The Modern Therapeutic Community Model

  • Fernando B. Perfas


The therapeutic community (TC) for addiction is perhaps the most popular treatment model used in community-based, hospital-based, and criminal justice drug programs. It is also the preferred drug treatment model globally in both government and nongovernment treatment programs. In spite of its popularity and several decades of existence, there is only a handful literature devoted to elaborating and explaining its treatment philosophy, methodology, and the underlying theories of its treatment methods. The lack of clear understanding of how the TC works has contributed to serious departures from its original concept and glaring inconsistencies of its practice. For the TC to remain relevant, it has to incorporate best practices in its treatment repertoire while keeping the fidelity of its practice.


Therapeutic community Addiction Psychological trauma Substance use disorder Drug treatment 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Fernando B. Perfas
    • 1
  1. 1.Addiction Training ConsultantRed HookUSA

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