Program
Overview
The A-CRA approach to alcohol and substance use treatment
incorporates a behavioral modification intervention
that seeks to increase a family’s, educational,
vocational and social reinforcers to support the adolescent’s
recovery.
A-CRA is an evidenced based practice that uses behavioral
techniques and skills training to teach adolescents
new ways of handling life’s problems without alcohol
and drugs.
A-CRA is best suited for adolescents 12—18 years
of age.
Research
A-CRA is listed in the SAMSHA (Substance
Abuse and Mental Health Administration) National Registry
of Evidence Based Programs & Practices.
• Community reinforcement counseling models such
as A-CRA, reduce use and time in institutions and increase
hours worked and time spent with their families.
• A-CRA has been found to be effective across
multiple populations, cultures and living conditions.
How it Works
• Teaches adolescents alternative coping, communication
and problem solving skills.
• Helps adolescents gain insight into their substance
use.
• Helps adolescents choose more socially favorable
alternatives
• Teaches the adolescent when and where to use
new techniques.
• Uses positive reinforcement.
• Adolescents are not penalized for setbacks or
challenges.
Structure
• A-CRA is short term (minimum of 14 sessions*)
• 10 individual sessions with the adolescent.
• 2 individual sessions with a supportive caregiver
.
2 joint sessions with a
Essential Elements
• Role-play ensures safe practice of newly learned
skills
• Homework provides constant reinforcement of
newly gained skills
• Caregivers also learn skills to support their
adolescent’s recovery.
***Caregiver participation is essential to the success
of A-CRA.
A-CRA Goals
Goals for Adolescent Sessions
• Abstinence from marijuana, other drugs, and
alcohol.
• Positive social activity.
• Positive peer relationships.
• Improved relationships with family.
Goals for Caregiver Session
• Motivate participation in the ACRA process.
• Adolescent’s abstinence from marijuana,
other drugs and alcohol.
• Provide information to the caregivers about
effective parenting
Goals for working with
Community
• Improve the adolescent’s environment
• Teach skills through role-play
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