Community reinforcement and family training (CRAFT): Engaging unmotivated drug users in treatment
Community reinforcement and family training (CRAFT): Engaging unmotivated drug users in treatment
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DOI：
10.1016/s0899-3289(99)00003-6
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发表时间：
1998-01-01
期刊：
影响因子：
--
通讯作者：
Tonigan, JS
中科院分区：
文献类型：
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作者：
Meyers, RJ;Mille, WR;Tonigan, JS
尽管药物滥用治疗的动机是一个重大问题，但通过相关的重要他人（CSO）进行单方面干预是吸引没有动机的个体的一种有前途的方法。基于强化原则的社区强化和家庭培训 (CRAFT) 计划就是为此特定目的而制定的，在第一阶段，民间社会组织接受了 CRAFT 干预，通过该计划，他们学习了改变亲人吸毒行为和提高治疗参与度的技能。 CSO 在 3 个月和 6 个月时进行评估。在第二阶段，参与的吸毒者接受社区强化方法（CRA）的治疗。共有 62 个 CSO 参与了 CRAFT CSO 有效性评估，平均完成了所提供治疗课程的 87%。在为期 6 个月的研究期间，74% 的人成功地让他们有抵抗力的亲人接受治疗。据报告，接受治疗的吸毒者对非法药物和酒精的戒断率显着增加，但未接受治疗的病例则没有。所有 CSO 的抑郁、焦虑、愤怒和身体症状均显着减少，所有指标的平均得分均降至正常范围。 CRAFT 为公民社会组织提供了一种替代对抗性和超然态度的有前途的咨询方法来帮助他们的亲人。
Although motivation for drug abuse treatment is a substantial problem, unilateral intervention through concerned significant others (CSOs) represents a promising method for engaging unmotivated individuals. The Community Reinforcement and Family Training (CRAFT) program, based on principles of reinforcement, was developed for this specific purpose, in Phase I, CSOs received the CRAFT intervention, whereby they were taught skills for modifying a loved one's drug-using behavior and for enhancing treatment engagement. CSOs were evaluated at 3 and 6 months. In Phase II, engaged drug users received treatment using the Community Reinforcement Approach (CRA). A total of 62 CSOs participated in this evaluation of the effectiveness of CRAFT CSOs completed, on average, 87% of offered treatment sessions. During the 6-month study period, 74% succeeded in engaging their resistant loved one in treatment. Reported abstinence both from illicit drugs and alcohol increased significantly for drug users engaged in treatment, but not for unengaged cases. All CSOs showed significant reductions in depression, anxiety, anger, and physical symptoms, with average scores dropping into the normal range on all measures. CRAFT provides a promising alternative to confrontational and detachment approaches in counseling CSOs to help their loved ones.