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Therapeutic modalities are a self-help social learning treatment model used in the
rehabilitation of drug offenders and other clients with behavioral problems.
Generic Therapeutic Modalities
As a Social-psychological form of treatment for addictions and related problems, the
therapeutic modalities has been typically used in the United States to treat youth with the
severest problems and for whom long-term care is indicated.
Therapeutic modalities have two unique characteristics:
(1) the use of the modalities itself as therapist and teacher in the treatment process
(2) a highly structured, well-defined, and continuous process of self-reliant program
operation.
The therapeutic modalities include the social environment, peers, and staff role models.
Treatment is guided by the substance use disorder, the person, recovery, and right living.
Right living emphasizes living in the present, with explicit values that guide individuals in
relating to themselves, peers, significant others, and the larger society.
Recovery is seen as changing negative patterns of behavior, thinking, and feeling that
predispose one to substance use and developing a responsible substance-free lifestyle. It is
a developmental process in which residents develop the motivation and know-how to
change their behavior through self-help, mutual self-help, and social learning.
in the therapeutic modalities, job functions, chores, and other facility management
responsibilities that help maintain the daily operations of the therapeutic modalities have
been used as a vehicle for teaching self-development. Remaining physically separated from
external influences strengthens the sense of modalities that is integral to the residential
setting.
Peers are role models, and staff members are rational authorities, facilitators, and guides
in the self-help method. The day is highly structured, with time allocated for chores and
other responsibilities. Group activities, seminars, meals, and formal and informal interactions
with peers and staff members. The use of the modalities as therapist and teacher results in
multiple interventions that occur in all these activities.
Objectives of Therapeutic Modalities
The primary objective of therapeutic modalities is to foster personal growth. This goal is
accomplished by changing an individual’s lifestyle through modalities of concerned people
working together to help themselves and each other. It represents a highly structured
environment with defined boundaries, both moral and ethical. It employs modalities impose
sanctions and penalties, as well as earned advancement of status and privileges as part of
the recovery and growth process.
Core Values of Therapeutic Modalities
The core values of therapeutic modalities are the following:
(1) ensure a therapeutic modalities that promotes principles of self-help. Mutual support and
lifestyle change;
(2) ensure that clients remain our primary focus;
(3) respect the staffs and volunteers as valued resources,
(4) maintain the highest standards of holistic prevention and treatment
(5) encourage innovation and organizational learning;
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(6) promote honesty and integrity;
(6) foster professional and personal accountability at all levels;
(7) practice shared decision-making and teamwork;
(8) uphold high standards of fiscal responsibility;
(9) promote and respect diversity;
(10) strive for continuous organizational improvement; and
(11) act in a manner that reflects commitment to a clear statement of purpose and vision
and mission.
Moreover, these core values are also applied in the principles of treatment in
therapeutic modalities, such as:
(1) the treatment should be modified to match the needs of clients, not the reverse;
(2) the individual needs are different and client treatment plans must recognize this;
(3) every effort must be made to build self-esteem and incorporate opportunities for success
throughout treatment;
(4) the participants must be partners in their treatment and include shared decision-making
with the entire modalities;
(5) the support continues when formal treatment ends, through aftercare; and
(6) the treatment must be constantly evaluated and improved upon
FUNCTIONS OF THERAPEUTIC MODALITIES
[Link] – they provide individual, group, and family therapy to clients. Moreover, in
the course of a day, members of the of the therapeutic routinely talk with clients about their
issues, progress and plans.
[Link] and Guides – they guide clients through self discovery and change. They
ensure that clients receive the experience necessary to understand and incorporate the
principles and values of “right living” into their everyday lives.
[Link] Managers – they assure the physical and psychological safety of the
therapeutic modalities by empowering each client to sustain the self-help process.
4. Rational Authorities – they demonstrate to the clients the rationality and appropriate
use of authority.
5. Role models- the human resources of the therapeutic modalities are not friends with
clients but skilled professionals who model appropriate boundaries and behaviors.
Co existing disorders – it is most commonly reffered to the coexistence of a substance use
disorder and psychiatric disorder
Recovery – is seen as changing negative patterns of behavior, thingking, and feeling that
predispose one to substance use and developing substance-free lifestyle.
Family involvement – it is enhanced and ideally should be staged, beginning with
orientation and education and then moving to support group, therapy groups, and therapy
with adolescents.