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The document targets clinician adoption by explaining CRA’s core goal: making a sober lifestyle more rewarding than substance use through social, recreational, familial, and vocational reinforcers. It also outlines clinical guidance topics, including functional analysis, treatment planning, behavioral skills training, sobriety sampling, and relapse prevention, with supporting resources and FAQs.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-community-reinforcement-approach-a-guideline-developed-for-the-behavioral-health-recovery-management-project/639343/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-community-reinforcement-approach-a-guideline-developed-for-the-behavioral-health-recovery-management-project/639343.png","ImageObject",300,407,{"name":92,"@type":93},"Mafia Boss","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the Community Reinforcement Approach (CRA) and what is its main goal?","Question",{"text":112,"@type":113},"CRA is a comprehensive behavioral program for substance-abuse problems. 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Meyers and Daniel D. Squires  \nUniversity of New Mexico Center on Alcoholism, Substance Abuse and Addictions  \nAlbuquerque, New Mexico  \nThe Behavioral Health Recovery Management project is an initiative of Fayette Companies, Peoria, IL; Chestnut Health Systems, Bloomington, IL; and the University of Chicago Center for Psychiatric Rehabilitation.  \nThe project is funded by the Illinois Department of Human Services'Office of Alcoholism and Substance Abuse.  \nRobert J. Meyers, Ph.D. is a Research Associate Professor in Psychology at the University of New Mexico based at the Center on Alcoholism, Substance Abuse and Addictions (CASAA), and has been involved in research on treatment of alcohol problems for more than twenty-five years. Originally trained in Nathan Azrin's lab, he was a therapist and collaborator in the first outpatient trial of the community reinforcement approach (CRA; Azrin, Sisson, Meyers, & Godley, 1982), and other early outpatient studies of CRA (Mallams, Hall, Godley, & Meyers, 1982) . He is senior author of the only therapist manual on CRA (Meyers & Smith, 1995) . Dr. Meyers has been involved in six NIH-funded clinical trials of CRA-based treatment programs at CASAA, three with NIAAA (Meyers & Miller, 2001; Miller, Meyers, & Tonigan, 1999; Smith, Meyers, & Delaney, 1998) and three with NIDA (Abbott et al. , 1998; Meyers, Miller, Hill, & Tonigan, 1999; Meyers, Miller, Smith, & Tonigan, in press) . He was also Project Coordinator for the Albuquerque site of Project MATCH. He also developed the community reinforcement and family training (CRAFT) method for engaging treatment refusing problem drinkers in treatment via unilateral interventions through a concerned family member which has been found to be significantly more effective than two more commonly used methods, Al-Anon and the Johnson Institute intervention (Miller, Meyers, & Tonigan, 1999) . Dr. Meyers has presented over 65 CRA and CRAFT workshops in the USA and abroad, including Australia, Poland, Sweden, and the Netherlands.  \nDaniel D. Squires, [M.S.](M.S. is)[ is](M.S. is) currently a doctoral candidate in Clinical Psychology at the University of New Mexico where he is also pursuing a Master's degree in Public Health. His interests within the field of addictions research and treatment revolve around issues of motivation in the change process, and he has participated as a therapist in two federally funded studies of CRA and CRAFT with treatment refusing adolescents. He is also interested in policy issues involving program evaluation and dissemination, and is currently working with colleagues on developing a series of computer-based brief interventions for problem drinkers that will be evaluated in a series of upcoming controlled clinical trials.  \nTable of Contents  \nOverview .............................................................................................................. 3  \nBackground for The Community Reinforcement Approach .................................. 4  \nClinical Guidelines ................................................................................................ 8  \nCRA Functional Analysis ................................................................................ 11  \nSobriety Sampling........................................................................................... 12  \nDisulfiram Use with a Monitor ......................................................................... 12  \nCRA Treatment Plan ....................................................................................... 13  \nBehavioral Skills Training ............................................................................... 15  \nJob Skills ........................................................................................................ 16  \nSocial and Recreational Counseling ................................","cbCaiuH6GFUfAe6o","https://ap.wps.com/l/cbCaiuH6GFUfAe6o","pdf",107948,29,"English","# Overview\n# Background for The Community Reinforcement Approach\n# Clinical Guidelines\n## CRA Functional Analysis\n## Sobriety Sampling\n## Disulfiram Use with a Monitor\n## CRA Treatment Plan\n## Behavioral Skills Training\n## Job Skills\n## Social and Recreational Counseling\n## CRA's Marital Therapy\n## CRA Relapse Prevention\n## Frequently Asked Questions\n# Summary\n# Resources\n## Recommended Reading\n## Recommended Assessment and Treatment Manuals\n## Trainers\n## Internet-Based Resources\n# References","[{\"question\":\"What is the Community Reinforcement Approach (CRA) and what is its main goal?\",\"answer\":\"CRA is a comprehensive behavioral program for substance-abuse problems. Its main goal is to make a sober lifestyle more rewarding than using substances by using social, recreational, familial, and vocational reinforcers.\"},{\"question\":\"Why does the guideline emphasize environmental contingencies in CRA?\",\"answer\":\"The guideline is based on the belief that environmental contingencies can encourage or discourage drinking or drug use. CRA uses that idea to support consumers’ recovery through practical reinforcement sources.\"},{\"question\":\"Which clinical topics does the guideline cover for implementing CRA?\",\"answer\":\"It covers areas such as CRA functional analysis, sobriety sampling, disulfiram use with a monitor, CRA treatment plan, behavioral skills training, job skills, social and recreational counseling, marital therapy, and relapse prevention.\"}]","The Community Reinforcement Approach - A Guideline developed for the Behavioral Health Recovery Management project | PDF",1792703194,73]