CRAFT: An Alternative to Intervention

by Robert J. Meyers, Ph.D.

FIVE THINGS TO KNOW ABOUT CRAFT

1. CRAFT is a motivational model of help based on research that consistently finds motivational treatments to be superior to confrontational ones.
CRAFT shows you how to develop your loved one's motivation to change by helping you figure out how to appropriately reward healthy behavior. You learn how to make sober activities more attractive to your loved one, and drug- or alcohol-using activities less inviting. In this way, you minimize conflict and maximize cooperative relationship-enhancing interactions with your loved one.
2. More than two-thirds of family members who use CRAFT successfully engage their substance using loved ones in treatment.
This stands in sharp contrast to confrontational interventions that result in fewer than one-third of substance users entering treatment. The graph depicts one of the alcohol studies that contrasted CRAFT with both intervention and a modified approach supported by Al-Anon, a support group for family members of people with alcoholism.
3. Evidence suggests that substance users who are pushed into treatment by a traditional confrontational intervention are more likely to relapse than clients who are encouraged into treatment with less confrontational means.
4. Family members who use CRAFT experience greater improvements in their emotional and physical health than do those who use confrontational methods to try to help their loved ones.
5. People who use CRAFT are more likely to see the process through to success than those who use confrontational methods.
CRAFT programs have extremely low dropout rates, while over 75% of the people who try to use traditional interventions quit. The dropouts report that the confrontational techniques are too distressing and they worry about doing permanent damage to their relationship with the substance user.