The community-reinforcement approach

The community-reinforcement approach (CRA) is an alcoholism treatment approach that aims to achieve abstinence by eliminating positive reinforcement for drinking and enhancing positive reinforcement for sobriety. CRA integrates several treatment components, including building the client's motiv...

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Bibliographic Details
Published in:Alcohol research & health 1999-01, Vol.23 (2), p.116-121
Main Authors: Miller, W R, Meyers, R J, Hiller-Sturmhöfel, S
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Alcoholism
Alcoholism - psychology
Alcoholism - therapy
Behavior modification
Care and treatment
Community
Community Networks
Humans
Motivation
Reinforcement (Psychology)
Substance abuse treatment
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Summary:The community-reinforcement approach (CRA) is an alcoholism treatment approach that aims to achieve abstinence by eliminating positive reinforcement for drinking and enhancing positive reinforcement for sobriety. CRA integrates several treatment components, including building the client's motivation to quit drinking, helping the client initiate sobriety, analyzing the client's drinking pattern, increasing positive reinforcement, learning new coping behaviors, and involving significant others in the recovery process. These components can be adjusted to the individual client's needs to achieve optimal treatment outcome. In addition, treatment outcome can be influenced by factors such as therapist style and initial treatment intensity. Several studies have provided evidence for CRA's effectiveness in achieving abstinence. Furthermore, CRA has been successfully integrated with a variety of other treatment approaches, such as family therapy and motivational interviewing, and has been tested in the treatment of other drug abuse.
ISSN:1535-7414
2168-3492
2169-4796
1930-0573