This chapter discusses how best to manage the group process and maximize participation from clients. We discuss ways to address various group interactions that may ensue and provide suggestions for handling different elements of the group process. We also include a section on how to start a MICST group. This section provides a sample “recruitment flyer,” detailing the goals of MICST and discusses how to consider issues such as transportation, scheduling of the group, organizing group materials, and working collaboratively with clinical staff and administration. The chapter concludes with discussing ways to evaluate the group using various feedback tools and questionnaires. We also report sample outcome data from “evaluation studies” and client and staff feedback questionnaires, which we have used to evaluate MICST.