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Vol. 18, No. 1, 2012
Issue release date: December 2011
Section title: Research Report
Eur Addict Res 2012;18:1–11
(DOI:10.1159/000331007)

Effectiveness of Therapeutic Communities: A Systematic Review

Malivert M. · Fatséas M. · Denis C. · Langlois E. · Auriacombe M.
aAddiction Psychiatry, Laboratoire de psychiatrie et CNRS-USR-3413-Sanpsy, Université Bordeaux Segalen, bDépartement d’Addictologie, CH Charles Perrens et CHU de Bordeaux, and cCentre Émile Durkheim – Science politique et sociologie comparatives (UMR 5116), Université Bordeaux Segalen, Bordeaux, France

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Article / Publication Details

First-Page Preview
Abstract of Research Report

Received: 3/28/2011 12:52:37 PM
Accepted: 7/19/2011
Published online: 10/13/2011

Number of Print Pages: 11
Number of Figures: 0
Number of Tables: 2

ISSN: 1022-6877 (Print)
eISSN: 1421-9891 (Online)

For additional information: http://www.karger.com/EAR

Abstract

Background: Therapeutic communities (TCs) are drug-free residential settings, focused on psychosocial rehabilitation. While TCs are considered an effective method, the bulk of the research evidence is from poorly controlled studies. The goal of this study was to evaluate TC effectiveness in terms of abstinence and to determine if there were predictive factors of abstinence. Methods: The search used Medline up to January 30, 2011 and was based on a systematic review method. Studies on retention in treatment and/or substance use were considered. Results: Of the 321 studies retrieved from Medline, 12 met selection criteria including overall 3,271 participants from 61 TCs. On average, subjects stayed in TC a third of the planned time. The completion rate ranged from 9 to 56%. All studies showed that substance use decreased during TC, but relapse was frequent after TC. Treatment completion was the most predictive factor of abstinence at follow-up. Surprisingly, psychiatric comorbidities did not appear associated with relapse or with dropout. Conclusions: There was a drop in consumption after TC, but long-lasting benefits were uncertain. Further studies are needed in order to compare the efficacy of TC programs and other types of treatment settings for substance-related disorders.


  

Author Contacts

Marc Auriacombe
Département d’Addictologie, CHCP
121 rue de la Béchade
FR–33076 Bordeaux Cedex (France)
Tel. +33 556 561 738, E-Mail marc.auriacombe@u-bordeaux2.fr

  

Article Information

Received: March 28, 2011
Accepted: July 19, 2011
Published online: October 13, 2011
Number of Print Pages : 11
Number of Figures : 0, Number of Tables : 2, Number of References : 41

  

Publication Details

European Addiction Research

Vol. 18, No. 1, Year 2012 (Cover Date: December 2011)

Journal Editor: van den Brink W. (Amsterdam), Kiefer F. (Mannheim)
ISSN: 1022-6877 (Print), eISSN: 1421-9891 (Online)

For additional information: http://www.karger.com/EAR


Article / Publication Details

First-Page Preview
Abstract of Research Report

Received: 3/28/2011 12:52:37 PM
Accepted: 7/19/2011
Published online: 10/13/2011

Number of Print Pages: 11
Number of Figures: 0
Number of Tables: 2

ISSN: 1022-6877 (Print)
eISSN: 1421-9891 (Online)

For additional information: http://www.karger.com/EAR


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