Research in the concept‐based therapeutic community – its importance to European treatment research in the drug field1

The concept‐based therapeutic community (TC) has been more scrutinised than almost every treatment model in the drug field except for methadone maintenance treatment. Important reasons for emphasising research right from the beginning were financial and/or ideological. Because of strong, ideological reasons and because of extensive research, the American TC movement has had a great impact on the treatment field of drug abusers in Europe. However, independent of the TC movement, at the same time the European treatment field also initiated several important research projects. In particular the Scandinavian countries were active in process studies with a qualitative approach. For different reasons this research tradition in Scandinavia was never considered important in the international research society. In recent years this has changed, and there is now a consensus about the need for more process evaluation and phenomenological research to complement the large body of quantitative studies in the treatment field. Probably both American and European treatment research has contributed to the preservation of the best from the original TC models and a renunciation of the more destructive elements.     

Childhood maltreatment among Norwegian drug abusers in treatment

This article reports on the investigation of the correlation between the European Addiction Severity Index (EuropASI) and the Childhood Trauma Questionnaire (CTQ) among 102 Norwegian drug abusers admitted to treatment. The aim of the study is to explore how different types and levels of childhood trauma and social and psychiatric factors, medical situation and experienced family history are interrelated. The study addresses three main questions: 1) What is the prevalence of different kinds of childhood trauma among drug abusers in treatment? 2) Does type or level of maltreatment in childhood predict specific substance abuse problems as adults and/or specific social, psychiatric and medical problems as adults? 3) Do substance abuse problems and mental health problems in the primary family predict different types and levels of childhood maltreatment? Twenty‐five per cent of the total sample was included in the high‐level trauma group and 54% in the intermediate‐level group. Females had significantly higher scores than males in all types of childhood trauma. The strongest correlations were found between childhood trauma and lifetime psychiatric problems and psychiatric status during the last 30 days before admission for treatment. More research, and especially prospective studies, is needed to clarify the importance of parents' substance abuse and psychiatric problems in childhood/adolescent compared with trauma in the client's childhood and the client's current psychiatric status.