ABSTRACT

A parallel development that grew out of a reaction against Alcoholics Anonymous principles led to highly structured therapeutic community models of care for individuals with drug-related disorders. The community models included Synanon, which emphasized confrontation and community and somewhat more eclectic programs such as Day top Village and Phoenix House. The client-administered self-help program was run by an elected council that dealt with all administrative and behavior problems. The council screened and chose prospective clients. All clients had to work, go to school, or attend a day treatment center. The Community Oriented Programs Environment Scale (COPES) has adequate test-retest reliability and high profile stability. Profile stabilities were obtained by calculating rank-order correlations on the subscale standard scores for different administrations of the COPES in a set of diverse programs. Thus, the COPES measures aspects of the treatment climate that may remain stable despite a complete turnover in the client population.