Community Reinforcement Approach and Community Reinforcement and Family Training are methods used to treat substance use disorders. This is referred to as?

• A. CRA/CRAFT
• B. CBT
• C. MI
• D. 12-step Facilitation

Answer: (A)

These approaches are a community-based, behavioral treatment strategy that centers on reinforcing sobriety through engaging the person in pro-social activities and involving family members to support change. The combined term for these methods is CRA/CRAFT: Community Reinforcement Approach (CRA) and Community Reinforcement and Family Training (CRAFT).

CRA focuses on replacing the reinforcement of substance use with rewarding, meaningful non-substance-use activities—social, vocational, recreational—within the person’s community. CRAFT adds a component that specifically trains family members to reinforce sober behaviors, recognize relapse cues, and encourage the individual to seek treatment, often by altering family dynamics to create a more supportive environment.

This differs from Cognitive Behavioral Therapy, which centers on changing thoughts and coping skills; Motivational Interviewing, which aims to resolve ambivalence and boost motivation; and 12-step facilitation, which focuses on engaging with 12-step programs. CRA/CRAFT uniquely blend community resources and family involvement to shape the surrounding environment in support of recovery.