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For many, this is program of last resort. The author explains that To be admitted, clients must also have a substance abuse problem and a history of unsuccessful completion of other programs (Program Procedures Manual 1993). Therefore, all of the program's clients have received services in various inpatient and outpatient mental health units and clinics in the past, where the primary focus was on their psychiatric disorders. Only 17% have received services in substance abuse programs for the general population, and only 3% have been in other MICA programs (Freeman 2001).
Another community-based program is designed specifically for the treatment of young adults at an outpatient facility. In their study Easton et al., (2003) describes a large community based out patient facility in New Haven, Connecticut (the name of the facility is not given). The study evaluated 434 participants who were divided into two groups; young adults (18-25) and older adults (26-45) (Easton et al., 2003). A study of this particular community-based program revealed that the substance abuse patterns were significantly different as were the demographics of the abusers (Easton et al., 2003). For instance those in the Young Adult age group were more likely to be African-American, while those in the older age group were more likely to be Caucasian. As it relates to treatment the study revealed that the standard 12 step treatments that this facility and many others rely upon is not as effective with the younger age group. However, the study did reveal that incorporating motivational approaches including motivational enhancement therapy (MET) may be more appropriate in increasing adherence to treatment...
There are also many government grants available to start or fund such programs (Targeted Capacity Expansion Initiatives, 2002).
References
Andersen, M., Paliwoda, J., Kaczynski, R., Schoener, E., Harris, C., Madeja, C., et al. (2003). Integrating Medical and Substance Abuse Treatment for Addicts Living with HIV / AIDS: Evidence-Based Nursing Practice Model. American Journal of Drug and Alcohol Abuse, 29(4), 847+.
Easton, C., Sinha, R., & Kemp, K. (2003). Substance Abuse Treatment Characteristics of Probation-Referred Young Adults in a Community-Based Outpatient Program. American Journal of Drug and Alcohol Abuse, 29(3), 585+.
Freeman, E.M. (2001). Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change Strategies: Helping Individuals, Families, and Groups to Empower Themselves. New York: Columbia University Press.
Michigan Department of Community Health HIV / AIDS Surveillance Section (MDCH) Quarterly HIV / AIDS Analysis, January 1, 2003. State of Michigan Department of Health: Lansing, MI, 2003.
Targeted Capacity Expansion Initiatives for Substance Abuse Prevention (SAP) and HIV Prevention (HIVP) in Minority Communities: Planning Grants. Substance Abuse and Mental Health Administration. Retrieved May 22 at http://alt.samhsa.gov/grants/content/2002/sp02004_HIVplan.htm
("White House Drug Policy: Funding." (2006) Office of National Drug Control Policy) The lack of medical resources, however, currently available through most CAPs may make it difficult for CAPs to provide meaningful medical aid to addicted individuals. Most of the aid is likely to be directed towards hosting counseling and support groups. However, unlike federal drug efforts, CAPs, by allying themselves with faith-based community partnerships can provide psychological support
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