The IMH Blog is pleased to announce The Consortium for Therapeutic Communities’ (TCTC’s) upcoming Annual International Conference taking place 22-24 October 2012. This year’s conference theme is Delivering Integrity and it will focus on evidence based practice, value for money and sustainable outcomes.
2012 marks a significant year for therapeutic communities (TCs) with the 40th anniversary and re-launch of the Association of Therapeutic Communities (ATC) into the newly formed TCTC. TCs are defined as ‘psychodynamically informed planned social environments’ (Boyling, 2011:152) and found in a variety of sectors including children and young people, prisons, addictions, personality disorder and learning disabilities. Despite some excellent and notable examples of TC research (including, but not limited to, Rapoport, 1960; Bloor et al, 1988; Dolan et al, 1996; Rawlings, 1998; Lees et al, 1999; Chiesa and Fonagy, 2000; Freestone, 2005; Freestone et al, 2006) TCs have a ‘mixed record’ of conducting research, whether qualitative or quantitative (Morant and Manning, 2005:230). In recent years, more is being done to demonstrate clinical effectiveness as funding becomes linked to evidence based research. Yet applying outcome based studies in TCs is difficult as TC intervention is holistic and not easily broken down into separate observable components which can be measured quantitatively (unlike pharmacological studies for example). Thus using the RCT methodology favoured by commissioners and funding bodies is often a challenge for TCs. In addition, finding common outcomes across TCs can be hard due to the diversity of communities themselves and because what constitutes an outcome can vary widely. Of course TCs are not alone in this as the same could also be said of other psychotherapeutic approaches, particularly those styles of therapy (e.g. psychodynamic) which also do not lend themselves easily to RCT methodology. However in the midst of continued challenges to secure funding, the question of how to show that TCs deliver integrity in therapeutic interventions becomes a central issue.
In particular the upcoming conference will explore:
- how to develop specialist therapeutic practice
- the latest developments in research and evidence
- key messages for commissioners and purchasers
- experience of large and small groups as method
The conference will be of interest to all those working in, supporting, commissioning or purchasing therapeutic services in the following sectors:
- children & young people
- personality disorders
- mental health
- learning disabilities
Cumberland Lodge, Windsor Great Park
TCTC Members (full) £495
Non–‐members (full) £555
(*£100 discount on shared accommodation)
TCTC Members (day 1 or 3) £95
Non–‐members (day 1 or 3) £115
TCTC Members (day 2) £145
Non–‐members (day 2) £165
To book a place, please contact TCTC:
t: +44 (0)1242 620 077
Bloor, M., McKeganey, N. and Fonkert, D. (1988) One Foot in Eden: a sociological study of the range of therapeutic community practice.London: Routledge.
Boyling, E. (2011) Being Able to Learn: researching the history of a therapeutic community. Social History of Medicine 24(1): pp.151-158.
Chiesa, M. and Fonagy, P. (2000) Cassel Personality Disorder Study: methodology and treatment effects. British Journal of Psychiatry 176(5): pp.485-491.
Dolan, B., Warren, F., Menzies, D., and Norton, K. (1996) Cost Off-Set Following Specialist Treatment of Severe Personality Disorder. Psychiatric Bulletin20(7): pp.413-17.
Freestone, M., Lees, J., Evans, C., and Manning, N. (2006) Histories of Trauma in Client Members of Therapeutic Communities. Therapeutic Communities 27(3): pp.387-409.
Freestone, M. (2005) Overview of an Ethnographic Study of the UK DSPD Pilot Units. Therapeutic Communities 26(4):pp. 449-464.
Lees, J., Manning, N., and Rawlings, B. (1999) Therapeutic Community Effectiveness: a systematic international review of therapeutic community treatment for people with
personality disorder and mentally disordered offenders. CRD Report 17, York: NHS Centre for Review and Dissemination, University of York.
Morant, N. and Manning, N. (2005) Principles and Practices in Therapeutic Community Research. Therapeutic Communities 26(3): pp.227-243.
Rapoport, R. N. (1960) Community as Doctor. London: Tavistock Publications.
Rawlings, B. (1998) The Therapeutic Community in the Prison: problems in maintaining therapeutic integrity. Therapeutic Communities 19(4): pp.281-294.