The information in this program outline is provided by the program representative and edited by the CEBC staff. The Community Reinforcement Approach (CRA) program has been rated by the CEBC in the area of: Substance Abuse Treatment (Adult).

• Child Welfare Outcome: Child/Family Well-Being
• Types of Maltreatment: Does not target any specific kind of maltreatment
• Target Population: Individuals ages 18 and over who have a primary diagnosis of any Substance-Related Disorder (DSM-IV-R). Individuals with co-occurring disorders also respond well to this approach.

CRA is a comprehensive cognitive-behavioral intervention for the treatment of substance abuse problems. CRA seeks to treat substance abuse problems through focusing on environmental contingencies that impact and influence the client's behavior. Developed in accordance with the belief that these environmental contingencies play a crucial role in an individual's addictive behavior and recovery, CRA utilizes familial, social, recreational, and occupational events to support the individual in changing his or her drinking/using behaviors and in creating a successful sobriety. The goal is to rearrange multiple aspects of an individual's life so that a clean and sober lifestyle is more rewarding than one that is dominated by alcohol and/or drugs. Two other versions of CRA are highlighted on the CEBC: Adolescent Community Reinforcement Approach (A-CRA) and Community Reinforcement + Vouchers Approach (CRA+Vouchers).