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Adolescent Community Reinforcement Approach (A-CRA)

Scientific Rating:
2
Supported by Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Adolescent Community Reinforcement Approach (A-CRA) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Assessments

To be given to organizations or providers in order to measure organizational or individual readiness:

Chestnut Health Systems has EBT Coordinators available to discuss possible implementation of A-CRA with interested organizations and individuals. After an organization or individual expresses interest in learning the intervention, the EBT Coordinator will make contact and learn more about the organization or individual so that they can make recommendations regarding training. Standard questions that are asked include:

  • How did you hear about the program?
  • Do you want us to explain A-CRA?
  • Are you applying for a specific grant application? If yes, which one?
  • Has your organization delivered adolescent treatment before? How would A-CRA be a part of your existing structure?
  • Please briefly describe your treatment program.
  • Are you familiar with the clinical supervisor/clinician model?
  • How many staff (clinical supervisors and clinicians) would you like trained?
  • How soon would you need this training?

Once an organization makes a decision to proceed with training, orientation calls are conducted with each site to review certification requirements for clinicians and supervisors (chestnut.org/LI/acra-acc/A-CRA_ACC_Certification_Requirements_for_Website_012309.pdf). To contact an EBT Coordinator, an organization or individual can e-mail ebtxquestions@chestnut.org.

Implementation Tools — for the program (e.g., implementation guides or manuals)

Sites implement by participating in a well-defined training and certification process, which is described on the A-CRA website (chestnut.org/LI/acra-acc) and in the following manuscript: Godley, S. H., Garner, B. R., Smith, J. E., Meyers, R. J., & Godley, M. D. (in press). An electronic copy of the article Clinical Psychology: Science and Practice, a large-scale dissemination and implementation model for evidence-based treatment and continuing care, can be obtained by contacting ebtxquestions@chestnut.org.

Fidelity Measures

There is an A-CRA checklist and a rating manual. Currently, the rating manual is only provided to individuals who have been trained as expert raters and/or certified A-CRA clinical supervisors.

  • The citation for the checklist is: Smith, J. E., & Meyers, R. J. (2006). The Adolescent Community Reinforcement Approach (A-CRA) procedures checklist. Albuquerque, NM: University of New Mexico.
  • The citation for the manual is: Smith, J. E., Lundy, S. L., & Gianini, L. (2007). Community Reinforcement Approach (CRA) and Adolescent Community Reinforcement Approach (A-CRA) therapist coding manual. Bloomington, IL: Chestnut Health Systems. Contact ebtxquestions@chestnut.org if interested in purchasing the rating manual.

The following article describes the training for A-CRA raters: Garner, B. R., Barnes, B. N., & Godley, S. H. (2009). Monitoring fidelity in the Adolescent Community Reinforcement Approach (A-CRA): The training process for A-CRA raters. Journal of Behavior Analysis in Health, Sports, Fitness, and Medicine, 2(1), 43-54.