Abstract

Narcotic offenders with substance use disorder (SUD) have become a severe burden around the world including Sri Lanka. Prisons and other rehabilitation centers are threatened by overcrowding, due to recidivism, rearrest, and re-incarceration of narcotic offenders with SUD and limited capacities available in these centers. The therapeutic community (TC), owing to its comprehensive approach, long history of use, proven efficacy, and more importantly its relatability to Asian culture, has made it more appropriate for narcotic offenders with SUD sentenced to imprisonment, to subdue SUD while serving their prison sentence. TC is a rehabilitation intervention found by Tom Main in 1946 and a proper understanding of its core concept and elements is important when implementing a TC program. However, challenges are inevitable that need to be overcome when implementing a prison TC program. This paper intended to provide an insight to consider TC as a rehabilitation intervention for the imprisoned narcotic drug offenders with SUD. A special reference is provided to Sri Lanka, given its current requirement for an appropriate rehabilitation model for the prison community suffering from SUD.

摘要

患有物质使用障碍 (SUD) 的麻醉品罪犯已成为包括斯里兰卡在内的世界各地的严重负担。监狱和其他康复中心受到过度拥挤的威胁，这是由于麻醉品罪犯的累犯、重新逮捕和重新监禁，而这些中心的容量有限。治疗社区 (TC) 因其全面的方法、悠久的使用历史、久经考验的疗效，以及更重要的是与亚洲文化的相关性，使其更适合被判处监禁的 SUD 的麻醉品罪犯，在服刑期间制服 SUD监狱服刑。TC 是 Tom Main 在 1946 年发现的一种康复干预措施，正确理解其核心概念和要素对于实施 TC 计划非常重要。然而，实施监狱 TC 计划时需要克服的挑战是不可避免的。本文旨在提供一种见解，将 TC 视为对 SUD 被监禁的麻醉药品罪犯的康复干预。鉴于斯里兰卡目前需要为遭受 SUD 的监狱社区提供适当的康复模式，因此特别提到了斯里兰卡。