Main description:

The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse and promote a healthier lifestyle. It is of proven effectiveness, and should be more widely used. This 2001 book presents research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem-solving and drink-refusal strategies, and addresses the needs of the client as part of a social community. Combining practical advice on such matters with a scientific survey of CRA in use, this book offers a treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

Contents:

Acknowledgments; 1. Developing the community reinforcement approach Robert J. Meyers and Mark D. Godley; 2. Practice and promise - the Azrin studies Erica J. Miller; 3. The treatment Jane Ellen Smith and Robert J. Meyers; 4. A comparison of community reinforcement approach and traditional approaches William R. Miller, Robert J. Meyers and J. Scott Tonigan; 5. Community reinforcement and traditional approaches William R. Miller, Robert J. Meyers, J. Scott Tonigan and Kathryn A. Grant; 6. Community reinforcement approaches with the homeless Jane Ellen Smith and Harold Delaney; 7. Community reinforcement approach to the treatment of cocaine and opioid dependence Stephen T. Higgins and Patrick Abbott; 8. Community reinforcement and family training (CRAFT) Robert J. Meyers, William R. Miller and Jane Ellen Smith; 9. Summary and reflections William R. Miller and Robert J. Meyers; References; Index.