Clinic of Addictology

22.01.2008

Never Say Never: Expectations of the Staff of Czech Therapeutic Communities vs. The Process of Behavioural Change of Residents

Publisher: PhDr. Josef Radimecký Ph.D., MSc. | Last update: 22.01.2008

Therapeutic communities (TCs) have beena specific and accepted type of treatment of drug users with dependent behaviour for more than 40 years . The first therapeutic community was established in the Czech Republic in 1991 shortly after the change of political regime, whereas the majority of the 15 TCs that currently exist appeared in the second half of the 1990s. Despite this, TCs are, from the recent point of view mainly of professionals but also of a growing part of the lay public, perceived as a fully accepted treatment modality whose existence finally achieved its legitimacy in law in 2006. In spite of the relatively short history of TCs in the Czech Republic, their staff have had to cope with an array of changes in their expectations, as well as in the profiles of their clients. This paper aims to discuss significant changes in the expectations of TCs’ professionals in relation to: a) the main goal of their work with drug users; b) motivation of drug users when entering treatment programmes in TCs, and c) the outcomes of their work with residents. Additionally, the most important changes in the profiles of TCs’ clients, which, to a certain extent, determine the above-mentioned changes in the expectations of TCs’ staff, are reviewed. To get an understanding of the observed changes in the expectations of TCs’ professionals, the paper aims to explain them within a broader context of two possible explanatory frameworks: 1) a cycle of change, and 2) the phases and processes of change of an individual in a TC as perceived by its residents.

Key words: therapeutic community – treatment – drug users – paradigm - cycle of change – phases of change.

 

Radimecky, J. (2006) Never Say Never: Expectations of the Staff of Czech Therapeutic Communities vs. The Process of Behavioural Change of Residents, Adiktologie – journal for the prevention and treatment of and research into addictology, 6/2, ISSN: 1213-3841.

 


Top
Never Say Never: Expectations of the Staff of Czech Therapeutic Communities vs. The Process of Behavioural Change of Residents Articles illustrations

  • Share this article
  • Sdílet