Psychiatric Quarterly [psaq] ph259-psaq-482364 May 9, 2004 7:21 Style ﬁle version June 4th, 2002
Psychiatric Quarterly, Vol. 75, No. 3, Fall 2004 (
THE ART AND CHALLENGES OF
LONG-TERM AND SHORT-TERM
Kingsley Norton, M.D., and Sandra L. Bloom, M.D.
This paper, cowritten by Kingsley Norton, since 1989 Director of Henderson
Hospital (a therapeutic community founded by Maxwell Jones in 1947 in the
United Kingdom), and Sandra Bloom, Founder of the Sanctuary Model in the
United States, compares and contrasts the practice of the democratic thera-
peutic community (TC) as applied to the notion of long-term care (up to twelve
months), to that of the democratic therapeutic milieu (TM) as applied to short-
term care (up to one month).
KEY WORDS: therapeutic community; therapeutic milieu; Sanctuary Model; Hender-
son Hospital; Maxwell Jones.
Kingsley Norton, M.D., is Director, Henderson Hospital, Surrey, UK.
Sandra L. Bloom, M.D., is President, Community Works, Philadelphia, PA.
Address correspondence to Kingsley Norton, M.D., Clinical Director, Henderson Hos-
pital, 2 Homeland Drive, Brighton Road, Surrey, SM2 5LT, United Kingdom; e-mail:
2004 Human Sciences Press, Inc.