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THERAPEUTIC-COMMUNITIES  April 2009

THERAPEUTIC-COMMUNITIES April 2009

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Subject:

Re: European TC Bed-spaces.

From:

Gerasimos Papanastasatos <[log in to unmask]>

Reply-To:

Therapeutic Communities <[log in to unmask]>

Date:

Thu, 30 Apr 2009 10:23:43 +0300

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (119 lines)

Dear Rowdy just some first rapid thoughts: 
It is difficult to determine the approximate number of European TC beds.
Firstly because many residential programs they are not TCs and secondly
non residential TCs have to be maybe excluded when we count beds. From
the other side the term "bed" is directly referring to the medical
nomenclature coming from the tradition of the hospital and the
institutional medical clinic. In my opinion TCs take distances - and for
this reason has to discover new terms in describing itself - from the
clinic inspired organizational model. I thing that intakes in
combination with retention days can give better picture of TC services
provided. I can understand that occupancy rates counting is based to an
- even conventional or formally designed - number of beds but TCs' users
services have many alternatives in taking service and participating in
programs beyond the close number provided from each TC. In this
perspective waiting lists are rare for the TCs not because of the lack
of demand but due to organizational flexibility of TC settings. 
The number of people treated (intakes not completers) of last year can
represent correctly I thing the potential of a TC setting. The annual
daily average presences in a TC could be another.          




-----Original Message-----
From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Anthony
Slater
Sent: Wednesday, April 29, 2009 10:36 PM
To: [log in to unmask]
Subject: Re: [EFTC] European TC Bed-spaces.
Importance: High

Rowdy,
Phoenix Haga has 30 beds in the main treatment phase, plus about 12 in
two
re-entry houses, that's about the norm in the residential part in this
country. Though some are slightly smaller i.e. 15 -20 beds.

Most people that I have spoken to during conferences, from Europe and
also
Australia, seem to keep to around the same numbers in a residential TC
building. Of course some national programmes will have a much higher
total,
spread between a numbers of different houses in different towns.

The again, TC's for people with dual diagnosis, are often smaller in
numbers
of residents. 

Tc's in the USA seem to have far larger numbers, which you are no doubt
aware of.

The next element is also connected and differs again in various
countries,
i.e. the ratio of staff to residents, and then also the ratio of
"qualified"
Staff and former recovered staff members, who may not have a
professional
qualification such as a doctor for example, nurses and so forth, which
often
depends on legislation and of course economy. 

It may well be a good idea, to check with each EFTC member individually.


Dirk, might be able to help with this, as often each member will have
provided a summary of things like this, or maybe on their web sites. 

Hope this either helps, or inspires the solution to appear!

Best wishes,
Anthony




  

-----Original Message-----
From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Rowdy Yates
Sent: 29. april 2009 17:46
To: [log in to unmask]
Subject: [EFTC] European TC Bed-spaces.

Hi

I wonder if anyone has any idea how I might find out how many bed-spaces
are
offered by European TCs currently.  I have been asked for an estimate
and
had thought I might be able to do better than that.  But I've drawn a
blank.
Does anyone know how I would find this out.  I'm thinking here of
casting
the net slightly wider than EFTC members although mixed population
communities (like San Patriagno) might have to be excluded given the
difficulty in working out what percentage of their community is there
because of drug problems.  Any suggestions gratefully received.



Rowdy Yates
Senior Research Fellow
Scottish Addiction Studies
Dept. of Applied Social Science
University of Stirling
Scotland

T: +44 (0) 1786-467737
F: +44 (0) 1786-466299
W: http://www.dass.stir.ac.uk/sections/showsection.php?id=4  (home)
W: http://www.drugslibrary.stir.ac.uk/ (online library)

-- 
Academic Excellence at the Heart of Scotland.
The University of Stirling is a charity registered in Scotland, 
 number SC 011159.

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