Modified Therapeutic Community for Individuals With Mental Illness and Chemical Abuse (MICA) Disorders Who Commit Offenses
Problems addressed
Effectiveness

Promising

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Promising

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Life periods served
Where the program was applied
Country of application
Description

This is a program for the treatment of incarcerated individuals who abuse drugs. This is an adaptation of the therapeutic community model, more flexible and personalized while less intense, with the aim of reducing substance use and criminal recidivism.
The program takes place in a specific gallery, with participants separated from the general prison population. Treatment includes group therapy, individual therapy, mental health monitoring, and medication management, and can be followed up after release from the prison system. In this case, inmates are monitored for six months by the community mental health center and parole officers.

Impact evaluations

An impact assessment showed that, after 12 months, 75% of the participants had not used illegal drugs, compared to 56% of the control group; 81% of the participants had not heavily used alcohol compared to 61% of the control group; and relapse occurred later than in the control group, 3.7 months versus 2.6 months [1].

Bibliographic reference

[1] Sullivan, C. J., McKendrick, K., Sacks, S. & Banks, S. (2007). Modified therapeutic community treatment for offenders with MICA disorders: Substance use outcomes. The American Journal of Drug and Alcohol Abuse, 33(6), 823–832. https://doi.org/10.1080/00952990701653800

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