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Community Reinforcement Approach (CRA)

The CRA programme helps people addicted to drugs and/or alcohol. It is centred on a functional analysis of their behaviour and the use of positive reinforcement to encourage them to alter their lifestyle and continue to engage in treatment.

Using behavioural learning, CRA helps adults and young people aged from 12 to 18 (through ACRA) change their lifestyle so that healthy, substance misuse-free living becomes rewarding and consequently competes with alcohol and drug use.

The treatments within CRA (and ACRA) include: building motivation to give up drinking; help with starting sobriety; analysing drinking patterns; increasing positive reinforcement; learning new coping behaviours; and involving concerned significant others in the recovery process.

Several international studies provide evidence for the effectiveness of CRA in achieving abstinence. Furthermore, CRA has been successfully integrated with other treatments, such as family therapy and motivational interviewing, and has been tested in the treatment of other drug misuse.

CRA was developed by the behavioural psychologist Nathan Azrin in the 1970s and then researched by Dr Meyers and colleagues at CASAA within the University of New Mexico.

Our training programmes

Community Reinforcement And Family Training (CRAFT)

This training is aimed at workers who are supporting people (affected others) who are affected by someone else’s drug or alcohol use.

Drug and Alcohol Awareness Training

The overall aim of this course is to raise participants awareness of drug and alcohol use, how they are used and the effects.

Positive Practice Partnership

Positive Practice Partnership delivers training, accreditation and consultancy for the Community Reinforcement Approach (CRA) designed for professionals working in drug and alcohol services.