By Robert J. Meyers, William R. Miller
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Additional resources for A Community Reinforcement Approach to Addiction Treatment
In such cases, this peer advisor also served as the disulﬁram monitor and aided the client in other ways, such as providing transportation to the Social Club. The buddy also provided continued social support after counseling had terminated, helping to ensure that improvements would be maintained. Early warning/mood monitoring Although disulﬁram usage would be a great aid in preventing impulsive slips, Azrin reasoned that clients would also need some assistance in knowing when these slips were likely in order to implement the problemsolving skills that they were learning in the sessions.
Particularly impressive was the signiﬁcantly lower percent time drinking for the CRA group (14%) compared to the control group (79%), demonstrating the eﬀectiveness of CRA for the treatment of alcohol problems. The CRA group members received almost twice the controls’ mean monthly income and spent more weekends in a structured social activity outside of the home. In summary, the CRA therapy package developed by Hunt and Azrin demonstrated eﬀectiveness in treating problem drinking as well as improving other life areas for members of a traditionally diﬃcult treatment population.
Physi f 4fc*Va 4. Whatai pleasan 5. What aire the p k a « i it physic ftttog. you ha while drinking' 6. What aire the pleasar it emotit you ha1/e while 0? 2 CRA Functional Analysis for Drinking Behavior (Initial Assessment). ’’ We enter these on the chart and probe for additional internal triggers. Assume the client also states that he sometimes feels a little sad because he thinks he only really ﬁts in with these friends when he is drinking. We accept the client’s thoughts and feelings that are associated with the excessive drinking, and brieﬂy explain how therapy will focus on ﬁnding healthier options for relaxing and having fun after a hard day’s work.