1st Edition

The CRAFT Treatment Manual for Substance Use Problems Working with Family Members

By Jane Ellen Smith, Robert J. Meyers Copyright 2023

    Packed with practical tools, this authoritative manual offers a complete guide to implementing the evidence-based Community Reinforcement and Family Training (CRAFT) program. Jane Ellen Smith and Robert J. Meyers have spent decades developing and refining their approach for helping concerned significant others (CSOs) of treatment-refusing individuals with substance use problems. Structured yet flexible, CRAFT teaches loved ones to change their behavior with the identified patient to encourage treatment entry and enhance their own well-being. The volume features step-by-step implementation guidelines, case examples, sample dialogues, troubleshooting tips, and 28 reproducible forms and handouts that can be downloaded and printed in a convenient 8 1/2" x 11" size.

    Foreword, William R. Miller
    1. What Is CRAFT?
    2. Informing and Motivating the Concerned Significant Other
    3. Functional Analysis of a Loved One’s Drinking or Using Behavior
    4. Improving Concerned Significant Others’ Communication Skills
    5. Rewarding Non-Using Behavior
    6. Functional Analysis of a Loved One’s Fun, Healthy Behavior
    7. Withdrawing Rewards for Using Behavior
    8. Allowing for Natural, Negative Consequences of Use
    9. Problem Solving
    10. Helping Concerned Significant Others Enrich Their Own Lives
    11. Inviting the Identified Patient to Enter Treatment
    12. Using the Community Reinforcement Approach with the Identified Patient
    13. Scientific Support for CRAFT


    Jane Ellen Smith, PhD, is Professor of Psychology at the University of New Mexico (UNM). She was the first woman to be tenured in the Psychology Department, to become Director of Clinical Training, and to become Chair of the Department, a role she filled for 12 years. Specializing in both alcohol treatment and eating disorders, Dr. Smith has published over 120 scientific articles and chapters and eight books, and was lead author of the first CRAFT manual in 2004. She is a recipient of the Presidential Teaching Fellowship, UNM's highest teaching award, as well as the UNM Alumni Association's Erna S. Fergusson Award for exceptional accomplishments and/or distinguished service to the university.

    Robert J. Meyers, PhD, is Director of Robert J. Meyers, PhD, and Associates, and is Emeritus Research Associate Professor of Psychology at the University of New Mexico, where his primary affiliation is with the Center on Alcohol, Substance use, And Addictions (CASAA). An internationally sought speaker who has delivered trainings throughout the world, Dr. Meyers is the developer of CRAFT. He is a recipient of the Dan Anderson Research Award from the Hazelden Betty Ford Foundation and the Early Career Investigator Award from the Research Society on Alcoholism. He has published nearly 100 scientific articles or chapters and 10 books, including the CRAFT self-help book Get Your Loved One Sober.

    "CRAFT is menu-driven but flexible and client centered. It offers a tailored approach to reducing the stress and self-blame of CSOs and helping them communicate and interact more effectively with their loved one. Smith and Meyers provide a host of tools and strategies, as well as realistic therapist-client dialogues that highlight key concepts. This manual will be very useful for any practitioner who works with family and friends of individuals experiencing substance use disorders. It provides a complete picture of the science and practice of this well-established, innovative approach. Trainers and educators of practitioners could use the manual and the rich clinical examples to help students understand CSOs' concerns and conflicts. "--Carlo C. DiClemente, PhD, ABPP, Department of Psychology (Emeritus), University of Maryland, Baltimore County

    "In this era of tragic overdose deaths, families need more than knowledge and boundaries. They need skills to help their loved one seek treatment, to reduce the loved one’s substance use, and to improve their own quality of life. Smith and Meyers harness decades of research in a practical and easy-to-apply format, designed to uplift concerned families everywhere to become a part of the solution."--Joseph Lee, MD, President and CEO, Hazelden Betty Ford Foundation

    "A crucial addition to the addiction treatment toolkit. CRAFT provides evidence-based skills for CSOs to cope with their loved one’s substance use and to help the loved one initiate treatment. All of the tools needed for implementing the approach are embedded in this manual. The sample dialogues in every chapter are unusually helpful; they are informative and easy to absorb, and contain masterful clinician material. The reproducible informational handouts, worksheets, and therapy fidelity checklists also will be very useful for everyone from clinicians-in-training to seasoned therapists."--Elizabeth Epstein, PhD, Department of Psychiatry, University of Massachusetts Chan Medical School

    "What you have in this volume from Bob Meyers and Jane Ellen Smith is seasoned professional advice from the very psychologists who have grown and tested the CRAFT approach, based on their decades of clinical experience and research. CRAFT has been successfully delivered in individual, group, and even self-directed formats. The procedures are specific and learnable, offering hope and change for distressed families who are wondering what to do. It is also very rewarding work, with some of the most motivated clients you will ever see--the CSOs themselves. We who go into helping professions hope that we can contribute to the alleviation of suffering in the world, and here is a very practical and effective way to do it."--from the Foreword by William R. Miller, PhD, Emeritus Distinguished Professor of Psychology and Psychiatry, The University of New Mexico-