Community Reinforcement Approach for Stimulant Use Disorders
"Learn about the Community Reinforcement Approach (CRA) for managing stimulant use disorders, including its components, evidence, and effectiveness in promoting abstinence and treatment completion."
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Community Reinforcement Approach Stimulant Keys Mini Deck 15
Community Reinforcement Approach Summary Community Reinforcement Approach (CRA) is a combination of behavioral strategies to: Identify the role of environmental contingencies in encouraging or discouraging substance use Rearrangement of these contingencies so that a non- substance using life is more rewarding than a using one. 2 SOURCES: Meyers et.al., 2011; Budney & Higgins, 1998
Components of CRA CRA Components include: behavioral skills training social and recreational counseling marital therapy motivational enhancement job counseling relapse prevention For application to the treatment of Stimulant Use Disorders, contingency management is added. 3 SOURCES: Meyers et.al., 2011; Budney & Higgins, 1998
Evidence for Community Reinforcement Approach Comparing CRA to standard drug treatment: Increased rates of treatment completion Greater rates of abstinence during treatment CRA in combination with CM: Were more likely to complete treatment Had longer continuous abstinence during treatment Had more improved measures of drug/psych problems CRA in combination with CM: Reduced use of cocaine during treatment Improved psychological and employment functioning during treatment and at 6-month follow up 4 SOURCES: De Crescenzo et al., 2018; Higgins et al., 2003; Copeland & Sorenson, 2001; Higgins et al., 1994; Higgins et al., 1993
