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On the need for randomised trials of therapeutic community approaches

(2010) THERAPEUTIC COMMUNITIES. 31(4). p.338-355
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Abstract
Evidence-based practice is repeatedly emphasised in mental health care. However, a number of objections have been raised in response to calls to carry out randomised controlled trials (RCTs) in therapeutic community (TC) settings. In the context of an increasing emphasis on particular kinds of evidence to demonstrate the usefulness of health care interventions, a meeting of experts was convened in Oxford, UK, in 2008 to examine the question of whether such studies were desirable and possible. Taking these discussions as its starting point, this paper examines the objections to carrying out a randomised trial of TC treatment, and describes how a randomised controlled trial of health TCs for personality disorder currently underway in Oxford has addressed them. The Oxfordshire Complex Needs Service is an intensive treatment service for people suffering from personality disorders and similar conditions. The paper presents details of how the RCT was developed, and demonstrates that it is possible to address the major concerns in the design of RCTs.
Keywords
personality disorders, therapeutic communities, evidence-based practice, randomised controlled trials

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Citation

Please use this url to cite or link to this publication:

Chicago
Pearce, Steve, and Annemarie Autrique. 2010. “On the Need for Randomised Trials of Therapeutic Community Approaches.” Therapeutic Communities 31 (4): 338–355.
APA
Pearce, S., & Autrique, A. (2010). On the need for randomised trials of therapeutic community approaches. THERAPEUTIC COMMUNITIES, 31(4), 338–355.
Vancouver
1.
Pearce S, Autrique A. On the need for randomised trials of therapeutic community approaches. THERAPEUTIC COMMUNITIES. 2010;31(4):338–55.
MLA
Pearce, Steve, and Annemarie Autrique. “On the Need for Randomised Trials of Therapeutic Community Approaches.” THERAPEUTIC COMMUNITIES 31.4 (2010): 338–355. Print.
@article{2028304,
  abstract     = {Evidence-based practice is repeatedly emphasised in mental health care. However, a number of objections have been raised in response to calls to carry out randomised controlled trials (RCTs) in therapeutic community (TC) settings. In the context of an increasing emphasis on particular kinds of evidence to demonstrate the usefulness of health care interventions, a meeting of experts was convened in Oxford, UK, in 2008 to examine the question of whether such studies were desirable and possible. Taking these discussions as its starting point, this paper examines the objections to carrying out a randomised trial of TC treatment, and describes how a randomised controlled trial of health TCs for personality disorder currently underway in Oxford has addressed them. The Oxfordshire Complex Needs Service is an intensive treatment service for people suffering from personality disorders and similar conditions. The paper presents details of how the RCT was developed, and demonstrates that it is possible to address the major concerns in the design of RCTs.},
  author       = {Pearce, Steve and Autrique, Annemarie},
  issn         = {0964-1866},
  journal      = {THERAPEUTIC COMMUNITIES},
  keyword      = {personality disorders,therapeutic communities,evidence-based practice,randomised controlled trials},
  language     = {eng},
  number       = {4},
  pages        = {338--355},
  title        = {On the need for randomised trials of therapeutic community approaches},
  volume       = {31},
  year         = {2010},
}