Community Reinforcement and Family Training (CRAFT) for Rural Aboriginal Families
This NHMRC and ARC funded study was conducted with the National Drug and Alcohol Research Centre at UNSW between 2010 and 2013. CRA/CRAFT are evidence based approaches that were modified to be acceptable to local Aboriginal people in central west NSW (Calabria et al 2012). Lyndon staff were trained and accredited to deliver the interventions as part of the project. Two staff were accredited as supervisors and one as a trainer to maintain the sustainability of the intervention past the research period.
Fifty five people were recruited into the study during 2013. A pre- and post-evaluation design was employed. CRA was delivered individually or in a group setting over six sessions by a certified CRA counsellor. Outcome measures included the Alcohol, Smoking and Substance Involvement Test (ASSIST), Kessler-5 (K-5) and Growth Empowerment Measure scenarios.
The analyses used 3 month follow-up as the primary outcome point. The tailored CRA intervention reduced alcohol, tobacco, cannabis, amphetamine and over the counter medication use among Aboriginal and non-Aboriginal participants. Additionally, CRA increased empowerment and decreased psychological distress of participants. CRA was consistently rated as highly effective and acceptable.
The tailored CRA intervention was feasible to routinely deliver in a rural drug and alcohol treatment service and resulted in positive outcomes for Aboriginal and non-Aboriginal clients with problematic substance use.
CRA and CRAFT are offered as routine interventions in Lyndon programs and training in these methods is available.
Bianca Calabria, Anton Clifford, Anthony Shakeshaft, Julaine Allan, Donna Bliss and Christopher Doran (2012). The acceptability to Aboriginal Australians of a family-based intervention to reduce alcohol-related harms. Drug and Alcohol Review. Online 1 Nov, 2012 DOI: 10.1111/j.1465-3362.2012.00525.x
Bianca Calabria, Anton Clifford, Anthony Shakeshaft, Julaine Allan, Donna Bliss. (Submitted 2015). ‘Evaluation of a drug and alcohol intervention accessible for Aboriginal Australian: the Community Reinforcement Approach’. Drug and Alcohol Review.