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Purpose

This study aims to describe Italian and UK therapeutic community developments during 1960–2021.

Design/methodology/approach

Historical review and personal experience.

Findings

After significant divergence in the nature of “therapeutic communities”, mostly based on the different sociopolitical contexts in the two countries, areas of formal rapprochement have been emerging in the past 20 years.

Research limitations/implications

The details of how therapeutic communities developed in Italy, particularly in the wake of Law 180, deserves investigation and comparison to the UK and other countries.

Practical implications

The recent collaborative work in quality, training and research could support the future use of therapeutic communities and enabling environments.

Social implications

The underlying principle of “relational practice”, which underlies the therapeutic community approach, could have wider implication in public services beyond mental health.

Originality/value

Much has been written about the progressive intentions of Italian mental health with Law 180, but not with a specific focus on therapeutic communities – which were an important initial impetus for Basaglia and his equipé.

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