1 / 30

Community Reinforcement and Family Training (CRAFT)

Community Reinforcement and Family Training (CRAFT). Science and Management of Addiction Frank Couch, MA, LMFT, CDP, NCACI Beth Meyer, MA, LMFT, CDPT. CRAFT.

stian
Download Presentation

Community Reinforcement and Family Training (CRAFT)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Community Reinforcement and Family Training (CRAFT) Science and Management of Addiction Frank Couch, MA, LMFT, CDP, NCACI Beth Meyer, MA, LMFT, CDPT

  2. CRAFT • This presentation is given with the permission of Dr. Robert J. Meyers, PhD, co-creator of Community Reinforcement and Family Training (CRAFT) • For more information visit: • http://robertjmeyersphd.com/

  3. Upcoming CRAFT training! • Dr. Meyers is conducting a full 2.5 day CRAFT training in Houston Texas on June 23rd, 24th, & 25th, 2014. For further information please contact: Tammy Samour, MS, LPC, LCDC Direct: 281-407-0777 ts@aodresource.com

  4. Role of the Family • Why do families need support? • How do you or your agency currently support families? • What are challenges in working with families? • Resources working with families

  5. Community Reinforcement and Family Training • Terms • CSO – concerned significant other • IP – Identified patient (substance user) • History • Not many options for family support • Al-Anon, Johnson Institute Intervention, Changes support group, mental health counseling, nothing

  6. 12 Step Programs (Al-Anon, Nar-Anon) • Loving detachment • Acceptance of CSO’s inability to control IP’s behavior • Group support for CSO

  7. Johnson Institute Intervention • Only 29% of CSO’s complete the training • Of that 29% only 24% engage in treatment (Lipman et al 1989)

  8. Changes Parent Support Network • Peer support • “Tough Love” model • Action steps

  9. Why use CRAFT? • Because It works… • HBO Addictions series video

  10. CRAFT: 3 Goals • Reduce loved one’s harmful substance use • Engage loved one into treatment • Improve the functioning of CSO • Emotional • Physical • Relationships

  11. CRAFT Program Description for the CSO • Problem focused • Skills based • Active during sessions (role play) • Active between sessions (assignments)

  12. Rapport Building Across Sessions • Always remember to: • Use empathy • Reinforce attendance • Stop the blaming • Re-label negative behavior • Emphasize family & adolescent strengths; aspects of the family life that are going well

  13. CRAFT’s Principles • Eliminate positive reinforcement for drinking and/or using behavior • Enhance positive reinforcement for non-drinking (sober) and non-using (clean) behavior

  14. Positive Reinforcement vs Enabling • Enabling: something the CSO does that increases drinking/drug using behavior or allows it to continue • CRAFT’s Positive Reinforcement: something the CSO does that increases non-drinking/non-drug using (pro-social) behavior

  15. Daily Reminder To Be Nice • Did you express appreciation to your adolescent today? • Did you compliment your adolescent today? • Did you give your adolescent any pleasant surprises today? • Did you express affection to your adolescent today? • Did you initiate a pleasant conversation today? • Did you offer to help your adolescent today?

  16. Benefits of Group Therapy: Support • CSOs can discuss their difficulty in trying to carryout certain CRAFT procedures • CSOs can congratulate each other for making important changes • CSOs can share resentment about having to work so hard in CRAFT

  17. Benefits of Group Therapy: Skills Practice Arena • Opportunities for sharing of ideas/ brainstorming • Chance to practice with “real world” cases • Opportunities for feedback from others in similar situations

  18. Benefits of Group Therapy: Modeling • Learn from successes and failures of CSOs • Hear how others manage strong reactions from their adolescents • Observe how others manage their own strong emotions • Witness examples of others continuing to try despite setbacks

  19. Group # 1: Communication Skills(Overview) (1) Offer rationale (2) Describe positive communication components (3) Generate adolescent examples (4) Role Play (5) Do a reverse role play (6) Assign homework

  20. (1) Communication SkillsRationale Why bother working on communication? • More likely to get what you want • Positive communication is “contagious” • Will open door to more satisfaction in other life areas as well (social support) • Positive communication is the foundation for other CRAFT procedures

  21. (2) Positive Communication Components: PIUS • P = say it in a positive way and say what you want as opposed to what you don’t want. • I = start with an “I” statement and express a feeling. • U = offer an understanding statement • S = share the responsibility or offer to help

  22. (3) Negative to Positive Examples: Words Matter * When you’re high, the I really have fun with you; time we spend together we all do, when you’re as a family seems like clean and sober. a waste. * Don’t you know I’m a I appreciate it when complete wreck when it’s you let me know in after midnight and you’re advance that you’re not home? going to be late. * You never lift a ^@#%*! I know you’re busy, but it finger around here! would mean a lot to me if you could help clean out the garage Saturday.

  23. (4) Role-Playing Guidelines • Acknowledge discomfort • Use less difficult scenes first • Get adequate description of the scene • Start it for them • Keep it brief (2-3 minutes) • Reinforce any effort • Get CSO’s reactions • Offer supportive, specific feedback • Repeat, repeat, repeat

  24. (5) Reverse Role-Play • Advantages: • Serves as a good starting point for a CSO who is reluctant to do a role-play • Allows therapist to model good positive communication • Helps CSO develop empathy for adolescent

  25. (6) Assign Homework • Practice Communication Skills in a conversation with adolescent over _________ issue on ____ (day/time) • Use Daily Reminder To Be Nice

  26. Remaining Sessions (2) Proven ways to help your child stay sober (3) Goal setting guidelines (4) Functional analysis part 1 (5) Functional analysis part 2 (6) Problem solving task

  27. Remaining Sessions cont’d (7) Happiness scale and personal goal setting (8) Components of supporting sober/clean behavior (9) Natural Consequences (10) Relapse prevention

  28. CRAFT: 3 Goals • Reduce loved one’s harmful substance use • Engage loved one into treatment • Improve the functioning of CSO • Emotional • Physical • Relationships

  29. Thank you!

More Related