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Therapeutic Method


The treatment model is bio-psych-social and spiritual, framed in a Therapeutic Community Method, (CTM) directed toward modifying behavior, through the development of a healthy character and sustainable change. HC applies the therapeutic elements of character building known as Erikson's Psychosocial Stages. In the adolescent it is an educational process and in adults it is the re-education of the character. The recovery involves rehabilitation, i.e., re-learning or re-establishing functioning, healthy skills and regaining physical and emotional health and values. Some residents of TC's never had functional life styles. HC believes a person has the capacity to change and learn throughout his/her life. The treatment is existential in nature with the premise of individual and collective/social responsibility; owning the effort and acceptance of peer/mutual assistance. The individual is responsible for his life, his existence and conduct.

The Therapeutic Team is responsible for providing the resident, through the various therapies, with the tools needed to develop each character competency.  The team maintains a Personality Description Chart, using a scale of 1 to 10, tracing the path and progress of the resident in the development of competencies of Character, Attitude and Behavior.  The Therapeutic Team also supervises the smooth running of the Residential Facility. The Team is multidisciplinary and consists of a Director, Deputy Director, Assistant Levels, CREA Re-Educated Peers, Social Worker, Psychologist, Health-Medical Staff, Teachers and other support staff assigned to provide services to the residents of the 70 Residential Facilities across the island.

The CTM has been listed by NIDA (National Institute of Drug Addiction), as one of alternative science of greater success in the management of substance abuse.

CTM allows us to incorporate strategies and services for people with special needs or complexes, among them: adolescents, women, people with co-occurring mental health disorders, people involved in the judicial system, people living with HIV/AIDS, day and residential treatments. Recovery involves rehabilitation, i.e., a return to learning or restoring skills and healthy values including the recovery of physical and emotional health. Other residents of the CTM never had functional upbringing or lifestyles.

A second fundamental principle of the CTM is "self-help". Self-help implies people in treatment are the main contributors to the process of change. The "auto-ayuda-mutua" means people also assume that a responsibility.

CREAs therapeutic model is intended to guide the resident, through the psychosocial stages (Erikson, 1968) the following capabilities of character:

  • Confidence
  • Autonomy
  • Initiative
  • Industriousness
  • A Commitment to Identify
  • Generosity
  • Transcendence

The development of these capabilities of character is achieved by exposure to the following types of therapy:

  • Individual
  • Group
  • Occupational
  • Confrontation
  • Education/Occupational Training
  • Sales and Representation Urban Immersion-Transition
  • Sports and Recreation
  • Family Relations
  • Spiritual Guidance


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