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AN IDEAL PRIMARY AND SECONDARY

STRUCTURAL TREATMENT PROCESS


OF A THERAPEUTIC COMMUNITY

(ASIAN MODEL)

By
Mr. Benjamin Ong (CSAC)
PHASE ONE
INDUCTION -PERIOD 1 TO 2 MONTHS

 This is an orientation stage of ‘Planting the TC Seed’


where individuals will have to impose the understanding
of the science and elements of a Therapeutic
Community. They will be given a ‘Working Paper’ to
work this stage.
 This is also the ‘Observation Stage’, where analysis
and diagnosis of characteristic defect is done basing on
prevalence of behavioral and attitude problems from
different individuals.
 Treatment process is on line with the psychosocial
History of individuals with a 100% supervision and
attention, where the main emphasis is on motivation
and understanding of the working paper.
 Individuals will have to abide strictly to a buddy system.
PHASE TWO
YOUNGER MEMBER- PERIOD -3 MONTHS

(DISMANTILATION, SERVICE AND MODIFICATION)


This is an intensive stage where individual’s negative profiles
and behaviors will be dissected, magnifies and managed with
intensive therapy. (Make or break situation).

Treatment processes at this stage are:


 Integration of ‘Static’ as an emotional crutch.
 The reward system or privilege system being imposed.
 Occasional outing in groups for probe or extended groups.
 Responding to a 75% supervision and behavioral
modification.
PHASE THREE
MIDDLE PEER - PERIOD – THREE MONTHS

 This is the reconstruction and application stage, where


individuals are re-enforced strongly on responsibilities and
intense group insights. This is usually the stage where the
manifestation of the seed of ‘Blind Faith’ occurs when
individuals realize in confidence the T.C.works for him or her.

 The treatment process goes as individual serves as Head of


Department or as Disciplinary Expeditors to re-enforce and
upgrade the community issues and activities with 50%
supervision.

 Homeleave is allowed once a month at this stage, on


deserving basis.
PRE-RE/ENTRY
PERIOD – ONE MONTH

ORIENTATION AND PREPARATION FOR THE RE-ENTRY


SECONDARY PROGRAM
UNDERSTANDING AND STRATEGY PLANNING FOR RE-ENTRY
 This is the crucial stage where individuals have to break away from the
primary stage, and thoroughly understand that this is the beginning of
the recovery process.
 At this stage, most of the treatment issues should be more or less
apprehended already.
 Individuals will then be given intense regular seminars on Relapse
Prevention such as Internal Triggers (H.A.L.T) and External Triggers
(P.T.P) by the Re-entry staffs or manager and an understanding and
strategic planning to reform back the bridge towards the five aspects of
life, following with the mainstream that is:
1. Family
2. God/Spiritual
3. Job/Profession
4. Law Enforcement of Society
5. Financial Stability
Acts as helpers in clinical, administration and domestic, departments
for eight hours a day.
SECONDARY
 (RE-ENTRY AND AFTERCARE)

RE-ENTRY STAFF STRUCTURE


 MANAGER
 OFFICER (LIASING)
 NIGHT FACILITATOR
RE-ENTRY PHASE ‘A’
PERIOD - 2 MONTHS

OCCUPATIONAL ADJUSTMENT
 At this stage individuals will focus on their adequacy of tolerance and
frustration on any type of work placements using their survival skill to
adjust and adapt to their immediate working situation. At the same
time they have pre-plan by making self-arrangement for their own job
preference for the future.
 The recovery process for this stage is that they have to practically
work very hard on the issues of the five aspects of life, focusing on a
100% priority on their recovery

THERAPY
 Three meetings and two groups per week, whereby staff will facilitate
as support and co-peers. Personal counseling at random by the Re-
entry Manager will be held from time to time.
 Activities at leisure like sports, games and positive entertainment
should be greatly encouraged at this stage.
RE-ENTRY PHASE ‘B’
PERIOD – 6 MONHTS

This stage is the stage where individuals by now work towards a


stabilize emotional balance, financial situation and mental health with
a self-supportive attitude and reasonable spiritual balance.

JOB SITUATION
 Should be working on own job preference, stay out on a detach
facility from the primary treatment

THERAPY
 Self-supervision with peer group support, and weekly group
facilitated by Re-Entry Staffs.
 A once per week personal counseling appointment schedule should
be setup by the Re-Entry Manager to focus on certain crisis
intervention.
 At this stage individuals are greatly encouraged to attend N.A.
meetings.
AFTERCARE

 The stage where individuals can confidently say that they have got
control of their life together again.

 This is the stage of their recovery process of re-arrangement towards


living back with their family spouse. By now, they should be
empowered to create an indepedency towards a new pattern of
positive, mature, responsible and better life cycle.

 After a period of six months consistency clients are invited to come


back for a ‘Level Training’ to further upgrade their personality and
be graduated.

 This continuation of N.A. meetings is always encouraged.

 “THE FRUITS OF A COMPLETE THERAPEUTIC PROCESS IN


COMMUNAL LIVING, IS THE MARK OF SUCCESS”
CONCLUSION

 WHAT MAKES THE TC WORK?


 THE BELIEF SYSTEM OF THE T.C

Every effort made in the Therapeutic Community is based


on a specific set of beliefs. These beliefs can be felt,
observed in behavior etc and they are:

 You can change – unfold


 The group can foster this change
 The individuals must take responsibility
 Structures to accommodate for change
 Act as if – go through the motion
 Positive Reinforcement: I am doing it, so can you, I
will, we will help you to become the man you are
capable of being. It is not easy, we know that but it can
be done. We also know that many people need help, but
“only” the people who wants it, “truly” get’s it.

 Self Help: We are a self help programme. We will


provide you with the tools needed to help you to
reconstruct your lifestyle in accord to right living & right
conduct. The operative words are your life. The bottom
line is: What lengths are you willing to go, to change?
How much of an investment are you willing to make in
your life? In the final analysis, this will determine the
outcome and quality of your personal recovery.
Responsible Love: We will give to you what was given
to us, responsible love and concern. We will not accept
anything that conflicts with or contradicts our value
system. We will not ask of you anything we would not ask
of ourselves. You will be expected to exercise self-
restraint. We will demand behavioral change. We have
three cardinal rules that is most vital in all T.C’s globally.

 NO PHYSICAL VIOLENCE OR THREAT OR VOILENCE


 NO USE OF ALCHOHOL OR ANY OTHER SUBSTANCE
 NO SEXUAL ACT OUT OR INVOLVEMENT WITH ANY
RESIDENTS
THANK YOU

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www.pengasih.net