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Therapeutic Communities: Evolutionary Arc and the Opioid Epidemic

  • George De Leon
Chapter

Abstract

The complexity of the present epidemic underscores the need for strategies that address the diversity of people, problems, and social psychological issues associated with drug abuse and the risk of overdose death. Modern TCs emerged during an earlier epidemic of heroin abuse in the 1960s. Its early success spurred a rapid diffusion of the approach to serve a diversity of substance abusers in various settings. This chapter briefly traces the 50-year evolutionary arc of the North American TC, its accomplishments, the challenges of adapting the approach to various populations and settings, and its unique role in the current epidemic.

Keywords

Opioid use disorder Medically assisted treatment Therapeutic communities Mutual self-help Community as method Recovery perspective 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • George De Leon
    • 1
  1. 1.Department of PsychiatryNew York University School of MedicineNew YorkUSA

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