Sunday, June 10, 2012

What is a Therapeutic Community?

Dental Hygienist Education Requirements - 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 society model.

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The Therapeutic society is a self help advent to treatment for people with addiction and linked problems. It is a drug-free environment in which people recovering from drug and alcohol addiction are able to live together in an organized and structured way. The aim is to promote convert and make inherent a drug-free life in the society when they move on.

1. The values of a Therapeutic Community

The Therapeutic society believes that people can convert and creates an environment that helps to facilitate change. The Therapeutic society allows a person to grow by fostering an environment where people are valued and accepted.

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

Members of the society must be actually 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 society law can be applied to the therapeutic care of a wide range of people

2. The corporal Environment of a Tc

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

Therapeutic Communities control in purpose-built structures, as well as a range of converted buildings such as schools, churches, or a farm. The size, grounds and establish 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 boss 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 society 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 society model has been applied to smaller groups, like Ovis Farm, of maybe a dozen residents.

Therapeutic communities are commonly open environments where residents select voluntarily to live for a period of 6 to 12 months, and in some cases, longer. Although spoton limits are placed on residents' comings and goings, residents who comply with all house rules and programme requirements may gently 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 society consist of areas where the operational, educational, and therapeutic activities of the agenda are held. Tasteless spaces contain lounges, training rooms, the dining room, and kitchen. Inexpressive spaces contain executive offices and seminar rooms. The residents have their own Inexpressive rooms, and some staff may live on site.

3. The communal Environment

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

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

4. Resident Profile

Most residents of Therapeutic Communities are thought about to have hit 'rock bottom' whether they voluntarily enter a society or arrive straight through the criminal justice system. Many residents have been drug addicted for years and have a history of criminal operation or other legal problems. Although many residents arrive with a host of condition linked problems, most Therapeutic Communities stipulate that residents must be salutary enough to undertake corporal labour and participate in training programmes and other group-related activities.

The admission process for Therapeutic society 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 proper initial assessment may help sacrifice the drop out rate which is most considerable during the first 30 days.

5. Staff Profile

Staff participate as members of the community. Staff often share daily 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 comment from residents. Many staff members in the smaller communities may have been old residents. In this way the original 'them and us' split in the middle of professionals and assistance users is broken down. This helps to establish a sense of trust and intimacy enabling residents to palpate separate 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 considerable in this way of working.

6. Education and Training

The elements of treatment at the Therapeutic society typically contain addiction treatment, education, original curative and dental care, vocational skills training (e.g. Cooking skills, carpentry, normal 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 come to be Christians during their stay.

7. The Daily Timetable

Residents can expect a very structured and demanding daily habit 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 society may have a commitment to attend a church assistance on Sundays. This is not just a spiritual consideration, it allows members of the Therapeutic society an opening to increase their maintain network and commonly meet definite people exterior of their usual peer groups.

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

8. Spicy On

The most leading part of any salvage programme is probably preparing 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 including a place to live and a maintain 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 Spicy on is a transitional process. One of the supports most commonly identified as considerable to resident success once they leave the Therapeutic society 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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