What’s Unique About Rescue Mission Programs & Residential Recovery Ministries?
Dr. Andrew Sears�City Vision University�www.cityvision.edu�Citygate Network Conference 2026
Slides Available at:
Five Historical Waves of the City Mission Movement
Misalignment
New Wineskin
Recontextualization
New Theological Vision
(Difficult and Dangerous)
"Many of today's problems are a result of yesterday's solutions." —Thomas Sowell.
City Mission
Societies
Time
Early City Missions
Fifth Wave�Mission Movement
Sources: Global City Mission Movement, City Mission Societies, , History of Innovation in the City Mission and Rescue Mission Movements
Independent Gospel �Rescue Missions
Global & National �Mission Networks
New Wineskins
David Nasmith
1826
Jerry McAuley, 1872
5th Wave Program Vision
What’s Unique about the Worldview, Mental Models & Program Methods of Ministries
Doctrinal Foundation, Core Theology & Worldview
Ministry Expression (Methods)
Theological Vision (Mental Models)
What to Believe
How to See
What to Do
A faithful restatement of the gospel with rich
implications for life, ministry, and mission
in a particular culture at a moment in history
Timeless truths from the Bible
about God, our relationship to Him,
and His purposes in the world
Adapted from Tim Keller’s Center Church
Practical �Theology
Christian�Integration
& Strategic�Alignment
How the gospel is expressed
in a particular ministry in one
community at a point in time
Part 3
Part 2
Part 1
What Causes Organizational & Movement Decline
Misalignment & Decline
Organizations decline when their theological vision and strategy become misaligned with their context & audience
Context
Results
Change�in Context
Decreasing
Effectiveness
Misalignment
Funding Systems
Policy & Procedural�Systems
Staff Systems & Culture
Program Systems
1. �Theological�Vision
3. Culture
2. Strategy�(Ministry Expression)
What are the Major Changes in Context?
These changes together require a New Wineskin or Recontextualization
of Theological Vision (Mental Models) and Ministry Expression (Methods)
Part 1. Distinguishing the Worldview of Christian vs. �Secular Programs
Dr. Andrew Sears�City Vision University�www.cityvision.edu
Christian vs. Secular Worldview
Christian Worldview Secular Worldview
Base Worldview Christian Worldview Secular Scientific Naturalism
Dominant Metanarrative Creation, Fall, Redemption, Restoration Cosmic Chance to Ecological Catastrophe
Source of Authority Bible + Science Peer-reviewed research, shifting diagnostic (Epistemology) (Wesleyan Quadrilateral) manuals (DSM), fluid ethical codes
Who are we? In God’s Image but fallen Humanist (inherently good)�(anthropology) holistic, social people Behaviorist (biologically/socially determined)
Fundamental Problem? Sin Psychopathology (varies by field)
Goal Heart-level soul transformation Symptom reduction, emotional stabilization, repentance, joy & Christlikeness temporal happiness
Focus of Healing Holistic spiritual transformation Internal human resilience and supported by clinical intervention pharmacological intervention
This is not science. Philosophical �assumptions that science uses.
Having the right espoused worldview “checklist”�(talk) is not the same as an enacted worldview (walk)
Growing Misalignment of “Walk” with “Talk” in Ministries
Why There is Growing Misalignment of the “Walk” of Ministries with Their “Talk”
Doctrinal Foundation, Core Theology & Worldview
Ministry Expression
Theological Vision (Mental Models)
What to Believe (Talk)
How to See
What to Do (Walk)
Adapted from Tim Keller’s Center Church
Practical �Theology
Christian�Integration
& Strategic�Alignment
X
X
10,000 Hours of Training in Secular Mental Models
& Methods Will Trump Any Stated Beliefs
Very limited training in Christian Specific Models and Methods
Most Bible & Theology Schools do not provide the practical theology needed
for Christian integration into Counseling & Social Services
The Need for Re-training of Professionals in Uniquely Christian Elements
Professional Staff�(i.e. Counseling, Business, Ministry)
Training in Serving the Poor
Christ Centric�Training
Need Christian�Integration Training
Need Training to
Serve the Poor
i.e. trauma, addiction,
de-escalation, cross-cultural,
nonprofit management, etc.
Part 2. Summarizing the Mental Models of Christian Ministries
Dr. Andrew Sears�City Vision University�www.cityvision.edu
What Are the Mental Models Needed for Today’s Ministry?
Context
Results
Change�in Context
Decreasing
Effectiveness
Misalignment
Funding Systems
Policy & Procedural�Systems
Staff Systems & Culture
Program Systems
1. �Theological�Vision
3. Culture
2. Strategy�(Ministry Expression)
Requires mental models that help you to:
without compromising Christian values
We Need Multiple Mental Models (Lenses) for Effective Ministry
Image Source: https://tithebarn.wordpress.com/2017/01/20/specks-and-planks-luke-6/
Mental Models: 5 Lenses for Life Transformation
How Philosophy of Who We Are Affects our Understanding �of How Life Transformation Happens
Psychological�Lens
Theological�Lens
Spiritual�Formation�Lens
Christian
Community &�Program�Lens
Improved Understanding of
Life Transformation
How Life Transformation
Happens
Who Are We?
(Philosophical Anthropology)
Philosophical & �Epistemological Framework
Applying science to the mind,
behavior & counseling
Psychological theory & skills in
clinical counseling
Answers from Discipline of
Psychology (head)
Modernist, Rational, Secular,
Individualistic
Applying
Christian worldview
to counseling & psychology
+Adopting correct theology &
Christian worldview
Answers from Discipline of
Theology (head)
Modernist, Rational,
Christian
,
Individualistic
Recognizes the importance of
spiritual disciplines
+Adopting spiritual disciplines
Holistic individuals (
head,
heart/will, hands
) will
-
centered
Holistic
, Christian,
Individualistic
Life transformation is more
caught than taught (or willed)
+Deep relationships in a
healthy Christian community
Holistic ministry (
head, heart,
hands + community
-
centered
)
Holistic Christian
Community
Most Counseling Programs at Christian Universities
Holistic Transformative Ministry Program Model
Christians Trained in Counseling at Secular Schools
1. Transformative Programs Enable Life Transformation of the �Whole Person (Head/Heart/Hands) by Integrating Four Disciplines�
Psychology/�Counseling/�Social Work
Bible & Theology
Spiritual�Formation
Christian�Community &�Program
Senior program staff should be trained
across all four disciplines in an integrated
way whenever possible
Four Quadrant Model of Academic Disciplines
Q1 Personal: Nurture (Humanities & Social Sciences)
Q2: Physical: Nature (Science & Technology)
Q3: Cultural
Q4: Societal (Social Sciences)
Individual
Collective
Internal (more subjective)
External (more objective)
Micro
Macro
A Holistic Understanding Causes of Homelessness & Addiction
spiritual, relationships, etc.
promoted in mass media
“gods” permeates culture
Individual
Collective
Internal
External
Q1 Personal: Nurture (Humanities)
Q2: Physical: Nature (Science & Technology)
Q3: Cultural
Q4: Societal (Social Sciences)
All Causes Interpreted through �Lens of a Christian Worldview
Ministry Strategy for Clients: Serenity prayer: God, grant me the serenity to..
spiritual, relationships, etc.
promoted in mass media
“gods” permeates culture
Individual
Collective
Internal
External
Q1 Personal: Nurture (Humanities)
Q2: Physical: Nature (Science & Technology)
Q3: Cultural
Q4: Societal (Social Sciences)
Accept the Things I Cannot Change (right now)
Change the
Things I Can
Wisdom to know the difference
Why the Secular Scientific Positivism Approach to Homelessness & Addiction Fails
Goal: Reduce Overdose Deaths
Goal: Stable housing + Cost Savings
spiritual, relationships, etc.
promoted in mass media
“gods” permeates culture
State-Sponsored Enabling (Pathological Altruism)
Gov’t Manufactured Scarcity & Progressive Exclusion
Individual
Collective
Internal
External
Q1 Personal: Nurture (Humanities)
Q2: Physical: Nature (Science & Technology)
Q3: Cultural
Q4: Societal (Social Sciences)
Secular Scientific Positivism
Scientific Positivism By Definition Does Not Recognize Internal Dimensions Because They Cannot Be Proven Quantitatively
“It is the theory which decides what can be observed”- Albert Einstein
2. Transformative Programs Apply a 4 Quadrant Christian Worldview to Problems & Solutions
cultural inheritance from past oppression
Micro (development)
Macro (advocacy & structural change)
Individual
Collective
Internal
External
Q1 Personal: Nurture (Humanities)
Q2: Physical: Nature (Science & Technology)
Q3: Cultural
Q4: Societal (Social Sciences)
Christian Worldview: Christian Faith & Dependence on God is the Organizing Paradigm
Epistemology Model in Clinical Counseling: �Secular Evidence-Based Practice
Clinical Experience
Best Research Evidence
Client�Values
Evidence�Based �Practice
Research Pyramid
3. Epistemology Model in Christian Clinical Counseling: �Christian Evidence-Based Practice
Gospel-centered:�Primary�(Bible, theology, worldview, tradition & practices)
Best Research Evidence�(published empirical studies)
Clinical Experience�(clinician character, knowledge & skills)
Client Values�(goals & preferences)
Christian�Evidence�Based �Practice
What does this �actually mean?
4. Christian Epistemological Model: Wesleyan Quadrilateral
Scripture
Tradition
Experience
Reason
Truth
Why we need multiple epistemological models
“We cannot solve our problems with the same thinking we used when we created them.” - Albert Einstein
Wesleyan Quadrilateral as a Theological Lens on Understanding Organizational Culture
Scripture
Tradition
Experience
Reason
Ministry Core Competencies
Fields: Science, Social Science, Counseling
Fields: Business, Leadership, Nonprofit Mgt
Fields: History, Church/Parachurch History
Fields: Bible & Theology
Mapping Your Current Organizational Values and Core Competencies
Scripture
Tradition
Experience
Reason
Specific Lessons Learned by Your Ministry
Learning from Your Movement
Core Theology
Fields: Science, Social Science, Counseling Christian integration into these fields
Fields: Business, Leadership, Nonprofit Mgt
Fields: History, Church/Parachurch History
Fields: Bible & Theology
Organizations Values �& Core Competencies
Evidence-Based Practice Model for Christian Ministries
Scripture
Tradition
Experience
Reason
Truth�
Gospel-centered:�Primary�(Bible, theology, worldview, tradition & practices)
Best Research Evidence
Clinical Experience�(clinician character, knowledge & skills)
Client Values�(goals & preferences)
Christian Evidence�Based Practice
5. Gospel-centric Holistic Bio-Psycho-Social-Spiritual-Moral Program Model
Sinful nature, repentance, moral boundaries & accountability
Genetic vulnerability, altered brain chemistry, disrupted physiological design
Separation from God, �numbing pain, spiritual
bondage & wrong beliefs
Disconnection, broken relationships, societal �& systemic structures
Christ-centric�Program
�Holistic �Gospel-Centric Program
Moral Lens
Spiritual�Lens
Psychological�Lens
Biological�Lens
Social Lens
Distorted thinking patterns, emotional dysregulation,
unresolved trauma, and maladaptive coping mechanisms
Aligning Emphases to Fit Your Mission, Values and Context to Maximize Effectiveness
Integrating Models
Christ-centric�Program
Transformative�Christian�Program
1. Holistic Program
2. Four�Quadrant
3. Christian Evidence Based
4. Wesleyan Quadrilateral
5. Bio-Psycho-Social-Spiritual-Moral
Part 3. What’s Unique in Christian Program Design
Dr. Andrew Sears�City Vision University�www.cityvision.edu
What Causes Organizational & Movement Decline
Context
Results
Change�in Context
Decreasing
Effectiveness
Misalignment
Funding Systems
Policy & Procedural�Systems
Staff Systems & Culture
Program Systems
1. �Theological�Vision
3. Culture
2. Strategy�(Ministry Expression)
Requires program models that
without compromising Christian values
Program Model Distinctives
Transformative programs…
2. Progressive Engagement Ministry Program Model
Boundaries
(typically, a faith decision)
Boundaries�(increased expectations)
Program Grad�Interns or Hires�(the 3)
Recovery Program�(the 12)
Case Management�(a la carte programs)
(the 120)
Core Culture/Staff
Positive Christian Culture
Positive Non-Christian Culture
Emergency Shelter�(the crowds)
Principles
Strength of Christian Approaches
Rescue Mission Program Modeled on Jesus’ Ministry Strategy
Lowest Scale
Highest Scale ($100+ million)
Christian Aspects Not As Transformative
Christian Aspects Bring More Transformation
Ministry Capacity
3. Focus on Program Aspects in the Continuum of Care where a Christian Approach is More Transformative
Metro-wide Macroeconomic
Investments in Housing
12 Step Groups
Spiritual Development
Hospital Services
Medical Detox
(ASAM Level 4)
Psychiatric services
Emergency Shelter
Transitional Housing at Scale (50-500)
Case Management
Licensed Addiction
Treatment Center
(ASAM .5-1)
Counseling
Meals
Residential Recovery Program
Christian Recovery Groups
Education & Employment
Permanent Housing
Church Partnerships
Small Scale Transitional Housing
Affordable Housing Advocacy
Medical Care
Medicaid Billing
Capability
Permanent Supportive Housing
Secular System Dynamics of Homelessness in the United States (Stocks & Flows)
Ministries�Especially �Effective
Source: https://www.cityvision.edu/system-dynamics-and-the-hydrology-of-homelessness-a-stock-and-flow-analysis-of-the-united-states-crisis/
Transitional: 40%
Episodic: 20%
Chronic: 40%
Secular System Dynamics of Addiction in the United States (Stocks & Flows)
Ministries�Especially �Effective
Chronic/Severe: 50%
Mild/Moderate: 50%
Client-Centered Therapy (Carl Rogers)
Christian Counseling & Programs
Unconditional Positive Regard
Genuine acceptance of the client as they are, valuing inherent worth regardless of behavior or history.
Non-Coercive Environment
Creating a safe space where clients choose to change without pressure or expert interpretation.
Authenticity / Empathy
Countering shame and systemic rejection by accurately sensing the client's private world.
Imago Dei & Unmerited Grace
Humans possess infinite worth as image-bearers of God; grace is divine favor given regardless of merit.
Respect for Human Free Will
God's grace empowers human actions toward the good without forcibly overriding personal agency.
Incarnational Love
The counselor acts as a vessel of divine grace, modeling agape love through a genuine human connection.
4. Emphasize Christian Strengths in Common Factors
Most Important Common Factors in Establishing Therapeutic Relationship
Corresponding Foundations of Christian Ministry Model
Common Factors in counseling are core elements that bring transformation across different types of therapy
4.
5. Covenantal vs. Contractual Model & Ethics
6. Explaining Ministry Approach as Christian Cognitive Behavioral Therapy (CCBT)
Image Source: https://en.wikipedia.org/wiki/Cognitive_behavioral_therapy
Core�Beliefs,
Theology �& Worldview
God
Christian CBT Applies Christian �Practices for addressing…
Behavior
Core Beliefs & Thoughts
Emotions
Others/World
Yourself/Identity
Romans 12:2: "Do not conform to the pattern of this world, but be transformed by the renewing of your mind."
Common Christian CCBT Curricula Used to Transform Core Beliefs in Recovery
Neil Anderson & Zuehlke CCBT Model
Source: Christ-Centered Therapy. Neil Anderson, Terry Zuehlke, Julianne Zuehlke
7. Pursue the Radical Middle to Enable Transformation
Truth in Tension
Radical Middle Differences vs. Secular Models
Typology of Faith-Based Organizations & Counseling Models
Most Traditional
Traditional
Critical Mass FBO
Protected Pluralist FBO
Amorphous�Pluralist FBO
Strongest
Boundaries
Flexible�Boundaries
More Theologically Conservative
(Risk of Separation & Irrelevance)
More Theologically Liberal
(Risk of Assimilation)
Christian Counseling Integration
Secular�Counseling
Anti-Integration
Effective Integration: Biblical Worldview Dominant Weak Integration: Secular Worldview Dominant
Part 4. Conclusion & Action Items
Dr. Andrew Sears�City Vision University�www.cityvision.edu
What is a Recontextualization of Programs for the Fifth Wave?
Misalignment
New Wineskin
Recontextualization
New Theological Vision
(Difficult and Dangerous)
"Many of today's problems are a result of yesterday's solutions." —Thomas Sowell.
City Mission
Societies
Time
Early City Missions
Fifth Wave�Mission Movement
Sources: Global City Mission Movement, City Mission Societies, , History of Innovation in the City Mission and Rescue Mission Movements
Independent Gospel �Rescue Missions
Global & National �Mission Networks
New Wineskins
David Nasmith
1826
Jerry McAuley, 1872
5th Wave Programs
Wave 5 Transformative Ministry Model for Rescue Missions
Doctrinal Foundation, Core Theology & Worldview
Ministry Expression (Methods)
Theological Vision (Mental Models)
What to Believe
How to See
What to Do
Rescue Mission Worldview
Adapted from Tim Keller’s Center Church
Practical �Theology
Christian�Integration
& Strategic�Alignment
Gospel-centered Life Transformation by
Program Methods & Design
as fits your context, guests/clients & theological vision
Values Alignment & Zeal
Professionalism
3. Hiring Program Grads
1. Hiring Secularly Trained�Professionals
2. Promoting Staff
from within
Strategy to Professionalize without Mission Drift
Radically Increased�Training in Skills & Values
Frontier of �Staff Quality
Frontier of �Staff Quality
(learning organization)
Strategy: Increase Staff Training by 200% to 400% to Advance Frontier of Staff Quality
1�Founding
Historic �Cultural
Center
Current
Professional �Cultural
Center
New Mental Models
How City Vision Can Help Your Ministry
�Leaders in�CVU Programs
Program Staff in Key CVU Courses
You Train All Program Staff
Master’s & Doctoral Level
Certificates & Degrees
Training
Christian Approaches to Counseling & Life Transformation Course
Clinical �Counseling
Program &�Community
Case Management
Christian�Integration�Knowledge
Christian�Clinical�Counseling�Skills
Expertise in
Christian�Program & Community�Design
Expertise in
Developing�Community�Partnerships
Personal Maturity�& Lived Experience
of Counselor/Staff
Christian Teaching & Spiritual Disciplines
Life Skills Classes
Vocational Development�(job, financial health, housing)
Emotional Stability
& Relational Health
Support Community
(church, 12-step, etc.)
Physical Health�(psychiatric, medical, habits)
Client Development Dimensions
Intervention Dimensions
Christian Counseling & Program Competency Dimensions
Weeks 1-4
Weeks 5 & 6
Week 7 & 8
Final Project
Christian Counseling & Life
Transformation Ministry
Competency Cube
ADC 440/506/701 (Fall 2)
The Past & Future of the Rescue Mission Movement
Kairos Moment
New Wineskin
Recontextualization
(Difficult and Dangerous)
Develop dual expertise
Part 2. Innovation: The Fifth Wave�Rescue Mission Movement
Part 1. History of the Five Waves of the Rescue Mission Movement
Historical
Rescue Mission Movement
Emerging
Rescue Mission Movement
Backup Slides
Dr. Andrew Sears�City Vision University�www.cityvision.edu
Mental Models: 5 Lenses for Life Transformation
Transformative programs…
Mental models are similar to Philosophy of Ministry, �Theory of Change & Theological Vision
Theological Certainty
Scientific Certainty
Scientific and Theological Certainty
Earth is Not Flat
Earth Revolves Around the Sun
Invalidity of Currently
Trendy but Crazy Theories
(COVID-19 & Vaccine Conspiracies,�Climate Change is a Hoax, etc.)
Apostles Creed
(Jesus is God, 12 tenets)
Theological Conservatism
(evangelical tenets, sexual morality)
Denominational Beliefs
(pneumatology, eschatology)
Minor Points
(age of earth, worship styles
cultural holiness standards)
Complex Systems,�Praxis
Practical Theology
Action Research
Theological Overreach
Overreach by �Science
Theological Certainty
Scientific Certainty
Scientific and Theological Certainty in Christian Ministry
Genetic Determination
(in Rare Cases, i.e. Down Syndrome)
1�Founding
2�Scaling
Genetic Determination
(addiction, sexuality)
Genetic Influence
(addiction, sexuality)
Apostles Creed
(Jesus is God, 12 tenets)
Theological Conservatism
(evangelical tenets, sexual morality)
Denominational Beliefs
(pneumatology, eschatology)
Minor Points
(age of earth, worship styles
cultural holiness standards)
Mental Health Debates
What attitude toward the following maximizes mental health outcomes:
General: What morality and social values are optimal for long-term health of a society?
Most Pragmatic Questions for �Action Research
How We Limit Debate to One Side
Every Organization & Culture has an Overton window of norms and limits to debate
Relationship of Culture & Worldview to Research Methods
Researcher
Philosophical �Framework
Research�Method
Reality
Academic Discipline
Theory
Worldview
Culture
Christian�Integration
Cultural�Contextualization
Levels of Evidence Pyramid in Research & Its Limitations in Nonprofit Programs
Limitations
Image source: https://isu.libguides.com/psychology/levels
What’s Unique? Example: Family Counseling & Addiction
Counseling�(CACREP & LPC Aligned)
Addiction Specific Integration�(TAP21)
Christian Integration
City Vision Addiction Counseling Program Paths
ADC�Undergrad Certificate�(6 courses or �16-18 credits)
ADC�Associate’s�(60 credits)
ADC�Bachelor’s�(120 credits)
ADC�Grad Certificate�(12 credits)
ADC�Master’s�(36 credits)
Peer Specialist
Master Addiction Counselor
Clinical ADC Supervisor
Transfer up to 27 Credits to Liberty’s 60 Credit Master’s Leading to an LPC
CAC I & II
BS ADC Concentrations
Clinical Addiction Counseling
Christian Recovery Ministry
Diversified
MS ADC Concentrations
Clinical Addiction Counseling
Christian Recovery Ministry
Pre-LPC
Clinical Concentration and Path to Licensure not allowed by regulations in:�AK, AZ, DE, KS, LA, NJ, NM, NC (Masters), ND, SC, WV
City Vision Has More Addiction-Specific Courses than Any Other Christian University
6. Develop Holistic Competency Maps for Programs & Staff (Competency Cube)
Clinical �Counseling
Program &�Community
Case Management
Christian�Integration�Knowledge
Christian�Clinical�Counseling�Skills
Expertise in
Christian�Program & Community�Design
Expertise in
Developing�Community�Partnerships
Personal Maturity�& Lived Experience
of Counselor/Staff
Christian Teaching & Spiritual Disciplines
Life Skills Classes
Vocational Development�(job, financial health, housing)
Emotional Stability
& Relational Health
Support Community
(church, 12-step, etc.)
Physical Health�(psychiatric, medical, habits)
Client Development Dimensions
Intervention Dimensions
Christian Counseling & Program Competency Dimensions