Skip to main content
×
×
Home

Therapeutic communities

  • Penelope Campling
Extract

The term ‘therapeutic community’ is usually used in the UK to describe small cohesive communities where patients (often referred to as residents) have a significant involvement in decision-making and the practicalities of running the unit. Based on ideas of collective responsibility, citizenship and empowerment, therapeutic communities are deliberately structured in a way that encourages personal responsibility and avoids unhelpful dependency on professionals. Patients are seen as bringing strengths and creative energy into the therapeutic setting, and the peer group is seen as all-important in establishing a strong therapeutic alliance. The flattened hierarchy and delegated decision-making are sometimes misunderstood as anarchy by outsiders. However, staff in modern therapeutic communities are deeply aware of the need for strong leadership and their responsibility to provide a safe ‘frame’ for therapeutic work (Association of Therapeutic Communities, 1999).

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Therapeutic communities
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Therapeutic communities
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Therapeutic communities
      Available formats
      ×
Copyright
References
Hide All
*Association of Therapeutic Communities (1999) The Need for an NHS Policy on Developing the Role of Therapeutic Communities in the Treatment of ‘Personality Disorder’. London: ATC.
Byrt, R. (1999) Nursing: the importance of the psychosocial environment. In Therapeutic Communities: Past, Present and Future (eds Campling, P. & Haigh, R.) pp. 6375. London: Jessica Kingsley.
* Campling, P. (1999) Boundaries: discussion of a difficult transition. In Therapeutic Communities: Past, Present and Future (eds Campling, P. & Haigh, R.) pp. 9098. London: Jessica Kingsley.
Clark, D. H. (1996) The Story of a Mental Hospital: Fulbourne 1858–1983. London: Process Press.
Cullen, J. E., Jones, L. & Woodward, R. (eds) (1997) Therapeutic Communities for Offenders. Chichester: John Wiley & Sons.
Davenport, S. (1997) Pathological interactions between psychosis and childhood sexual abuse in in-patient settings: their dynamics, consequences and management. In Psychotherapy of Psychosis (eds Mace, C. & Margison, F.) pp. 205219. London: Gaskell.
Davenport, S. (2000) Treatment development in psychodynamic-interpersonal psychotherapy (Hobson's ‘conversational model’) for chronic treatment-resistant schizophrenia: two single case studies. British Journal of Psychotherapy, 16, 287302.
Davies, S. (1999) Does every district need a therapeutic community? Survival and growth in the market place. In Therapeutic Communities: Past, Present and Future (eds Campling, P. & Haigh, R.) pp. 223234. London: Jessica Kingsley.
Davies, S., Ryan, K. & Campling, P. (1999) Therapeutic community provision at regional and district levels. Psychiatric Bulletin, 23, 7982.
Dolan, B. M., Warren, F. M., Menzies, D. et al (1996) Cost-offset following specialist treatment of severe personality disorders. Psychiatric Bulletin, 20, 15.
* Haigh, R. (1999) The quintessence of a therapeutic community. In Therapeutic Communities: Past, Present and Future (eds Campling, P. & Haigh, R.) pp. 246257. London: Jessica Kingsley.
Harrison, T. (2000) Bion, Rickman, Foulkes and the Northfield Experiments. London: Jessica Kingsley.
Higgins, B. (1997) Does anyone feel they need support tonight? 24 hour care in a day unit. Therapeutic Communities, 18, 5561.
* Kennard, D. (1998) An Introduction to Therapeutic Communities. London: Jessica Kingsley.
Lees, J., Manning, N. & Rawlings, B. (1999) Therapeutic Community Effectiveness. A Systematic International Review of Therapeutic Community Treatment for People with Personality Disorders and Mentally Disordered Offenders. York: NHS Centre for Reviews and Dissemination. Briefing paper at www.pettarchiv.org.uk/atc-briefingpaper.htm.
Main, T. E. (1967) Knowledge, learning and freedom from thought. Australia and New Zealand Journal of Psychiatry, 1, 6471. Reprinted in Psychoanalytic Psychotherapy, 5, 49–78.
Moos, R. H. (1997) Evaluating Treatment Environments. The Quality of Psychiatric and Substance Abuse Programs (2nd edn). New Brunswick: Transaction.
Pullen, G. P. (1999) Schizophrenia: hospital communities for the severely disturbed. In Therapeutic Communities: Past, Present and Future (eds Campling, P. & Haigh, R.) pp. 140150. London: Jessica Kingsley.
Rapoport, R. N. (1960) Community as Doctor. London: Tavistock.
Rose, M. (1990) Healing Hurt Minds: The Peper Harow Experience. London: Tavistock/Routledge.
Tucker, S. (2000) A Therapeutic Community Approach to Care in the Community: Dialogue and Dwelling. London: Jessica Kingsley.
World Health Organization (1953) Expert Committee on Mental Health: 3rd Report. Geneva: WHO.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 19 *
Loading metrics...

Abstract views

Total abstract views: 138 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 21st April 2018. This data will be updated every 24 hours.

Therapeutic communities

  • Penelope Campling
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *