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The community reinforcement approach: an update of the evidence.

Meyers RJ, Roozen HG, Smith JE - Alcohol Res Health (2011)

Bottom Line: The first variant is Adolescent Community Reinforcement Approach (A-CRA), which targets adolescents with substance use problems and their caregivers.The second approach, Community Reinforcement and Family Training (CRAFT), works through family members to engage treatment-refusing individuals into treatment.An overview of these treatments and their scientific backing is presented.

View Article: PubMed Central - PubMed

Affiliation: Psychology Department at the University of New Mexico,Albuquerque, New Mexico.

ABSTRACT
The Community Reinforcement Approach (CRA), originally developed for individuals with alcohol use disorders, has been successfully employed to treat a variety of substance use disorders for more than 35 years. Based on operant conditioning, CRA helps people rearrange their lifestyles so that healthy, drug-free living becomes rewarding and thereby competes with alcohol and drug use. Consequently, practitioners encourage clients to become progressively involved in alternative non-substance-related pleasant social activities, and to work on enhancing the enjoyment they receive within the "community" of their family and job. Additionally, in the past 10-15 years, researchers have obtained scientific evidence for two off-shoots of CRA that are based on the same operant mechanism. The first variant is Adolescent Community Reinforcement Approach (A-CRA), which targets adolescents with substance use problems and their caregivers. The second approach, Community Reinforcement and Family Training (CRAFT), works through family members to engage treatment-refusing individuals into treatment. An overview of these treatments and their scientific backing is presented.

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Related in: MedlinePlus

Happiness Scale.SOURCE: Meyers, R.J., and Smith, J.E. Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach. New York: Guilfor Press, p.95. Adapted with permission.
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f2-arh-33-4-380: Happiness Scale.SOURCE: Meyers, R.J., and Smith, J.E. Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach. New York: Guilfor Press, p.95. Adapted with permission.

Mentions: (3) CRA Treatment Plan begins with the Happiness Scale (figure 2) to let clients know that all aspects of their lives are important, not just their substance using behavior. It also provides the structure for easily identifying areas of discontent and later signs of progress. Clients select areas from the Happiness Scale to work on, and then use the Goals of Counseling form to establish meaningful, objective goals in these areas, and highly specified methods for obtaining them.


The community reinforcement approach: an update of the evidence.

Meyers RJ, Roozen HG, Smith JE - Alcohol Res Health (2011)

Happiness Scale.SOURCE: Meyers, R.J., and Smith, J.E. Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach. New York: Guilfor Press, p.95. Adapted with permission.
© Copyright Policy - public-domain
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860533&req=5

f2-arh-33-4-380: Happiness Scale.SOURCE: Meyers, R.J., and Smith, J.E. Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach. New York: Guilfor Press, p.95. Adapted with permission.
Mentions: (3) CRA Treatment Plan begins with the Happiness Scale (figure 2) to let clients know that all aspects of their lives are important, not just their substance using behavior. It also provides the structure for easily identifying areas of discontent and later signs of progress. Clients select areas from the Happiness Scale to work on, and then use the Goals of Counseling form to establish meaningful, objective goals in these areas, and highly specified methods for obtaining them.

Bottom Line: The first variant is Adolescent Community Reinforcement Approach (A-CRA), which targets adolescents with substance use problems and their caregivers.The second approach, Community Reinforcement and Family Training (CRAFT), works through family members to engage treatment-refusing individuals into treatment.An overview of these treatments and their scientific backing is presented.

View Article: PubMed Central - PubMed

Affiliation: Psychology Department at the University of New Mexico,Albuquerque, New Mexico.

ABSTRACT
The Community Reinforcement Approach (CRA), originally developed for individuals with alcohol use disorders, has been successfully employed to treat a variety of substance use disorders for more than 35 years. Based on operant conditioning, CRA helps people rearrange their lifestyles so that healthy, drug-free living becomes rewarding and thereby competes with alcohol and drug use. Consequently, practitioners encourage clients to become progressively involved in alternative non-substance-related pleasant social activities, and to work on enhancing the enjoyment they receive within the "community" of their family and job. Additionally, in the past 10-15 years, researchers have obtained scientific evidence for two off-shoots of CRA that are based on the same operant mechanism. The first variant is Adolescent Community Reinforcement Approach (A-CRA), which targets adolescents with substance use problems and their caregivers. The second approach, Community Reinforcement and Family Training (CRAFT), works through family members to engage treatment-refusing individuals into treatment. An overview of these treatments and their scientific backing is presented.

Show MeSH
Related in: MedlinePlus