CA 3 Notes On TCMP
CA 3 Notes On TCMP
Therapeutic Modalities
JSSUPT CAROLINA CABANGAN BORRINAGA, (Ret) Ph.D.
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Introduction
What is Therapeutic Community?
Therapeutic Community or TC is a practice in a family environment with
CARING, HEALING and TEACHING aspects.
It has both written and unwritten philosophies.
TC has developed NORMS which are ACCEPTED STANDARDS of
behavior.
These NORMS served as GUIDE and are TRANSFORMED nto RULES
that GOVERN family milieu.
Behavior
Management
Intellectual
and
Spiritual
BEHAVIOR MANAGEMENT
INTRODUCTION
The Behavior Management is a component of Therapeutic Community
Modality Program (TCMP) that introduces the concept and mechanics of the
various shaping tools to include Morning Meeting in order to facilitate the
management of and shape the behavior of the residents. This shows the
essential elements and significance of the tools which would provide the
community common language, increase cohesiveness and adapt to the moral
and behavioral code of the tools application. The behavior shaping tools are
ordered in hierarchy to provide enough room for personal growth and learning.
The community serves as a dynamic force that motivates the individual to
achieve positive behavior change.
Expulsion
General Meeting
Learning Experience/Bans
Haircut
Dealt With
Pull-Up
Talk To
TALK TO
A “Talk To” is an outright correction done by any member of the TC
community to another member who has done a minor infraction but is not aware
of it. It is a friendly reminder/advice about an unacceptable behavior and must be
done privately. During a “Talk To”, the resident is made aware of his/her negative
behavior and the results it may have on others and the environment. The
feedback given to the resident who committed mistake is done in a positive way.
This is to evoke awareness on the part of the violators to avoid committing the
same mistake and be given heavier sanctions if done in the future.
PULL-UP
A Pull-up is done as a result of lack, missed or lapses in awareness in a
resident. All the members of the community are responsible to pull-up minor
infractions done by peers. It encourages honesty, demeanor awareness and
owning up to one’s mistakes. This is done when the violator is unknown and must
be validated first prior to bringing up in the Morning Meeting.
Pull-ups create a certain degree of dissonance on the guilty party whereby
there is a strong internal conflict whether to practice honesty or continue to live in
a lie. When the resident is able to overcome the impulse to lie and start practicing
honesty, his commitment to live by the TC standards increases.
The resident receiving the pull-up is expected to listen without saying a
word, assume that it is valid, quickly display the corrected behavior and express
gratitude in receiving it. After one member did the pull-up, other residents who
want to show concern can make elaborations to give emphasis to the infractions
and concretize the admonitions that need to be relayed to the violator. Two to
three elaborations are ideal.
Too many elaborations are discouraged as they may take so much time.
Focus should be given to the behavior and not the person. It is meant to raise
awareness and not to punish or embarrass the violator. Personal attacks,
shaming or the use of racist language are strictly forbidden during pull-ups. It
should be emphasized that pull-ups are done out of responsible love and
concern to avoid creating negative feelings during the process.
In a situation wherein, no one stood and owned up a negative behavior
raised in the pull-up, the resident doing the Pull-Up will narrow down the Pull-Up
to make it clear and specific, stating the place and time of the occurrence. In the
event that nobody stood to own it up, the resident doing the Pull-Up will instead
ask the community to stand and there, he/she will deliver his pull-up addressing
the entire family believing that the violator is a responsibility of the whole
community.
DEALT WITH
Dealt With is done when negative behaviors or infractions to the House
Rules/Norms are done for the second time of same offense by a resident.
A panel of three (3) composed of a senior resident, peer and a friend are
tasked to deliver a serious and stern reprimand to the subjected resident.
Although the tool does not strictly require the presence of a staff, to attain
its purpose, the staff should monitor its conduct to ensure that the panel assigned
to the task really acted appropriately. It is done privately in a room or an area with
no other else hearing the conversation. Figure 2 shows the Dealt with Formation.
Resident
Subjected to Dealt
With
Senior
Peer Friend
Resident
HAIRCUT
Haircut is done when negative behaviors or infractions to the House
Rules/Norms in same offense are done for the third time or more or for first time
grave offenses. It is a carefully planned and structured verbal reprimand given by
a Staff with four other residents - Senior Resident, Peer, Big Brother, and
Department Head (Figure 3). The tone is more serious and can be loud, harsher
and more exaggerated.
This is done to induce anxiety and eventually change the person’s
behavior. Before the group calls in the person, they will discuss among
themselves the order of speakers, how intense the haircut will be and what
sanctions will be given if any. The resident is then called inside and waits until he
is asked to sit.
He will be asked if he knows the reason for his appearance. After the
person’s response, he will be asked to sit and remain silent to enable him/her
absorb all the advices.
The haircut gives emphasis on the behavior of the resident and the
severity of the haircut should be appropriate to the gravity of the offense. Each
member of panel is given ample time to express himself without interruption from
the other members. The staff or peer who booked the haircut should not be part
of the team so as to avoid bias or subjectivity. Before a resident be subjected to
Haircut, his/her infraction must be first investigated, discussed and decided by
the Disciplinary Board (Book II, Rule 2, Section 4 of the BJMP Manual).
Sanction/Learning Experience that has been decided upon by the jail Disciplinary
Board and the TCMP staff will be imposed after the Haircut.
Resident
Subjected to
Haircut
LEARNING EXPERIENCE
A Learning Experience (LE) is an action or activity given to a resident who
was subjected to Haircut or General Meeting who did an infraction to correct or
modify a behavior. LE may be task –oriented, written task or peer interactions.
Since TCMP is educational rather than punitive in its approach to behavioral
change, the LE should be done in a way that would remind the person of the
negative attitude he has done without compromising his human dignity. The
intent of the LE is not to stigmatize the person but to motivate him to make
restitutions for the wrong doings he committed and redeem himself in the
community.
BANS
Bans are sanctions to members who commit repeatedly infractions or
violation to the Cardinal Rules by prohibiting, disallowing or limiting an activity or
affiliation to a group.
It somehow curtails some freedom of movement and association. This
sanction causes unpleasant feelings which people try to avoid hence may evoke
behavioral changes in the future. It must be applied consistently after the adverse
behavior to emphasize the negative consequences. Privileges limited should
have impact but must not limit individual ability to meet personal hygiene,
nutritional and emotional needs. A resident subjected to Bans must be first
processed in a General Meeting called for the purpose.
GENERAL MEETING
EXPULSION
In extreme cases, when a resident is incorrigible and becomes a threat to the
community (Instigator, initiator of jail disturbances), the Director with the
recommendation of the Disciplinary Board may transfer him/her to the nearest jail
facility with an appropriate Court Order.
PRE-MORNING MEETING
Duration/ Frequency: Fifteen minutes daily
Participants: Senior residents, Counselor
Pre-Morning Meeting is done early in the morning prior to the Morning
Meeting. Senior members of the community will meet for about fifteen (15)
minutes to discuss the attitude of the house the previous day. It is also where the
senior members formulate solutions to the concerns discussed and to be
executed during the day. The attendees will also discuss the activities to be
engaged in the Morning Meeting and make sure that all participants are ready
with their corresponding parts and determine the amount of time to be allotted for
each part. The group will agree on the theme or concept of the day. This is to
make sure that everything is ironed out prior to the conduct of the Morning
Meeting such as the validation of pull-ups and other concerns.
MORNING MEETING
Duration/ frequency: One hour daily
Participants: All residents, Counselor
Morning Meeting is a daily ritual that starts the day in a TC faclility. It is
attended by the whole community and lasts for an hour. It commences with the
Opening Prayer, Singing of the Philippine National Anthem and the recitation of
the TC Philosophy. It is usually facilitated by any member of the community. It is
divided into two (2) parts namely: (1) public announcements and community
concerns and (2) community-spirit building or up rituals.
The first part of the meeting consists of public announcements regarding
important activities or businesses and other information that the community
needs to know. It is a review of how the community performed in the previous
day and check on the behavior of erring members through the conduct of “pull-
ups”. A pull up is done as an expression of concern over the lapses of some
members and encourage ownership of mistakes on the violators. The pull-up is
followed by affirmations of good deeds, display of responsible concern towards
peers or unselfish acts of some residents. This is to show that good deeds are
not left unnoticed and leave a feeling of self-worth to those concerned. The first
part of the Morning Meeting is a serious business where the members are
expected to be formal in their demeanors. Rules are set such as: no side talking,
no cross legging, no laughing, hands on the laps and sit erect.
The Concept of the Day serves as a guide as to what direction the
community is headed for the day. It is elaborated by residents of the community
to have a better understanding of the whole concept. The concept of the day is
preferably taken from the Unwritten Philosophies of TCMP.
The second part of the meeting consists of entertaining presentations to
lighten up the mood and start the day on a positive note. It somehow develops
some talents and shed off inhibitions of participants.
PARTS OF THE MORNING MEETING
I. COMMUNITY ANNOUNCEMENT/CONCERNS
II. UP – RITUALS
h. News casting (Local, Nat’l, International, Sports and Weather
News)
i. Entertainment (Choose either Song, Dance, Skit, Humorous Story)
j. Community Singing (Any song that has relation to the Concept of the
Day)
k. Greetings
SPIRITUAL COMPONENT
*TC Philosophy
*TC Unwritten Philosophies
*Theme/Concept of the Day
*Meditation
*Religious Activities
INTELLECTUAL COMPONENT
*Seminars
*Educational Activities (ALS)
*Debates
*Data Sessions/lectures
*Saturday Night Activities
*Games (Grab Bag, Islands, Charade, Pinoy Henyo)
*Mind games
THE TC PHILOSOPHY
I am here because there is no refuge finally from my self,
Until I confront myself in the eyes and hearts of other, I am running
Until I suffer them to share my secrets, I have no safety from them.
Afraid to be known, I can know neither myself nor any other, I will be alone.
Where else but in our common ground can I see such a mirror?
Here, together, I can at last appear clearly to my self, nor as a griant of my
dreams
Nor the dwarft of my fears, but as a person, part of the whole, with my share in its
purpose.
In this ground, I can take root and grow, not alone anymore, as in death
But alive to myself and others.
LAYUNIN
Ako’y naririto sapagkat hindi ko na matatakasan ang aking sarili
Hanggang hindi ako nagiging matapat sa pagpuna sa aking sarili
Sa mata at puso ng iba, ako’y tumatakbo.
Hanggang hindi ko inilalahad ang labi ng aking mga lihim,
akoy’walang kapayapaan.
Sa malaking takot sa sarili’y mabunyag,
Hindi ko maunawaan ang aking sarli at pagkatao ng iba.
Sa dilim mananatiling nag iisa.
Saan pa kundi sa piling ng katulad ko makikita ang tunay na salamin.
Sama sama dito sa wakas, matatanggap ko ang tunay at sariling pagkatao.
Di ang baliw ang aking pangarap o ang alipin ng aking takot.
Sa halip bilang tao sakop ng sanlibutan at may bahagi sa layuning ito.
Sa lupang ito ako ay makapag-uugat at susupling.
Di na ako muling mag iisa tulad ng kamatayan
sa halip ay may alab ang buhay, sa sarili at kapwa.
The TC Philosophy is recited daily during the Morning Meeting. It embodies all
the challenges and aspirations of most residents who feel alienated and the
desire to overcome the imposed limitations on their freedom and find their own
place where they could feel safe and welcome. It acknowledges the importance
of fellowship in shaping one’s behavior and motivating one’s fortitude of helping
himself and others. It likewise serves as his anchor in times of emotional turmoil
which he can always go back to and reflect. It forms emotional binding among
the participants knowing that they are grounded on the same philosophy.
1. Surrender
I am where I am right now because I admit that something went wrong with my
life that I have no control over. I admit that I need the help of a Higher Power and
of others to bring positive change in my life.
2. Self-disclosure
“Until I confront myself in the eyes and hearts of others, I am running. Until
I suffer them to share my secrets, I have no safety from them. Afraid to be
known, I can neither know myself or any other; I will be alone.”
I now know that unless I come out in the open and admit my mistakes, I will
forever be running from them. I need to disclose my deepest secrets to my peers
so that I can find the right ways of dealing with them.
By opening myself up for others to see through me, I will be free from my own
demons and let others guide and help me though my ordeals. Nobody can help
me unless I let them know my woes and let them understand that like them, I
also need help.
3. Reflection
“Where else but in our common grounds can I find such a mirror?”
There is no better place to disclose my feelings than in a place full of people with
similar experiences where I feel safe and free from prejudices. People are here
for different reasons but with a common problem. It is easy to identify with
somebody who is going through the same experience as me.
4. Self-realization
5. “Be careful what you ask for, you might just get it”
Man by nature is ambitious. We never get contented with what we have.
We want more, even if having so would lead us to commit mistakes. We
should learn to appreciate what we have and use it to better ourselves.
9. “Act as if”
Learning and accepting the TC program is not easy. Most residents feel
resistant towards it. This philosophy teaches the residents to go with the
flow as a way of compliance. In the process, they will learn to embrace it
and the behavior will soon become natural.
13. “Forgiveness”
To accept what has been done, move on and get over the hurt and anger
gives us a feeling of inner peace and happiness. Failure to get over the
pains will pin us down and stunt our progress.
14. “Humility”
To humble one’ self before others is a laudable virtue. We are often
enveloped by pride that it is difficult for us to lower ourselves and admit
our inadequacies and limitations. By doing so, we develop a fair insight
about ourselves thus giving us the challenge to improve ourselves.
GROUPS
*Static Group
*Peer Confrontation Group
*Secrets
*Encounter Group
*Extended Group
SPECIALIZED GROUPS
*Women’s Group
*Men’s Group
*Anger Management
*Loss and Bereavement
*Medication Support Group
BASIC COUNSELING
Counseling is defined as a professional activity of helping individuals, groups or
communities enhance or restore their capacity for psychological, emotional and
social functioning and creating an environment favorable for the attainment of
these goals.
Indicators:
1. Self-understanding
2. Established rapport
3. Achieved a bigger, wider level of self-awareness.
4. Experienced relief from emotional distress.
Duration and Frequency: One to two hours per session/depending upon the
needs as designed by the counselor.
Participants: Counselor and resident
Procedure:
1. Individual counseling is a helping tool between the residents and
counselor. Residents are usually referred to the counselor as needed
by peers or staff based on the residents’ behavior.
2. The counselor uses different techniques and methods in counseling.
3. The resident discusses different issues which causes his/her
difficulties.
4. Follow-up sessions will be done depending upon the needs of the
resident.
5. The length of the sessions will be determined by the progress of the
resident.
GROUP COUNSELING
Objectives:
1. To provide support to residents who fall behind and raise awareness
about problematic behaviors.
2. To help solve and overcome the problem.
3. To impart to residents the practice of TC norms and values.
4. To develop awareness and insight into one’s motives, feelings, and
behavior.
Indicators:
1. Encouraged commitments
2. Problems addressed
3. Developed sense of belongingness
Guidelines in Counseling
Set Clear boundaries
The client knows best
Act as sounding board
Don’t be judgmental
Don’t make decisions for them
Concentrate on what they are really saying
Be genuine
Accept negative emotions
How you speak can be more important than what you say
I may not be the best person to help
Counseling May Be Needed for Children and Adolescence (WHEN):
Being withdrawn
Lack of appetite/overeating
Sleep little/or too much sleep more than 9 hours
Lost of interest in the things he/she most enjoyed
Neglect personal hygiene
Crying for no reason
Oversensitive with other negligible issues
Disobeying
Academic problem
Extreme stubbornness and difficult to manage by any means
Violent behavior
Harming, or threatening to harm themselves or others, including animals
Using slangs
Aggressive attitude
Tendencies to violate institutional discipline or rules and regulations
ACTIVE LISTENING:
Attentive, open-minded listening helps the person to:
Experience and express his/her feelings
Develop self-help skills and a sense of responsibility
Reduce defensive behavior
Take a positive/constructive
problem-solving approach
Types of Questions
1. Open Questions – is the one that is used in order to gather more of
relevant information – intention is to get long/detailed answer. Generally,
start with “what”, “why’, “how” or “could”.
To begin an interview
To encourage client elaboration
To elicit specific examples
To motivate clients to communicate
Example: what is your bedtime routine?
o Purpose of Paraphrasing:
1. To convey that you are understanding him/her
2. Help the client by simplifying, clarify, focusing and crystallizing what
they said
3. May encourage the client to elaborate
4. Provide a check on the accuracy of your perceptions.
Steps in Paraphrasing
Recall the message and restate it to yourself covertly
Identify the content part of the message
Select an appropriate beginning: E.g., “parang”,” “sa palagay mo,”
“narinig ko na sinabi mo,”
2. REFLECTING
Reflection of feelings:
-(focus on feelings stated or unstated)
-Serve to communicate understanding of the emotions
-when combine with paraphrase, confirms the accuracy of understanding
-encourage the discussion of feeling
Example:
“nararamdaman ko na parang nag aalala ka sa iyong ina...”
3. Summary
A collection of two or more paraphrases or reflections that
condenses the client’s messages or the session
Covers more material
Covers a longer period of client’s discussion
Purposes of a Summary
To tie together multiple elements of client messages
To identify a common theme or pattern
To interrupt excessive rambling
To start a session
To end a session
To pace a session
To review progress
To serve as a transition when changing topics.
Steps in a Summarizing
Example-
Client- young boy At the beginning of the session:
“Hindi ko maintindihan kung bakit ayaw na ng mga magulang ko
magkasama sila. Hindi ko sinisisi ang ibang tao pero nahihirapan ako,
naguguluhan ako [Said in a low, soft voice with lowered, moist eyes]
Near the middle of the same session:
“sana magkasama pa sila. Sa palagay ko, nararamdaman ko hindi na,
dahil siguro sa akin. Siguro ako ang dahilan ng kanilang pag hihiwalay.”
Indicators:
1. Orderly and peaceful community
2. Self-reliance
3. Value of work evident through punctuality and patience.
4. Jobs completed on time with proper supervision.
5. Harmonious interpersonal relationship and respect for hierarchy.
6. Pride in quality
TIME ACTIVITY
5:00 -6:00 AM Wake-up time
Job Function
6:00 -6:45 AM Morning Exercises (Daily Dozen)
6:45 -7:45 AM Breakfast and Wash-up
7:45 -8:00 AM Pre-Morning Meeting
8:00-9:00 Morning Meeting
AM
9:00-11:30 AM ALS Dep-Ed- Mon & Tues (9:00-11:30)
Bible Study – By Group (10:00-11:00)
Phone Call Privileges (10:00-11:00)
Holy Mass as scheduled
11:30-12:30 PM Lunch
12:30- 1:00 PM Personal Time
1:00-5:00PM Visiting Privileges
Monday – No visiting privileges intended
for general cleaning
5:00 – 5:30 PM Inmates’ Counting
Job Function/ Departmental Meeting/
Static Group Meeting
5:30 -6:00 PM Aerobics/ Dancing
6:00 – 6:30 PM Holy Rosary/ Bible Reading
6:30 -7:30 PM Dinner/ Cleaning-up
7:30 -8:00 PM Spiritual Enhancement
8:00 – 9:00 PM TV Viewing
9:00 PM LIGHTS OFF (TAPS)