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.
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.
- 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.
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