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Evolution of DDTCN: A Therapeutic Community Network Journey

Discover the Day Democratic Therapeutic Community Network (DDTCN) evolution from inception to current membership and future developments, including references and key functions. Inter-service visits, annual training events, and the role of service user consultants further enhance network standards. Learn about the origins, membership growth, and ongoing initiatives shaping the future of DDTCN. References to key evaluations and publications provide insight into the network's progress and impact on therapeutic community services. Contact Dr. Barbara Rawlings for further information on DDTCN's journey.

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Evolution of DDTCN: A Therapeutic Community Network Journey

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  1. Day Democratic Therapeutic Community Network (DDTCN) – ‘The Network’ Origins Membership Function Developments

  2. DDTCN Origins: • Three, one-day-per week Democratic Therapeutic Communities (DTC’s) – satellite services established in Webb House era – planning meetings set up for staff & service user consultants. Set up evaluated by Dr. Barbara Rawlings (2003/4) • Four DTC services involved in HaCCRU evaluation: ‘Evaluation of Day Services run by agency partnerships and Therapeutic Community Service North (TCSN) – Barr, et al - 2008 • DDTC Network established - during the TCSN era, following closure of Webb House in 2004 ‘Day Therapeutic Community services for people with personality disorder: a new approach’ – Gopfert &Hellin, et al. – 2006 • Network has grown & developed substantially since

  3. DDTCN Membership: service user consultants & staff from 10 current DTC’s with 1 joining and 2 more in planning phase: • Rotunda – Liverpool (est. 2002) • Diverse Pathways – Leeds (est. 2003 - CoC accredited) • Fifteen – Manchester (est. 2005) • TaSTE – Tameside and Stockport Therapeutic Environment (est. 2007) • The Orb – Oldham, Rochdale & Bury (est. 2008) • 2 B – Burnley (est. 2008) • Waterside – Birkenhead (est. 2008) • Taith – Wrexham (est. 2009) • Jigsaw – Chorley (est. 2010) • TES TC – Trafford (est. 2011) • Denton House TC – Northwich (est. 2012) - a new DTC service just started – in process of joining DDTCN • Blackpool? A 3rd Lancashire Care DTC is being planned • Chester ? Closed • PiE (Personality in Education) – Manchester University • 174 – Bolton

  4. DDTCN Function: “Not to re-invent the wheel” • Meets quarterly – hosted in rotation • Learn from each other & appreciate differences • Share experiences & resources • Develop services • Determine, monitor and maintain standards • Support forum for service user consultants and staff • Identify unmet training needs and provide in-house training • Developing a peer review system • Identify and develop future evaluation of services

  5. DDTCN Developments: • Inter-service visits DDTCN planning for annual visits between services to monitor standards and offer constructive comments – representative group of service users, service user consultants & staff • Annual Training Event 2011 – Unstructured time 2012 – The role of the service user consultant

  6. DDTCN • The future ?

  7. DDTCN References: • Barr, W. Hodge, S. and Kirkcaldy, A. (2008) – Evaluation of Day Services run by agency partnerships and Therapeutic Community Service North (TCSN) - HaCCRU • Gopfert, M. &Hellin, K. et al. (2006) - A weekly day therapeutic community service for people with personality disorder: an innovative model. Psychiatric Bulletin • Pearce, S. & Haigh, R. (2008) – Mini Therapeutic Communities – A New Development in the United Kingdom, therapeutic communities, 29, 2. • Rawlings, B. (2004) Setting Up New Services: how service users were involved in planning therapeutic community day programmes, Therapeutic Communities, 24 (1), pp. 245-257. • Rawlings, B. (2004) Interagency Collaboration: working in partnership to plan therapeutic community day services for personality disorder - unpublished An electronic copy of Dr. Barbara Rawlings unpublished paper can be obtained by contacting her on: barbara.rawlings@talk21.com

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