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Treatment of the mentally ill chemical abuser: Description of the Hutchings day treatment program

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Abstract

Drug and alcohol abuse represents a major obstacle to the successful rehabilitation of psychiatrically-disabled persons. Prevalence estimates for current chemical abuse among individuals in psychiatric treatment range from 24% to 49%. Although specialized treatment programs for mentally ill chemical abusers (MICAs) have recently been developed, few of these innovative programs are described in the literature. This paper presents main features of the MICA Day Treatment Program at the Richard H. Hutchings Psychiatric Center, including staffing, schedule, maintenance of a drug-free treatment environment, and therapeutic programming. Recommendations are offered for treatment providers who are developing their own services for MICAs.

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Authors and Affiliations

  1. the Richard H. Hutchings Psychiatric Center, USA

    Kate Bergmann Carey Ph.D. (Clinical Coordinator of the MICA Day Treatment)

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  1. Kate Bergmann Carey Ph.D.
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Additional information

This work was supported in part by National Institute of Drug Abuse Grant #1 RO3 DA-04593-01. The author thanks Michael P. Carey for his helpful editorial comments. Recognition is due to W. Lawrence Travers, Saundra Barnett-Reyes, and the entire staff of the MICA Day Treatment for their contributions to the program described in this paper.

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Carey, K.B. Treatment of the mentally ill chemical abuser: Description of the Hutchings day treatment program. Psych Quart 60, 303–316 (1989). https://doi.org/10.1007/BF01064354

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