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THERAPEUTIC-COMMUNITIES  June 2013

THERAPEUTIC-COMMUNITIES June 2013

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Subject:

Re: EMCDDA: no evidence on effectiveness of drug-free TC?

From:

Lynne Magor-Blatch <[log in to unmask]>

Reply-To:

Therapeutic Communities <[log in to unmask]>

Date:

Mon, 10 Jun 2013 12:37:29 +0000

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text/plain

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Hi - a comment on TCs and other residetial rehabilitation services -  as some would know, we have completed the ATCA Standard and it is now going through the process of certification so that it will be available under ISO for bodies under licence (which ATCA retains) to be used in accreditation of residetial services. In 2002 we modified the SEEQ to the Modified EEQ (MEEQ) and they have since become known as ATCAEE. There are 13 indicators based on the essential elements in the ATCA Standard. If you were operating as a good resi rehab you would be expected to achieve 80 percent of criteria marked as essential in criterion 1 - 6. If you are a TC you would be expected to achieve 80 percent of all 13. The TC ones focus on Community as Method and other elements we would expect of TCs. This way we have developed a quality framework which governments can ask all residential services to undertake and we use the ATCA Standard as peer review tool to help programs develop into TCs and to move services from Provisional to Full Member status. Happy to share some more about this in Prague. Lynne  
Sent from my BlackBerry® from Optus 
 
-----Original Message----- 
From: Rowdy Yates <[log in to unmask]> 
Sender: Therapeutic Communities <[log in to unmask]> 
Date: Mon, 10 Jun 2013 13:09:16  
To: <[log in to unmask]> 
Reply-To: Therapeutic Communities <[log in to unmask]> 
Subject: Re: [EFTC] EMCDDA: no evidence on effectiveness of drug-free TC? 
 
Stan 
 
I wasn't really envisaging any vetting process.  If I was, I'd probably use something like George De Leon's SEEQ to separate TCs from wannabe TCs.  I know that's occasionally an issue (at least in the UK) and I have sometimes had some quite terse exchanges with 12-step residential services that have wrongly (in my view) described themselves as TCs.  But with articles in peer-reviewed journals I don't think that question arises.  Where articles indicate that field sites were TCs or that the sample includes TC residents or former TC residents, I would think to include them.  Even if I disagreed with the authors about whether these were genuinely TCs or not, the fact would remain that they are part of the TC evidence base "out there".  There may be an argument for adding a comment that questioned the status - but obviously that would turn what is already a big job into a massive one - and as you know, I work pretty much single-handed and without a budget for this stuff.  There may be articles that don't specifically mention TCs but which I know for one reason or another actually are TC-related.  That would be more of a judgement call and at this stage, I'm not sure how I would deal with them and I'm open to suggestions. 
 
 
 
R. Yates 
Senior Research Fellow 
Scottish Addiction Studies 
School 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) 
W: http://roryyates.bandcamp.com (Wrestling With Demons: Four Songs of Addiction & Recovery) 
________________________________________ 
From: Therapeutic Communities [[log in to unmask]] On Behalf Of Stan Malloch [[log in to unmask]] 
Sent: 10 June 2013 10:29 
To: [log in to unmask] 
Subject: Re: [EFTC] EMCDDA: no evidence on effectiveness of drug-free TC? 
 
Hi Rowdy, 
 
Regarding collating articles on TCs, how strict will your definition be as to what constitutes a TC? Will it include Christian Philosophy residential rehabs? 
 
Regards, 
 
 
Stan. 
 
 
 
 
Stan Malloch 
 
Addiction Services Co-ordinator 
Bethany Christian Trust 
Bethany Christian Centre 
6 Casselbank Street 
Edinburgh EH6 5HA 
t: 0131 454 3131 
 
[cid:[log in to unmask]]<http://www.bethanychristiantrust.com/?p=6305> [cid:[log in to unmask]] <https://twitter.com/_BethanyCT> 
 
Giving homeless and vulnerable people hope and a future 
 
[cid:[log in to unmask]]<http://www.bethanychristiantrust.com/?p=6240> 
 
Bethany Christian Trust is a Limited Company Registered in Scotland. Company number 228528 Charity number SC003783.  Landlord Registration No: 228528. 
Registered Office 65 Bonnington Road, Edinburgh, EH6 5JQ, tel: 0131 561 8930 Fax: 0131 561 8902. 
[log in to unmask]<mailto:[log in to unmask]>, www.bethanychristiantrust.com<http://www.bethanychristiantrust.com/> 
 
 
 
________________________________ 
From: Therapeutic Communities [mailto:[log in to unmask]] On Behalf Of Rowdy Yates 
Sent: 10 June 2013 09:48 
To: [log in to unmask] 
Subject: Re: [EFTC] EMCDDA: no evidence on effectiveness of drug-free TC? 
 
Hi All 
 
1) I set this list up about 10 years ago and have been waiting for it to be used for precisely this sort of debate/discussion. (If it had been a study, the researchers would have concluded that there was NO EVIDENCE for lists working in this way!!!!). So thanks to all of you who have joined in so far. Patience is a great virtue I guess. 
 
2) I'm not sure i know about the Campbell Collaboration - can someone help me out with that. 
 
3) George's idea for a forum sounds really good to me and I'll suggest it to the Prague organisers. 
 
4) Lynne's email suggested that there is a technical problem with the list. If this is a wider issue and not a one-off I'll try to sort it out. It would help if list-members could forward any error messages they have received to me (rather than the list). 
 
5) one of the problems the TC movement has is that while there's actually a lot of evidence out there, it tends to be in a whole range of journals - some medical but many sociological, criminological, psychological etc. one of the things I would like to do in the next year or so is to set up an online database of TC related articles in journals. Obviously it would just be abstracts but it might provide a useful basis to start from. If anyone could help me with that I'd be more than grateful. 
 
So.... Lets keep talking about this. We very much need to be fighting our corner in these changing times. There is a huge amount of misinformation out there about TCs and it is really important that we take the offensive and set the record straight. 
 
 
 
 
 
 
Rowdy Yates 
Senior Research Fellow 
Scottish Addiction Studies 
University of Stirling 
 
http://www.dass.stir.ac.uk/sections/showsection.php?id=4 
 
http://www.drugslibrary.stir.ac.uk<http://www.drugslibrary.stir.ac.uk/> 
 
http://roryyates.bandcamp.com<http://roryyates.bandcamp.com/> - Wrestling With Demons: Four Songs of Addiction & Recovery 
 
On 10 Jun 2013, at 03:12 AM, "Warren, Keith" <[log in to unmask]<mailto:[log in to unmask]>> wrote: 
Hi, All: 
 
There is a Campbell Collaboration report that finds that supports the effectiveness of TCs.  As with any meta-analysis, a lot depends on what you include. 
 
In peace, 
 
Keith 
 
Sent from my iPad 
 
On Jun 8, 2013, at 5:23 PM, "Kenneth Arctander" <[log in to unmask]<mailto:[log in to unmask]>> wrote: 
Hello everyone! 
 
I've been reading the EMCDDAs European Drug Report: http://www.emcdda.europa.eu/publications/edr/trends-developments/2013 
 
The report clearly states that there aren't any conclusive evidence with regards to drug free TC treatment of opiate addicts: 
 
"Cognitive behavioural interventions have shown some effectiveness with opioid users, but evidence is not sufficiently robust to allow the identification of which intervention is the most effective. There is no conclusive evidence on the effectiveness of drug-free therapeutic communities." 
 
I would very much appreciate some comments on this particular statement in the EMCDDA report. 
 
-- 
Sincerely, Kenneth Arctander Johansen 
________________________________ 
The University of Stirling is ranked in the top 50 in the world in The Times Higher Education 100 Under 50 table, which ranks the world's best 100 universities under 50 years old. 
The University of Stirling is a charity registered in Scotland, number SC 011159. 
 
 
--  
The University of Stirling is ranked in the top 50 in the world in The Times Higher Education 100 Under 50 table, which ranks the world's best 100 universities under 50 years old. 
The University of Stirling is a charity registered in Scotland,  
 number SC 011159. 

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