There are no pre-implementation materials to measure organizational or provider readiness for Community Reinforcement Approach (CRA).

There is formal support available for implementation of Community Reinforcement Approach (CRA) as listed below:

CRA has a system to teach and certify qualified therapists. After a two-and-a-half day training, they have the option to send in audio tapes to an encrypted system and have their tapes coded by professionally trained coders which will lead to certification. There is a system in place to also certify CRA coders, supervisors, and trainers.

There are fidelity measures for Community Reinforcement Approach (CRA) as listed below:

Sessions are coded for fidelity purposes and then reviewed with the therapist. To be a coder, the professional must become certified as a therapist before beginning the coder, supervisor certification process. To move onto becoming a supervisor, one must pass all protocols so that they are able to properly code any type of treatment session that comes their way. The coder will listen to and rate at least one therapist tape per week, when possible, using the rating form and criteria provided and maintain 80% agreement with expert rater for a minimum of 5 tapes. Tapes will be rated by RJM & Associates staff as well for inter-rater reliability.

There are implementation guides or manuals for Community Reinforcement Approach (CRA) as listed below:

These 2 books with step-by-step information on all protocols and examples are available on www.amazon.com:

• Meyers, R. J. & Smith, J. E. (1995). Clinical guide to alcohol treatment: The Community Reinforcement Approach. Guildford Press.
• Meyers, R. J. & Miller, W. R. (2001). A Community Reinforcement Approach to the treatment of addiction. University Press.

Research has not been conducted on how to implement Community Reinforcement Approach (CRA).