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The Society’s vision of services is guided by current health promotion concepts,
a developmental model of recovery and the multi-dimensional model of the therapeutic
community, a whole person/whole systems perspective based on social learning principles. The
therapeutic community’s history of treating substance abuse disorders in a broader
context of personal, social and psychological dysfunction, has clearly established
its efficacy in working with difficult populations. The modified therapeutic community
is a multi-dimensional model that views substance abuse problems as disorders
of the whole person and his or her functioning rather than defining characteristics.
Our program and services focus on promoting health rather than focusing on deficits
and aim at involving people in enhancing their physical, mental, social and spiritual
health by teaching the self-care and mutual support skills that will allow them
to manage daily living responsibly. These
activities help people build a spirit of self-reliance, coping and capability
that carry over into other aspects of daily life. Successful treatment, in the
modified therapeutic community’s view, involves a commitment to recovery, to active
participation as a community member and to following the principles of “right
living.” Congruent with the therapeutic community approach, the Canadian Centre
for Health Promotion’s conceptual framework focuses on the individual’s possibilities
in three fundamental areas of life that are common to the human condition: being,
belonging, and becoming. Viewing
these dimensions from a holistic perspective, we see these possibilities as arising
out of the ongoing interaction between persons and environments. The health framework
recognizes that individuals have physical, psychological and spiritual dimensions,
acknowledges people’s need to belong in both physical and social senses (i.e.
to places and to social groups), as well as to distinguish themselves as individuals
by pursuing their own goals and making their own choices and decisions (Renwick
& Brown, 1996). The
use of community as method has been of primary importance to us in engaging, providing
a safe container for, and supporting individuals whose experience of change is
often a painful and trying process that leaves them especially vulnerable to relapse.
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