A-CRA Manual: Published in November 2016, this 271-page manual provides a major update from the 2001 version. It outlines all of the individual procedures for adolescents, young adults, and their families, and provides detailed instruction on how to help young people learn effective coping skills. This is the most comprehensive manual on A-CRA to date and it includes: 

  • Chapters on Couples Relationship Skills, Medication Adherence and Monitoring, Sobriety Sampling, and Systematic Encouragement (procedures that have evolved to be part of A-CRA training and certification, but were not previously included in the treatment manual
  • Expanded procedure examples
  • Detailed instructions for each procedure which map directly to the therapist fidelity coding manual (Smith, Lundy, & Gianini, 2007)
  • guidance on how to adapt several A-CRA procedures for group sessions
  • Information about the implementation of A-CRA in various settings, with different cultures and groups, and with clients who have co-occurring mental health and criminal justice problems

The soft-cover manual is available for purchase on Amazon; the e-book version will be available in February 2017. All proceeds from the sale of the manual will support research and training at Chestnut Health Systems to improve treatment outcomes for adolescents with substance use disorders.

The links below are translations of the 2001 version of the A-CRA manual and have not yet been updated to match the 2016 version. They are free to download. 

A-CRA Manual in Dutch: Translated by Novadic-Kentron in the Netherlands

A-CRA Manual in French: Translated by Dave Smith Youth Treatment Centre with the financial assistance of the Champlain Local Health Integration Network in Ottawa, Canada.

A-CRA Manual in Portuguese: Translated by Maria Cristina S. Dias, with assistance from Lily Anderson, and supported by Jim Fraser with Chestnut Global Partners in Bloomington, IL and the staff of Hospital Samaritano and SAID in São Paulo, Brazil.

A-CRA Manual in Spanish: Translated by Sergio Fernández-Artamendi and José Ramón Fernández-Hermida with the Addictive Behavior Research Group at the University of Oviedo in Spain, and supported by the Ministry of Education and Science in Spain.

ACC Manual: 60-page manual that describes procedures and techniques for initiating and providing community-based services to adolescents with substance use disorders. The practice of Assertive Continuing Care requires the use of the A-CRA manual listed above.

Reference Books/Chapters

Dakof, G., Godley, S.H., & Smith, J.E. (2010). Family therapies and the Community Reinforcement Approach for youth with a substance use disorder. In Y. Kaminer, & K. Winters (eds.), Clinical manual of adolescent substance abuse treatment (pp. 239-268). Arlington, VA: American Psychiatric Association.

Godley, M.D., & Godley, S.H. (2011). Assertive Continuing Care for adolescents. In J. Kelly, & W. White (eds.), Addiction recovery management: Theory, science, and practice (pp 103-126). New York: Springer Science.

Godley, S.H., Smith, J.E., Meyers, R.J., & Godley, M.D. (2009). Adolescent Community Reinforcement Approach (A-CRA). In D.W. Springer, & A. Rubin (eds.), Substance abuse treatment for youth and adults (pp. 109-201). Hoboken, NJ: John Wiley & Sons.

Meyers, R.J., & Smith, J.E. (1995). Clinical guide to alcohol treatment: The Community Reinforcement Approach. New York: Guilford Press.

Meyers, R.J., & Miller, W.R. (2006). A community reinforcement approach to addiction treatment. New York: Cambridge University Press.

Meyers, R.J., & Wolfe, B.L. (2004). Get your loved one sober: Alternatives to nagging, pleading, and threatening. Center City, MN: Hazelden.

Smith, J.E., & Meyers, R.J. (2005). Motivating substance abusers to enter treatment: Working with family members. New York: Guilford Press.

Multicultural Reference List

CRA/A-CRA/ACC Reference List