Democratic therapeutic communities for the future. How can we face epochal changes without distorting our mission?

Today therapeutic communities live in a condition of uncertainty and precariousness, due to a tangle of epochal changes, from a cultural, political and economical angle. The financial trouble led to cuts in mental health services, increasing regulation and administrative demands. The fact of facing this phenomenon of increasing stiffening, particularly on a political and institutional ground, pushed the therapeutic communities to implement an additional effort to “adapt” to this situation in a reasonable and sustainable way, without putting at risk the principles and values on which their clinical practice and research was founded.

The authors examine these issues talking briefly about the organisations who are all members of an extended family, then analyse some of the Read more