Community reinforcement in addictions

The theoretical bases of the Community reinforcement approach (CRA) are based on the role of environmental contingencies to encourage or discourage drug use, so it tries to reorganize these contingencies in such a way that the abstinence behavior is more rewarded than consumption that of consumption. The CRA approach mixes this operating model with an approach that takes into account social systems.

Approach to community reinforcement

Global philosophy is to use the community to reward behavior of non -use in order for the client to adopt a healthy lifestyle (Meyers and Smith, 1995) the CRA is rooted in the work of Azrin and his colleagues (Azrin, Sisson, Meyers, & Godley, 1982; Hunt & Azrin , 1973).

The CRA techniques have been adapted to use with people involved in family care with alcohol consumption (Meyers, Dominguez, & Smith, 1996; Meyers & Smith, 1997), with cocaine addiction (Higgins, Budney, Bickel , & Badger, 1994; Higgins et al., nineteen ninety five; Higgins, Budney et al., 1993; Higgins, Delaney et al., 1993; Shaner et al., 1997) and with alcohol -dependent individuals (Smith, Meyers, & Delaney, 1998). Also with adolescent in assertive treatment after a period of treatment in internment or substance abuse in a more incentive community reinforcement program (HENGGLER, unpublished).

Components:

• Use of disulfiram
• Training in communication skills
• Establishment of a "Abstemio Social Club"
• Recreational activities not related to alcohol
• Training to face the urgencies and desires to drink.

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