Mental health improvements of substance‐dependent clients after 4 months in a Therapeutic Community

Polimeni, Anne-Maree; Moore, Susan; Gruenert, Stefan

doi:10.1111/j.1465-3362.2010.00175.x

Cited by 8 publications

(9 citation statements)

References 22 publications

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“…Other significant decreases include decreases on the Depression (D), Paranoia (Pa), and Schizophrenia (Sc). These decreases are consistent with improvement expected by long-term substance use treatment and treatment for CODs, such as depression and characteristic of program participation (Drake et al., 1998; Polimeni et al., 2010). In addition, scores on the Hypomania (Ma) scale also significantly decreased, which is notable due to the exclusion of profiles of those with a Bipolar Disorder diagnosis due to validity concerns.…”

Section: Discussionsupporting

confidence: 81%

“…The aims of the current study were twofold: (a) to examine the nature of mental health needs within a DCT population by investigating the proportion of DCT participants who meet diagnostic criteria for a COD and (b) to evaluate differences in mental health functioning pre- and post-participation in the program. It is expected that significant differences in personality profiles as measured by the Minnesota Multiphasic Personality Inventory—Second Edition (MMPI-2) would be yielded for graduates of the program, as is consistent with differences that have been observed for individuals engaged in long-term substance abuse treatment (Polimeni et al., 2010). Specifically, we expected to find significant differences on the Clinical scales assessing Depression (D), Psychopathic Deviate (Pd), Paranoia (Pa), Psychasthenia (Pt), and Schizophrenia (Sc), as consistent with findings yielded by Polimeni and colleagues (2010).…”

Section: The Present Studymentioning

confidence: 56%

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Investigating Mental Health Implications for Drug Court Participants

Humenik

Shivaji

Dolan

2020

Int J Offender Ther Comp Criminol

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Drug Court Treatment (DCT) Programs seek to integrate substance abuse treatment into the criminal justice system by providing a structured environment for offenders who engage in treatment in lieu of incarceration. DCT has shown successes in reducing drug/alcohol use, recidivism, and cost, but the impact of DCT on non-substance-related mental health outcomes is less clear. This study evaluated mental health correlates within a DCT sample through analyses of participants’ pre-entry and pre-graduation Minnesota Multiphasic Personality Inventory—Second Edition (MMPI-2) profiles. When diagnostic information was available, mood disorders had the highest comorbidity with alcohol/substance use diagnoses. Comparisons across administrations of the MMPI-2 indicated significant differences among mean scores on 6 Clinical scales, and mean profile elevation scores significantly decreased. Results suggest a significant presence of mental health comorbidities in DCT programs, and significant mental health improvements were seen for graduates, suggesting the utility of DCT for treating mental health problems in addition to substance use.

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Section: Discussionsupporting

confidence: 81%

Section: The Present Studymentioning

confidence: 56%

Investigating Mental Health Implications for Drug Court Participants

Humenik

Shivaji

Dolan

2020

Int J Offender Ther Comp Criminol

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“…Although the findings from earlier studies are conflicting regarding how clients with cluster B personality traits (or disorders) respond to TC treatment (Pankow and Knight, 2012;Polimeni et al, 2010;de Groot et al, 2003), our study suggests an improvement in functioning. More specifically, clients' perception on their own ability for introspection and self-management changed thoroughly with time in treatment.…”

Section: Determinants Of Clients' First Month Perceptions Of Tc Treatcontrasting

confidence: 69%

Core characteristics, treatment process and retention in therapeutic communities for addictions: a summary of four studies

Goethals

Vanderplasschen

Vandevelde

et al. 2015

Therapeutic Communities: The International Journal of Therapeutic Communities

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to summarize the main findings and conclusions of four separate studies on treatment in therapeutic communities (TCs) for addictions. Design/methodology/approach -The first two studies address the core characteristics of the TC approach: a study on the workable and destructive elements of the Synanon model; and a comparative study on the essential elements of TCs for addictions in Europe and in the USA. The final two studies highlight clients' perceptions of the TC treatment process in relation to retention: a study on clients' first month perceptions of the TC treatment process and the influence of fixed and dynamic client factors; and a longitudinal study on changes in clients' perception of the TC treatment process and the impact of motivation, psychological distress and cluster B personality traits. Findings -The first study showed that Synanon's therapeutic and pedagogical methods are still highly valued despite its negative reputation. The results of the second study suggest that while traditional TCs operate as concept-based TCs in Europe, modified TCs might differ in the extent to which they apply the core principles and elements of the TC approach. The third study provides evidence that suitability for treatment is a very important predictor for clients' first month perceptions of the community environment. The fourth study shows that with time in treatment clients develop more profound perceptions regarding the essence of TC treatment.Research limitations/implications -Finally, implications for clinical practice, general limitations and some concrete recommendations for future research are presented in this paper. Originality/value -The PhD summary study contributes to the existing literature on TC treatment.

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“…The latter is suggested by Polimeni et al . [76], but inclusion of cognitive parameters in the evaluation of treatment may limit their findings. Although one could argue that assessment should be postponed until most symptoms are in remission (e.g.…”

Section: Discussionmentioning

confidence: 99%

Neurocognitive parameters should be incorporated in the Minnesota Multiphasic Personality Inventory‐2 assessment of patients with alcohol use disorders

Walvoort

Wester

Egger

2011

Drug and Alcohol Review

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Introduction and Aims. Treatment planning for alcohol use disorder (AUD) patients is often preceded by the assessment of psychopathology and personality with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). However, during periods of abstinence, cognitive impairments (e.g. attention, memory and executive dysfunctions) related to neurological and somatic pathology may affect level and pattern of MMPI-2 scale scores, resulting in clinical misinterpretation. Design and Methods. A re-analysis of the data of the Egger et al. study is conducted in order to examine the clinical significance of the MMPI-2 profiles of 222 AUD patients (mean age 42.2 Ϯ 9.6 years; 76.6% men) by using neurologically relevant item correction procedures. Hierarchical cluster analyses of neurologically relevant item-corrected solutions were compared to the original MMPI-2 profile. Results. Impulsiveness and psychopathic deviation were identified as a common denominator. Discussion and Conclusions. Uncorrected MMPI-2 assessment in AUD tends to overstress psychopathology and to overlook disinhibitory traits in early abstinence, caused by chronic alcoholism. [Walvoort SJW, Wester AJ, Egger JIM. Neurocognitive parameters should be incorporated in the Minnesota Multiphasic Personality Inventory-2 assessment of patients with alcohol use disorders. Drug Alcohol Rev 2012;31:550-557]

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Mental health improvements of substance‐dependent clients after 4 months in a Therapeutic Community

Cited by 8 publications

References 22 publications

Investigating Mental Health Implications for Drug Court Participants

Investigating Mental Health Implications for Drug Court Participants

Core characteristics, treatment process and retention in therapeutic communities for addictions: a summary of four studies

Neurocognitive parameters should be incorporated in the Minnesota Multiphasic Personality Inventory‐2 assessment of patients with alcohol use disorders

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