Psychiatric Quarterly [psaq] ph259-psaq-482365 June 3, 2004 10:28 Style ﬁle version June 4th, 2002
Psychiatric Quarterly, Vol. 75, No. 3, Fall 2004 (
DEMOCRATIC DEVELOPMENT OF
STANDARDS: THE COMMUNITY OF
COMMUNITIES—A QUALITY NETWORK
OF THERAPEUTIC COMMUNITIES
Rex Haigh, MRCPsych, and Sarah Tucker
As the inevitability of regulation and accountability dawned on the British
Therapeutic Community movement at the end of the 1990s, a polarised debate
took place. The product of that debate is now an action research based sys-
tem of audit, with its principles and methods based on therapeutic community
practice. This paper is written four years after the discussions started, and de-
scribes how the “Community of Communities” was conceived, what its methods
are, some of the results from it ﬁrst year of operation, and reﬂection about the
nature of the process itself.
KEY WORDS: therapeutic community; milieu therapy; audit; quality assurance; stan-
dards; empowerment; service user involvement; democratization; institutional dynamics.
Rex Haigh, MRCPsych is Chair, Association of Therapeutic Communities.
Sarah Tucker is Project Manager, Community of Communities Project, Royal College
of Psychiatrists Research Unit, London.
Address correspondence to Sarah Tucker, Project Manager, Royal College of Psychia-
trists Research Unit, 6th Floor, 83 Victoria Street, London SW1H 0HW.
2004 Human Sciences Press, Inc.