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Community Reinforcement
Approach and Family Therapy
Robert J. Meyers PhD
WHAT IS CRAFT?
/bit.ly/WhatIsCRAFT
more info
C.R.A.F.T.
Community Reinforcement
Approach and Family
Training
Helps you help your loved one
with their substance abuse
challenges
C.R.A.F.T.
benefits
Learn ways to encourage your
loved one to enter addiction
treatment
#1
b
Reduce your loved ones alcohol
and drug use whether they’ve
entered treatment or not
#2
De-stress and improve
your home life
#3
substance abuse
comes in all shapes
and sizes
intervention and
treatment practices
vary as well
in fact, most
programs
proven their
results
yet everyone says
they can help your
loved one get sober
so how
do you
know
what to
believe?
CRAFT
different
several
comprehensive
studies have
demonstrated
CRAFT’s efficacy
Engaging the Unmotivated in Treatment for
Alcohol Problems: A Comparison of Three
Strategies for Intervention Through Family
Members
William R. Miller, Robert J. Myers, J. Scott Tonigan –
University of New Mexico
(c) 1999 AmericanPsychological Association, Inc.
Community Reinforcement Approach and
Family Therapy (CRAFT): Engaging
Unmotivated Drug Users in Treatment
Robert	
  J.	
  Meyers,	
  William	
  R.	
  Miller,	
  Dina	
  E.	
  Hill,	
  J.	
  
Scott	
  Tonigan – University	
  of	
  New	
  Mexico
(c)	
  1999	
  Elsevier	
  Science	
  Inc.
A Randomized Trial of Two Methods for
Engaging Treatment-Refusing Drug Users
Through Concerned Significant Others
Robert J. Meyers, William R. Miller, Jane Ellen Smith, J.
Scott Tonigan
(c) 2002 Journal of Consulting and Clinical Psychology
Engaging resistant adolescents in drug abuse
treatment
Holly Barret Waldron, Sheryl Kern-Jones, Charles W.
Turner, Thomas R. Peterson, Timothy J. Ozechowski
(c) 2007 Journal of Substance Abuse Treatment
Community reinforcement training for family
and significant others of drug abusers: a
unilateral intervention to increase treatment
entry of drug users
Kimberly C. Kirby, Douglas B. Marlowe, David S. Festinger,
Kerry A. Garvey, Vincent LaMonaca
(c) 1999 Drug and Alcohol Dependence
CRAFT
evidence-based
CRAFT
works
WHAT should
craft be used
FOR?
cRAFT works across
multiple substance
abuse conditions
including...
Alcohol Cocaine
Opiates Cannabis
and other
stimulants
when should
craft be used?
Here
CRAFT WORKS
FIRST SIGNS OF
SUBSTANCE ABUSE
PROFESSIONAL
HELP IS NEEDED
GETTING
PROFESSIONAL HELP
CRAFT helps you have
empowering
conversations with your
loved one
CRAFT WORKS
FIRST SIGNS OF
SUBSTANCE ABUSE
PROFESSIONAL
HELP IS NEEDED
CRAFT reduces your
loved ones alcohol and
drug use whether
they’ve entered
treatment or not
CRAFT WORKS
CRAFT can help you get
your loved one to
accept treatment
CRAFT WORKS
PROFESSIONAL
HELP IS NEEDED
Success rate of getting someone
into treatment
20% · AL-ANON
64% · CRAFT
30% · INTERVENTIONs
National Institute on Alcohol Abuse and Alcoholism (NIAAA) - funded study
Published in the Journal of Substance Abuse, 10, 3, 291-308.
CRAFT WORKS
74% of concerned family
members succeeded in getting
their loved ones into treatment
using CRAFT methods
National Institute on Drug Abuse (NIDA) - funded study
Published in the Journal of Substance Abuse, 10, 3, 291-308.
CRAFT WORKS
“With CRAFT, family members learn ways
to lower loved ones’ defenses and
encourage them to speak candidly. The
advice essentially boils down to simple
steps like asking open-ended questions,
complimenting positive behaviors, and
echoing the person’s concerns in a
nonjudgmental way.”
“Next, they learn to devise ways to improve
their home life (without fixing or
minimizing the ill effects of the drinking or
drug use). When the struggling loved one
feels understood and safe, the reasoning
goes, he or she will be more willing to be
vulnerable, to seek help.”
The End of Hitting Rock Bottom, Burt Helm
While your loved one is
in treatment and after,
CRAFT helps family
members de-stress and
improve their home life
CRAFT WORKS
While GETTING
PROFESSIONAL HELP
100% of family members and
loved ones reported significant
reductions in anger, anxiety,
depression, and negative
physical symptoms
National Institute on Drug Abuse (NIDA) - funded study
Published in the Journal of Substance Abuse, 10, 3, 291-308.
CRAFT WORKS
how does
craft
compare to
al-anon?
AL-ANON CRAFT
Self Care
take time to focus
on yourself
AL-ANON CRAFT
Powerless... Powerful...
...against loved one’s
substance abuse
AL-ANON CRAFT
Detach with love
Let your
loved one hit
‘rock bottom’
Stronger together
Help your
loved one
get treatment
With CRAFT, families play a
critical role in helping their
loved one get better
“Detach felt like crap – even
the most successful parent had
a daughter in danger, freezing
out on the streets.”
Former Al-Anon parent
“So precious to me to have some answers
beyond "just detach" and "let him hit
bottom". I feared his bottom was death,
and I am so relieved to know I can do
more to encourage recovery. Bless you Dr.
Meyers for spreading the word.”
Daisy
“Perhaps the counselor was having a bad day, but this particular night he
followed his grim opening with: ‘It's nice that you are here and think that you
can do something, but the people you love are going to die’
At that moment, I had one thought and it was: ‘F*** this shit’ If the people I
love are going to die I need to get my ass out of this meeting and spend as
much time with them as I can while they are living.
I found information about CRAFT and it made sense.
Because of your work and CRAFT, I feel at peace with my relationship. He
has not entered treatment, but he keeps in contact with me and he knows
that I support him where he is.
I don't condone the drug use, but I don't let that aspect of his life define him
to me. Maybe he will go to treatment, maybe he won't. But if he dies today,
he will know he was loved and there will be nothing left I wish I had said.
And I think anyone can hope for in any relationship.”
Anonymous letter to Dr. Robert J. Meyers,
Louisville KY
CRAFT evolution
CRA CRAFT
1970’s 1990’s 2015
Community
Reinforcement
Approach
Community
Reinforcement
Approach &
Family Therapy
Developed for parents -
the most influential
people in their child’s life
even into young
adulthood
“one of the most
cost-effective alcohol
treatment programs
currently available”
Developed for family
members to play a
powerful role in getting
their loved one to
accept treatment
CRAFT for parents
to address their
child’s substance
abuse
PARENT CRAFT
In the late 1990’s, CRAFT was
developed at the University of
New Mexico by Dr. Robert
Meyers, Ph.D. and colleagues
Robert J. Meyers PhD
In 2015, Parent CRAFT was created
with the help of Dr. Robert Meyers to
empower parents to protect their
children from addiction, accidental
overdose and death
Help for Parents NOW!
/bit.ly/Parent_CRAFT

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What is CRAFT?

  • 1. Community Reinforcement Approach and Family Therapy Robert J. Meyers PhD WHAT IS CRAFT?
  • 4. Helps you help your loved one with their substance abuse challenges C.R.A.F.T.
  • 6. Learn ways to encourage your loved one to enter addiction treatment #1 b
  • 7. Reduce your loved ones alcohol and drug use whether they’ve entered treatment or not #2
  • 9. substance abuse comes in all shapes and sizes
  • 11.
  • 13. yet everyone says they can help your loved one get sober
  • 14. so how do you know what to believe?
  • 16.
  • 18. Engaging the Unmotivated in Treatment for Alcohol Problems: A Comparison of Three Strategies for Intervention Through Family Members William R. Miller, Robert J. Myers, J. Scott Tonigan – University of New Mexico (c) 1999 AmericanPsychological Association, Inc. Community Reinforcement Approach and Family Therapy (CRAFT): Engaging Unmotivated Drug Users in Treatment Robert  J.  Meyers,  William  R.  Miller,  Dina  E.  Hill,  J.   Scott  Tonigan – University  of  New  Mexico (c)  1999  Elsevier  Science  Inc. A Randomized Trial of Two Methods for Engaging Treatment-Refusing Drug Users Through Concerned Significant Others Robert J. Meyers, William R. Miller, Jane Ellen Smith, J. Scott Tonigan (c) 2002 Journal of Consulting and Clinical Psychology Engaging resistant adolescents in drug abuse treatment Holly Barret Waldron, Sheryl Kern-Jones, Charles W. Turner, Thomas R. Peterson, Timothy J. Ozechowski (c) 2007 Journal of Substance Abuse Treatment Community reinforcement training for family and significant others of drug abusers: a unilateral intervention to increase treatment entry of drug users Kimberly C. Kirby, Douglas B. Marlowe, David S. Festinger, Kerry A. Garvey, Vincent LaMonaca (c) 1999 Drug and Alcohol Dependence
  • 19.
  • 22. WHAT should craft be used FOR?
  • 23. cRAFT works across multiple substance abuse conditions including...
  • 26. Here CRAFT WORKS FIRST SIGNS OF SUBSTANCE ABUSE PROFESSIONAL HELP IS NEEDED GETTING PROFESSIONAL HELP
  • 27. CRAFT helps you have empowering conversations with your loved one CRAFT WORKS FIRST SIGNS OF SUBSTANCE ABUSE
  • 28. PROFESSIONAL HELP IS NEEDED CRAFT reduces your loved ones alcohol and drug use whether they’ve entered treatment or not CRAFT WORKS
  • 29. CRAFT can help you get your loved one to accept treatment CRAFT WORKS PROFESSIONAL HELP IS NEEDED
  • 30. Success rate of getting someone into treatment 20% · AL-ANON 64% · CRAFT 30% · INTERVENTIONs National Institute on Alcohol Abuse and Alcoholism (NIAAA) - funded study Published in the Journal of Substance Abuse, 10, 3, 291-308. CRAFT WORKS
  • 31.
  • 32. 74% of concerned family members succeeded in getting their loved ones into treatment using CRAFT methods National Institute on Drug Abuse (NIDA) - funded study Published in the Journal of Substance Abuse, 10, 3, 291-308. CRAFT WORKS
  • 33.
  • 34. “With CRAFT, family members learn ways to lower loved ones’ defenses and encourage them to speak candidly. The advice essentially boils down to simple steps like asking open-ended questions, complimenting positive behaviors, and echoing the person’s concerns in a nonjudgmental way.”
  • 35. “Next, they learn to devise ways to improve their home life (without fixing or minimizing the ill effects of the drinking or drug use). When the struggling loved one feels understood and safe, the reasoning goes, he or she will be more willing to be vulnerable, to seek help.” The End of Hitting Rock Bottom, Burt Helm
  • 36. While your loved one is in treatment and after, CRAFT helps family members de-stress and improve their home life CRAFT WORKS While GETTING PROFESSIONAL HELP
  • 37. 100% of family members and loved ones reported significant reductions in anger, anxiety, depression, and negative physical symptoms National Institute on Drug Abuse (NIDA) - funded study Published in the Journal of Substance Abuse, 10, 3, 291-308. CRAFT WORKS
  • 39. AL-ANON CRAFT Self Care take time to focus on yourself
  • 40. AL-ANON CRAFT Powerless... Powerful... ...against loved one’s substance abuse
  • 41. AL-ANON CRAFT Detach with love Let your loved one hit ‘rock bottom’ Stronger together Help your loved one get treatment
  • 42. With CRAFT, families play a critical role in helping their loved one get better
  • 43.
  • 44. “Detach felt like crap – even the most successful parent had a daughter in danger, freezing out on the streets.” Former Al-Anon parent
  • 45. “So precious to me to have some answers beyond "just detach" and "let him hit bottom". I feared his bottom was death, and I am so relieved to know I can do more to encourage recovery. Bless you Dr. Meyers for spreading the word.” Daisy
  • 46. “Perhaps the counselor was having a bad day, but this particular night he followed his grim opening with: ‘It's nice that you are here and think that you can do something, but the people you love are going to die’ At that moment, I had one thought and it was: ‘F*** this shit’ If the people I love are going to die I need to get my ass out of this meeting and spend as much time with them as I can while they are living. I found information about CRAFT and it made sense. Because of your work and CRAFT, I feel at peace with my relationship. He has not entered treatment, but he keeps in contact with me and he knows that I support him where he is. I don't condone the drug use, but I don't let that aspect of his life define him to me. Maybe he will go to treatment, maybe he won't. But if he dies today, he will know he was loved and there will be nothing left I wish I had said. And I think anyone can hope for in any relationship.” Anonymous letter to Dr. Robert J. Meyers, Louisville KY
  • 47. CRAFT evolution CRA CRAFT 1970’s 1990’s 2015 Community Reinforcement Approach Community Reinforcement Approach & Family Therapy Developed for parents - the most influential people in their child’s life even into young adulthood “one of the most cost-effective alcohol treatment programs currently available” Developed for family members to play a powerful role in getting their loved one to accept treatment CRAFT for parents to address their child’s substance abuse PARENT CRAFT
  • 48. In the late 1990’s, CRAFT was developed at the University of New Mexico by Dr. Robert Meyers, Ph.D. and colleagues Robert J. Meyers PhD
  • 49. In 2015, Parent CRAFT was created with the help of Dr. Robert Meyers to empower parents to protect their children from addiction, accidental overdose and death
  • 50. Help for Parents NOW! /bit.ly/Parent_CRAFT