Nick Manning & Diana Menzies 
A Culture of Enquiry [PDF ebook] 
Research Evidence and the Therapeutic Community

Research is an increasing priority for workers throughout the mental health sector, and therapeutic communities are no exception. Those working in TCs increasingly have to justify the success and efficiency of their methods to outside bodies, and the prime means of doing so is through research. This volume collects a wide range of papers by experienced contributors discussing all aspects of TC research. They consider questions of which methods are most appropriate in the unique environment of TCs, how research studies affect the TC environment, as well as practical and ethical questions. The book also includes accounts of several research studies undertaken at, among other places, the Cassel Hospital. Taken as a whole, the book will be an invaluable resource for anyone involved in researching therapeutic communities – whether undertaking a study, attempting to anticipate its clinical impact, or seeking to understand the kinds of results which TC research produces.

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Acknowledgements. Introduction. Section 1: Overview. 1. Principles and Practices in Therapeutic Community Research. Nick Manning and Nicola Morant. 2. Therapeutic Community Research: An Overview and Meta-Analysis. Jan Lees, Barbara Rawlings and Nick Manning. Section II: Context and Methodologies. 3. The Research Context in the National Health Service. Frank Margison. 4. Practice Evaluation of Therapeutic Communities. Jan Lees. 5. The Research Context for Therapeutic Communities in the USA. George De Leon. 6. The Gold Standard: What are RCTs and Where Did They Come From? Nick Manning . 7. Characteristics of Effective Treatment Environments: A Process-Outcome Model for Research on Therapeutic Communities. Rudolph H. Moos. 8. Using Qualitative Research Methods in Therapeutic Communities. Barbara Rawlings. 9. Outsiders on the Inside: Researchers in Therapeutic Communities. Nicola Morant and Fiona Warren. 10. The Psychodynamics of Being a Researcher in a Therapeutic Community: Living the Borderline Experience. Diana Menzies and Jan Lees. Section III: Research Findings. 11. What makes a Therapeutic Community? A Comparative Study of Ideal Values. Fiona Dunstan and Sarah Birch. 12. Researching Concept-Based Therapeutic Communities. Susan Eley, Rowdy Yates and Jane Wilson. 13. An Experimental Study of Treatment Outcome: The Cassel-North Devon Personality Disorder Project. Marco Chiesa, Peter Fonagy and Jeremy Holmes. 14. Assessing Outcome at Henderson Hospital: Challenges and Achievements. Kingsley Norton and Fiona Warren. 15. Research on the Norwegian Therapeutic Community Network. Sigmund Karterud, Geir Pedersen and Øyvind Urnes. 16. Economic Evaluations in Therapeutic Community Research. Steffan Davies and Diana Menzies. 17. Grendon: A Therapeutic Community in Prison. Elaine Genders and Elaine Player. 18. Leaving the Therapeutic Community. Nicola Morant. Appendix 1: Stages Used in a CRD Systematic Review. Appendix 2: The 29 Studies Included in the Meta-analysis. Apendix 3: Additional Sources of Information on Research Governance. Notes. Editor and Contributor Biographies. References. Index.