Long-term therapeutic community

The role and place of TS in the social reintegration of persons with various types of mental pathology.

 In traditional psychiatric hospitals, the ideas and principles of TS are mainly used in the organization of care for the mentally ill , first of all, with a psychotic level of disorders, as well as people with severe personality disorders. Later, TS for persons with mental disorders united into a network, which made it possible to talk about the formation of a whole TS movement. TCs are now an integral part of the national mental health services in the UK, Germany, Norway, Sweden, Greece, Finland and Italy.

TS activity, its structure most fully reflects the definition given by the Association for Therapeutic Communities (Campling, 2001): it is a place where people with special needs or problems live together in an attempt to find a more adaptive way of being among others. Living together means cooking food together, playing together, doing sports, creativity and treatment together.

The therapeutic community for substance abusers is a community of people whose rehabilitation and readaptation takes place in a structured environment, through long-term inpatient living on the basis of refusing to take psychoactive substances. Therapeutic communities are defined as a psychoactive drug-free environment where people with addiction problems live together in an organized and structured way, preparing for the upcoming life without psychoactive substances in an external society.

In the therapeutic community of the RC "Transformation", there are strictly regulated norms and rules that are mandatory for every member of the TS, including employees. The TC model has nine required elements. These elements are based on the theory of social learning, which is used by the community to promote behavioral and worldview change. Elements: active participation, feedback from TC members, role modeling, collective ways to guide individual change, common norms and values, structuredness and consistency, open communication, individual-group relationships, unique terminology.

Tasks of the therapeutic community

Speaking about the role of TS in the RC "Transformation", it should be noted that the main task of this method is the reintegration of a person into society and the development of his ability to adapt. Maintaining existing connections with people around and establishing new ones is considered a serious therapeutic tool. The aim of the TS is not to cure the disease in itself, but to provide space for the comprehensive development of the client's personality. Group work carried out within the framework of the TS, which includes the "mirroring" mechanism, when colliding with another, allows you to experimentally find the boundaries of your "I"; to distinguish between the inner world and reality (for example, it is my desires that haunt me or that other people haunt me); to distinguish between your own experiences and the desires and experiences of another, to combine conflicting feelings directed at the other; to understand how a member's own behavior affects other members of the group - all this is significant in the adaptation of the client. DC clients are involved in the maximum possible participation in the everyday life of the vehicle (for example, making a list of products and buying them, managing the budget when choosing food, organizing leisure activities, keeping rooms in order, observing hygiene rules).

TS takes a different approach to the concept of care. It is not about work being done in place of the client, but about helping him do his job on his own, including confrontation with reality. For example, the counselor's job is not to clean the floor in his room instead of the patient, but to help him finish his work himself.

The most important principle of building relationships in the vehicle between customers and staff is partnership.

One of the important areas of TS activity is milieu therapy or therapeutic environment. The organization of the therapeutic environment presupposes the presence of a space for the client to explore his inner world, an analysis of his relationships with others, the ability to place his anxiety and aggression without destroying himself or others. This space is a place in which he can place all parts of his personality, including those that he cannot fit into a family or ordinary society. Figuratively speaking, the closed hospital of the Transformation Center can be viewed as a place where an addict can place his anxieties, a "container" of anxiety of society and family. By providing adequate care for a socially helpless client, inpatient counselors enable them to explore and realize their full potential. In TS, the situation of the therapeutic environment serves as a safe framework for the exploration of oneself and others, on the one hand, allowing conflicts and competition, on the other, limiting the ways of expression and the destructiveness of these attempts.

Therapeutic Community Guidelines

 Traditionally, the medical model focuses on the patient outside the context of his relationship with
the people around him. Doctors and loved ones are concerned about the patient's condition, and few are interested in the feelings and condition of the family members who carry the main burden. This, in turn, leads to an ever-increasing helplessness of the patient and the exhaustion of those who care for him. Meanwhile, for the first time, differentiation, separation of oneself from others, self-awareness of a person occurs in a family group, where it is necessary to share space with other people. In this case, you can understand where your own "I" is located and where the other person begins. In other words, this is the emergence of boundaries: "I need another in the same territory as me, then I have the opportunity to observe the other and, seeing the relations of others, I can see a part of myself, as in a mirror." In contrast to the traditional psychiatric hospital, TS proceeds from a collectivist model of considering the problem of mental health, placing the focus on the patient's interaction with the people around him. This approach is based on communalism - the joint activity of all members of the community to maintain life in it.

The next important TC principle is open, honest communication between all members of the therapeutic community - staff and clients. Employees of the RC "Transformation", in turn, are in a situation of continuous analysis of what is happening in the TS, studying the nature of conflicts, experiences, emotional recovery.

Another of the TS principles - confrontation with reality, implies mutual feedback from all members of the therapeutic community.

Another, no less important, principle is the approach to treatment as a learning process. This refers to learning to understand oneself, coping with strong feelings, communicating with the outside world and its representatives in everyday life, life skills (self-service, communicating with family, employer, shop assistant, etc.) necessary for independent living. In our TS, the range of listed activities is complemented by educational programs, vocational training and retraining at the stage of re-socialization.

As the experience of TS in different countries shows, the most successful model of TS development is one in which TS is viewed as a form of treatment that provides the opportunity to use individual, group or family options for work, which and is practiced in the RC "Transformation".

Our statistics for the last 10 years
12856 people applied for rehabilitation services
339 a person with remission for more than 5 years
1200 people are currently undergoing a course of rehabilitation and resocialization
440 people created families
7856 people have successfully completed the course
137 children were born our graduates
1067 people have remission from 1 to 3 years
more than 250 qualified personnel
594 human remission from 3 years to 5 years
and also 4 rehabilitation center abroad
Our team

We are here so that you have the opportunity to undergo an individualized rehabilitation program that will help you change your life and recover. Our main goal is to help you get treatment, and then return to the real world, return to work, to your family and return to real life! Our team consists of more than 250 qualified personnel: 200 trainers-consultants and rehabilitation therapists, about 50 psychologists and psychotherapists.

Sergey Makarov
Coordinator of the International Anti-Drug Association in Ukraine

Sergey is grateful that he has the opportunity to help addicts find a suitable rehabilitation program. For many families, he is the first person they contact.

Sergey Tykva

While working as a psychiatrist, Sergei Pavlovich was faced with the fact that drugs alone are not enough to improve the patient's condition, he saw that sometimes a conversation with a patient brings a greater effect than drug therapy.

Alexander Shulyak
Co-addict group coordinator, psychotherapist

Educational teacher, completed a series of trainings with the chief addiction specialist, psychotherapist

Plohih Vitaly
Psychiatrist, psychotherapist, psychotraumatologist

Shmagailo Alexey Vasilievich
Doctor-anesthesiologist of the highest category.

Practicing physician since 2002.

Olga Gritsenko
Psychologist, art therapist

Specialist of projective techniques in the rehabilitation of addicts, work with MAC (metaphorical associative cards)

Gurtovoy Ivan
Psychologist, psychotherapist. Business trainer.

Founder and Head of the Center for Development and Health "Feel-in"

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Recovery stories
Anna, 25
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Friends, hello everyone! I want to say a big thank you to the "Transformation" rehabilitation center for everything! For family for friends! For a sober life! For the opportunity to live and give life to other people!
Igor, 25
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Hello everyone. He started using drugs by injection at 15, alcohol and grass were even earlier. During the time of use, problems with the police, health and the loss of all relationships with people close to me became the norm. In the last 2-3 years, the meaning of life was lost, I was deeply depressed with suicidal thoughts. 4.5 years ago I applied to the "Transformation" rehabilitation center, where I successfully underwent rehabilitation and at the moment I am in stable remission. I am grateful to all the staff of the "Transformation" rehabilitation center for their help !!!!
Sergey, 33
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I am from the Luhansk region, at the moment I have been in complete sobriety for 4 years. Before the rehabilitation center "Transformation" I did not even dream of the life I have now: my beloved wife, work, sober friends, wonderful relationships with relatives, etc. For 11 years I have been using alcohol and drugs, have lost the meaning of life and have tried all possible treatments that have not worked. I am grateful that the rehabilitation center "Transformation" provided me with qualified assistance and helped me to believe in myself.
Alexey, 30
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My name is Aleksey. I am 30 years old and I am an addict. At the moment I am in stable remission thanks to the "Transformation" rehabilitation center for 5 years. I entered the program at the age of 25. I have been using drugs and alcohol since I was 12. From the age of 20 I realized that I had problems, and probably the most difficult time began when I unsuccessfully tried to quit, for 5 years there were many addiction treatments, it is difficult to say the exact number of exactly more than ten. There were fortune-tellers)) encodings, I left for other cities, got married, had children in the hope that it would settle me down, but everything only got worse, more and more people were suffering around me, and I myself was in a terrible state - desperate, embittered, lost every taste for life is a "man" (if I could already be called that). Yes, and I came here to the center without much enthusiasm, I did not believe that something could help me, I came for my loved ones. Completed a rehabilitation course. Now I am happy and clean, I want to shout about this to the whole world, so that every addict can find sobriety. And more recently I got married! I have a wonderful wife, we understand each other ... and this is just the beginning))) !!!!!
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Hello everybody. I have been in trouble since 93 and have been using everything. The last seven years have been a dense heroin system. Nothing helped, neither detoxification, nor grandmothers, nor sorcerers. At the next detoxification in narcology, he met with an employee of the rehabilitation center "Transformation" Sergey Makarov and decided to undergo rehabilitation. I am very grateful to him and the entire organization of the city of Dnepropetrovsk, thanks to God and you, I have remained in sobriety for 3 years.
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Hello friends! I want to share my story and tell you about how the "Transformation" rehabilitation center together with my parents helped me change my life !!!! On April 27, 2011, I arrived in Kiev at the center, after almost continuous 13-year use of drugs, alcohol, etc. I was exhausted, life lost all meaning, there was no desire to live like this ... But by some miracle I learned from my friend's mother about the rehabilitation center "Transformation" ... She told her parents, otherwise she said that I would die. no conditions or manipulations just the last 7 months, desomorphine, or the train is simply unbearable. A small child and a husband stopped, but I decided for the sake of my daughter, let her have at least one good mother. The husband also used and tried to send him to the center too, but he was convinced that he could quit himself and did not need anyone. We couldn't throw together. The first step has been taken. But it was not without falls .... On 4 months of rehabilitation, dad took me home, said that enough, you need to bring up my daughter. I arrived, but in less than a week I found myself back in this swamp. Husband, former friends, as if in a fog and everything spun with even greater force. It was very hard, I could not understand why ???? After all, there are guys who want to help and they do not understand in every possible way trying to leave, run away, by hook or by crook. But I wanted and I liked it at the center - the attitude, communication, unity, and the fact that no one uses, I thought that it was impossible to live like this and that "only the grave will fix the hunchback." The second time I went to Voronezh, to my region, went through rehabilitation until the end, went to school in Ukraine, and from there to St. Petersburg. During this time, she became a widow, almost deprived of parental rights, but a strong desire to be sober, it motivated to go forward. I stayed in St. Petersburg. Profile resocialization for girls was opened. Training in a fitness club is just a dream. She successfully underwent re-socialization, got a new interesting profession, which is very harmoniously combined with my healthy lifestyle - a circuit training instructor, and, at the same time, gained experience and the ability to communicate like a professional who knows his job perfectly. Later she became the head, together with the team of the fitness club, 38 graduates were released. Happy confident girls. In one of the therapy camps I met my husband. We built our relationship at a distance of 2000 kilometers. On July 19, 2014, the wedding took place. Now I am a happy wife and mother. A wonderful husband and a beautiful daughter - this is real female happiness !!!!! Many thanks to everyone who took part in my recovery. Thank you to your family for your support. Thank you to the rehabilitation center "Transformation" for a sober look into a new life !!!!!!!!
Sergey, 32
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I have been using drugs for 15 years. I will not tell the story, because I am already very far from that life and I do not want to delve into it. When I got to the "Transformation" rehabilitation center, I changed so much that I can't find words to describe it. Here life stopped, I saw it, I saw myself in it, my mistakes, here the dirt that was in me was revealed, but I did not see it. During rehabilitation, I was given information about the disease of drug addiction. They gave keys that helped me change myself, change my thinking. I learned to dream, set goals, achieve them, develop myself. I saw my life from a completely different angle. I believed in myself, in my sober life, in happiness. I know that I will succeed ... I have a long and happy life ahead of me. Now I am going through IT-re-socialization ... I got the necessary knowledge on the repair and maintenance of PCs, local area networks, site building. In two weeks, I finish my studies and go to work. EVERYTHING IS A NEW SOLE LIFE. Good luck to all …. P.S. …. And EVERYTHING is also possible in this life. Thanks to the rehabilitation center "Transformation".
Terekhova Anna
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I don't like to think about it, but what happened was it!) I used drugs for 12 years, there were breaks, but I never stayed sober for a long time, from drugs to alcohol, from alcohol to drugs! During the period of use, I lost everything! She started using drugs at about 22 years old, it all started beautifully, easy and fun. At that time I studied at the institute, worked, had a friend with whom I lived in a "civil marriage", at that time I considered it the only form of living with a man, there could be no question of marriage, why do we need obligations, responsibility? The priority was mainly financial, earning money, walking, living for your own pleasure! The drug was at that time a simple entertainment! I came to my senses three years later, when I realized that I could not even get out of bed without using heroin! I tried to quit, it didn't work! I grew up without a father, with my stepfather and mother, my father lived in another city, was a successful businessman and always offered to go to him, work and continue my studies, this time I took advantage of the invitation, it was the illusion that I could escape from the drug. I will work with my dad in the office, study normally and forget about the use) of course this did not happen! Of course I found a thrill, I deceived my father for a long time, sometimes I worked, sometimes I didn't ... I met a drug addict like myself and without a twinge of conscience went to live with him, I even stopped seeing my father! After a year of recovery in the rehabilitation center "Transformation" I plucked up courage, I wanted to go to ask my dad for forgiveness and found out that he died even then, at the time when I exchanged Him for a drug! With my "civilian" husband, we stopped using for a long time, started again ... Until, during the next, so to speak, remission, he injected himself and drowned, but I, heartbroken, began to use again, believing that there was a reason! I returned to my city and again from drug to alcohol, from alcohol to drug, my mother found out that I was a drug addict, but she could not help me, she just did not know how! The last three years of my use have been a real nightmare !! I dropped out of college. I was already known everywhere: ordinary operatives who catch drug addicts at points, I became one of the regular customers, police officers, because I began to steal and get caught with stolen goods, the FSKN dreamed of putting me in jail faster ... From morning to evening I stole, sold, bought drugs! I went to narcology many times ... My next boyfriend left narcology before me and died of an overdose! The doctor didn't take me to addiction treatment anymore, she said it was useless! Mom put me in another clinic, she tried to help me to the last, thanks to her too, I'm alive now! The doctor suggested the Transformation rehabilitation center, said that there were results, she saw her patients sober and happy. I went to rehab, it was not easy! The first months I was constantly going home, it was hard to quit smoking and change values ​​and priorities: finances, high, selfishness. Today I am getting a second higher education, doing what I love, I have a permanent job that brings joy not only to me, but also to others people who have lost hope that their lives can change for the better! For the first time I officially got married, I love my husband, I took upon myself the responsibility to be a faithful and loving wife to one man for the rest of my life! Thanks to the spiritual and moral principles that are laid down for rehabilitation, long-term work with specialists on personal change, I have entered civil society with dignity and with great pleasure I live and work, I abide by the Law! I love my homeland and people! Thank God and the people who helped me understand what it means to live with dignity!

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