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'What works' with substance users in prison?

Malinowski, Andy


Andy Malinowski


A theoretical model for a prison-based rehabilitation programme is described. It was developed from a theory manual, written for a prison-centred programme in Oxfordshire run by the Ley Community, a concept-based therapeutic community. It draws on two theoretical models that are historically separate and distinct, reviews their key theoretical components and explores integrative links. Concept-based therapeutic communities, their origins, aims, values and methods are discussed. Cognitive behavioural group work approaches are explored and the features crucial to their effectiveness are identified. Two types of prison-based drug treatment programmes, based on therapeutic community and cognitive behavioural approaches are described and discussed. This includes consideration of research findings into their effectiveness and identifies features that are considered crucial to a programme's success. It is suggested that the adoption of a transtheoretical model would enable an integration of concepts and components that underpin both cognitive behavioural and structured therapeutic community approaches, and may provide a pragmatic solution to any inherent theoretical tensions.


Malinowski, A. (2003). 'What works' with substance users in prison?. Journal of Substance Use, 8(4), 223-233.

Journal Article Type Article
Publication Date Dec 1, 2003
Journal Journal of Substance Use
Print ISSN 1465-9891
Publisher Taylor & Francis
Peer Reviewed Not Peer Reviewed
Volume 8
Issue 4
Pages 223-233
Keywords substance abuse, drugs, prison
Public URL
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