Integration of MET, CBT, and Self Help Approaches Into the TC Model TC Model – (40 years) Phases of Treatment MET and CBT (10 years) Activities/Groups 12 Step and Other Self Help (30 years) Phase I – Orientation Goal: Orient person to the TC Treatment, structure, expectations, and assess motivation and readiness to change. Phase I – Orientation Goal: Assess person in terms of Stage of Change Phase I – Orientation Goal: Introduction To Self-Help (5 Sessions) Phase II – Primary/Intensive Goal: Identify and examine behavioral, relational, emotional, and cognitive patterns and risk factors and develop and implement a behaviorally oriented long term plan of change. Conform to TC Community norms, rules, etc. Begin to demonstrate behavior and attitude changing and right living Phase II – Primary/Intensive Phase II – Primary/Intensive Goal: Identify Cognitive distortions Goal: Exposure to Self- Help Meetings Phase III – Re-Entry Goal: Demonstrate recovery and readiness for community transition as a productive, recovering, crime-free person. Continuing Care/Transition Goal: Sustain changes and address relapse prevention and transition issues (e.g., employment, education, family, etc.) as they arise. Phase III – Re-Entry Goal: Demonstrated change positive thinking and behaving Phase III – Re-Entry Goal: Participation in Self- Help Meetings Continuing Care/Transition Continuing Care/Transition Goal: Internalization of positive thinking and behaving Goal: Internalization of positive thinking and behaving Page 1 4/13/2015