to be higher than admission scores, which answered the research question regarding levels of motivation change during a TC program. The study findings lend support to the utility of TC programs in changing offender behavior, thereby making inmates more productive members of society and strengthening public safety.

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O'Neill, Darragh. "Assessment and utility of interpersonal theory in a prison-based therapeutic community sample." Thesis, University of Surrey, 2011. http://epubs.surrey.ac.uk/843137/.

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The therapeutic community approach to psychological intervention has a long history of application in the context of offender rehabilitation. Its emphasis on the role of social interactions and interpersonal functioning in the encouragement and facilitation of change is one of this intervention's defining characteristics. However, the extent to which it actually effects change in offenders' interpersonal behaviour is still not fully understood. Interpersonal theory and the behavioural model that it proposes, the interpersonal circle, are founded on similar ideas to the therapeutic community concept, yet their relevance to the study of this intervention remains underexplored. The research described in this thesis has endeavoured to address this oversight. This work involved the longitudinal assessment of prisoners participating in a therapeutic community, principally using an observer-rated operationalisation of the interpersonal circle, the Chart of Interpersonal Relations in Closed Living Environments (CIRCLE). As the CIRCLE was employed in a novel setting and abbreviated form, the first stage in this research comprised an examination of its suitability to this application. Through a series of latent structural analyses, it was determined that the measure effectively operationalised the model upon which it was based. The next stage in this research involved an examination of how this interpersonal circle measure related to other assessment tools previously used in this setting. This study established that the CIRCLE was linked in a theoretically-consistent way with a number of these assessments, but also demonstrated that this measure provided an arguably more valid perspective compared to the primary assessment of interpersonal functioning previously used in this context. The final question addressed in this thesis concerned the interpersonal profile of the therapeutic community residents and how this changed in response to their participation in the intervention. This work established that such changes in interpersonal functioning were contingent on prisoners' completion of 18 months of therapy. The relevance of these changes to therapy engagement and subsequent recidivism were also examined. Ultimately, this work has established the applicability of interpersonal theory and its corresponding model of functioning to the study of prison-based therapeutic communities, and the utility of the insights that it can provide into both the process and outcome of this intervention approach.

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Farrelly, Simone. "Therapeutic relationships in community mental health : the impact of the Joint Crisis Plan intervention." Thesis, King's College London (University of London), 2013. https://kclpure.kcl.ac.uk/portal/en/theses/therapeutic-relationships-in-community-mental-health(522a86f6-0fbd-463a-8b4f-cb706078f541).html.

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Policy and professional guidance in England have emphasised the importance of Therapeutic Relationships (TRs) in community mental health care, yet there is no comprehensive model to guide practice or understand the process through which stronger TRs are generated. This thesis investigated TRs in community mental health for individuals with psychotic disorders and was embedded within the CRIMSON trial: a randomised controlled trial of the Joint Crisis Plan (JCP) intervention. JCPs contain service users’ treatment preferences for future care, which are jointly decided with clinicians. Qualitative analyses addressed participants’ views of TRs and JCPs. Quantitative analyses addressed the predictive utility of TRs for outcomes, associations of TRs and the effect of JCPs on service user and clinician-rated TR. Results suggested that significant ambiguity persists regarding what can and should be provided in community mental health, resulting in unhelpful experiences for service users and clinicians. A new model of TRs - Consistent Respect - was developed; it presents TRs as bi¬directional processes, jointly affected by clinicians’ and service users’ experiences of interactions and their roles defined by the wider context; the latter often being a barrier to the development of strong TRs. JCPs significantly improved service users’ appraisals of TRs by providing a structured protocol through which routine role enactments were limited and clinicians could demonstrate Consistent Respect. Positive effects were lost when there were deficiencies in the implementation of JCPs and/or engagement of clinicians. In conclusion, improving TRs through JCPs could facilitate better outcomes and more satisfactory treatment experiences for service users and clinicians. Changes in policy and practice are indicated to facilitate transparent goals and roles for clinicians and respectful interactions with service users.

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PEALER, JENNIFER A. "A COMMUNITY OF PEERS - PROMOTING BEHAVIOR CHANGE: THE EFFECTIVENESS OF A THERAPEUTIC COMMUNITY FOR JUVENILE MALE OFFENDERS IN REDUCING RECIDIVISM." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1083928845.

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Hall, Michael Bruce. "Making it: inside perceptions on success, relapse, and recidivism by In Prison Therapeutic Treatment Community (IPTC) program parolees in Harris County Texas." Texas A&M University, 2003. http://hdl.handle.net/1969.1/1178.

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The purpose of this research study was to address the gap in the research literature that existed concerning the absence of qualitative data addressing relapse and recidivism in Texas. Numerous quantitative studies dealt with these issues. However, gaps in the literature existed because accounts and opinions of specific participants regarding these conclusions were absent. Consequently, we lacked specific direction. The perspective of the individual, the insider, was missing. This study helped determine the meaning of "making it" for the parolee/addict attempting to assimilate into the general population and avoid relapse and recidivism. To achieve the research objectives, an ethnographic interview methodology was utilized. The population engaged in the study included male parolees who live in Harris County Texas. All men gained parole between 1992 and 1994, hold positions as professionals in substance abuse counseling, and reported ten years or more of drug free and crime free living. The literature review established the documented need and importance for a qualitative study. The literature defined recidivism according to Texas state officials. The literature considered achievement of parolees who attended the Windham School District. The final section of literature considered the development and operation of the In Prison Therapeutic Community (IPTC) program. The findings from the interviews determined that "making it" consisted of working the twelve-step program of Alcoholics Anonymous (AA), meeting with parole officers, dealing with risky behaviors, and remaining committed to a drug free and crime free life. Study participants expressed that state record keeping appeared inaccurate and presented a false picture regarding the actual number of drug related arrests and the actual long-term recidivism rate. The participants noted that the Windham School District exhibited a major influence in making a conscious decision to turn toward positive outcomes. It was recommended that the role of the Windham School District be expanded due to the record of achievement. Other recommendations included the establishment of a longitudinal study of Texas parolees to exceed five years in duration to check long-term recidivism rates and an ethnographic study that focused on the members of the Winner's Circle.

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Aguirre, Campos Harold Hans. "Esquemas Maladaptativos Tempranos en Pacientes Dependientes de Sustancias Psicoactivas Internados en un Centro de Rehabilitación de Lima." Bachelor's thesis, Universidad Ricardo Palma, 2017. http://cybertesis.urp.edu.pe/handle/urp/1482.

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Identificar las diferencias en esquemas maladaptativos tempranos, según el tipo de dependencia a sustancias psicoactivas de los residentes de un centro de rehabilitación de lima. Materiales y métodos. Estudio transaccional y descriptivo. De una población de 70 pacientes varones con edades de 18 entre 50 años de edad Identify the differences in early maladaptive schemes, according to the type of dependence to psychoactive substances of the residents of a rehabilitation center in Lima. Materials and methods. Transactional and descriptive study. From a population of 70 male patients aged 18 to 50 years old

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Kelly, Christopher E. "Putting the Community back into Therapeutic Community: Examining the Role of the Treatment Group in Prison-Based Substance Abuse Treatment." Diss., Temple University Libraries, 2012. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/205016.

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Criminal Justice
Ph.D.
This dissertation conceptualized and evaluated the moderating effect of the treatment group on treatment responsiveness and recidivism among a sample of drug-involved offenders who received in-prison substance abuse treatment. Few studies of drug treatment simultaneously consider individual level variables and the context of group treatment. Those that have typically operationalize the treatment context with organizational indicators such as attributes of the staff, staff perceptions of the program, therapeutic orientation, and program accreditation. In contrast, the current work operationalized context from the perspective of the participant using as indicators client-based measures of treatment progress and satisfaction. The study expands existing theoretical models and extends what is known about treatment effectiveness by considering how the social group - the collection of individuals that constitute the prison unit in which the inmates received their 12 months of substance abuse treatment - may or may not moderate the influence of psychosocial functioning and treatment process variables and later outcomes. Such moderating impacts have theoretical implications for understanding the connections between treatment context, individual differences, and outcomes. Moderating impacts also have implications for the ways practitioners monitor treatment group climate and processes, thereby potentially improving service delivery. Finally, the present study contributes to the treatment literature by examining group influences of treatment on measures of recidivism - reincarceration and rearrest - that are of particular interest to practitioners and policymakers. The research was guided by three central questions: 1) Do significant differences on recidivism exist between treatment groups? 2) Does the treatment group moderate the impacts of psychosocial and treatment process variables on recidivism? 3) Does treatment modality have an effect on recidivism? To examine these questions, data from an evaluation of the treatment programs at the State Correctional Institution (SCI) at Chester, PA, were used (Welsh, 2006). The sample consisted of 618 adult male offenders who were randomly assigned to either the therapeutic community (TC) or the less-intensive group counseling treatment modality, each of which was 12 months in duration. A multilevel framework was applied to the data, as the offenders (level-1) were nested within 12 treatment units (level-2) in a single prison. The level-2 grouping was the prison unit where the offenders were housed and where they participated in the 12 months of treatment, and these units can be considered self-contained treatment programs. The predictors of primary importance were treatment responsiveness measures that were collected in the last month of the treatment experience. These included second-order factor analysis scores of measures of depression, anxiety, hostility, therapeutic engagement, trust in the treatment group, and peer support among others. Each was theoretically and empirically related to group functioning and later outcomes. Controls for other factors related to reoffending included time at risk, prior substance abuse and criminal history, age and race/ethnicity of the offender. These variables were all entered at level-1. A single level-2 variable was entered to examine and control for the effect of the type of treatment received (TC or group counseling). The data were analyzed using hierarchical generalized linear modeling (HGLM). This was the appropriate method because the data were nested and the outcomes were the binary measures of reincarceration and rearrest. Notably, multilevel models revealed significant variation on the reincarceration outcome across treatment units (level-2), controlling for treatment modality. This supported the first hypothesis that treatment effects could be attributed to something other than individual level variables or type of treatment received. A similar significant finding across treatment units (level-2), however, was not detected for the rearrest variable. Further, this method allowed for the examination of treatment group impacts on the individual psychosocial functioning and treatment process measures controlling for the type of treatment received. The second hypothesis stated that the treatment group would differentially affect the impact of these variables on recidivism. To reduce the number of individual-level predictors, the various subscales were entered into a second order principal components factor analysis. Three factors emerged: negative affect, positive attitude, and treatment satisfaction. Controlling for the composition of the group, the negative affect factor had a significant, positive direct effect on reincarceration. When the slopes of the three factors were allowed to vary, the model with treatment satisfaction and positive attitude as random effects fit the model best, as the treatment group significantly affected the impact these variables had on reincarceration. With regard to the third research question, in no analyses conducted did the treatment modality have a significant effect on the outcome. The third hypothesis that stated TC participants would have lower rates of reincarceration and rearrest, therefore, was not supported. This was a surprising result, as TCs have been found to be effective at reducing recidivism in previous research. In none of the existing studies, however, did the comparison group receive professional treatment services as the group counseling participants at SCI-Chester received. Several findings have implications for treatment research and policy. First, reincarceration significantly varied across the treatment units, even when controlling for the treatment modality and time at risk in the community. Second, the analysis of level-2 group impacts on individual level variables and recidivism were new contributions to the research in this area. These findings have implications for both theory (macro-to-micro theoretical effects of substance abuse treatment) and treatment delivery to those in prison. This research supported the first and second hypotheses that the group-level dimensions of prison-based substance abuse treatment have not been adequately considered in prior studies. This study takes an important first step in the direction of a more complete view of treatment experiences and outcomes that considers individuals nested within treatment groups.
Temple University--Theses

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Walker, Madelyn Grace. "Architectural Mediation: A Community Anxiety Center in Alexandria, VA." Thesis, Virginia Tech, 2019. http://hdl.handle.net/10919/90291.

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Anxiety Disorders are the most common mental illness in the United States. While nearly 18% of Americans will experience an anxiety disorder within any given year, only one-third of those will receive treatment. Current mental health treatment facilities must navigate opposing needs for both awareness and access as well as privacy and respite. This thesis explores the ability of architecture to influence emotion and mediate between opposites through the design of a community anxiety treatment center in the heart of Old Town Alexandria, VA. The building combines community services, outpatient treatment, and in-patient treatment under one roof. Rather than a treatment facility that is removed from the city, the center is placed within an urban community, creating increased awareness and access to treatment as well as an expanded care journey through community connectivity. The building itself mediates between urban and therapeutic space, sequentially removing patients from urban stimuli as they move through increasing levels of treatment. As patients recover and begin to return to the city itself, the building gradually reintroduces them to the urban environment. Post-treatment, the location in Alexandria, VA allows patients to continue recovery through community support groups and activities.
Master of Architecture

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Turner, Audry L. "`Catch 'em before they fall'| A prophetic faith-based community advocacy therapeutic ministry model." Thesis, United Theological Seminary, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10675164.

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The objective of this project was to empower Nehemiah Baptist Church, collaborative partners and residents' in a youth violence reduction initiative. Implementation occurred on the Westside of Detroit, Michigan. The mixed research utilized: (1) participant observations; (2) focus groups; (3) survey and questionnaires; and (4) data collection from interviews, newspapers and published reports. The findings clarified approaches for community engagement and isolated barriers. The summary conclusion supports the church, collaborative partners and residents' engagement in community events that may significantly reduce youth violence. Also, prevailing faith-based community advocacy participatory therapeutic strategies indicates religion does matter in violence reduction.

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Barber, Paul Graham. "The facilitation of personal and professional growth through experiential groupwork and therapeutic community practice." Thesis, University of Surrey, 1990. http://epubs.surrey.ac.uk/687/.

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Sanders, Gillian. "Therapeutic interventions in the management of hypertension : clinical studies in individuals and the community." Thesis, University of Newcastle Upon Tyne, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329166.

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Tulay, Scott M. (Scott Matthew) 1970. "A process of subdivision : creating a therapeutic environment for a Northampton mental health community." Thesis, Massachusetts Institute of Technology, 1998. http://hdl.handle.net/1721.1/70300.

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Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1998.
Includes bibliographical references (p. 162-164).
This thesis explores the fractal behavior of subdivision through the design of a new mental health community in Northampton, Massachusetts. The underlying premise of this thesis is that it is therapeutic for a person to have a sense of place. Creating a sense of place is accomplished through the development of a site plan and building system based on the historical system of plot division and subdivision by which Northampton was formed. Once the principles of Northampton's pattern of subdivision are abstracted, the proposed new site plan becomes an exposition of the operation of these principles. The result is an intensified landscape, with a juxtaposition of a range of sizes from the largest void to the largest solid. These abrupt changes in scale are beneficial both in their architectural and didactic quality. The second part of the thesis explores whether architectural value can be extracted from a land pattern. Through the development of a gym (largest collective size), a prototypical house (smallest individual size), and a library (mid-size), various issues of siting, enclosure, and structure are explored. Through the fractal behavior of subdivision, the smallest elements of a house become integral to the overall site plan, creating a stronger sense of place. The program of a mental health community and the site in Northampton therefore serve as a vehicle to explore the fractal behavior of the city's formation, and to examine to what extent this system of subdivision can be applied to architecture.
by Scott M. Tulay.
M.Arch.

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Gosling, Helena. "An invitation to change? : an ethnographic study of a residential therapeutic community for substance use." Thesis, Liverpool John Moores University, 2015. http://researchonline.ljmu.ac.uk/4519/.

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Drawing upon the findings of a 31 month ethnographic study this thesis provides a snap-shot of the intricate workings that take place in a residential Therapeutic Community (TC) in the North West of England for individuals with a history of substance use. The thesis identifies and addresses the omission of process based research in the existing literature on TC’s for substance use and pays particular attention to how such unique settings provide an alternative way to work alongside those mainstream society deems to be deviant, problematic, worrying, threatening, troublesome, or undesirable in some way or another. The longitudinal dimension of the research allows the study to capture the voices of residents and practitioners to inform a more complete appreciation of the interpretation and implementation of the principles of the TC in practice. The study offers an unprecedented insight into the innovative design, delivery and intricate workings that takes place in a residential TC. Conducted at a time of great change and uncertainty in the theory and practice of drug policy and service provision – as the implications of Payment by Results (PbR) in the sector take hold - the study captures the tensions at work in realising in practice the theoretical ambitions of the TC and the very real challenges of reconciling increasingly commercial/business orientated decisions within public health models of thinking. In this way the study has the capacity to contribute to ongoing debates about processes associated with an individual’s journeys in and out of criminal careers in the desistance literature; and to broader criminal justice policy debates about the increasing marketization of the management and supervision of lawbreakers whose offending behaviour is heavily influenced by substance use.

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Beck, Julie A. "Offending women : discipline, punishment, and re-forming selves in a therapeutic-community drug treatment program /." Diss., Digital Dissertations Database. Restricted to UC campuses, 2006. http://uclibs.org/PID/11984.

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Flood, Chris. "Measures of therapeutic change in acute and community settings using clinical outcome and cost measuremeut." Thesis, City University London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.603451.

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This PhD-by-publication thesis describes a journey of developing research and different approaches used for measuring therapeutic change. The focus of this thesis is to investigate what psychological and economic measures can be used to measure clinical outcomes and cost measurement. At every stage consideration has been given to capturing costs and cost effectiveness where possible. The research, considered as a group of papers, focuses on quality of life, outcome measurement, utility measurement, health economics, randomised controlled trials and spans a number of different clinical domains including mental health, nursing, social work and occupational therapy.

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