The Opioid Epidemic and the Therapeutic Community Model: An Essential Guide

Description

This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment. The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic. The chapters are written so as to be accessible for clinicians across specialties and professions. The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public Front Matter ....Pages i-x An Introduction to the Opioid Epidemic and Therapeutic Communities (Kristopher A. Kast, Jonathan D. Avery)....Pages 1-8 Therapeutic Communities: Evolutionary Arc and the Opioid Epidemic (George De Leon)....Pages 9-22 The Modern Therapeutic Community Model (Fernando B. Perfas)....Pages 23-44 The Opioid Epidemic (Rachel Knight)....Pages 45-61 Response to the Opioid Epidemic: Current Treatment Models in the United States (Joseph Bravoco)....Pages 63-74 Target Population: Treatment-Resistant Opioid Use Disorder and the Role of Therapeutic Communities (Kristopher A. Kast)....Pages 75-85 Current Therapeutic Communities Around the World (Phaedon Kaloterakis)....Pages 87-111 Therapeutic Communities and the Judicial System in the United States (Andrew Tuck, Lauren Stossel)....Pages 113-132 San Patrignano: Lessons from the Italian Experience (Gabriele Manella, Giovanni Pieretti, Alessandra Landi, Bruno Genetti)....Pages 133-148 Back Matter ....Pages 149-154