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Adolescent Community Reinforcement Approach (A-CRA)

Description:

Replaces environmental contingencies that have supported alcohol or drug use with prosocial activities and behaviors that support recovery

Study Populations:

13-17 (Adolescent), 18-25 (Young adult)

American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, White

DSM-IV cannabis, alcohol, and/or other substance use disorders

Adaptations: adapted for use with Assertive Continuing Care, which provides home visits to youth following residential treatment for alcohol and/or substance dependence, and for use in a drop-in center for street-living, homeless youth

Outcomes:

1. Abstinence from substance use

2. Recovery from substance use

3. Cost effectiveness

4. Linkage to and participation in continuing care services

5. Substance use

6. Social stability

7. Depression symptoms

8. Internalized behavior problems

© Doreen A. Cavanaugh, Ph.D. November 12, 2009

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