Treatment programs promote individual solutions to substance abuse through changing dysfunctional behavior and relying on spiritual beliefs and practices. Root problems are understood to be diseases within the person. However, the social conditions implicated in causing the addiction remain unaddressed. Questions whether social workers can bring…

This paper reviews issues in the provision of services to individuals who are mentally ill chemical abusers and addicted (MICAA). Introductory material defines this population and notes that these people are frequently ineligible for services aimed at either mental illness or chemical abuse alone. Service provisions within the psychiatric/mental…

Describes efforts of residential treatment facilities to collaborate with community-based substance abuse programs to meet the needs of clients. Examines the rationale for and administrative, managerial, and clinical issues relevant to such collaboration. Illustrates the difficulties encountered in establishing effective program linkages and…

This paper describes the consumer program, "Helpful People in Touch," a self-help treatment program for people with the multiple disorders of mental illness, drug addiction, and/or alcoholism. First, the terms, "Mentally Ill Chemical Abusers and Addicted" (MICAA) and "Chemical Abusing Mentally Ill" (CAMI) are defined…