Abstract: The Pompidou Group has advocated the systematic and routine collection of information on patients entering treatment for problem drug use (treatment demand data) since the mid-1980s. Two decades later, the question now being asked is whether or not this data has been used as evidence in the development of policies and practices. In this publication, authors Hamish Sinclair, Carlo Bertorello, Michela Rial and Dusan Nolimal, all members of the Pompidou Group research platform, attempt to answer this question. Three case studies describe how treatment demand data has been used in the development of drug policies and services in Ireland, Italy and Slovenia. One strong message coming out of this report is the need for more information on the outcome of treatment. Policy makers clearly need more information on patients at the end of their treatment, including information on further treatment and its effectiveness. Depuis le milieu des années 1980, le Groupe Pompidou plaide en faveur de la collecte régulière et systématique d’informations concernant les patients qui commencent un traitement pour consommation problématique de drogues (données en matière de demande de traitement). Vingt ans plus tard, il reste à savoir si ces données ont été ou non utilisées afin d’élaborer des politiques et des pratiques reposant sur des connaissances validées. C’est a cette question que tentent de répondre les auteurs: Hamish Sinclair, et Carlo Bertorello, Michela Rial et Dusan Nolimal, tous membres de la plate-forme recherche du Groupe Pompidou. Trois études de cas décrivent I’utilisation des demandes de traitement dans l’élaboration de politiques en matière de drogues et de services en Irlande, Italie et Slovénie. L’un des message forts qui ressort de ce rapport est le besoin de davantage d’informations sur les résultats du traitement. II est clair que les décideurs politiques ont besoin de davantage d’informations sur les patients à l’issue du traitement, notamment sur leur maintien en traitement et l’efficacité de celui-ci.

Abstract: This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical “whole person” approach to the treatment of substance abuse disorders and related problems. Part 1 outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. It is an invaluable resource for all addictions professionals and students. The book describes the contemporary therapeutic community (TC) for addictions as a hybrid, a union of self-help and public support. It is an experiment in progress, reconfiguring the vital healing and teaching ingredients of self-help communities into a systematic methodology for transforming lives. The book’s 25 chapters include data concerning: (1) evolution of the TC and the need for theory; (2) biomedical concepts and the TC perspective; (3) view of the person; (4) physical environment, social organization, work, staff and peers in the TC; (5) program stages; (6) TC models, including privileges and sanctions, surveillance and security, community meetings and the encounter group; (7) individual change, including behaviors, cognitions, emotions, essential experiences and essential perceptions; (8) participation in the change process; (9) internalization and identity; (10) a conceptual framework of the treatment process; and (11) the challenge of evolution in therapeutic communities, including general guidelines for adaptations and modifications. Notes, tables, figures, references, appendixes, indexes

Abstract: Drogenabhängige haben ein anderes Zeitverständnis als die Allgemeinbevölkerung. Sie leben vor allem im “Hier und Jetzt”, planen kaum in die Zukunft und können Termine häufig nicht pünktlich einhalten. In der stationären Suchttherapie sollen die Abhängigen wieder einen gesellschaftskonformen Umgang mit der Zeit erlernen. Ob dies den Klienten trotz Zeitkonflikten mit den Therapeuten gelingt, inwiefern ihr Umgang mit der Zeit in einem Zusammenhang mit dem Therapieerfolg steht und wie die Therapieeinrichtungen die Klienten dabei unterstützen, wird in der vorliegenden Arbeit analysiert.