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In the United States, the Therapeutic Community (TC) treatment model forsubstance use disorder recovery relies heavily upon the assumption that peersserve as mentors, affirming behavior consistent with the norms of the treatmentmodel and correcting behavior contrary to those norms. Despite beingfoundational to the TC model, little work has been done to clearlyconceptualize and operationalize this hierarchy. In this manuscript, we fillthat gap in the literature, presenting a novel conceptualization of hierarchywithin the TC context, complete with a complementary measurement drawing fromthe field of social network analysis. With this new framework for understandingand studying hierarchy within TCs, we can ask and rigorously answer a new setof questions previously unexamined.

Social Network Conceptualization and Operationalization of Hierarchy Within Therapeutic Communities