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The development of trust in therapeutic communities and its impact on treatment adherence

Trust is recognized as an essential element for the establishment of therapeutic relationship and has a major impact on treatment adherence. However, there are few studies and theoretical models which allow its conceptualization and measurement within this context. This research aims to study the development of trust in Therapeutic Communities and its impact on treatment adherence. It was adopted a mixed metho-dology and 231 subjects spread over nine Therapeutic Communities participated of the study. The results show the existence of two levels of trust (with the technical staff and with the institutions) and present it as a key element for developing therapeutic relationship and treatment adherence.

Therapeutic Communities; Treatment Adherence; Trust in Technical Staff; Trust in the Institutions


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