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Addicts with a criminal background in the TC Influences and results

Addicts with a criminal background in the TC Influences and results. Bertha Doldersum Hatta Smit & Frank Brook. Introduction. Bertha Doldersum Nurse, Sociotherapist and Teacher at VNN TC Hoog Hullen is one of the three Therapeutic Communities (TC) for addicts in the North of the Netherlands.

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Addicts with a criminal background in the TC Influences and results

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  1. Addicts with a criminal background in the TC Influences and results Bertha Doldersum Hatta Smit & Frank Brook

  2. Introduction Bertha Doldersum Nurse, Sociotherapist and Teacher at VNN TC Hoog Hullen is one of the three Therapeutic Communities (TC) for addicts in the North of the Netherlands

  3. Principles of the TC Hoog Hullen • TC as a mean and not as a goal • Selfhelpprogram (one addict needs another addict) • Workprojects, encounters and evaluation groups • Take in

  4. What has changed in TC Hoog Hullen • End of the treatment chain • Shorter length of stay • Medication • More multidisciplinary treatment • More patient centered instead of program centered

  5. What has added to the TC Hoog Hullen? 1.More thorough psychiatric diagnosis 2.Better drop-out management 3.Different attitude to cope with survivalbehaviour of the criminal addicts.

  6. Survival behaviour of the criminals: • Law of the jungle • Image building to be a big macho • Keeping control on everything • Want to know everything about others and be silent about themselves • Creating atmosphere • Blaming others, never themselves • Never showing their weakness • Very good in manipulating • Lying is a second nature • Very impulsive

  7. How we work • Focus on: • TC original concept (learning every day) • Join the group (not problem solving) • TC as the playground • Awareness of failing • Experience and live trough • Change of coping style

  8. Do we treat criminal addicts in the same way as we treat addicts without a criminal background?

  9. Survivalbehaviour. • We accept that they still need this image to survive • We create a safe relation and after that we carefully confront • them with their survivalstrategies. • 3. We remain thrustworthy in our engagement with them. • 4. Permanent confrontation with their (survival)behaviour. • 5. When they are ready for it they get the chance to practice • with their new copingstyles. • 6. We offer patient centered Treatment

  10. Influences and results • Focus on strength versus impossibilities • Medication when needed. • Close collaboration with the Inpatient Motivation Centre, • Referral and Time-out. • 24 hours treatment • patient centered treatment • professional crew • Multidisciplinary approach • Systemic therapy,pedagogical training, socio-legal training, • psychomotoric therapy social skills training etc…

  11. Some conclusions: • Criminals are younger and more men than the non-criminals • Criminals more opiate and less alcohol than the non-criminals • Criminals less non-completers than the non-criminals. • Definition of a criminal: • A person who is referred to the TC by The Inpatient Motivation Centre, where people in detention are admitted with the aim to get them motivated for treatment.

  12. Results: • CONCLUSIONS • TC today is more than a dusty relic of 1960’s thinking • Addicts with a criminal background can learn new healthy copingstrategies • Confrontation with Your own strength taps new sources of positive energy • It is a fact that addicts with a criminal background need more intensive (systemic) patient centered treatment than patients with no criminal background

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