Welcome to Koshish, Deaddiction Center

Therapeutic community for Addiction treatment

Best Therapeutic community Program Centre

The importance of a supportive environment:

People usually find it easier to overcome their problems when they are in a supportive environment. A therapeutic community Program aims to create the right conditions for people to change undesirable behaviors and learn new ways of acting. It can be very useful in helping individuals cope with problems such as addiction. The focus is on the individual’s life and not just their specific symptoms. This type of environment is artificially created, but the individual is able to apply what they learn to the outside world.


This is a type of community where people live together as a form of therapy. Such environments are drug-free and highly structured. In such a community, individuals can feel safe, explore new coping mechanisms, and learn to work with others. It is like a miniature society where members can grow and develop.

How a therapeutic community Program works

In most therapeutic Programs, participants live with therapists. In some communities, a therapist is present all the time, but this is not always the case. The community is run by consensus, and the therapist’s role is simply to mediate. Individuals in the Program are put in a position where they must conform to the rest of the group. Peer pressure can be a powerful force in making people conform. If they do not, life will become difficult.

This type of Program usually includes the following:

  • Regular community meetings and discussions. This gives members the opportunity to discuss problems and evaluate each other's behavior.
  • Workshops to address problems and other types of learning. Individuals not only learn new strategies, but can also try them out in the community.
  • Community governance. This is where all members of the community make decisions together.
  • Care plans based on the individual needs of each client.

The therapeutic community is closely related to milieu therapy. This is a form of psychotherapy that focuses on using the environment as a therapeutic tool. The word “milieu” comes from French and means “middle place” or “middle ground.” The term “milieu” suggests a safe place, and that is what such a therapeutic environment is intended to be. Here the individual is seen as having the inner powers to change his own behavior. The environment is meant to encourage him to use and apply these inner powers. The lofty goal of milieu therapy is that every element of the individual’s environment should be therapeutic in nature.

It is generally accepted that the environment in which addiction treatment takes place is important. For this reason, rehab facilities go to great lengths to create a therapeutic environment. These Programs are not always called milieu therapy, but they are based on the same principles. The advantage of such an approach is that the focus shifts from simply treating the symptoms of addiction to building a life in recovery.

This type of environment helps individuals in many ways:

  • People in such a community have a much better idea of how their behavior affects others
  • Members can develop leadership skills
  • Individuals develop a better understanding of other people
  • Life is highly structured, and this means that members can feel secure
  • Individuals are empowered and can take responsibility for their own behavior
  • Members are motivated to solve problems that arise from challenges in the community
  • The focus is on living rather than treating symptoms
  • Individuals' self- confidence increases as they recognize their importance within the community
  • Members learn how to work together with others
  • Individuals feel they have some control over the rules that govern their lives in the Program
  • Belonging to such a community is often a joyful experience

For this type of community to be truly therapeutic, it must include certain elements:

  • A complete prohibition of all intoxicants
  • A focus on shared responsibility
  • Members should be protected as much as possible from potential stressors
  • Each individual takes responsibility for his or her own behavior and is willing to follow the rules
  • The group is encouraged to solve problems together
  • Participation of all members in decision making
  • A clear understanding of roles within the community, including the role of the therapist
  • Agreed upon rules that are enforced by the group
  • Open communication
  • Regular feedback on the behavior of participants
  • Individuals are encouraged to confront anyone who is behaving badly in the community

For individuals to change, they must feel safe. In the outside world, there can be many pressures that trap people in undesirable behavior. The stress of getting through the day can be all they can handle. Trying to change in such an environment can be challenging. The therapeutic community is designed to protect people from many stressors. Routine and predictability give them security – something that is often lacking in the outside world. There are fewer temptations, and while they are members of the community, there are usually no pressing work concerns or bills to pay. The community is all about therapy and growth. This gives individuals much more freedom to try new ways of dealing with life.

Some people who leave rehab then spend some time in a halfway house. These are sometimes called dry houses because the use of intoxicants is not allowed. Residents may stay in a halfway house for a period of a year or longer. In many cases, such facilities provide a therapeutic community where residents can develop further coping mechanisms. Such facilities also provide a safe environment in which individuals can build a successful recovery.

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