Day Democratic Therapeutic Community Day Democratic Therapeutic Community

NetworkNetwork (DDTCN) – ‘The Network’ (DDTCN) – ‘The Network’

► OriginsOrigins► MembershipMembership► FunctionFunction► DevelopmentsDevelopments

DDTCNDDTCNOrigins:Origins:

► Three, one-day-per week Democratic Therapeutic Communities Three, one-day-per week Democratic Therapeutic Communities (DTC’s) – satellite services established in Webb House era – planning (DTC’s) – satellite services established in Webb House era – planning meetings set up for staff & service user consultants. Set up evaluated meetings set up for staff & service user consultants. Set up evaluated by Dr. Barbara Rawlings (2003/4)by Dr. Barbara Rawlings (2003/4)

► Four DTC services involved in HaCCRU evaluation:Four DTC services involved in HaCCRU evaluation:‘‘Evaluation of Day Services run by agency partnerships and Evaluation of Day Services run by agency partnerships and Therapeutic Community Service North (TCSN) – Barr, et al - 2008Therapeutic Community Service North (TCSN) – Barr, et al - 2008

► DDTC Network established - during the TCSN era, following closure of DDTC Network established - during the TCSN era, following closure of Webb House in 2004Webb House in 2004‘‘Day Therapeutic Community services for people with personality Day Therapeutic Community services for people with personality disorder: a new approach’ – Gopfert &Hellin, et al. – 2006disorder: a new approach’ – Gopfert &Hellin, et al. – 2006

► Network has grown & developed substantially sinceNetwork has grown & developed substantially since

DDTCNDDTCNMembership:Membership:

service user consultants & staff from 10 current DTC’s with 1 joining service user consultants & staff from 10 current DTC’s with 1 joining and 2 more in planning phase:and 2 more in planning phase:

► RotundaRotunda – Liverpool (est. 2002) – Liverpool (est. 2002)► Diverse PathwaysDiverse Pathways – Leeds (est. 2003 - CoC accredited) – Leeds (est. 2003 - CoC accredited)► FifteenFifteen – Manchester (est. 2005) – Manchester (est. 2005)► TaSTETaSTE – Tameside and Stockport Therapeutic Environment (est. 2007) – Tameside and Stockport Therapeutic Environment (est. 2007)► The OrbThe Orb – Oldham, Rochdale & Bury (est. 2008) – Oldham, Rochdale & Bury (est. 2008)► 2 B2 B – Burnley (est. 2008) – Burnley (est. 2008)► WatersideWaterside – Birkenhead (est. 2008) – Birkenhead (est. 2008)► TaithTaith – Wrexham (est. 2009) – Wrexham (est. 2009)► JigsawJigsaw – Chorley (est. 2010) – Chorley (est. 2010)► TES TCTES TC – Trafford (est. 2011) – Trafford (est. 2011)

► Denton House TCDenton House TC – Northwich (est. 2012) - a new DTC service just started – in – Northwich (est. 2012) - a new DTC service just started – in process of joining DDTCNprocess of joining DDTCN

► Blackpool?Blackpool? A 3 A 3rdrd Lancashire Care DTC is being planned Lancashire Care DTC is being planned► Chester ?Chester ?

ClosedClosed► PiEPiE (Personality in Education) – Manchester University (Personality in Education) – Manchester University ► 174 174 – Bolton – Bolton

DDTCNDDTCNFunction: “Not to re-invent the wheel”Function: “Not to re-invent the wheel”

► Meets quarterly – hosted in rotationMeets quarterly – hosted in rotation► Learn from each other & appreciate differencesLearn from each other & appreciate differences► Share experiences & resourcesShare experiences & resources► Develop servicesDevelop services► Determine, monitor and maintain standardsDetermine, monitor and maintain standards► Support forum for service user consultants and staffSupport forum for service user consultants and staff► Identify unmet training needs and provide in-house Identify unmet training needs and provide in-house

trainingtraining► Developing a peer review system Developing a peer review system ► Identify and develop future evaluation of services Identify and develop future evaluation of services

DDTCNDDTCN

Developments:Developments:

► Inter-service visitsInter-service visitsDDTCN planning for annual visits between services to monitor DDTCN planning for annual visits between services to monitor standards and offer constructive comments – representative standards and offer constructive comments – representative group of service users, service user consultants & staffgroup of service users, service user consultants & staff

►Annual Training Event Annual Training Event 2011 – Unstructured time2011 – Unstructured time

2012 – The role of the service user consultant2012 – The role of the service user consultant

DDTCNDDTCN

►The future ?The future ?

DDTCNDDTCNReferences:References:

► Barr, W. Hodge, S. and Kirkcaldy, A. (2008) – Barr, W. Hodge, S. and Kirkcaldy, A. (2008) – Evaluation of Day Services run Evaluation of Day Services run by agency partnerships and Therapeutic Community Service North (TCSN) by agency partnerships and Therapeutic Community Service North (TCSN) - - HaCCRU HaCCRU

► Gopfert, M. &Gopfert, M. & Hellin, K. et al. (2006) - Hellin, K. et al. (2006) - A weekly day therapeutic community A weekly day therapeutic community service for people with personality disorder: an innovative model. service for people with personality disorder: an innovative model. Psychiatric Psychiatric BulletinBulletin

► Pearce, S. & Haigh, R. (2008) – Pearce, S. & Haigh, R. (2008) – Mini Therapeutic Communities – A New Mini Therapeutic Communities – A New Development in the United Kingdom, Development in the United Kingdom, therapeutic communities, 29, 2.therapeutic communities, 29, 2.

► Rawlings, B. (2004) Rawlings, B. (2004) Setting Up New Services: how service users were involved Setting Up New Services: how service users were involved in planning therapeutic community day programmes, in planning therapeutic community day programmes, Therapeutic Therapeutic Communities, 24 (1), pp. 245-257.Communities, 24 (1), pp. 245-257.

► Rawlings, B. (2004) Rawlings, B. (2004) Interagency Collaboration: working in partnership to plan Interagency Collaboration: working in partnership to plan therapeutic community day services for personality disordertherapeutic community day services for personality disorder - unpublished - unpublished

An electronic copy of Dr. Barbara Rawlings unpublished paper can be obtained An electronic copy of Dr. Barbara Rawlings unpublished paper can be obtained by contacting her on: barbara.rawlings@talk21.comby contacting her on: barbara.rawlings@talk21.com