Treatment for MICAs: Design and implementation of the modified TC

This article describes the main features of an innovative therapeutic commu nity (TC) model adapted for use with mentally ill chemical abusers (MICAs). It describes the rationale for use of the modified TC with MICAs, the trea tment structure and environment created, the essential components of the mo dified TC program, staffing, and the process and goals of client change. De tails are given regarding issues and strategies for the implementation of t he new program in terms of program planning, staff training, and system ini tiation. Evaluation data from the authors' research is summarized to suppor t the adoption of the modified TC model. The article makes clear the feasib ility of a modified TC model of established effectiveness with a MICA popul ation. This model has now been successfully introduced into mental health, drug treatment, shelter, and correctional settings.