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The International Journal for Therapeutic and Supportive Organizations is published four times annually.

ISSN 0964-1886

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Volume 24 Number 4 Latest issue
Volume 24 Number 3
Volume 24 Number 2
Volume 24 Number 1

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Adrian Ward, Senior Lecturer in Social Work, School of Social Work and Psychosocial Studies, University of East Anglia, Norwich, Norfolk NR4 7TL

Editor�s Assistant
Caitlin Thoday, University of East Anglia

Deputy Editor
Peter Griffiths, Tavistock Clinic, 120 Belsize Lane, London NW3 5BA

Book Reviews Editor
Craig Fees, Planned Environment Therapy Trust, Church Lane, Toddington, Cheltenham, Glos. GL54 5DQ

Development Editor
John Gale, Community Housing and Therapy, 378 Lillie Road, London 5W6 7PH

Editorial Group
Bill McGowan. Institute of Nursing, University of Brighton.
Laura Forti, Arbours Association
Sarah Tucker, Community Housing and Therapy
Barbara Rawlings. University of Manchester
Fiona Warren, Henderson Hospital, London
Alan Worthington, Peper Harow Foundation

Editorial Assistant
Joanna Vroom

Subscription enquiries should be sent to Joanna Jansen, Journal Administrator, Association of Therapeutic Communities, Planned Environment Therapy Trust, Barns Centre, Church Lane, Toddington, Cheltenham, Glos, GL54 5DQ, United Kingdom. E-mail: post@therapeuticcommunities.org. Tel: (+44) 01242 620077. Members of the Association of Therapeutic Communities receive the journal as part of their membership. For information write to The Administrator at the above address.

Advertising enquiries should be sent to Bill McGowan, Institute of Nursing and Midwifery, University of Brighton, Robert Dodd Building, 49 Darley Road, Easthourne, East Sussex, BN2O 7UR, United Kingdom.

Books for review should be sent to Dr Craig Fees, Planned Environment Therapy Trust, Church Lane, Toddington, Cheltenham, Glos. GL54 5DQ

Photocoping: Single copies for private study are permissible. Permission for multiple copies and reproduction should be sought from the author(s).

Copyright is retained by the author(s) on the understanding that material published in this Journal has not previously been published elsewhere, and that acknowledgement is made to this Journal by the author(s) when using the same material in subsequent publications.

Indexing and abstracts: Therapeutic Communities is covered by Addiction Abstracts, ASSIA: Applied Social Sciences Index and Abstracts, EMBASE/Excerpta Medica, and PsyciNFO.

Therapeutic Communities is published quarterly in the spring, summer, autumn and winter. Therapeutic Communities is now on the net at http://www.pettarchiv.org.uk/atcjournal.htm

International Advisory Panel

Peter Bott, Group Analytic Society, Sydney
AIf Clark, La Trobe University, Victoria.

Tom J. Andersen, Rigshospitalet, Copenhagen
Hans Komerup, Jystrup.

Matti Isohanni, University of Oulu.

Martin Teising, Fachhochschule, Frankfurt.

loannis K. Tsegos, Open Psychotherapeutic Centre, Athens.

Stanley Schneider, Hebrew University and Michlalah, Jerusalem.

Luisa Brunori University of Bologna. Aldo Lombardo, Rome Enrico Pedriali, Milan.

New Zealand
Jocelyn Handy, Massey University.

Sigmund Karterud, University of Oslo.

Milos Kobal, UKC-Univerzitetna Psihiatricna Klinika, Ljub]jana-Polje.

Goran Ablin, Langbro 1-lospital, Alvsjo.

United Kingdom
Joseph Berke, Arbours Association
Liam Clarke, University of Brighton
Steffan Davies, Leicester David Glenister, University of Hull Bob Hinshelwood, Peterborough
David Kennard, The Retreat, York
Jane Knowles, Winterboume House, Reading
Jan Lees, Nottingham
Nick Manning, University of Nottingham
Gill MeGauley, St George�s Hospital Medical School, London
David Millard, University of Oxford
L. Mitcheson, SLAM, London
Sarah Paget, Sussex
Nikolas Ragiadakos, London
Vega Roberts, The Cassel Hospital, Surrey
Melvyn Rose, Sussex
Tom Ryan, Arbors, London
Meg Sharpe, Group Analytic Practice, London
Graham Stew, University of Brighton
Dorothy Whitaker, University of York
Stuart Whiteley, Surrey
Gary Winship, Reading

United States
Rudolf Moos, Stanford University, California
Jack F. Wilder, Albert Einstein College, New York
James Zeigenfuss, Penn State Medical College
Patrick Zimmerman, University of Chicago.

Guidelines for Contributors
Therapeutic Communities were born out of the radical and creative forces that established alternative forms of mental health care from the 1950s to the present day. Therapeutic environments, influenced by the ideas developed by this movement, exist in psychiatric, social work or penal institutions, in community schemes, in projects for the homeless, drug and alcohol field, educational and industrial settings. The Journal aims to build upon this creative legacy by stimulating a continual critical re-thinking of the possibilities for developing therapeutic and relational potential, in whatever communities readers work and live within. It aims to provide a forum in which those engaged in developing, managing and sustaining therapeutic cultures can communicate their experiences, the effects of political and social policy on their own settings; their ideas developments and findings; disseminate good practice and explore what happens when things go wrong.

The Journal publishes academic papers, case studies, empirical research and opinion. The Journal is interested in publishing papers that critically creatively engage with ideas drawn from a range of discourses: the therapeutic community movement and other related professional practice, psychoanalysis, art, literature, poetry, music, architecture, culture, education, philosophy, religion and environmental studies. It will be of value to those who work in health services, social services, voluntary and charitable organizations and for all professionals involved with staff teams in therapeutic and supportive organizations.

General Guidelines
Original contributions that fall within she scope of the journal are welcomed, including articles on current issues, practice and research (academic papers), case studies of particular communities or organizations, and personal contributions arising from the experience of the author. The Editorial group uses different criteria to assess contributions in these categories, and the following guidelines are provided. It will assist us in assessing papers if authors indicate which guidelines they have followed.
Final articles for publication should be typed in double spacing and submitted as an email attachment where possible, to the Editor�s Assistant (c.thoday@uea.ac.uk). Articles should be anonymised, with author contact details (name(s), c-mail and mailing address(es)) provided on a separate sheet. All articles are submitted for �blind review by assessors drawn from the Editorial Board of the journal, and the International Advisory Panel. Authors will be acknowledged when sending in papers for review upon receipt.

Note: For authors submitting an article where English is a second language, it is recommended that the article be proof read by a fluent interpreter prior to sending. in order that intended meanings can be checked in the translated article.

Academic Papers
These can include reports of original research, papers developing original links between theory and practice, review articles and critiques of current practice. The normal conventions of academic papers should be observed, with a brief abstract (up to 150 words), followed by a review of the relevant literature, statement of the problem, method, findings, discussion and conclusion. References should follow the style of the journal Academic papers should normally not exceed 5000 words excluding references.

Case Studies from Practitioners
These describe examples of practice, innovation, action research or evaluation in the practitioner�s own unit. They should include: a brief description of the setting, of the piece of work undertaken and the reasons for doing it: a clear account of the process and findings wish relevant data in easy to read tables or graphics; a brief conclusion wish discussion of the findings and their implications for practice within the unit and perhaps more widely. A small number of relevant references may be included, following the style of the journal, but no literature review is needed. Case studies should normally not exceed 2500 words.

The journal would welcome short papers (up to 2000 words), which address topical issues. These issues may arise from recent themes or views addressed within the papers in the journal, from within therapeutic communities, they may emanate from strategic developments within the Association of Therapeutic Communities (for example the issue of accreditation of communities and training), or be generated by national and international policy initiatives that have an effect on therapeutic practice, the way in which it is thought about or conducted. We are seeking relevant commentaries which are reflective and thoughtful, yet critical and perhaps at times controversial; views and opinions which will stimulate debate, provoke thoughtfulness and hopefully new ideas, with which to approach contemporary issues.

We would welcome short letters (up to 200 words) from readers picking up on issues raised within the Commentary response section, that develop and debate issues further

Personal Contributions
Readers are invited to send in personal accounts of some aspect of their work that may be of interest to others. The intention of such contributions is to share experience and problems, raise questions and encourage discussion. These may describe an event or situation involving the writer, occurring at the individual, group or organizational level. Contributions from experienced practitioners as well as novices are welcomed. The account should begin with a brief description of the setting, participants and background, followed by details of the particular event or situation and, if appropriate, the responses of the writer and others involved. No literature review, theoretical exposition or references are needed. Confidentiality should be maintained by disguising the identities of individuals or organizations and authors may request that contributions are published without attribution. Personal contributions should normally be limited to 1500 words. With the author�s permission comments may be sought from practitioners with relevant experience to appear alongside personal contributions.