Changing the behavior of substance abusers: Factors influencing the effectiveness of therapeutic communities

Amie L. Nielsen, Frank R. Scarpitti

Research output: Contribution to journalReview article

24 Scopus citations

Abstract

In this paper we explicate the treatment process leading to the success of therapeutic communities (TCs) in rehabilitating clients through a case study of CREST, a combined TC and work release program for substance abusers with criminal histories. We develop a comprehensive framework for understanding how and why TCs provide effective treatment to substance- abusing clients. Using data derived from a process analysis of CREST, and substantiated by the literature on TCs, the model considers both structural and programmatic elements and individual level factors. Our framework is unique in that it attempts to show the dynamic processes ongoing among various elements in the setting to produce global changes in clients that are important for living drug free.

Original languageEnglish (US)
Pages (from-to)279-298
Number of pages20
JournalJournal of Drug Issues
Volume27
Issue number2
DOIs
StatePublished - Jan 1 1997
Externally publishedYes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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