The Opioid Epidemic and the Therapeutic Community Model

An Essential Guide

  • Jonathan D. Avery
  • Kristopher A. Kast

Table of contents

  1. Front Matter
    Pages i-x
  2. Kristopher A. Kast, Jonathan D. Avery
    Pages 1-8
  3. Fernando B. Perfas
    Pages 23-44
  4. Rachel Knight
    Pages 45-61
  5. Phaedon Kaloterakis
    Pages 87-111
  6. Gabriele Manella, Giovanni Pieretti, Alessandra Landi, Bruno Genetti
    Pages 133-148
  7. Back Matter
    Pages 149-154

About this book


This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment.  The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. 


Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic.   The chapters are written so as to be accessible for clinicians across specialties and professions.


The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public


Target populations Global therapeutic approaches Therapeutic interventions in the US Improved addiction outcomes Opioid-associated enviornments

Editors and affiliations

  • Jonathan D. Avery
    • 1
  • Kristopher A. Kast
    • 2
  1. 1.Weill Cornell Medical CollegeNew YorkUSA
  2. 2.Payne Whitney Clinic of New York-PresbyterianWeill Cornell Medical CollegeNew YorkUSA

Bibliographic information