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Community Reinforcement Approach (CRA) is a comprehensive behavioural program for treating substance-abuse problems. It is based on the belief that environmental contingencies can play a powerful role in encouraging or discouraging drinking or drug use. Consequently, it utilizes social, recreational, familial, and vocational reinforces to assist consumers in the recovery process. Its goal is to make a sober lifestyle more rewarding than the use of substances.

The adult CRA program repeatedly ranks as one of the top five alcohol treatments across various reviews that examine 30-50 different treatments. This cognitive-behavioural treatment has proven successful with populations that are ethnically-diverse, and across a wide range of ages. It has proven effective with both inpatients and outpatients, as well as with severely alcohol-dependent individuals and dually-diagnosed clients.

CRA involves the following:

Overview of CRA
Functional Analysis of Substance Using Behaviour
Functional Analysis of Pro-Social Behaviour
Happiness Scale
Treatment Plan/Goals of Counselling
Communication Skills
Drink/Drug Refusal Skills
Sobriety Sampling
Job Counselling

If you wish to include your partner in your sessions the following would be covered:

Relationship Happiness Scale
Perfect Relationship Form
Daily Reminder to be Nice
Couples communication skills


For further information on CRA  please see www.robertjmeyersphd.com