THERAPEUTIC MODALITIES - Docx 2222
THERAPEUTIC MODALITIES - Docx 2222
MODALITIES
MS. MELISSA G JOVES
RCRIM
THE UNITED NATIONS STANDARD MINIMUM
RULES FOR THE TREATMENT OF PRISONERS
(THE NELSON MANDELA RULES)
It provide states with detailed guidelines for protecting
the rights of persons deprived of their liberty.
The rules are based on an obligation to treat all prisoners
with respect for their inherent dignity and value of human
beings, and to prohibit torture and other forms of ill treatment.
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.
PROGRAMS
Major Programs
There are four (4) major programs under the mandate of
BJMP and they are the following:
• PDL custody, security and control program
• PDL welfare and development program
• Decongestion program
• Good governance
CORE PROGRAMS
A. Provisions of Basic Needs
All PDL under custody are provided with three (3) meals
(breakfast, lunch and supper). Adequate supply of potable
water is made available to them at all times. Likewise, upon
admission, each PDL is issued his or her PDL uniform
consisting of the yellow shirt and brown jogging pants.
Hygiene kits are also distributed to the PDL on monthly or
quarterly basis. Occasionally, the provision of basic needs for the
PDL is supplemented by the food and non-food donations from
local government units, non-government organizations, business
sector and private individuals.
.
B. Health Services
Health services for PDL consist of interventions towards the
prevention, promotion, treatment of illnesses and
rehabilitation. All PDL undergo medical assessment upon
admission. During confinement, PDL are provided with health
education and counseling, medical consultations, regular health
monitoring, and provided medicines subject to availability. To
maintain the physical health of PDL, they are allowed daily
sunning and physical exercises
C. Educational Program
The educational program aims to provide opportunities
for PDL to achieve mandatory education. For this reason,
BJMP adopted the Alternative Learning System (ALS) of the
Department of Education for the PDL to earn their elementary
and high school diplomas. Teachers in the jail-based ALS
are BJMP Personnel who are professional teachers and
trained on the Instructional Method for ALS. In jails where there
are no personnel trained to handle ALS classes, the ALS
teachers would be coming from the Department of
Education. All PDL enrolled in the ALS earn their respective
Time Allowance for Teaching, Studying and Mentoring
(TASTM) pursuant to RA 10592.
D. Skills Training/ Enhancement Program
The objective of the skills training program is to equip the
PDL with technical/vocational skills which they can use in
seeking employment or starting their own business after release
from confinement. To make the PDL as competitive as other
potential job seekers, the skills trainings preferred are those
accredited by the Technical Education and Skills
Development Authority (TESDA) so that the PDL will be able to
earn National Certifications. Thus, only the PDL who meet the
eligibility requirements of the specific skills training program being
offered can participate.
E. Livelihood Program
The livelihood program presentsincome-generating activities
to PDL during their confinement where they are able to earn for
their personal upkeep and for financial support to their families.
The capital for the livelihood project are either from BJMP for BJMP-
funded projects or from the common fund of a group of PDL for non-
BJMP funded projects. Examples of continuing and most popular
livelihood projects of PDL are bags and purses, bonsai made of
beads, pastries, rugs, paper crafts, and wood crafts. To help the
PDL earn from these livelihood projects, the jail Unit Welfare and
Development Officer (UWDO) facilitates the sale of the products
in display centers or livelihood caravans organized by the local
government units and other service providers.
In addition, online or e-marketing of PDL products
is also run by the jail unit Welfare and Development
Office. F. Behavioral Management/ Modification Program
BJMP implements the Therapeutic Community Modality
Program (TCMP) to manage and modify behaviors of PDL
with the goal of positively changing their thinking and
behavior through structured group processes. The program
endeavors to teach and model positive thinking, pro-social
values, good decision-making, and positive coping. Through
the program, PDL are trained on socially acceptable ways
of behaving and relating with their fellow PDL and with
personnel and visitors thereby fostering a therapeutic jail
environment and maintaining a peaceful communal
atmosphere.
G. Interfaith Program
PDL are provided with the opportunity to practice their faith
while under custody without discrimination, subject only
to usual safety and security measures. The BJMP chaplains
and imams provide different religious services such as but
not limited to mass celebrations, communal prayers, spiritual
counseling, catechism, and others. Religious organizations and
their respective ministers/pastors and leaders are accredited
by BJMP to facilitate their regular contact with PDL for the
provision of religious services.
H. Cultural and Sports Program
The cultural program aims to promote camaraderie among
PDL, encourage the development of self-confidence and sharing of
cultural talents as form of positive entertainment. Cultural
activities allowed in jails include dance, singing, theatre/drama,
and art workshops. Also, through this program, PDL experience
some sense of social normalcy through the communal
celebrations of socio-cultural events like birthdays, Valentine’s
Day, Mothers’ and Fathers’ Day, Christmas, Lent and Easter,
Ramadan, local festivals and other similar activities.
I. Paralegal Program
The main objective of the Paralegal Program is to address
the overcrowding in jail facilities. Through the paralegal program,
PDL are assisted in availing of the different early modes of
release.
Regional and jail paralegal officers conduct continuous
informative seminars/orientations to PDL on their rights,
modes of early release, and other paralegal/legal remedies
which can be availed of by them. Other paralegal services
include paralegal counseling and case follow-up in the courts by
the jail paralegal officers.
J. E-Dalaw
The E-DALAW service is an alternative to the traditional
face-to-face visitation between PDL and respective families.
This service enables the PDL to connect with his/her family
through a supervised video call and chat. The program is
conceptualized specifically to cater to PDL whose family
members cannot go to the jail for actual visit because of the
long distance to the jail from the residence or workplace of
the family members. However, in case of jail lockdown by
reason of public health emergency where visitation is suspended,
all PDL are allowed to use the e-dalaw to communicate with their
families on equitable rotation basis
THERAPEUTIC COMMUNITY
The Therapeutic Community (TC) is an environment
that helps people get help while helping others. It is a
treatment environment: the interactions of its members are
norms that
designed to be therapeutic within the context of the
require for each to play the dual role of client therapist. At a
given moment, one may be in a client role when receiving help
or support from others because of a problem behavior or
when experiencing distress. At another time, the same person
assumes a therapist role when assisting or supporting
another person in trouble.
WHAT IS THE TC MISSION?
To promote human and social transformation among our
clients and among ourselves.
PHASES OF TREATMENT
Phase I- Entry/Orientation Phase
Phase II- Primary Treatment
Phase III- Pre Re-entry
Phase IV- Re-entry
Phase IV- Aftercare
PHASE I- ENTRY/ORIENTATION
PHASE
Once an inmate is committed to jail, he undergoes a series of
examination to determine his physical, social and psychological status.
Upon his commitment, a resident is placed on orientation at the
Reception and Diagnostic room/ Orientation Room.
He is then assigned a static group and a big brother who will
provide him with support and will walk him through the orientation phase. At
this phase, the resident is handled gently and is expected to commit
mistakes in the process of learning the program. Sanctions on negative
behavior are usually light with emphasis on teaching.
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
control and discipline. The inmate is now preparing for his life
outside of jail and is focused on making himself a productive
citizen.
He may start planning for job hunting and rebuilding family
ties and relationships.
The resident must focus on the following:
Transition to life outside of jail.
Creating a new lifestyle applying the tools and concept of
TC.
Learning positive coping skills to deal with day to day situations. Re-
establishing and strengthening family ties and support group.
Reintegration into the mainstream of society.
Developing realistic and attainable goals in life.
PHASE IV- AFTERCARE
Aftercare is an outpatient program that requires clients to
report twice a week to an outreach center. They are required to
attend group sessions to ensure their adjustment to life outside
jail to reduce recidivism. For clients released from jail, they are
referredto the Parole and Probation
Administration and Local Government
Units for follow up and aftercare. The clients are focused on
the following:
Maintaining positive behavior and prevent
recidivism Strengthening coping mechanism
Maintaining relationships and support mechanism
Sustaining interest in job or vocation to maintain livelihood
Integration into society
The Therapeutic Community Modality Program and the
Four Interconnected Development Aspects:
• 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
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.
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.
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.
The tone is more serious and can be loud, more harsh
and exaggerated.
This is done to induce anxiety and eventually change
the person’s behavior.
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.
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.
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.
CATEGORIES OF LEARNING
EXPERIENCES:
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
Such offense includes sexual acting-out with a fellow
resident, taking drugs and engaging in physical fight with another
resident. Other facilities include stealing or even smoking as part of the
Cardinal Rules.
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.
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
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.
Socialization: This is a structured social event where all those
involved in an encounter will have ample time to mend fences
with those they have offended or hurt in the past. The purpose is to
achieve closure, reaffirm relationship and maintain the unity of
the community so that all those involved can move on and leave the
past behind.
EXTENDED GROUP
The Extended Groups (Probe, Marathon) are usually
composed of 5- 12 residents and is being facilitated by 2
highly trained staff members.
It may last for 8-72 hours. The participants must have at
least 4 months in the program and have shown adequate
stability before he can be included in the activity.
It is a potentially intimate and intense session which
needs a significant amount of preparation. It focuses on the “here
and now” but allows a deeper exploration of issues that
affects new behavior. Special subjects may be the focus such
as sexuality, trauma, etc.
SPECIALIZED GROUPS
*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
andmanaging 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.