20 ,Dec, 2018

          How does the treatment centre function?


  1. All treatment centres operate differently and it’s important for you to find one that best meets your needs, so that you will be comfortable in the environment, and get the most out of your treatment. In Australasia and South East Asia the most popular type of treatment centres by far are based on a Therapeutic Community (TC). The TC model as defined by the Australasian Therapeutic Communities Association ( http://www.atca.com.au ) as…“… a treatment facility in which the community itself, through self-help and mutual support, is the principal means for promoting personal change. In a therapeutic community residents and staff participate in the management and operation of the community, contributing to a psychologically and physically safe learning environment where change can occur.”
  2. Treatment centres for substance abuse (primarily drugs and alcohol) and other problem areas (eg. gambling and anxiety) that function on the therapeutic community, strongly promote longer stays of 90 days or more. They work particularly well for people who come from disadvantaged backgrounds or who have few work skills. The structured community and work activities help them build self-esteem and life skills to assist them when they re-enter society.
  3. These types of rehab have a part to play in substance abuse treatment but are not a one size fits all solution. They can actually provide a negative experience for those who are not suited to this type of environment.
  4. Choosing the right treatment centre for you is a big decision and there are lots of different programs available.
  5. 21Renew provides a very different alternative to the  traditional rehab TC model.  Using an Inductive Learning Platform with Scenario Based Counselling in a positive environment dramatically enhances the clients engagement and learning.
  6. We recommend to everyone that they should do their research first and  understand the program on offer. It’s as important to give yourself the most the best opportunity for success by choosing the most appropriate place for you.
  1. 2. Is it a 12 step based program?   Since the 1950’s the 12 Step Facilitation Model (TSF) and variations of this have been the preferred program for the majority of Treatment Centres. TSF is based on the 12 Steps of Alcoholics Anonymous and has 2 fundamental aims
    1. To move the client forward on a path of abstinence
    2. Promote the clients commitment to attend meetings of a 12 step fellowship such as Alcoholics Anonymous or Narcotics Anonymous.

    At 21Renew, we believe the 12 Step Fellowships have a part to play in treatment, but they are not the only answer. Furthermore, when the TSF program is delivered in a therapeutic community it usually comes with penalties when rules are breached. We believe this gives a negative outcome to clients who can be left feeling disenchanted, humiliated and rejected. This can lead to clients leaving treatment early and risking relapse.


  1. 3. How experienced and qualified are the Counsellors?  It is critical to find out as much as you can about the staff of the treatment facility who will be responsible for your care, counselling and delivery of the program. In particular their qualifications and experience in substance abuse treatment.The role of a teacher in society is both significant and valuable. It has far-reaching influence on the society he lives in and no other personality can have an influence more profound than that of a teacher. Students are deeply affected by the teacher’s love and affection, character, competence, and moral commitment.” Wikipedia. Experienced, committed and engaging Counsellors are often the difference between success and failure.At 21Renew every client meets with the Counselling Team prior to commencing their residential treatment.


  1. 4.  What are the rules of the treatment centre?  Every treatment centre will have their own set of rules for clients. It will help you with your decision to ask for a clear set of guidelines of what you can and cannot do during your stay.Rules are typically made around the following;
    • The use of mobile phones and laptops
    • Visitation from friends and family
    • Some facilities restrict smoking and also groups of food are prohibited, such as sugar.
    • What you need to do at certain times. For example, you may be expected to join group therapy or exercise at certain times. You may have ‘homework’ to be completed.

    Treatment centres will often have consequences for breaking rules and in the more strict centres can result in you being asked to leave the program. At 21Renew we do not believe in unnecessary rules. We aim to make the experience as rewarding and positive as possible.


  1. 5. What is your area of expertise?  No facility can be an expert for all types of clients and all types of substance abuse. Any facility claiming to be a one stop shop should be avoided. You want staff who understand your exact needs and who you will relate to during your stay.


  1. 6. Can I see your testimonials and client feedback?  There is no better way of believing what a treatment centre is telling you, than by hearing from previous clients experience. Ask to see them and see if their experience matches your expectations.You can see some of our testimonials here.


  1. 7. What is your retention rate of clients staying for the duration of the program?  This will give you a key indicator of how the program functions in reality. Clients who do not ‘get on’ with how the facility operates, do not stay. A clients engagement in the full program, especially one they have paid money for, can be measured by the retention rate of the facility.At 21Renew our 2018 programs had a 100% retention rate.


  1. 8. What is your ratio of clients to counsellors?  A facility may have the best counsellors but if they are spread too thinly across too many clients, their ability to give time, attention and personalisation to you is lowered. There will always be set times with counsellors, but you should make sure they have time for you when you need it outside of the scheduled time to.


  1. 9. How much opportunity will I have for one-to-one sessions as well as group therapy?  For the best outcome you should have one on one sessions during your residential stay, not just group therapy, and these should be with an experienced counsellor. It’s also important to ensure you are seen by the same counsellor throughout your treatment. It can be very frustrating to keep explaining your situation to different people and you will get a lot more out of the experience with someone who you build a relationship with.The counsellors at 21Renew live at the facility during your treatment and are available at all times you may need them.


  1. 10. How do you continue treatment and care once the residential stay in the treatment facility is finished?  This is one of the most important questions you need answers to. Facilities using the TSF program often do not have any aftercare solutions and expect you to self-manage your ongoing treatment through 12 step fellowships such as Alcoholics Anonymous or Narcotics Anonymous. Others offer continued daily attendance at the facility for group sessions and some offer ongoing one on one sessions.At 21Renew we view the post residential component of a client’s treatment as critical to their success. We provide coaching for the client’s family which commences prior to their residential treatment, all through treatment and continues for two months after they return home. Every client is allocated their own personal Recovery Coach and they have unlimited access to their coach for the first 60 days after they return home.