We use the Therapeutic Community (TC) model in three of our residential services: Wirral, Sheffield and Scotland. It has been used in the treatment of addictions since the 1950s, and Phoenix Futures have been delivering this model since 1969.
The community is the most important thing in a TC; you will hear the phrase “Community as Method” a lot and will learn about this important concept. Both staff and service users are members of the community and it is the community that facilitates positive change.
The main aim of the TC is to bring about change in the attitudes and behaviour of community members. It is specifically designed and organised so that all the elements of the TC help you learn and accept social norms and develop more effective social skills so that you can function and live your life in a more positive way. This is achieved by its members (you) taking responsibility for the running of the house and living with and supporting each other’s recovery journey.
The TC replicates wider society; it is structured and organised so that all members have a role to play in community life as well as attending groups, 1:1 sessions and a range of activities.
There are 3 stages of the TC - Welcome House, Primary and Senior Stages - and as you move through the programme you will develop skills, gain a better understanding of your behaviour and gain increased levels of personal and social responsibility.
Community Reinforcement Approach
The Community Reinforcement Approach is a behavioural health programme; it is based on the belief that the environment you are in has a powerful impact on encouraging or discouraging alcohol abuse.
It was developed over 30 years ago by behaviourists Nathan Azrin and George Hunt. The aim of Community Reinforcement is to make a sober lifestyle more rewarding than one that includes the use of substances. It is considered among the best alcohol treatments available.
We use this model in Grace House. The biopsychosocial model is the theory that addiction is the result of a complex interaction of 3 different factors: the biological and genetic factors, the social and cultural factors and the personal, individual factors. It was developed in the 1980s.
Full recovery needs changes to all of the above areas. A rehabilitation service should therefore provide a healing and learning setting in which new behaviours can develop and new skills can be learned.
Treatment under the Biopsychosocial Model will look like this:
- The drug – Addressing the following; detox, dealing with cravings, filling time with structure purpose and meaning. Examining other parts of your personality- dependent, mental health, personality etc. Relapse prevention and skills. A service should offer an environment where drugs are simply not accepted and the person has to use and develop other ways of coping with life.
- The set – Addressing the following; opportunity to look at self, define their view of self, develop support network, understand self, feeling more positive about yourself.
- The setting – To provide the following opportunities; to learn right living skills- move away from deceit, poor education, social deprivation. Develop education and employability skills, repair social circle.
The Biopsychosocial model is believed to work more effectively for women as the ‘set’ may often play a much great role for them in their recovery than for men.
Phoenix Futures’ Building Futures service is designed to provide innovative and effective psychosocial interventions for substance and alcohol misusing clients, either within a community or in a custodial setting.
The programme is an integrated Substance Misuse Service working alongside and in partnership with the Healthcare Team. Our provision responds to all potential client needs, building to the appropriate intensity to be delivered at the right time. The aim is to reduce repetition, avoid treatment wastage and build tailor made treatment packages for all types of substance misusing clients.
The packages give the service the ability to mix and match interventions to meet the demands of the clients at any point in time.
The interventions are written as single packages which are between 1-4 sessions in length, though if the Alcohol Intervention Programme is included (applicable to some establishments) this is 15 sessions in length. They address all the core issues of substance and alcohol misuse and aim to build client recovery capital. There are intervention packages for clients at all phases of treatment. The interventions are built up one by one to give the right intensity for the client group and individual.
Families, carers and loved ones are not forgotten within the Building Futures Service, with an emphasis on Family Support to ensure a wider holistic approach is taken.
Phoenix Futures runs the Building Futures Service in the following establishments:
Discover Drug & Alcohol Recovery Services across Central Lancashire; HMP Hindley; HMP Garth; HMP Littlehey; HMP Onley; HMP Preston; HMP Pentonville; HMP/YOI Winchester; HMP Whitemoor and HMP Wymott
For more information about Discover Drug and Alcohol Recovery Services, please click here.
For more information about our Building Futures Service at HMP Garth,
please contact DrugsTreatment.Garth@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP Littlehey,
please contact Drugstreatment.firstname.lastname@example.org
For more information about our Building Futures Service at HMP Onley,
please contact DrugsTreatment.Onley@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP Pentonville,
please contact BuildingFutures.Pentonville@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP Preston,
please contact DrugsTreatment.Preston@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP/YOI Winchester,
please contact DrugsTreatment.Winchester@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP Whitemoor, please contact Drugstreatment.Whitemoor@hmps.gsi.gov.uk
For more information about our Building Futures Service at HMP Wymott,
please contact DrugsTreatment.Wymott@hmps.gsi.gov.uk