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On January 2, 1997 the MICA Program at Mildred Mitchell-Bateman Hospital was established. The function of the program is to provide specialized addiction services to psychiatric patients admitted to the hospital. Utilizing the dual disease concept, the program primarily focuses on identification of the dually diagnosed patient, stabilization, engagement, initiation of active treatment and the development of appropriate continued care plans. All individuals admitted to Mildred Mitchell-Bateman Hospital are screened for substance abuse issues upon referral and if determined to be in need of addiction services, are referred to the MICA Program for additional assessment and treatment. Treatment is provided by a specialized multidisciplinary staff utilizing group therapies as a primary treatment modality. Treatment interventions are designed applying the treatment matching concept as it relates to the Transtheoretical Model of Change . The primary goal of this program is to assist patients in making positive change and to provide the multi-diagnosed individual with the necessary information and coping skills to sustain recovery from coexisting illness.

Program Philosophy

The program philosophy is based on the concept that a dual diagnosed patient has two primary disorders. Contrary to the historical philosophy that treating one illness will resolve the other, it is this program's position that in order for a patient to sustain recovery from mental illness and substance abuse, both disorders must be treated as primary disorders. Given the inter-relatedness of mental health and substance abuse, the negative influence each has on the other, both disorders must be given equal importance.

Treatment Model

An integrated biopsychosocial treatment model is utilized by the MICA Program. All treatment activities are designed to enhance dual recovery. Specifically, integration describes the process of treating two illnesses with a single prescriptive treatment plan and treatment team. The program's treatment model also incorporates the Transtheoretical Model of Change . This model focuses on specific tasks to be accomplished during specific stages of change.

Scope of Services

Services provided by the MICA Program include assessment, treatment planning, group therapy, individual interventions, and recovery planning. The majority of therapeutic programming consists of a variety of group therapy strategies. Assignment to specific therapies are based on the individual's identified stage of change and specific needs. Individual therapies are also utilized as indicated by patient need. Patients may receive the following services:


1. Assessment

        a. Addiction assessment

        b. Stage of Change assessment

        c. Placement recommendations

2. Treatment Planning

3. Group Therapies

        a. Psychoeducational

        b. Decision making therapies

        b. Coping skills

        c. Relapse prevention

        d. Social skills

        e. Support group education

        f. Support group role play

        g. Support group meetings

4. Individual Interventions and Recovery Planning

5. Continued Care Recommendations

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