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Therapeutic Communities In Latin America: An International Descriptive Study In Different Countries Across Latin America

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dc.contributor.author Gómez Restrepo, Carlos
dc.contributor.author Maldonado, Patricia
dc.contributor.author Rodríguez, Nelcy
dc.contributor.author Ruiz-Gaviria, Rafael
dc.contributor.author Escalante, Miguel Ángel
dc.contributor.author Gómez, Raúl Ángel
dc.contributor.author Araujo, Marcelo Ribeiro de
dc.contributor.author Schmidt de Oliveira, Ana Carolina
dc.contributor.author Chávez Rivera, Joel Salvador
dc.contributor.author Godínez García, Jorge Alberto
dc.contributor.author Piazza Ferrand, Marina
dc.contributor.author Blitchtein Winicki, Dora
dc.date.accessioned 2018-11-30T23:41:30Z
dc.date.available 2018-11-30T23:41:30Z
dc.date.issued 2018
dc.identifier.uri http://doi.org/10.1016/j.rcp.2017.01.011
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/4197
dc.description.abstract OBJECTIVE: In Latin America is not known for certain the quantity or quality of therapeutic communities (TCs) available in the region. The objective of this study is to describe and quantify the quantity and quality of the existing TCs in 5 different countries. DESIGN: A multicenter quantitative description of the TCs was conducted in Argentina, Brazil, Colombia, Mexico and Peru. METHODS: A survey was realized through the TCs regulatory entities of each country that accepted to participate in the study. RESULTS: Of the 285 TCs identified in the 5 countries, 176 (62%) accepted to participate in this study. The TCs quality vas evaluated according to the scoring system stablished by De Leon, finding that 70% of the facilities have scores of 11/12 or 12/12 using these criteria. We also found that the majority of the De Leon criteria are known by more than 90% of the institutions, however, the dimensions of "separation of the community" and "encounter groups between residents" were the least known with 63 and 85% respectively. The main reasons for abandonment of TCs were "not accepting the rules of the institution", "lack of money" and "not feeling comfortable with the facilities". 98% of the TCs provided services to other substance abuse problems, 94% for alcohol and 40% for other types of substances. CONCLUSIONS: The majority of the TCs identified in our sample meet the quality criteria stablished by De Leon, mostly providing services for substance abuse. However, they should put in place additional policies to improve the unfulfilled conditions and investigate the reasons for the dissatisfaction and abandonment of these institutions.
dc.language.iso eng
dc.language.iso spa
dc.publisher Asociación Colombiana de Psiquiatría
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Alcohol consumption
dc.subject Latin America
dc.subject Abuso de sustancias
dc.subject Comunidades terapéuticas
dc.subject Criterios de De León
dc.subject De Leon criteria
dc.subject Latinoamérica
dc.subject Substance related disorders
dc.subject Therapeutic communities
dc.title Therapeutic Communities In Latin America: An International Descriptive Study In Different Countries Across Latin America
dc.type info:eu-repo/semantics/article
dc.identifier.journal Revista Colombiana de Psiquiatría


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