TCIE 5 Practical Approaches (Spain)

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V. Practical approaches in Therapeutic Communities. Examples of staffing, the outline of a typical day etc.

The composition of the staff team working at the TCs has evolved during these years depending on each type of TC. In the eighties, bearing in mind that three types of TCs existed (a). The religious- evangelical TCs were staffed by people from the religious community or by ex-addicts. At the TCs formed by professionals the data we have are the following: In 1993 there were 269 people working in these centers, of these 37,5 % had a University degree, 33,9 % had no degree and 28,6 had a lower degree. In 1994 the situation at the same centers were: 265 people working at these TCs of which 42,64 % with a University degree, 29,05 % with a lower degree and 28,3 % with no degree.

At the end of the eighties there were 14 Proyecto Hombre TCs, and the number has increased 32. Besides these 32 we need to take into account all those programs emerging from the TC spirit. For this reason I will now focus on the teams trained to work at the TCs in the strict sense as well as in the different Proyecto Hombre programs. This I will do by using the information given by the Proyecto Hombre Therapist Training School in Aravaca (11). The training goals are: To understand or become established in the Proyecto Hombre Philosophy and Methodology . To make the therapeutic relationships more efficient. To promote the team work. To develop the personal capacities. To promote the living experience encounter between professionals. To perform an indepth study the skills, the qualities and the styles of the therapeutic intervention. To unify and to confirm experience and research. The global goal: To improve the service quality and the attention on the drug dependent clients in their rehabilitation and social reinsertion processes. Since 1990, when the school opened, until 2004, 2.763 pupils have been trained at the School. Of these 1.227 have done the basic training, which is a six week course divided in three periods of two weeks each with in between 2 months practice at the centers. Of these 53 % were men and 47 % women. 78 % had a university degree and of these 73 % had studied psychology or special education. 22 % had elementary/secondary studies. 28 % were ex TC clients.

50 Continuous Training Courses have been given with the participation of 1.297 students. The most important subjects have been: management, values, life style subjects, treatment, prevention, thematics items. It is important to mention that, for example, between 2002 and 2003, 25 % of the staff of the Proyecto Hombre Centers took part in the Continuous Training Courses.

University Training. Since 1998 Drugdependence Expert Courses have been given with the colaboration of the Drugdependence Institute, organization belonging to the Universidad de Alcala de Henares, Madrid. 168 therapists have been trained there. 54 % are men and 46 % are women.

  • Evaluation Course. Coordinated with the Management, Analysis and Evaluation Institute of the Universidad de Alcalá de Henares, Madrid. 71 students have been trained there.

45 Proyecto Hombre experts have been trained at other universities.

A research performed the years 1990-2003, on the working permanence gave as a result an average of 6,3 years. The conclusions we arrived to through these different research studies performed at the Training School are clear: That a bigger possibility of basic and permanent training means a decrease of the stress level and encourages the permanence in Proyecto Hombre; it is a motivation factor and improves therapeutic work.

A typical day at the TC

7:00 Getting up and personal hygiene

7:30 Breakfast and putting the rooms in order

8:00 Sector meeting: organization of the daily chores of the sector. Work in the sector

10:00 A 15 minute break and continuation of the sector chores

12:00 Therapeutic activities (groups, workshops, dynamics, estatic and historic groups, social skills

14:00 Lunch

15:00 Short rest and work in the sector. Specific courses, eg. in the kitchen garden, gardening, adult school, etc.

18:00 To put in order the sector, daily revision, showers

19:00 Encounter of all TC

20:00 Supper

21:30 Free time

23:00 Bed time

It is clear that the TCs with special problems focuses more on the specific items of each TC. In teenagers, the emphasis is on education and free time training and also in relation to the time spent. In methadone programs, dual pathology, the groups are less intense; some TCs have more breaks and it even gives the possibility of individual rest after lunch. Being the Reinsertion Centers a prolongation of the TCs both the daily timetable as the therapeutic tools are diverse, being these a reinforcement to the social, familiar and labour integration, changing the weekly group for a weekly, fortnightly or monthly conversation until the definitive, final certification.

10. B. Fernández, C. Llorente, Juan Miguel and Carron, José "Evaluation stadard system of the A.P.T.C.,1995, pages 27-33

11. Abaitúa, Rosario, Proyecto Magazine nº 51, pages 42-43.

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