Community reinforcement approach and family training

Community reinforcement approach and family training (abbr. CRAFT) is a behavior therapy approach in psychotherapy for treating addiction developed by Robert J. Myers in the late 1970s. Meyers worked with Nathan Azrin in the early 1970s whilst he was developing his own community reinforcement approach (CRA) which uses operant conditioning (also called contingency management) techniques to assist those with addictions live healthily. Meyers adapted CRA to create CRAFT, which he described as CRA that "works through family members."^[1] CRAFT combines CRA with family training to equip concerned significant others (CSOs) of addicts with supportive techniques to encourage their loved ones to commence and continue treatment and provides them with defences against addiction's damaging effects on themselves.

Overview[edit]

"CRA is a time-limited treatment."^[2] "In time-limited therapy, a set number of sessions (for example, 16 sessions) or time limit (for example, one year) is decided upon either at the very beginning of therapy or within the early stages of therapy."^[3]

It "is designed to increase the odds of the substance user who is refusing treatment to enter treatment, as well as improve the lives of the concerned family members.^[1]^[2] CRAFT "teaches the use of healthy rewards to encourage positive behaviors. Plus, it focuses on helping both the substance user and the family."^[4]

Adolescent Community Reinforcement Approach (A-CRA) is CRA that "targets adolescents with substance use problems and their caregivers."^[1]

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Identified Patient (IP) – the individual with the substance use disorder who is refusing treatment,

Concerned Significant Others (CSOs) – the relevant family members and friends of the IP.

[5]

Al-Anon/Alateen

American Psychological Association

Behaviorism

Clinical behavior analysis

Cognitive behavioral therapy

Communal reinforcement

Domestic violence

Intervention (counseling)

National Institute on Alcohol Abuse and Alcoholism

National Institute on Drug Abuse

SMART Recovery

Adapting the CRAFT approach for use in group therapy

Parent CRAFT – Online Video Course developed by Robert J. Meyers, PhD

at Drug & Alcohol Rehab Asia (DARA), Thailand

Community Reinforcement Approach

at the American Psychological Association

Community Reinforcement Approach and Family Training (CRAFT)

at the NIAAA

The Community Reinforcement Approach: An Update of the Evidence

Robert J. Meyers personal website

SMART Recovery Family, Friends, and Addiction Recovery

Step Facilitation Therapy Manual

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