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The development of a partial hospitalization program for mentally ill chemically abusing (MICA) patients
K R Conner1, S M Silverstein, K A Melnyk
1Department of Psychiatry (Psychology), University of Rochester Medical Center, NY 14642, USA.
Journal of Substance Abuse Treatment
|September 1, 1995
Summary
This study details a partial hospitalization program for co-occurring mental illness and chemical abuse (MICA) disorders. The program effectively treats MICA patients, including those with personality disorders, addressing critical service gaps.
Area of Science:
- Psychiatry
- Addiction Medicine
- Clinical Psychology
Background:
- High prevalence of co-occurring mental illness and chemical abuse (MICA) disorders necessitates specialized treatment services.
- Existing clinical services often lack the targeted approach required for complex MICA patients.
Purpose of the Study:
- To describe a partial hospitalization program specifically designed for MICA patients.
- To outline the program's mission, structure, and treatment approach.
- To present data on patient demographics and treatment outcomes.
Main Methods:
- Description of a partial hospitalization program at University of Rochester Medical Center-Strong Memorial Hospital.
- Inclusion of program mission, setting, staffing, and daily schedule.
- Analysis of diagnostic and sociodemographic data for 50 consecutive MICA patients.
Main Results:
- The program addresses key treatment goals for MICA patients.
- Discussion supports the inclusion of personality disorders within MICA treatment frameworks.
- Case vignette illustrates successful patient treatment within the program.
Conclusions:
- Partial hospitalization is an effective modality for treating co-occurring mental illness and chemical abuse.
- Integrated treatment approaches are crucial for MICA patients, including those with personality disorders.
- The described program serves as a model for addressing complex MICA patient needs.