Tuesday, May 22, 2012

What is a Therapeutic Community?

Rehab Institute Of Chicago - What is a Therapeutic Community?
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I was a staff member at the Ovis Farm scheme in Devon, England, for three years. The scheme is run on the Therapeutic community model.

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How is What is a Therapeutic Community?

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The Therapeutic community is a self help arrival to rehabilitation for population with addiction and connected problems. It is a drug-free environment in which population recovering from drug and alcohol addiction are able to live together in an organized and structured way. The aim is to promote turn and make inherent a drug-free life in the community when they move on.

1. The values of a Therapeutic Community

The Therapeutic community believes that population can turn and creates an environment that helps to facilitate change. The Therapeutic community allows a man to grow by fostering an environment where population are valued and accepted.

A strong sense of belonging to a nurturing community in an atmosphere of trust and security, is a central tenet of the therapeutic community. Members of the therapeutic community need to take responsibility for themselves, others and their environment.

Members of the community must be really motivated to change, and to accept the communitrules.
These rules uphold the values and norms of the community, which are a reflection
of those held by society.

Therapeutic community theory can be applied to the therapeutic care of a wide range of people

2. The corporeal Environment of a Tc

Some Therapeutic Communities control in finished systems like a prison or, say, a nursing home for population recovering from reasoning illnesses. The residents of these, and similar institutions, may not have a say in either they enter in institution, but they are commonly able to volunteer for the Therapeutic Community. In a prison that operates this model, a detach wing may be used.

Therapeutic Communities control in purpose-built structures, as well as a range of converted structure such as schools, churches, or a farm. The size, grounds and design of facilities also vary, but are commonly adapted to the types of educational and vocational training offered by the Therapeutic Community. At Ovis Farm the residents were able to work with the farm manager on the work element of the programme. This probably represented one day each week. In its way, it was a unique feature that this scheme could offer because of its location.

The residential capacity of a Therapeutic community agenda commonly ranges from 50 - 150 residents. An ideal size is often described to be in the range of 80 - 120 residents. This suits big institutions but in recent years the Therapeutic community model has been applied to smaller groups, like Ovis Farm, of maybe a dozen residents.

Therapeutic communities are commonly open environments where residents pick voluntarily to live for a period of 6 to 12 months, and in some cases, longer. Although exact limits are settled on residents' comings and goings, residents who comply with all house rules and programme requirements may moderately earn privileges to leave the factory straight through day, overnight or weekend passes, particularly to visit parents, partners or children.

The key interior spaces in a Therapeutic community consist of areas where the operational, educational, and therapeutic activities of the agenda are held. Base spaces comprise lounges, training rooms, the dining room, and kitchen. Private spaces comprise administrative offices and consulation rooms. The residents have their own Private rooms, and some staff may live on site.

3. The social Environment

Residents take on more responsibility as they learn the concepts of the Therapeutic community and are able to help fellow residents. It is their understanding and application of the Therapeutic community concepts that gives a resident more responsibility, not the distance of their residency. In this way, the group or peer dynamic is a persuasive sway on residents' desire to become more responsible and accountable.

Residents take on supervisory responsibility in the distinct departments in the community. For example, one may oversee the kitchens to ensure that the significant provisions are ordered each week to fill the menu requirements. They would also ensure that the hygiene standards are met, and to help others put in order meals for the community. Someone else resident may look after the grounds or maintenance work.

4. Resident Profile

Most residents of Therapeutic Communities are carefully to have hit 'rock bottom' either they voluntarily enter a community or arrive straight through the criminal justice system. Many residents have been drug addicted for years and have a history of criminal activity or other legal problems. Although many residents arrive with a host of health connected problems, most Therapeutic Communities stipulate that residents must be healthy enough to undertake corporeal labour and participate in training programmes and other group-related activities.

The admission process for Therapeutic community residents should be rigorous. It typically involves an initial visit or phone call, admission to a waiting list, an orientation process, one or more intake interviews, and in many cases, medical, legal and psychological assessments, and consent to treatment. A acceptable initial evaluation may help cut the drop out rate which is most significant during the first 30 days.

5. Staff Profile

Staff participate as members of the community. Staff often share everyday tasks with the residents, as well as facilitate group meetings and one to one sessions. Staff are able to express their own reactions to events and situations, and accept challenge or annotation from residents. Many staff members in the smaller communities may have been previous residents. In this way the original 'them and us' split between professionals and aid users is broken down. This helps to design a sense of trust and intimacy enabling residents to palpate distinct relationships with authority or parental figures. Staff and senior residents are also able to act as role models, by being open and honest. This carries the risk of staff becoming over-involved, which makes staff management significant in this way of working.

6. Instruction and Training

The elements of rehabilitation at the Therapeutic community typically comprise addiction treatment, education, original medical and dental care, vocational skills training (e.g. Cooking skills, carpentry, general maintenance, and computer skills), on- and off-site job placement, and in rare cases, on-site resident-run businesses. Christian run Therapeutic Communities will give some opening for residents to address their spiritual needs but will not insist that residents are Christians when they enter, or that they become Christians during their stay.

7. The Daily Timetable

Residents can expect a very structured and demanding daily disposition within the Therapeutic Community. The typical day includes a 6:30 or 7:00 Am wake-up call, morning and evening house meetings, job functions, therapeutic groups, life skill seminars, vocational training sessions, some personal time, recreation, and individual counselling when necessary.

Weekend schedules are somewhat less demanding, although Saturday mornings may be taken with group meetings. A Christian run Therapeutic community may have a commitment to attend a church aid on Sundays. This is not just a spiritual consideration, it allows members of the Therapeutic community an opening to growth their withhold network and commonly meet clear population surface of their usual peer groups.

Structure and disposition are integral to the daily running of the Therapeutic Community

8. Enthralling On

The most leading part of any saving programme is probably establishment the resident for 're-entry' into the community. This term sounds a bit like a space craft returning to the earth's atmosphere. In some ways, this is a sound metaphor. If this is not done correctly the resident can burn up and disintegrate rapidly.

Some Therapeutic Communities insist that no resident leaves the agenda without a full-time job together with a place to live and a withhold network. House reconciliation is often incorporated into re-entry. Maintaining a drug free lifestyle often means studying more coping skills so it is recognized that Enthralling on is a transitional process. One of the supports most commonly identified as significant to resident success once they leave the Therapeutic community is transitional housing (a half way house) and affordable longer term housing. This is a major obstacle in the Uk (and many other countries) due to lack of good basic accommodation. Many Therapeutic Communities find creative ways of organizing this.

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