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Quality of Life in Therapeutic Communities for Addictions: A Positive Search for Wellbeing and Happiness 成瘾治疗社区的生活质量:对幸福和幸福的积极探索
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1307155
E. Broekaert, J. De Maeyer, S. Vandevelde, W. Vanderplasschen, C. Claes, K. Colpaert, Maurice Walgraeve
ABSTRACT Although addiction is increasingly considered as a chronic problem, only a limited number of studies have addressed quality of life (QoL) in therapeutic communities (TCs) for addictions. This reflective conceptual article assesses the history, philosophy, and background of the TC movement as modern concept, with roots in existentialism and phenomenology, as well as the QoL approach as a “postmodern” concept, with a positive vision on wellbeing and happiness, grounded in Aristotelian rationalism. The exploration of the QoL concept situated in the context of TC values, facts, and subjects leads to the finding that both visions can go alternatively together and fertilize each other.
尽管成瘾越来越被认为是一个慢性问题,但只有有限数量的研究解决了成瘾治疗社区(TCs)的生活质量(QoL)问题。这篇反思性的概念性文章将TC运动的历史、哲学和背景作为现代概念进行评估,其根源在于存在主义和现象学,以及将QoL方法作为“后现代”概念,以亚里士多德理性主义为基础,对幸福和幸福有积极的看法。在TC价值观、事实和主题的背景下对生活质量概念的探索导致发现这两种愿景可以交替地结合在一起并相互促进。
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引用次数: 10
Peer Support and Substance Use Disorder Treatment: Benefits and Barriers for Intra-Personal Development in Longer-Term Treatment Programs 同伴支持和物质使用障碍治疗:长期治疗项目中个人内部发展的益处和障碍
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1258683
Aaron Turpin, Micheal L. Shier
ABSTRACT This qualitative research explores the dynamic roles of peer support in substance use disorder treatment. Interviews were conducted with 41 participants across three long term residential substance use disorder treatment programs in the Greater Toronto Area. Findings indicate four key themes of peer support: 1) Learning opportunities (that provide perspectives of oneself, perspectives of progress, and perspectives of positive social interactions); 2) Treatment opportunities from shared experiences (which help to create trust, provide a common understanding, and alignment based on shared experiences); and 3) Mutual support (which helps to prevent isolation, acts as an informal component of intervention, and supports reassurance and ongoing feedback). Together, the findings provide a comprehensive understanding of the specific nuances of peer support in longer term substance use disorder treatment centers.
本质性研究探讨同伴支持在物质使用障碍治疗中的动态作用。在大多伦多地区的三个长期住宅药物使用障碍治疗项目中,对41名参与者进行了访谈。研究结果表明同伴支持的四个关键主题:1)学习机会(提供自我视角、进步视角和积极社会互动视角);2)来自共同经验的治疗机会(这有助于建立信任,提供共同理解,并基于共同经验进行协调);3)相互支持(这有助于防止孤立,作为干预的非正式组成部分,并支持安慰和持续反馈)。总之,这些发现提供了对长期物质使用障碍治疗中心同伴支持的具体细微差别的全面理解。
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引用次数: 9
Integration: Too Much of a Bad Thing? 一体化:太多的坏事?
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1320487
Rowdy Yates, John Burns, Louise McCabe
ABSTRACT Integrated and/or multidisciplinary working has become a central guiding principle of addiction treatment throughout the Western world. Indeed, the notion has become virtually synonymous with good practice in intervening in a complex disorder like addiction. There has been surprisingly little analysis or evaluation of the efficacy of this approach. Rather, it is effectively taken for granted that integrated and/or multidisciplinary working is without question a “good thing.” But for complex interventions such as the therapeutic community, it is equally possible that these developments can threaten the underlying principles of the approach. This short literature review considers three areas of integrated working: integrating professional staff into therapeutic community teams; integrating new treatment approaches into existing therapeutic community frameworks; and the issue of therapeutic communities co-working with other treatment services with different philosophies and working practices. The work originated in an evaluative study of a network of Scottish addiction treatment services and the initial findings are that although there are some advantages to broadening the horizons of the therapeutic community movement, there is equally a danger of undermining some core principles.
摘要综合和/或多学科工作已成为西方成瘾治疗的核心指导原则。事实上,这一概念实际上已经成为干预成瘾等复杂疾病的良好实践的同义词。令人惊讶的是,很少有人对这种方法的疗效进行分析或评估。相反,人们理所当然地认为,综合和/或多学科工作无疑是一件“好事”。但对于治疗社区等复杂干预措施来说,这些发展同样可能威胁到该方法的基本原则。这篇简短的文献综述考虑了综合工作的三个领域:将专业人员纳入治疗社区团队;将新的治疗方法纳入现有的治疗社区框架;以及治疗社区与具有不同哲学和工作实践的其他治疗服务机构合作的问题。这项工作源于对苏格兰成瘾治疗服务网络的一项评估研究,初步发现,尽管拓宽治疗社区运动的视野有一些好处,但同样存在破坏一些核心原则的危险。
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引用次数: 5
Gender Differences in the Prevalence of ADHD Among Clients of Therapeutic Communities for Drug Addicts in the Czech Republic: Secondary Analysis of the Pilot Study 捷克共和国戒毒治疗社区患者多动症患病率的性别差异:试点研究的二次分析
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1272072
K. Kalina, Eva Rubášová, Lenka Čablová, Lenka Šťastná, M. Miovský
ABSTRACT The aim of this study was to identify gender differences between a group with and without attention deficit hyperactivity disorder (ADHD) in the sample of 76 clients of therapeutic communities. The battery of tests contained three questionnaires based on ADHD Self-Report Scale (ASRS), Wender Utah Rating Scale (WURS), and Conners Teacher Questionnaire. Data were analyzed by combining a descriptive approach and sectional processes of qualitative data analysis. Women with ADHD exhibit more complications in the WURS–25 scale and (together with the women without ADHD) in ASRS. Gender differencies in ADHD-related complication in treatment were expressed on a qualitative level; severe complications occurred mainly in the men in both groups.
摘要:本研究的目的是确定76名治疗社区患者中有和没有注意缺陷多动障碍(ADHD)的性别差异。测试包括三份问卷,分别是ADHD自我报告量表(ASRS)、Wender Utah评定量表(WURS)和Conners教师问卷。通过结合描述性方法和定性数据分析的分段过程来分析数据。患有ADHD的女性在wars - 25量表和ASRS中(与没有ADHD的女性一起)表现出更多的并发症。治疗中adhd相关并发症的性别差异在定性水平上表达;两组患者均以男性患者为主。
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引用次数: 1
Drug Abuse Recovery High School in Hong Kong: A Descriptive Study of Christian Zheng Sheng College and the Holistic Interactive Therapeutic Community Model 香港药物滥用康复中学:基督教正盛学院与整体互动治疗社区模式的描述性研究
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1258681
Jiann-guang Lin, Z. Lu, Weiting Wu
ABSTRACT This article describes Hong Kong's overall youth drug abuse situation and the society's prevention and intervention with focus on Christian Zheng Sheng College, the only high school that provides drug abuse treatment and recovery services in Hong Kong. Through literature review, site visit, and interview, researchers study the school's Holistic Interactive Therapeutic Community model, its interrelated four emphases, spiritual life, community life, laboring and schooling through the lens of holism, and typical treatment means the school uses. Limitation and future research possibilities are included in the end of the study.
摘要本文以香港唯一一所提供药物滥用治疗和康复服务的高中基督教正生学院为研究对象,介绍了香港青少年药物滥用的总体情况及社会的预防和干预。通过文献综述、实地考察和访谈,研究者从整体主义的角度研究了学校整体互动治疗社区模式及其相互关联的四个重点,即精神生活、社区生活、劳动和教育,以及学校使用的典型治疗手段。研究的最后包括了局限性和未来研究的可能性。
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引用次数: 3
Treatment Outcome Evaluation in Therapeutic Communities in the Czech Republic: Changes in Methamphetamine Use and Related Problems One Year After Discharge 捷克共和国治疗社区的治疗结果评估:出院后一年甲基苯丙胺使用和相关问题的变化
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1280718
Martin Šefránek, M. Miovský
ABSTRACT The knowledge available on the effectiveness of treatment interventions for methamphetamine users in Europe remains scarce. The present study investigated the patterns of use and treatment outcomes of 176 clients, predominantly injecting methamphetamine users, in 4 residential therapeutic communities in the Czech Republic. Most of the clients were multiple drug users. Overall, methamphetamine users showed favorable outcomes with significant improvements in their substance misuse, injecting, health and criminal behavior at 1 year after discharge from treatment. Findings suggest that many methamphetamine users are able to complete the treatment and achieve considerable improvements.
在欧洲,关于甲基苯丙胺使用者治疗干预措施有效性的现有知识仍然很少。本研究调查了捷克共和国4个住宅治疗社区176名客户(主要是注射甲基苯丙胺使用者)的使用模式和治疗结果。大多数客户都是多重吸毒者。总体而言,甲基苯丙胺使用者在药物滥用、注射、健康和犯罪行为方面在治疗出院一年后均有显著改善,结果良好。研究结果表明,许多甲基苯丙胺使用者能够完成治疗并取得相当大的改善。
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引用次数: 5
In Search of Evidence-Based Treatment in TCs for Addictions: 40 Years of Research in TC De Kiem (Belgium) 寻求基于证据的戒毒治疗:比利时TC De Kiem 40年的研究
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1312656
W. Vanderplasschen, S. Vandevelde, C. De Ruysscher, Dirk Vandevelde, E. Broekaert
ABSTRACT Despite more than 40 years of research, limited evidence is available for the effectiveness of drug-free therapeutic communities (TCs). Worldwide, TCs have attempted succesfully to integrate innovative and evidence-based interventions, while adhering to the “community as method” (De Leon, 2000). This article is a case study of scientific research on practice and innovations in a TC, De Kiem (Belgium), over the past 40 years, illustrating how research and innovative approaches have shaped the TC into its current practice. From the start, scientific research was used to develop and adapt the TC program. International collaboration introduced new ideas, instruments, and methods and promoted a culture of inquiry. Several interventions that were implemented have contributed successfully to increased program retention, like the introduction of a welcome house phase, social network support, and a mother and child program.
摘要尽管经过40多年的研究,但无药物治疗社区(TC)的有效性证据有限。在世界范围内,TC成功地尝试整合创新和循证干预措施,同时坚持“社区即方法”(De Leon,2000)。本文是De Kiem(比利时)TC在过去40年中对实践和创新的科学研究的案例研究,说明了研究和创新方法如何将TC塑造成其当前的实践。从一开始,科学研究就被用来制定和调整TC计划。国际合作引入了新的思想、工具和方法,并促进了探究文化。实施的几项干预措施成功地提高了项目的保留率,如引入欢迎之家阶段、社会网络支持和母婴计划。
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引用次数: 5
Multidimensional Change in Therapeutic Communities for Addictions: The Interplay Between Participant Characteristics, Perceptions of the TC Treatment Process and Time in Treatment 成瘾治疗社区的多维变化:参与者特征、对TC治疗过程的感知和治疗时间之间的相互作用
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2017.1307154
I. Goethals, W. Vanderplasschen, S. Vandevelde, J. Lammertyn, Dafna Etzion, E. Broekaert
ABSTRACT The objective of the current study is to investigate the association between time in treatment and participants' perceptions of the treatment process in therapeutic communities (TCs) for addictions. Using a linear mixed effect model, we assessed whether the rate of participant change was related to motivation, cluster B personality traits, and psychological distress. Longitudinal data were gathered among 155 adults in 4 traditional TCs for addictions in Belgium. The results provide evidence that with time in treatment participants develop more profound perceptions regarding the TC concepts and processes of self-change, which denotes the theoretical assumption of identity change and right living in TC treatment.
摘要本研究的目的是调查成瘾治疗社区(TC)中治疗时间与参与者对治疗过程的感知之间的关系。使用线性混合效应模型,我们评估了参与者的变化率是否与动机、B类人格特征和心理困扰有关。对比利时4个传统戒毒所的155名成年人进行了纵向数据收集。研究结果表明,随着治疗时间的推移,参与者对TC概念和自我改变过程产生了更深刻的认知,这表明了TC治疗中身份改变和正确生活的理论假设。
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引用次数: 2
Changes in Substance Use and Risk Behaviors One Year After Treatment: Outcomes Associated with a Quasi-Residential Rehabilitation Service for Alcohol and Drug Users in Edinburgh 治疗一年后药物使用和危险行为的变化:与爱丁堡酒精和毒品使用者准寄宿康复服务相关的结果
Pub Date : 2017-06-23 DOI: 10.1080/1556035X.2016.1261384
A. Rome, David McCartney, D. Best, R. Rush
ABSTRACT Despite limited evidence base, rehabilitation services are associated with positive outcomes in U.K. research (Best et al., 2010). The authors investigated outcomes associated following a 12-week abstinence-based treatment program. Data were collected from 145 patients using a European Version of the Addiction Severity Index (ASI-X) at intake, 6 months, and 1 year after completion. Individuals showed significantly better ASI-X scores after participating in program compared to their scores prior to the intervention. Those who completed the program had significantly better outcomes in medical and psychiatric domains at 12-month follow-up than those who dropped out before completion. Attending this abstinence-based program was associated with positive changes to physical health and social wellbeing, which were sustained 12 months after completion.
尽管证据基础有限,但在英国的研究中,康复服务与积极结果相关(Best et al., 2010)。作者调查了为期12周的戒断治疗方案的相关结果。使用欧洲版本的成瘾严重程度指数(ASI-X)从145名患者中收集数据,这些患者在摄入、6个月和完成后1年。与干预前的得分相比,参与项目后的个体表现出明显更好的ASI-X得分。在12个月的随访中,那些完成该项目的人在医学和精神病学领域的结果明显好于那些在完成前辍学的人。参加这个以禁欲为基础的项目与身体健康和社会福利的积极变化有关,这些变化在完成后持续了12个月。
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引用次数: 4
Recovery Identity and Wellbeing: Is It Better to be ‘Recovered’ or ‘in Recovery’? 康复身份和健康:“康复”还是“康复中”更好?
Pub Date : 2017-01-02 DOI: 10.1080/1556035X.2016.1272071
D. Best, C. Andersson, J. Irving, M. Edwards
ABSTRACT Although there has been debate about the meaning of recovery, there has been little discussion about how people characterize their own recovery experience, in particular whether people describe themselves as recovered (as with a therapeutic community [TC] philosophy) or as in recovery (typically those engaged in 12-step). The article assesses differences in wellbeing as a function of recovery self-ascriptions, based on the UK Life in Recovery survey. Those who described themselves as recovered or ex-addicts reported better psychological health and lower identification with addicts and recovery and showed stronger recovery functioning. There are clearly multiple pathways to recovery, and philosophy may impact on both trajectory of recovery and the social identity mechanisms underpinning change.
摘要尽管关于康复的含义一直存在争议,但关于人们如何描述自己的康复经历,尤其是人们是将自己描述为康复(就像治疗社区[TC]的哲学一样)还是处于康复中(通常是那些从事12步康复的人),几乎没有讨论。这篇文章根据英国康复生活调查,评估了幸福感的差异与康复自我归属的关系。那些自称已康复或已戒毒的人报告说,他们的心理健康状况更好,对瘾君子和康复者的认同度更低,康复功能更强。显然,复苏有多种途径,哲学可能会影响复苏的轨迹和支撑变革的社会认同机制。
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引用次数: 17
期刊
Journal of groups in addiction & recovery
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