Practice Areas

The practice descriptions that follow identify various models and intervention approaches that have been found to be effective in duplicated research studies. Their appropriately adapted implementation holds the promise of improved treatment and recovery outcomes for individuals facing recovery challenges from mental health and substance use disorders.

The array of evidence-based practices emphasized and supported by Michigan’s public behavioral health system are intended to provide individuals with effective intervention and support to empower the achievement of recovery goals. The following are increasingly included in a growing menu of service options for service recipients with various types and levels of intensity of need.


Applied Behavior Analysis (ABA)

ABA is the application of behavioral principles to change socially significant behavior. ABA is an effective, evidence-based approach for individuals with autism and other developmental disabilities that is overseen by qualified behavior analysts, such as Board Certified Behavior Analysts (BCBA) or Licensed Behavior Analysts (LBA). ABA has been scientifically tested and the United States Surgeon General (1999) concluded, “Thirty years of research demonstrated the efficacy of applied behavioral methods in reducing inappropriate behavior and in increasing communication, learning and appropriate social behavior.”

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Assertive Community Treatment (ACT)

ACT is a form of treatment that typically employs intensive outreach activities, continuous 24-hour responsibility for service recipient’s welfare, active and continued engagement, a high intensity of support, and the provision of services by multidisciplinary teams. ACT emphasizes shared decision-making with individuals as essential to each person’s engagement and recovery progress.

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Clubhouse - Pyschosocial Rehabilitation (PSR)

A Clubhouse is a local community center that offers people who have mental illness hope and opportunities to achieve their full potential. Clubhouses are organized to provide meaningful work, productivity, and strong relationships. While participating in a Clubhouse, members gain access to opportunities to rejoin the worlds of friendships, family, employment and education, and to the services and support they may individually need to continue their recovery. A Clubhouse is a dynamic community where members work together to achieve a common goal.

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Cognitive Behavior Therapy (CBT)

CBT is a therapeutic approach that seeks to modify negative or self-defeating thoughts and behavior. CBT is aimed at both thought and behavior change—that is, coping by thinking differently and coping by acting differently. CBT is the most extensively studied successful psychotherapeutic approach for treating a wide range of problem areas, including many recovery challenges faced by older adults.

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Dialectical Behavior Therapy (DBT)

DBT is a cognitive-behavioral treatment approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. DBT is a specialized form of cognitive behavioral therapy (CBT) designed specifically as a treatment for individuals with self-harmful behaviors (such as cutting), and suicidal thoughts, urges and/or suicide attempts. Many clients with these behaviors meet criteria for borderline personality disorder (BPD). It is not unusual for individuals diagnosed with BPD to also struggle with other problems – depression, bipolar disorder, posttraumatic stress disorder (PTSD), anxiety, eating disorders, or alcohol and drug problems.

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Co-occurring Disorder Treatment

Co-occurring Disorder Treatment is an approach to effectively treating co-occurring substance use and mental health disorders. Dual disorders (also referred to as co-occurring disorders, or COD) respond best to treatment that is significantly integrated in its ability to address both mental health and substance use concerns. Service providers of dual disorders treatment strive for integration at the levels of program structure, milieu, assessment, treatment interventions, continuity of care, staffing, and training.

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Integrated Dual Disorders Treatment (IDDT)

IDDT is an intensive approach to treating dual disorders which combines elements of both mental health and addictions treatment into a unified, comprehensive, and continuous program. The SAMHSA-endorsed evidence-based practice IDDT model features 26 domains of both organizational and treatment elements viewed as important for providing optimally effective, integrated treatment for individuals facing the dual recovery challenges of serious mental illness and addiction.

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Family Psychoeducation (FPE)

FPE is an evidence-based practice endorsed by the Substance Abuse and Mental Health Services Administration (SAMHSA) which involves service recipients meeting together with family members / natural supports and trained facilitators to become better educated about various disorders and related recovery concerns, and to corporately address recovery issues utilizing a problem-solving model.

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Individual Placement and Support

Supported Employment (SE) is a strengths-based approach to vocational rehabilitation for people with serious mental illness and/or co-occurring substance use disorders. SE emphasizes helping people obtain competitive work in the community and providing the supports necessary to ensure success in the workplace. SE programs help individuals find jobs that pay competitive wages in integrated settings (i.e., with others who don’t necessarily have a disability) in the community. Also known as Individual Placements and Supports.

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Motivational Enhancement / Motivational Interviewing

Motivational Enhancement is an approach to assisting individuals with changing in areas of difficult behavior, utilizing the principles and strategies of the Motivational Interviewing approach, a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. Motivational Interviewing (MI) is a goal-directed, person-centered counseling style for eliciting behavioral change by helping individuals to explore and resolve ambivalence. The main assumption in MI is that ambivalence is the primary obstacle to behavioral change, so that the examination and resolution of ambivalence becomes its key goal.

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Parent Management Training - Oregon model (PMTO™)

PMTO is an evidence-based structured intervention to help parents and caregivers manage the behavior of their children The PMTO method is designed to promote prosocial skills and cooperation and to prevent, reduce and reverse the development and maintenance of mild to moderate to severe conduct problems in children age 4 - 12. PMTO empowers parents as primary treatment agents to promote and sustain positive change in families. PMTO can be provided in a group setting as well which is called Parenting Through Change or PTC.

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Substance Use Disorder (SUD)

This training is required for all SUD professionals in the publicly funded service delivery system in Michigan. The training includes basic information on sexually transmitted diseases/infections (STD/Is), HIV/AIDS, viral hepatitis, tuberculosis, and pictures of various STD/Is. A comprehensive approach to education is the most effective strategy for preventing infections in the substance using population and their communities, given the causal relationship between communicable diseases and substance use disorders.

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Supported Housing (SH)

SH is a combination of housing and support services intended as a cost-effective way to help people live more stable, productive lives. Supportive housing is widely believed to work well for those who face the most complex challenges—individuals and families confronted with homelessness and who also have very low incomes and/or serious, persistent issues that may include mental health and substance use disorders, HIV/AIDS, or other serious recovery challenges. Supported Housing includes indicated social services such as job training, life skills training, alcohol and drug abuse programs and case management.

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Trauma Focused Cognitive Behavioral Therapy (TFCBT)

TFCBT is an evidence based practice for children, 3 to 18 years of age that have experienced trauma. The practice is listed on the SAMHSA’s National Registry of Evidence Based Practices and Programs.

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Trauma-Informed Services

Trauma-Informed Services is a behavioral health service provision that takes into account the reality that a significant percentage of service recipients are survivors of one or another forms of traumatic experience. A trauma-informed approach endeavors to deliver services in such a way as to be sensitive to trauma recovery needs, and to avoid even unintentional re-traumatization.

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Trauma-Specific Treatment

Trauma-Specific Treatment can be specific clinical interventions, typically in either individual or group therapy formats, that are intended to assist service recipients with better managing and resolving the troublesome symptoms of posttraumatic stress that interfere with present functioning and quality of life.

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Trauma, Recovery and Empowerment Model (TREM) and Trauma, Recovery and Empowerment Model for Men (M-TREM)

TREM is a fully manualized group-based intervention designed to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse. Developed by Maxine Harris, Roger Fallot and others, this evidence-based facilitated group approach to healing combines elements of social skills training, psychoeducational and psychodynamic techniques, and emphasizes peer support. M-TREM is an adapted form of the Trauma, Recovery and Empowerment Model that has been developed for use with male survivors of various types of trauma. M-TREM is a fully manualized, group-based intervention designed to facilitate trauma recovery with men, including psychoeducational, psychodynamic, social skills-training and peer support elements.

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Seeking Safety

Seeking Safety is a present-focused treatment for individuals with a history of trauma and substance abuse, which emphasizes coping skills and psychoeducation. The treatment was designed for flexible use: group or individual formats, male and female clients, and a variety of settings, including outpatient, inpatient, and/or residential.

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Wraparound

Wraparound is a planning process that is designed to create an individualized plan to meet the needs of children and their families by utilizing their strengths. Wraparound is an established vehicle for delivery of services and supports to children and families with severe and multiple needs and risks being served by multiple agencies.

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