Logan House: A Project Snapshot by Dave Warby ATCA symposium 11th & 12th October 2010
Logan House Pre-Release Program (DO IT) AOD & AOD Youth Program QIDDI Gambling Help Holyoake Driving With Care Interlock
Criminal Conduct and Substance Abuse Treatment Pathways to responsible living By Kenneth Wangberg & Harvey Milkman
By 2005 the Logan House program had lost most of its TC essence and had been reduced down to a 12 week residential program consisting of three four week phases: Awareness Transformation Reconnect
effective therapeutic communities will play a significant role in the future of AOD treatment
Consultation Transparency Empowerment Staged approach
Logan House Therapeutic Community Program Matrix The Therapeutic Community is a living and learning environment in which change amongst its members is signaled, seeded and supported by the group acting as a collective source of insight, support and strength. The therapeutic potency of the community is supplemented by a range of staff led interventions. Phase Acronym Induction P.O.P. Phase 1 R.O.C.K. Phase Title Program Orientation & Preparation Maximum 3 weeks Retention Assessment, initial case formulation and care planning, physical and dental checks, other specialist referral, motivational enhancement Community & process groups Work functions Recovery Orientation Concepts & Knowledge 10 weeks Response -ability Residents participate in 40 sessions of psycho-educational & process groups covering a broad spectrum of recovery related issues Individual counselling Referral as indicated for specialist treatments Community & process group Work functions Client Task Commit to drug related personal and lifestyle change Acquire the knowledge, skills and strategies required to initiate and support personal and lifestyle changes Theoretical underpinnings and practice frameworks Motivational enhancement Psycho education / CBT / ACT / DBT / therapeutic group work / social learning & social liberation frameworks / behavioral contracting and contingency management/ art & expressive therapeutic experiences / family & couples work / parenting skills / individual counseling / referral and shared care arrangements / holistic life balance elements ( nutrition, exercise, emotional regulation, meditation, values clarification, leisure and interests) Time Phase focus Primary elements Change Stage Contemplation Involvement Self as Engagement Dependent Interphase Interlude 2 weeks Reflection Personal reflection Life story Environmental scan & risk mapping and management Action Participation / compliance Independent Testing Phase 2 R.O.L.L. Aftercare CIAO Recovery Ownership Living the Learning 11 weeks Responsibility Senior process groups with a focus on relationships, relapse issues, discharge planning and community reintegration. Parenting group Individual counselling Community & process groups Work functions Community Integration, Aftercare & Outreach Up to 12 months Reintegration & Resilience Adaption and application of learnings to a broader range of life challenges resulting in enhanced coping competencies and building resilience Weekly aftercare groups offered for those that have left Logan House Integrate and internalize new behaviors and learnings having regard to a broader (post treatment) social context Consolidate change and forge a robust, preferred paradigm for living Maintenance Immersion / integration Interdependent Community Reinforcement framework Self Management and self initiated help seeking Consolidation Identity
Australasian Alcohol and other Drug Therapeutic Communities Standards
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