Smiley-McDonald Hope M, Leukefeld Carl G
Department of Behavioral Science, University of Kentucky College of Medicine, 135 College of Medicine Office Building, Lexington, Kentucky 40536-0086, USA.
Int J Offender Ther Comp Criminol. 2005 Oct;49(5):574-89. doi: 10.1177/0306624X05274624.
Therapeutic communities (TCs) are a primary approach for treating substance abusers in the criminal justice system. The transformation from residential treatment to a TC marked a significant change in the service delivery and organizational culture for one in-prison substance abuse treatment program. This longitudinal case study examines how clients perceived their treatment as a result of treatment and organizational changes. This is important because the scientific literature shows that client perceptions of their treatment impacts treatment retention and the benefit they gain from treatment. Data that were collected over 5 years are presented. Implications, including how the program's interim therapeutic milieu eased the transition to a therapeutic community, are discussed.
治疗社区（TCs）是刑事司法系统中治疗药物滥用者的主要方法。从住院治疗向治疗社区的转变标志着一个监狱内药物滥用治疗项目在服务提供和组织文化方面的重大变化。这项纵向案例研究考察了客户如何看待因治疗和组织变革而产生的治疗效果。这很重要，因为科学文献表明，客户对治疗的看法会影响治疗的持续参与度以及他们从治疗中获得的益处。本文呈现了5年多来收集的数据。还讨论了相关影响，包括该项目的临时治疗环境如何缓解向治疗社区的过渡。
