Treatment Programme Changes for Residents with Long Standing Learning Difficulties

1. Treatment Programme Changesfor Residents withLong Standing Learning Difficulties SPEAKER:Liana Gerber – Bologa, MD, PhD Authors: Liana Gerber-Bologa Detlev Bähr Gustavo Torres Díaz-Guerra Therapy Project Fuente Alamo www.centroterapeutico.es fuenteal@teleline.es

2. TC FUENTE ALAMO(SPAIN) • Men and women older than 18 (15 places) • Long-term (15 – 24 months) • TC as main healing force : own internal life & traditions

3. TC FUENTE ALAMO • Interventions that facilitate the recovery process • Multidisciplinary professional staff • 24 hours, 7 days • Complete therapeutic programme TEACHING MUSIC ARTS SPORTS DANCE EXCURSIONS

4. Aim of the Therapy Programme Development of an addiction-free Personality, capable of Social Reinsertion (job, household, social life)

5. Practical Problems to overcome … many have broken education … many do not have a profession or are unsatisfied

6. Art Therapy: “Development” WHAT does it have to be developed ? WHY does it have to be developed ? HOW does it have to be developed ?

7. PEDAGOGICALAPPROACH • Everyone has to developCOMPETENCE • Aim: to COPE with a variety of Life Situations • The Learning Process can take place within INFORMAL FORMAL and TEACHING • The Learning Process has to overcome learning difficulties

8. Competences to be developed Professional Competence (Specialty Skills) Personal learning Competence (autonomy, efficiency, endurance, will, motivation, curiosity, interest, concentration, organization, integration, learning methods) Social Competence: contact, empathy, verbal and non verbal expression and communication, conflict and team abilities

9. Art Therapy: “Discomfort” • LEARNING DIFFICULTIES • can lead to isolation and addiction by impeding • in learning a profession • in obtaining and maintaining a job • in getting a supporting social surrounding …. and produce discomfort

10. Learning Disorders ICD10: F81: Dyslexia, Dyscalculia F90: A.D. Hyperkinetic Syndrome; F70 Cognitive disorders Neurotic developments: • Lack of self-confidence • Lack of self-esteem • Feeling overwhelmed • Fair of failure • Low impulse control • Vulnerability • Reject of responsibilities • Low frustration tolerance • Low capacity of delaying pleasure • Low capacity of resolving conflicts Possible side effects: Behavioural disorders, personality disorders; false compensation through addiction To be treated

11. Population to treat

12. Typical Portrait of the Student: Father is an unreachable ideal Fair to disappoint is enormous Self-confidence and -esteem are inexistent Concentration and memory are low Lack of orientation They will to learn Addiction: Cannabis; hart Drugs Art Therapy: “The chosen one”

13. Who am I ? Art Therapy: “Self-Portrait”

14. Treatment Programmedesigned by qualified professionals

15. Treatment Programme by professional Staff DAILY7 therapy hours of 50 Minutes, one 1 hour lunch pause, 1 ½ hours TC meeting WEEKLY 2 equal days (Monday/Thursday; Tuesday/Friday); 1 sports/group dynamic day (Wednesday); 1 cleaning/art expression day (Saturday); 1 free day (Sunday) • YEARLY (one-week activities) • 3 excursions in natural parks (April, June, September) • 2 Self-confidence / Communication Seminars • (March and November) • 1 Creative Seminar (August) • 1 Olive harvest Project (December)

16. To treat learning difficulties Therapeutic area: “EDUCATION” • Objectives: • Discover learning as major • source of personal satisfaction • Method: • Learning “TO LEARN”for acquiring qualities: • reliability, interest, concentration, constancy • Learning “SOMETHING”,a profession: • languages, music, arts, schools

17. Learning “to Learn”(Informal Learning) Why: For being able to learn a profession How: Informal learning training with therapists (e.g. learn a foreign language) What: The necessary competence

18. Learning “something”(Formal Learning) Why: To complete their own education and get a profession How: Formal examinations for getting an official Diploma What: High school examinations, Nursery- School, Real estate specialist, Language Diploma, admission exams in specialty schools (Arts, Music), Fashion Design, etc.

19. Preferences by the choice of learning modalities

20. Informal Learning(in the TC)

21. INFORMAL LEARNINGNon-verbal Learning Experience expression confidence joy communication skills

22. INFORMAL LEARNINGNon-verbal Learning Experience courage curiosity co-operation belonging together

23. Contribution of non-verbal informal learning

24. Contribution of RECORDABLE EMOTIONAL STATES

25. Formal Learning(outside the TC / Diploma)

26. Professional Orientation by:

27. History (24y. Old) • Broken School • Disabled pension • Low Concentration • No Patience • No Self-Confidence • Addict to all drugs

28. Personal Competence Training Self-Confidence Success Concentration Motivation Interest TODAY: since 2 ½ years successful in High School in Switzerland, fully abstinent

29. History 23 y. Old Broken High School (fair of failure) Addict to Cannabis, Alcohol and Cocaine

30. Personal Competence Training Self-confidence Success Motivation Concentration Endurance Will

31. Personal competences learned in Sports were turned into success in learning in School Award of the High School Examination Diploma 2002, actually studying Marketing Design in Madrid

32. Special Tuition two persons, two possibilities Decision to study Arts: ART Classes (Art School Exam) Decision to study Music: MUSIC Classes (Music School Exam)

33. Special Tuition one person, two possibilities “Shall I become a Sport Teacher ?” Tuition in Sports “Shall I become a Designer ?” Tuition in Arts

34. DAILY PROGRAMME (normal)

35. DAILY PROGRAMME with school and tuition

36. Persons, that finished their Formal Education during Therapy (n=42)

37. Success and Failure: What makes the difference ? Art therapy: “having fun” Art therapy: “being reasonable”

38. Art therapy: “ my free-time”

39. Art therapy: “ feeling good”

40. Art therapy: “my goal”

41. Fuente Alamo Therapy Project Spain www.centroterapeutico.es fuenteal@teleline.es