Daytop International Services

(Smiling man)
Dear Fellow TC Family Members,

It has to come to our attention that some of the traditional behavior management tools used by therapeutic communities are being abused and thus are losing their intended effectiveness in treatment outcomes. We at Daytop International feel a particular responsibility for this because much of the TC knowledge in practice today emanated from our TC training curriculum. As we all know, present day clients come to us with a more complex set of mental health problems than substance abuse disorders alone, including multiple levels of mood disorders. As the drug scene and the clients we serve are changing so must our approach to treatment. For example, it was reported to us that a program in Asia that uses the TC model held a resident in the prospect chair for thirty days. Further, abuses of residents in encounter groups and haircut sessions have been reported in programs also purporting to use the TC model.

I am sure that none of us condone such abusive practices; Daytop International certainly does not. Use of practices that abuse residents in any way put those treatment providers out of the mainstream of accepted best practices in drug treatment. Accordingly, Daytop International does not condone, encourage, and no longer teaches the abusive confrontational practices of the traditional TC methods and rituals of conducting the "Prospect Chair", "Encounter Group" and "Verbal Haircut". These Behavior Management tools were commonly practiced during the early years of the Synanon program and are now no longer viewed as best practices for the current generation of clients who have multiple levels of mental health disorders aside from substance abuse disorder. Moreover, these traditional practices can be misused or abused.

There is urgent need for us to come together as TC practitioners to review and study the efficacy of our current practices so that we can provide the best possible care for our residents utilizing the TC approach and method.

Please join with Daytop International in ensuring that all of our programs stress a professional code of ethics and standards for treatment that is committed to protecting the human rights and dignity of all persons associated with the therapeutic community or treatment setting.

A Global Perspective …
(Map of the world)

… with an Individual Focus

(Ting Ting holding her son)
(border around photo)
When Ting Ting’s son was born, she was a heroin addict. Today Ting Ting is at Daytop Yunnan, and they are both healthy and safe. Msgr. O’Brien’s vision is of a drug-free world. Thanks to his vision, faces of recovery are replacing the destruction of addiction around the globe. These faces belong to real people … like Ting Ting and her son.
Wide−ranging Application of the
Therapeutic Community

Daytop International provides comprehensive training in the Therapeutic Community (TC) model of substance abuse rehabilitation. The TC model’s flexibility has made it adaptable to a wide range of cultural settings and useful in both residential and outpatient drug programs. The “whole person approach” is used, addressing the physical, psychological, moral, educational, social, and vocational aspects of drug addiction recovery.

“The Therapeutic Community, it is not like a hospital.
(Dr. Yang Maobin)
(border around photo)

It’s not like a detoxification center, its not like a jail. It’s about the people, about their lives. They care about the people’s physical, physiological, social network, the family, the friendship, everything. It’s giving the people consistency and also hope.”

Dr. Yang Maobin, China

Programs around the world vary, serving clients from local communities and within incarceration settings, juvenile offenders, male, female, and mixed gender populations. They include those facing problems such as co−existing disorders, a history of abusive relationships, homelessness, and other behavioral problems that may or may not be related to drug abuse.

Philosophy

The TC’s self−help philosophy empowers clients to help each other as well as themselves. It inspires and motivates individuals to understand themselves and addiction, and teaches them relapse prevention strategies. The programs provide structured practice for clients to experience and internalize the achievement of a drug−free lifestyle, and support their identification and pursuit of their own personal, spiritual, and intellectual goals.

Training
(Training session)
(border around photo)
The training offered by Daytop International is designed to provide centers around the world with the information and tools necessary to run their programs, specific to the cultural and treatment needs of their clients, and structure of their environment. Much of the educational program is experiential, designed to foster the ability of participants to effectively translate theoretical information into practical application. Daytop staff may assist government officials and local medical and mental health professionals design a comprehensive national substance abuse treatment plan.
“My six months training at Daytop has enabled me …
(Rev. Bodhi)
(border around photo)

… to open 4 facilities serving 150 residents. I am experiencing much success with the Therapeutic Community model in Sri Lanka. Thanks to Daytop.”

Rev. Bodhi, Executive Director Mithuru-Mithuro Movement, Sri Lanka

This training program has been evaluated in large−scale outcome studies and has been demonstrated to be effective in improving drug counseling skills, treatment outcomes, and increasing productive activities of clients following treatment.

Staff

The Daytop International team provides complete training consultation services, from needs assessment, to development and delivery of training, to technical assistance for program implementation and evaluation. This team of top training professionals travels to sites around the world, working with local program administrators, regulatory bodies, and front line staff. The International staff adds clinical program directors from Daytop USA to its ranks whenever a program would benefit from the sharing of their expertise in specialized areas. Daytop Training also hosts foreign interns at its sites in the US, providing extensive, hands−on clinical practice opportunities.

“The Therapeutic Community training program has contributed in improving treatment services for substance abusers of Ecuador. We are grateful to Daytop.”
Dr. Fausto Viteri J., DirectorNational Treatment & Rehabilitation CONSEP, Ecuador

As an internationally recognized leader of drug rehabilitation, Daytop received Consultative Status with the Economic and Social Council of the United Nations in 1978, and actively participates in sessions of the Council.