Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder
Purpose This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD). Design/methodology/approach A descriptive cross-sectional study was carried out in two selected re...
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| Veröffentlicht in: | Therapeutic communities 2023-03, Vol.44 (1), p.27-39 |
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| creator | Dharmarathna, Nishadi Darsha Jayamaha, Akila Randika Ranadeva, Nadeeka Dimuthu Kumari Rajapakse, Harshini Gunasekara, Chinthika Fernando, Neluka Meegoda, Lalitha |
| description | Purpose
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).
Design/methodology/approach
A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.
Findings
Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.
Originality/value
There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD. |
| doi_str_mv | 10.1108/TC-06-2022-0007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2788349492</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2788349492</sourcerecordid><originalsourceid>FETCH-LOGICAL-c262t-eaf1b9e26c69ebb665abd3258700c5cac99fd7e185c33b1bce7a45fa7b51cc453</originalsourceid><addsrcrecordid>eNptkcFq3DAQhk1IIUuSc68DPXsjybZsH8vSNoGFBrI5i5E0wkrX1laSt-wr9KnjZXtooaeZw_fPDN8UxUfO1pyz7mG3KZksBROiZIy1V8WK9bIueSfl9V_9TXGf0ttCsI7LXopV8fuZoiF_JAvkHJm8tBOlBMFBHijigebsDZgwjvPk8wnGYGkPmAAh0oDa733G7MMEeDjEgGYAFyK8RA9bnH7gBH6y_ujtjPsEv3weIM06ZZwMwZwIrE8hWop3xQe3IHT_p94Wr1-_7DaP5fb7t6fN521phBS5JHRc9ySkkT1pLWWD2lai6VrGTGPQ9L2zLfGuMVWluTbUYt04bHXDjamb6rb4dJm7XPtzppTVW5jjtKxUou26qu7rXizUw4UyMaQUyalD9CPGk-JMnZ2r3UYxqc7O1dn5klhfEjQu3vb2P4F_nlS9A_88hbo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2788349492</pqid></control><display><type>article</type><title>Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Standard: Emerald eJournal Premier Collection</source><creator>Dharmarathna, Nishadi Darsha ; Jayamaha, Akila Randika ; Ranadeva, Nadeeka Dimuthu Kumari ; Rajapakse, Harshini ; Gunasekara, Chinthika ; Fernando, Neluka ; Meegoda, Lalitha</creator><creatorcontrib>Dharmarathna, Nishadi Darsha ; Jayamaha, Akila Randika ; Ranadeva, Nadeeka Dimuthu Kumari ; Rajapakse, Harshini ; Gunasekara, Chinthika ; Fernando, Neluka ; Meegoda, Lalitha</creatorcontrib><description>Purpose
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).
Design/methodology/approach
A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.
Findings
Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.
Originality/value
There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.</description><identifier>ISSN: 0964-1866</identifier><identifier>EISSN: 0964-1866</identifier><identifier>EISSN: 2052-4730</identifier><identifier>DOI: 10.1108/TC-06-2022-0007</identifier><language>eng</language><publisher>Bingley: Emerald Publishing Limited</publisher><subject>Averages ; Bilingualism ; Community ; Consent ; Data collection ; Drug use ; Enrollments ; Quality of life ; Questionnaires ; Rehabilitation ; Residential treatment ; Spirituality ; Substance abuse treatment ; Substance use disorder</subject><ispartof>Therapeutic communities, 2023-03, Vol.44 (1), p.27-39</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c262t-eaf1b9e26c69ebb665abd3258700c5cac99fd7e185c33b1bce7a45fa7b51cc453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/TC-06-2022-0007/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,776,780,12825,21674,27901,27902,30976,53219</link.rule.ids></links><search><creatorcontrib>Dharmarathna, Nishadi Darsha</creatorcontrib><creatorcontrib>Jayamaha, Akila Randika</creatorcontrib><creatorcontrib>Ranadeva, Nadeeka Dimuthu Kumari</creatorcontrib><creatorcontrib>Rajapakse, Harshini</creatorcontrib><creatorcontrib>Gunasekara, Chinthika</creatorcontrib><creatorcontrib>Fernando, Neluka</creatorcontrib><creatorcontrib>Meegoda, Lalitha</creatorcontrib><title>Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder</title><title>Therapeutic communities</title><description>Purpose
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).
Design/methodology/approach
A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.
Findings
Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.
Originality/value
There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.</description><subject>Averages</subject><subject>Bilingualism</subject><subject>Community</subject><subject>Consent</subject><subject>Data collection</subject><subject>Drug use</subject><subject>Enrollments</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Residential treatment</subject><subject>Spirituality</subject><subject>Substance abuse treatment</subject><subject>Substance use disorder</subject><issn>0964-1866</issn><issn>0964-1866</issn><issn>2052-4730</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNptkcFq3DAQhk1IIUuSc68DPXsjybZsH8vSNoGFBrI5i5E0wkrX1laSt-wr9KnjZXtooaeZw_fPDN8UxUfO1pyz7mG3KZksBROiZIy1V8WK9bIueSfl9V_9TXGf0ttCsI7LXopV8fuZoiF_JAvkHJm8tBOlBMFBHijigebsDZgwjvPk8wnGYGkPmAAh0oDa733G7MMEeDjEgGYAFyK8RA9bnH7gBH6y_ujtjPsEv3weIM06ZZwMwZwIrE8hWop3xQe3IHT_p94Wr1-_7DaP5fb7t6fN521phBS5JHRc9ySkkT1pLWWD2lai6VrGTGPQ9L2zLfGuMVWluTbUYt04bHXDjamb6rb4dJm7XPtzppTVW5jjtKxUou26qu7rXizUw4UyMaQUyalD9CPGk-JMnZ2r3UYxqc7O1dn5klhfEjQu3vb2P4F_nlS9A_88hbo</recordid><startdate>20230322</startdate><enddate>20230322</enddate><creator>Dharmarathna, Nishadi Darsha</creator><creator>Jayamaha, Akila Randika</creator><creator>Ranadeva, Nadeeka Dimuthu Kumari</creator><creator>Rajapakse, Harshini</creator><creator>Gunasekara, Chinthika</creator><creator>Fernando, Neluka</creator><creator>Meegoda, Lalitha</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7XB</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20230322</creationdate><title>Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder</title><author>Dharmarathna, Nishadi Darsha ; Jayamaha, Akila Randika ; Ranadeva, Nadeeka Dimuthu Kumari ; Rajapakse, Harshini ; Gunasekara, Chinthika ; Fernando, Neluka ; Meegoda, Lalitha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c262t-eaf1b9e26c69ebb665abd3258700c5cac99fd7e185c33b1bce7a45fa7b51cc453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Averages</topic><topic>Bilingualism</topic><topic>Community</topic><topic>Consent</topic><topic>Data collection</topic><topic>Drug use</topic><topic>Enrollments</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Rehabilitation</topic><topic>Residential treatment</topic><topic>Spirituality</topic><topic>Substance abuse treatment</topic><topic>Substance use disorder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dharmarathna, Nishadi Darsha</creatorcontrib><creatorcontrib>Jayamaha, Akila Randika</creatorcontrib><creatorcontrib>Ranadeva, Nadeeka Dimuthu Kumari</creatorcontrib><creatorcontrib>Rajapakse, Harshini</creatorcontrib><creatorcontrib>Gunasekara, Chinthika</creatorcontrib><creatorcontrib>Fernando, Neluka</creatorcontrib><creatorcontrib>Meegoda, Lalitha</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Therapeutic communities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dharmarathna, Nishadi Darsha</au><au>Jayamaha, Akila Randika</au><au>Ranadeva, Nadeeka Dimuthu Kumari</au><au>Rajapakse, Harshini</au><au>Gunasekara, Chinthika</au><au>Fernando, Neluka</au><au>Meegoda, Lalitha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder</atitle><jtitle>Therapeutic communities</jtitle><date>2023-03-22</date><risdate>2023</risdate><volume>44</volume><issue>1</issue><spage>27</spage><epage>39</epage><pages>27-39</pages><issn>0964-1866</issn><eissn>0964-1866</eissn><eissn>2052-4730</eissn><abstract>Purpose
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).
Design/methodology/approach
A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.
Findings
Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.
Originality/value
There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.</abstract><cop>Bingley</cop><pub>Emerald Publishing Limited</pub><doi>10.1108/TC-06-2022-0007</doi><tpages>13</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Standard: Emerald eJournal Premier Collection |
| subjects | Averages Bilingualism Community Consent Data collection Drug use Enrollments Quality of life Questionnaires Rehabilitation Residential treatment Spirituality Substance abuse treatment Substance use disorder |
| title | Perceived effectiveness of therapeutic community model as a rehabilitation approach for Sri Lankan individuals with substance use disorder |
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