Predictors of flexibility in social identity among people entering a therapeutic community for substance abuse

One of the key aspects of recovery from substance dependence is making a transition from a social network supportive of substance use to one that supports recovery. This study assessed this transition in social identity in an adult therapeutic community (TC) at baseline and 2 weeks into treatment. Where residents increased identification with the TC, and reduced social identification with using groups, retention in treatment improved. As retention is a proxy measure of positive outcomes, this pilot suggests that facilitating residents’ positive identification with the community in the first weeks of treatment may be central to retaining residents and improving treatment outcomes.