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Drug Abuse, Human Services and the Therapeutic Community

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Drug Abuse, Human Services and the Therapeutic Community DOCUMENT RESUME ED 274 902 CG 019 406 AUTHOR Acampora, Alfonso P., Ed.; Nebelkopf, Ethan, Ed. TITLE Bridging Services: Drug Abuse, Human Services and the Therapeutic Community. Proceedings of the World Conference of Therapeutic Communities (9th, San Francisco, California, September 1-6, 1985). INSTITUTION World Federation of Therapeutic Communities, Inc., New York, NY. SPONS AGENCY California State Dept. of Alcohol and Drug Programs, Sacramento. PUB DATE 86 NOTE 338p.; For chapter groupings of papers, see CG 019 407-415. PUB TYPE Collected Works - Conference Proceedings (021) EDRS PRICE MF01/PC14 Plus Postage. DESCRIPTORS Administration; Adolescents; Criminal Law; *Drug Addiction; Drug Education; *Drug Rehabilitation; *Family Problems; Females; *International Organizations; *Mental Health; Prevention ABSTRACT The World Federation of Therapeutic Communities isan international association of drug treatment centers thatuse the "Therapeutic Community" (TC) to combat chemical dependency anddrug addiction. Their 1985 conference focused on bridging servicesbetween the TC and the traditional human service systems. A total of85 separate papers were presented at this conference, and in the proceedings the papers have been grouped into 10 chapters,as follows: (1) Introduction; (2) International Perspectives; (3)TC Research: State of the Art; (4) AIDS, Alcohol and Health Care; (5) Mental Health and the TC; (6) Adolescent Services and theTC; (7) Drug Abuse and the Criminal Justice System; (8) Women, FamilySystems and the TC; (9) Drug Education and Prevention; and (10)Management Issues and Innovations. (NB) *********************************************************************** Reproductions supplied by EDRS are the best thatcan be made from the original document. *********************************************************************** U.S. DEPARTMENT OP EDUCATION "PERMISSION TO REPRODUCE THIS Office of Educational Research and Improvement MATERIAL HAS BEEN GRANTED BY EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) "This document has been reproduced as e-iAOW /I/ 40 imelved from the person or organization originating it. 0 Minor changes have been mad* to improve reproduction quelih Points of view or opinions slated In this dam- TO THE EDUCATIONAL RESOURCES ment do not necessarily represent official OERI position or Po licY. INFORMATION CENTER (ERIC)." BRIDGING SERVICES PROCEEDINGS OF THE 9TH WORLD CONFERENCE OF THERAPEUTIC COMMUNITIES September 1-6, 1985, San Francisco, California Edited by Alfonso P. Acampora and Ethan Nebelkopf, M.A. Walden House, Inc. Drug Abuse, Human Services & the Therapeutic Community "Support for this project has been given by the State of California, Health and Welfare Agency, Department of Alcohol & Drug Programs." 3 BRIDGING SERVICES Drug Abuse, Human Services and the Therapeutic Community Proceedings of the 9th World Conference of Therapeutic Communities September 1-6, 1985, San Francisco, California ©1986 A. Acampora & E. Nebelkopf Host Progiam. Walden House, Inc. 815 Buena Vista West, San Francisco, CA 94117 (415) 552-7440 World Federation of Therapeutic Communities, Inc. 54 W. 40th St., New York, NY 10018 Printed by Abacus Printing 543Frederick St., San Francisco, CA94117 (415) 753-1314 TABLE OF CONTENTS PREFACE Ronald Reagan 1 INTRODUCTION Chauncey Veatch III 2 CHAPTER 1 INTRODUCTION TO THE PROCEEDINGS Welcome from the Host Alfonso P. Acampora 3 Bridging the Gap: The TC Ethan Nebelkopf MA 4 & Human Services CHAPTER 2 INTERNATIONAL PERSPECTIVES What's Happening on an International Level Monsignor William B. O'Brien 11 Therapeutic Communities of America David Mactas 15 Historical Influences in Europe Dr. Erik Broekaert & Catherine Rooryck 17 The TC in Latin America Dr. Juan Alberto Yaria 19 News from the Asian-Pacific Region Roy Johnston 22 The Future of the TC Mitchell Rosenthal MD 24 Substance Abuse in California Chauncey Veatch III 28 CHAPTER 3 TC RESEARCH: STATE OF 'THE ART TC Research: Overview & Implications George De Leon PHD 29 Emerging Cross-Cultural TC Research D. Vincent Biase PHD 37 & Arthur P. Sullivan PHD Follow-up of Emiliehoeve Residents Martien Kooyman MD 42 Lasting Effects: Detoxification from James L. Sorensen PHD, Alfonso P. 46 Methadone Maintenance in a TC Acampora, Mella Trier & Marc Gold MA Circumstances, Motivation, Readiness Gem.ge De Leon PHD 53 & Suitability: Do These Factors & DTancy Jainchill MA Relate To Treatment Tenure in TCs? Juvenile Drug Addict4on; A Study on Luigi Cancrini MD, Daniela Costantini, 59 Typokgy of Addicts & Their Families Silvia Mazzoni, Sergio Cingolani & Franca Compagnoni Table of Contents CHAPTER 4 AIDS, ALCOHOL& HEALTH CARE AIDS Among IV Drug Users: Epidemiology, Don C. Des Jarlais PHD, Nancy 69 Natural History & TC Experiences Jainchill MA & Samuel R. Friedman AIDS and Therapeutic Communities: Don C. Des Jarlais PHD 74 Policy Implications & Samuel R. Friedman Can Recovering Addicts Drink? David E. Smith MD 80 Algohol & the TC Graduate Alfonso P. Acampore 86 Firewater: An Archetypal Perspective Eduardo Duran PHD 88 Designer Drugs: The Analog Game Robert J. Roberton PHD 91 Treatment of Cocaine Dependence Joan Zweben PHD 97 Herbs & Alternative Health in the TC Ethan Nebelkopf MA 103 Nutrition & Dietary Concerns Donald Land PHD 105 Run for Recovery: An Insider's View Frank M. 110 CHAPTER 5 MENTAL HEALTH & THE TC Psychiatry & the TC jerome Jaffe MD 113 The Chemical Brain Sidney Cohen MD 117 Where Does the TC Fail? Ab Koster PHD 119 Psychiatric Severity in the TC Sherry Holland MS 122 Psychiatric Disturbance in TC Admissions Nancy Jainchill MA & George De Leon PHD 132 Diagnosis & Treatment of the Dual H.L. Wilder PHD & Christopher Dawson PHD 137 Diagnosis Client The Urie of Psychiatric Medications in the TC Joe Lamberti & Ann Blyth MS 141 A Multi-Modality Approach to Treatment Robert Vaughn Frye MSW 145 in the TC Working with Minorities in the TC Arnold Abbott 150 The Group Process in the Context of the TC Eugene Adler 152 Addict Rage: A Therapeutic Dilemma Evan Garelle MS 157 Leaving the TC: Fantasies & Emotions Eliseo M. Gonzalez Regadas PHD 159 The Role of Art as a Therapeutic Tool Sue Ann Rizzo 162 Towards an Ethics of the TC Model Dr. Daniel A. Campagna 163 A Rehabilitation Program in Brazil Harold J. Rahm 166 Reflections on Gradiva TC in Argentina Dr. Juan Alberto Yaria 169 The Sopimisvuori Society:ASystem Markuu Ojanen PHD of Rehabilitation in Finland - Casriel Institute: A Different TC Pietro Ceriana MS 177 Applications of Gestalt Therapy in the TC Joan Zweben PHD 182 6 Table of Contents CHAPTER 6 ADOLESCENT SERVICES & THE TC Adolescence & the TC: Preliminary David Deitch PHD 185 Considerations Dartop's Full Service Adolescent Charles Devlin & Lois Morris MA 188 Treatment Program Adolescent Substance Abusers in the TC: George De Leon PHD 195 Treatment Outcomes The Child Abuse - Delinquency Connection David Sandberg Esq. 202 The TC as a Model for Effective Becky Bailey-Findley 205 Adolescent Learning New Morning for Colombian Youth Dra. Josefina Gallardo de Parejo 208 Pr-.s for Kids Delvin Williams 209 CHAPTER 7 DRUG ABUSE & THE CRIMINAL JUSTICE SYSTEM Some Characteristics of the Social Structure Lewis Yablonsky PHD 211 & Social Organization of the TC Therapeutics & Incarceration: They Said Ron Williams & Sonjia E. Paige 215 it Couldn't be Done TC's Role in the Privatization of Corrections Harry Wexler PHD 216 Private Therapy & Public Control in Germany Burkhard Dammann 217 Two Alternatives for Drug Addicts in Italy Guido Neppi Modona 221 Drug Abuse in Colombia Irma Mora Grandas 225 A Review of The Counselor's Guide Rene Fiechter Esq. 227 to Confidentiality CHAPTER 8 WOMEN, FAMILY SYSTEMS & THE TC Families in the Eighties Reverend Cecil Williams 229 Women, Work & Substance Abuse Lois Morris MA 231 The National Federation of Parents Shirley Colletti 238 The Parents Association in Australia Ian Permezel 239 The Family Association: Clinical Aspects Joe Lamberti 242 The Challenge of Growth & Change: Michael Maloney 244 The Daytop Family Association The Young Women's Group Leslie Tarbell 245 The Parenting Program at Walden House Ehan Nebelkopf MA 247 Addiction, Marginal Pathology & Society Dr. Juan Mberto Yaria 249 The Addict and his Family Dr. Miguel Angel Bianucci 253 The Male Batterer Ricardo Carrillo PHD 255 7 Table, of Contents CHAFFER 9 DRUG EDUCATION & PREVENTION State of the Art of Drug Prevention Natalie Silverstein PHD, A. Hogaboom, 259 Programs: A Five Year Retrospective Wm. Derivan MS Of School Curricula TCs: Education fcr Wholeness Christine Grant Brieland PHD 266 The TC's Contribution to Multicultural Sala Udin 270 Prevention The Role of Education in the TC Janet Rosalynn Busic MA 272 Effects of a School-Based Early Intervention Alice Riddell PHD & Marilyn Nathanson MS 277 Program on High Risk Teens Exploratory Study of School Affect of William Derivan MS 287 Adolescent Learners in a Residential TC & Natalie Silverstein PHD The Revolution of the Responsible Thomas Bratter EDD, Edward Bratter, 292 Role Model Larry Greenfield DDS & Henry Radda CHAFFER 10 MANAGEMENT ISSUES & INNOVATIONS Support or Restriction of TCs: Richard Pruss 299 Governmental Interaction Vs. Self-Reliance Governmental Support: A Swedish Perspective Lars Bremberg MA LLM 302 Delancey Street Foundation: Mimi Silbert PHD 303 An Example of Self-Reliance Drug Abusc: in the Workplace: Threat to Anthony Miles & Lois Morris MA 307 the Security of the Nation Computer Technology & the TC David Kerr MSW 312 Automating Quality Conk:roll Residential Richard Anderson MA 316 & Outpatient
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