Therapeutic Modalities
Therapeutic Modalities
MODALITIES
LYEN CAREL T. GARCIA, RCRIM
TOP 1
CLE JUNE 2022
THE UNITED NATIONS STANDARD MINIMUM
RULES FOR THE TREATMENT OF PRISONERS
(THE NELSON MANDELA RULES)
RULE 3
Imprisonment and other measures that result in cutting off
persons from outside world are afflictive by the very fact of taking
from these persons the right of self- determination by depriving
them of their liberty. Therefore the prison system shall not,
except as incidental to justifiable separation or the
maintenance of discipline, aggravate suffering inherent in
such a situation
RULE 4
The purposes of a sentence of imprisonment or similar
measures deprivative of person's liberty are primarily to protect
society against crime and to reduce recidivism.
RULE 5
The prison regime should seek to minimize any
differences between prison life and life at liberty that tend to
lessen the responsibility of the prisoners or the respect due to
their dignity as human beings.
GOALS OF CRIMINAL SENTENCING
1. RETRIBUTION – act of setting a punishment for someone that fits the crime.
Based on lex talionis or the law of retaliation
2. INCAPACITATION – It refers to the act of making an individual incapable of
committing a crime by execution or banishment and in more modern times by
execution or lengthy periods of incarceration.
3. DETERRENCE – It is the use of punishment to stop potential criminals from
committing crimes.
4. REHABILITATION – It is the process of helping inmates grow and change,
allowing them to separate themselves from the environmental factors that made
them commit a crime in the first place.
5. RESTORATION – the process where victims, offenders and communities
affected by a particular offense meet to find a way to restore or make amends for the
harm resulting from an offense.
REHABILITATION AND REFORMATION OF
PDL
REHABILITATION
is a program of activity directed to restore a PDL self respect
and sense of responsibility to the community, there making him/her a
law-abiding citizen after serving his/her sentence
REFORMATION
is a means of amending or improving by changing an inmate’s
behavior or removing his or her faults or abuse and removing or
correcting an abuse of a wrong or error.
It refers to the acts which ensures the public that released
national inmates are no longer harmful to the community by
becoming reformed individuals prepared to live a normal and
productive life upon reintegration to the mainstream of society.
HISTORY OF REHABILITATIVE AND
REFORMATIVE APPROACH
THE STATIC GROUP is a permanent group of peers and leaders that meet
regularly while the residents are in treatment. It is a sort of “home” group
who provides support for one another and to the new members of the
community.
BIG BROTHER an older member of the community tasked to provide
guidance to the newly committed residents
PHASE II- PRIMARY TREATMENT
• Behavior Management;
• Emotional and Psychological;
• Intellectual and Spiritual; and
• Vocational and Survival Skills.
BEHAVIOR MANAGEMENT
BEHAVIOR MANAGEMENT
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.
TOOLS
*Pre Morning Meeting
*Morning Meeting
*Talk To
*Pull Up
*Dealt With
*Haircut
*Learning Experience/ Bans
*General Meeting
*Expulsion
PRE MORNING MEETING
Duration/ Frequency: Fifteen minutes daily
Participants: Senior residents, Counselor
The major tools of the BST, such as the Talk To, Pull–up,
Dealt With, Haircut, Learning Experience, General Meeting
and Expulsion were developed as a means to correct
behaviors of the residents that violated the TC norms.
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
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.
a. Task-Oriented LE
Pots and Pans
Grounds and Landscaping
Cleaning and Maintenance
Time keeping (wake up calls, lights out calls)
b. Written tasks
Composition or Essay
Reproduction of TCMP Materials
c. Peer Interaction
Reading and reporting of topic
Announcements (Morning Meeting or House Meeting)
Bans
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.
GENERAL MEETING
A repeated breach to the Cardinal Rules necessitates a
General Meeting. Such issue should be discussed with the
community to point out to the violator the negative effect the
behavior had on the Community
4. CONSTRUCTIONIST APPROACH
While actual events in the world can trigger people’s
meaning-making processes, it is those meaning-making
processes, rather than the events themselves, that determine
how people think, feel and behave.
PSYCHOSOCIAL SKILLS AND
CHARACTERISTICS OF COUNSELING:
*Empathy
is the ability to perceive the client’s feelings and to
demonstrate accurate perception of the client. It is merely
“putting oneself in the client’s shoes”. When the client feels
understood, a sense of trust or “rapport” is developed.
Rapport paves the way to a more meaningful communication
and may enable the client to understand and accept more of his
or her complexity of feelings.
*Warmth
is also called “unconditional positive regard”. It involves
accepting and caring about the client as a person, regardless
of any evaluation or prejudices on the client’s behavior or
thoughts. It is most often conveyed through our non-verbal
behavior or bodily gestures.
*Respect
is our belief in the client’s ability to make appropriate
decisions and deal appropriately with his or her life
situation, when given a safe and supportive environment in
which to do so. It is often showed best by not offering advice
or cheap comfort.
The counselor shows his utmost respect to the client by
listening in silence and giving him the opportunity to design
his own solutions to the problem. A similar term for this is
“empowerment” as the counselor likewise demonstrates that he
values the integrity of the client.
*Congruence or genuineness
is being honest and authentic in dealing with the client. It is
showing real concern rather than focusing on techniques
during sessions. It is also being aware of the counselor’s own
unmet needs and how it may affect his relationship with the
client.
*Confidentiality
means that anything discussed during counseling sessions is
held absolutely private and not to be discussed anywhere.
This contract should be held sacred so as to maintain the client’s
trust and enable him to disclose sensitive matters to the
counselor without fear of any breach of confidentiality
INITIAL INTERVIEW/ INTAKE INTERVIEW
INDIVIDUAL COUNSELING/ ONE TO ONE COUNSELING
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
PATTERN OF COUNSELING SESSION:
1. Introduction: First 10 minutes
Greet the client warmly.
Smile and shake hands.
Escort to the counseling room.
Explain how the session is going to be to alleviate fears.
This is the time to develop rapport.
Assure client on confidentiality.
4. Conclusion:
Motivate the client that “he can do it”. If not, he may need to be referred to
a Professional.
Brief client on what to expect the next session (progress based on plan of
action).
End session on a positive note.
Client should be able to list down things that he has to look forward to
over the next few days. If not, this is a red flag for suicide.
WHEN TO BREAK CONFIDENTIALITY?
1. Children are being neglected or abused
2. Appearance in court as a witness
3. Client expressed plan to commit suicide
4. Client expressed plan to harm others
INITIAL INTERVIEW/ INTAKE
INTERVIEW
The intake interview in the jail setting is done by a Counselor to
newly admitted residents. The main purpose is to elicit
information about the resident and provide information
about the program and what the expectations are on both
parties. Full and honest disclosure is expected on the
resident to elicit adequate and elaborate information and come
up with the proper treatment plan.
ONE TO ONE COUNSELLING/INDIVIDUAL
COUNSELING
Objectives:
1. To promote individual explorations and help surface
complicated and troubled feelings among the residents.
2. To provide a regular source of counseled guidance to
residents.
3. To assist the residents to develop better coping skills and
improve self-esteem.
4. To explore the different psychological tools which
promote the development of insight and increase self-
efficacy among the resident
GROUP COUNSELING
*Static Group
*Peer Confrontation Group
*Secrets
*Encounter Group
*Extended Group
STATIC GROUPS
The Static Group is a permanent group of peers and
leaders that meet regularly while the residents are in
treatment.
It is a sort of “home” group who provides support for
one another and to the new members of the community. This is
designed to provide a forum for self-expression and
disclosure. It is usually facilitated by senior members of the
group. It focuses on group relationship and patterns of behavior.
PEER CONFRONTATION GROUP
The group participants in Peer Confrontation group are
selected by the staff and group according to peers like adult
members will go with the same date of entry in the facility and
same goes with the middle and young members.
Exploration: In this phase, all the feelings that were expressed are
further examined and explored and find out how it could have
resulted in such way in order to evoke awareness on the connection
of behavior, feelings and attitude.
In this phase, blaming or finger pointing at one party is avoided. It
will only cause resentment form one party.
Resolution and Commitment: After some realizations and attaining
some insights into their behaviors, the residents are now ready to
move to the last phase to practice new behaviors. From the feedbacks
received, the resident involved will now express how he feels
about the whole thing and may own up his behavior which has
caused the conflict. He then goes on to make commitments to
avoid such occurrence in the future. Such commitment made by
the residents will be monitored to make sure that they are being
put to practice to avoid lapses.
*Women’s Group
*Men’s Group
*Anger Management
*Loss and Bereavement
*Medication Support Group
LOSS AND BEREAVEMENT
Duration/frequency: one hour once a week
Participants: 10 – 15 residents
Procedure:
1. Facilitator is knowledgeable in conducting the sessions and
managing the time.
2. The group is very supportive and compassionate.
3. Facilitator discusses the process of grieving and the impact of
losses, mad feeling, attitudes and behavior derived from the loss
of a loved one.
4. Counselor gives some suggestions on how they would handle
the situation appropriately when there was another similar situation.
5. At the last sessions, each participant was required to write a
letter to someone or a buddy to tell about the past and what they
will do in the future regarding losses.
WOMEN’S GROUP
Duration/ frequency: one hour once a week/ might last for six sessions
Participants: 8-15 residents, Counselor
Procedure:
1. Held once a week and run by TC personnel. It provides an opportunity for
all female residents to share and discuss their feelings on women’s
issues: family, relationship, self-identity, self-image, societal role and
reproductive issues.
2. Issues to be tackled are gender specific problems and aims to help
female residents identify their challenges and needs.
3. Residents are helped to explore and understand the relationship
between women’s issues and their influences on them. It enhances self-
understanding among women.
4. They can also help each other through mutual support and concern.
MEN’S GROUP
Duration/ frequency: 1 hour once a week
Participants: 8-15 residents, counselor
Procedure:
1. Topics include expression of feeling, reveal of true self, dealing
with feeling and how to avoid abusive relationship, family
conflicts, sexuality and sexual relationships.
2. Group sessions enabled each of them to identify, express the
feeling related to the trauma and lessons learned from those
experiences.
3. The counselor who raised the issue will be the one to conduct
it.
MEDICATION SUPPORT GROUP
Duration/ frequency: as long as the residents are on medication
Participants: Residents on medications and Jail health personnel
Procedure:
1. Counselor holds the group once a week who are on medical and
psychiatric medication.
2. Group members are educated on different kinds of medical and
psychiatric problems and its effects.
3. Sharing on the intake of medicines and its side effects of taking
it.
4. Cohesiveness is enhanced.
5. Share and discuss how to face their difficulties, coping with the
disease and problems encountered while they are on medications
ANGER MANAGEMENT
Duration/ frequency: 1 ½ hour for 6 weeks/as needed/curriculum-
based
Participants: 10-15 residents
Procedure:
1. Facilitated by a counselor.
2. Questionnaires are provided to the residents to answer how
they demonstrated their anger before they came for treatment
and while in the facility and how they go through it.
3. Participants are selected based on interview and attitude
showed while in treatment.
4. The group is an avenue for the residents to know their anger
feelings and acquire new knowledge and information on how to
deal with their feelings on different situation and personalities.
INTELLECTUAL AND SPIRITUAL
COMPONENTS
INTELLECTUAL AND SPIRITUAL
COMPONENTS
The Intellectual and Spiritual Component hopes to
enhance the spiritual and intellectual dimensions of the
residents by providing opportunities for them to develop self-
worth and productivity
SPIRITUALITY IN TC
Spirituality is any action or activity that reflects or
brings out the goodness in a man.
Spirituality in TCMP is designed to respond to the inner
longing of residents to find greater faith where they can
anchor themselves within their struggle to find meaning to their
Existence
It summarizes a man’s relationship with himself, others
and the Supreme Being. The spiritual component provides the
residents with activities that would help them explore the
meaning and purpose of their existence and their particular place
in the world.
INTELLECTUAL COMPONENT
The intellectual component on the other hand responds to
the natural human characteristics of yearning for knowledge in
order to attain a higher level of understanding.
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.”
3. Reflection
“Where else but in our common grounds can I find such a
mirror?
4. Self-realization
“Here together, I can appear clearly to myself, not as the
giant of my dreams not the dwarf of my fears, but as a
person, part of the whole with my share in its purpose
5. Growth
“In this ground, I can take root and grow”
6. Self-worth
“Not alone anymore as in death, but alive to myself and to
others”
TC UNWRITTEN PHILOSOPHIES
The unwritten philosophy of TC consists of slogans or
aphorisms that are verbally given to the residents to impart
the beliefs and values of TC in relation to their day to day living.
These sayings are used to remind the residents as to what
are considered important to them
1. “Honesty”
A lot of residents continue to live in a lie without the fear of its
consequences. This virtue points out the importance of truth and
its relevance to recovery.
“Compensation is valid”
A reward for working hard is well deserved. We get what we put
into.
“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
“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.
“You alone can do it, but you can’t do it alone”
Oftentimes, we feel invincible and indispensable knowing that
certain tasks can only be accomplished by us. We don’t realize
that we have certain limitations that without the help of others,
the burden will be too great for us. We should learn to reach out
for help and admit our weaknesses
“Pride in quality”
Time flies so fast that we tend to hurry in everything we do. We
lose our focus and do things haphazardly just for the sake of
completion. We should always seek for quality in our work. The
product of our labor speaks of our attitude towards life in general.
“Feelings don’t think”
We usually react impulsively to things around us because of our
feelings. Before we can even think, an action has already been
done. Everything starts in the mind. If we think before we act,
chances are, we will behave with contempt as we have analyzed
the process before the action
“Guilt kills”
One of the underlying reasons for depression is guilt. It is a
feeling of shame and self-blame. If a guilt feeling remains
unresolved, it can be turned inwards, thus resulting to self-
inflicted harm
“Hang tough”
Sometimes, we feel that there is no end to our miseries and we
feel helpless and hopeless. No matter how dim life seems to be,
there is always hope. In every problem is a solution. Every
problem is a learning experience that would make us tougher in
dealing with life’s challenge