Citation

Patients or Prisoners? Therapeutic Treatment in the State and the Market

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Abstract:

Despite the central role of therapy in institutions ranging from prisons to self-help groups, we know little about how therapeutic interventions are shaped by these different structures. This diversity in therapeutic regimes is particularly characteristic of addiction treatment because addiction straddles the boundary of illness and crime. While treatment for addiction is increasingly integrated into the alternative correctional system, individuals without a criminal justice mandate must seek treatment in a sector of the health care market that is minimally covered by insurance. As a result, the addiction treatment field is stratified by race and class and structured by the tension between penal and medicalized models of care. Based on ethnographic research at a community-correctional addiction treatment program for women and at a gender-specific private-paid program, this paper compares how the health care industry and the criminal justice system shaped the institutional practices and narratives at each agency. It considers how the programs negotiated the external demands of health insurance companies or criminal justice officials and how these expectations were translated into therapeutic techniques. This paper then analyzes how each program used explicitly gendered understandings of women’s needs in this process.
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Association:
Name: ASC Annual Meeting
URL:
http://www.asc41.com


Citation:
URL: http://citation.allacademic.com/meta/p373850_index.html
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MLA Citation:

McKim, Allison. "Patients or Prisoners? Therapeutic Treatment in the State and the Market" Paper presented at the annual meeting of the ASC Annual Meeting, Philadelphia Marriott Downtown, Philadelphia, PA, Nov 04, 2009 <Not Available>. 2014-11-28 <http://citation.allacademic.com/meta/p373850_index.html>

APA Citation:

McKim, A. , 2009-11-04 "Patients or Prisoners? Therapeutic Treatment in the State and the Market" Paper presented at the annual meeting of the ASC Annual Meeting, Philadelphia Marriott Downtown, Philadelphia, PA <Not Available>. 2014-11-28 from http://citation.allacademic.com/meta/p373850_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: Despite the central role of therapy in institutions ranging from prisons to self-help groups, we know little about how therapeutic interventions are shaped by these different structures. This diversity in therapeutic regimes is particularly characteristic of addiction treatment because addiction straddles the boundary of illness and crime. While treatment for addiction is increasingly integrated into the alternative correctional system, individuals without a criminal justice mandate must seek treatment in a sector of the health care market that is minimally covered by insurance. As a result, the addiction treatment field is stratified by race and class and structured by the tension between penal and medicalized models of care. Based on ethnographic research at a community-correctional addiction treatment program for women and at a gender-specific private-paid program, this paper compares how the health care industry and the criminal justice system shaped the institutional practices and narratives at each agency. It considers how the programs negotiated the external demands of health insurance companies or criminal justice officials and how these expectations were translated into therapeutic techniques. This paper then analyzes how each program used explicitly gendered understandings of women’s needs in this process.


Similar Titles:
Therapeutic Engagement in a Prison-Based Drug Treatment Therapeutic Community: The Effects of Inmate Characteristics

A Case Study of Implementing a State-Wide Randomized Experimental Design to Evaluate Prison-Based Substance Abuse Treatment Programs

Relating Counselor Rapport to Therapeutic Engagement in a Prison-Based Drug Treatment Program

Predicting Retention for Clients in Prison-based Therapeutic Communities across Three Time-in-treatment Thresholds


 
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