The Community Reinforcement Approach and Family Training (CRAFT) intervention is a scientifically based intervention designed to help concerned significant others (CSOs) to engage treatment-refusing substance abusers into treatment. This intervention method was developed with the belief that since family members can, and do make important contribution in other areas of addiction treatment (i.e. family and couples therapy), that the CSO can play a powerful role in helping to engage the substance user who is in denial to submit to treatment. In addition, it is often the substance user who reports that family pressure or influence is the reason sought treatment. Also, CSOs who attend the CRAFT program also benefit by becoming more independent and reducing their depression, anxiety and anger symptoms even if their loved one does not enter treatment.

CRAFT uses an overall positive approach and steers clear of any confrontation. CRAFT is a culturally sensitive program that works with the client's mores and beliefs to develop an appropriate treatment plan. The program emphasizes learning new skills to cope with old problems. Some of the components include how to stay safety, outlining the context in which substance abusing behavior occurs, teaching CSOs how to use positive reinforcers (rewards) and how to let the substance user suffer the natural consequences for their using behavior.

This training will be an in-person, 2.5 day workshop. The goals for CRAFT are to improve the lives of Concerned Significant Others (CSOs), reduce the problematic addictive behavior of the Identified Patient (IP), and increase the IP's motivation to enter treatment.

Learning Objectives

At the end of this educational activity, participants should be able to:

  • Distinguish CRAFT from Intervention and Al-Anon
  • List the behavioral techniques used to provide CRAFT
  • Explain the rationale for working with CSOs in CRAFT
  • Identify positive consequences of substance use
  • Understand the use of negative consequences
  • Identify the primary goals of the CRAFT program
  • Identify the keys elements of CRAFT
  • Explain the spirit of CRAFT
  • Distinguish opportunities for positively reinforcing behavior and withdrawing reinforcement
  • Identify natural and contrived consequences


Day One

8:30-9:00 am


9:00-9:45 am

What is CRAFT?

9:45-10:30 am

Scientific support for CRAFT & new applications

10:30-10:45 am


10:45-11:00 am

HBO special on CRAFT

11:00-12:00 pm

How to begin CRAFT: Overview, Introduction




Functional Analysis ("the roadmap" of IP's substance use behavior

2:00-2:30 pm

Practice Exercise: Functional Analysis

2:30-2:45 pm



Discussion of the FA exercise (de-briefing)


Domestic violence precautions

3:45-4:00 pm

Introduction to Communication skill training

Day Two

9:00-9:30 am

Practice exercise: Communication skills

9:30-10:15 am

Positive reinforcement of non-using, sober behavior

10:15-10:30 am


10:30-11:15 am

Problem Solving for the CSO - volunteer

11:15-11:45 am

Time out for positive reinforcement: Withdrawing rewards

11:45-12:45 pm


12:45-1:30 pm

Allow for natural negative consequences for substance use

1:30-2:15 pm

Practice exercise: Negative/natural consequences or group discussion

2:15-2:45 pm


2:45-3:00 pm

Helping CSOs enrich their own lives: Happiness scale and goals

3:00-4:30 pm

Practice exercise: Happiness scale and goals

Day Three

9:00-9:45 am

Inviting the substance user to enter treatment

9:45-10:00 am


10:00-11:00 amPractice exercise: Inviting the substance user to enter treatment


  • Associate Emeritus Professor of Psychology
    University of New Mexico

    Director of Robert J. Meyers PhD., & Associates

Target Audience

This program is intended for:

  • Psychologists
  • Social workers

CME Information

Live Event Date: February 22-24, 2017

This activity is not eligible for AMA PRA Category 1 CreditTM.






Psychologists CE Credit

The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

This offering meets the criteria for 12.75 continuing education credit for psychologists.


Social Workers

The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers

Application for social work continuing education credits has been submitted. Please contact us at 866-664-7792 or for the status of social work CE accreditation..



Other Professions

This course allows other providers to claim a Participation Certificate upon successful completion of this course.

Participation Certificates will specify the title, location, type of activity, date of activity, and number ofpsychologist creditsassociated with the activity. Providers should check with their regulatory agencies to determine ways in whichpsychologist creditsmay or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.


Robert J. Meyers, PhD
Susan E. Sprich, PhD, psychologist reviewer

Disclosure Information

In accord with the disclosure policy of Massachusetts General Hospital Psychiatry Academy as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:

Commercial Interest

The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit

Financial relationships

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Relevant financial relationships

ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:

Susan E. Sprich, PhD
Royalties:Oxford University Press (for co-authoring treatment manual and client workbook), Springer (for editing book)

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.

Policy on Faculty and Provider Disclosure

It is the policy of Massachusetts General Hospital Psychiatry Academythat faculty and providers disclose real or apparent conflicts of interest relating to the topics of this educational activity. Massachusetts General Hospital Psychiatry Academyhas established policies in place that identify and resolve all conflicts of interest prior to this educational activity.

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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