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Community Reinforcement Approach

The Community Reinforcement Approach (CRA) is a comprehensive behavioural program for treating substance problems. CRA is based on the belief that one’s environment plays a major role in determining whether an individual will  use alcohol or illicit drugs. As such, it teaches individuals how to examine the triggers and the consequences (positive and negative) for drug use, and to  then re-arrange their lives so that clean, sober behaviour is more rewarding  than is using alcohol/drugs. In essence, the goal is to rearrange environmental contingencies such that sober behaviour becomes more rewarding than substance abusing behaviour. This comprehensive intervention blends operant conditioning with a social systems approach to address multiple problem areas

Strategies that increase the likelihood that sober behaviour will be supported are taught, and skills deficits are addressed in the process (e.g., problem-solving, drug-refusal, communication).

CRA will be delivered by trained CRA therapists within Coolmine.