A culture of enquiry: research evidence and the therapeutic community

Psychiatr Q. 2004 Fall;75(3):279-94. doi: 10.1023/b:psaq.0000031797.74295.f8.

Abstract

This paper presents data from a systematic review and meta-analysis of 29 published studies of therapeutic community effectiveness using controls, including 8 randomised control trials. Meta-regressions suggest that the two types of therapeutic community, democratic and concept-based, and the age of the study, are the key sources of heterogeneity in the collection of studies analysed. Otherwise, heterogeneity is low and the meta-analysis confirms the effectiveness of therapeutic community treatment with overall summary log odds ratio for the 29 studies of 0.512 (95% ci -0.598 to -0.426).

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Evidence-Based Medicine / standards*
  • Humans
  • Mental Disorders / therapy*
  • Mental Health Services / organization & administration*
  • Therapeutic Community*
  • Time Factors