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Mary Mac ManusFamily Portfolio Clinician, Family Therapist and Counselor

Presentation Outline

IntroductionGroup exercise CRAFT The Manual and it originsUsing the ManualThe ArgumentFamily case discussion and the use of CRAFT

Conclusion

Group Exercise

CRAFTCommunity Reinforcement and Family Training Model

Why engage Concerned Significant 0thers of people

who gamble into therapy? The American Psychological Association considers gambling disorders as “persistent and recurrent maladaptive gambling behaviour that disrupts personal, family, or vocational pursuits” (APA, 1994).

Concerned Significant Others (CSOS) of people who gamble are at risk for emotional, psychological and physical problems due to the stress of the situation.

Research has shown they can be helpful in motivating problem gamblers to enter treatment and influencing the outcome of treatment. (Makarchuk. K., Hodgins. D).

CRAFT and it’s origins

It is based on behavioural principles and cognitive-behavioural techniques

The earliest version of CRAFT was developed by Robert Myers and tested by Sisson and Azrin in the 1980’s.

It was designed so that therapists could teach family members relevant skills such as:

to reward sober behaviour, to communicate in a positive manner to take care of their own needs.

The Manual

Developed by Karen Makarchuk at University of Calgary with Dr. David Hodgins, Adjunct Professor, University of Calgary, Alberta, Canada.

Her thesis, “Minimal Treatment Approaches with Concerned Significant Others of Problem Gamblers,” was completed as part of her Master's of Science degree in Medical Science at the University of Calgary.

Manual website

www.collectionscanada.gc.ca/obj/s4/f2/dsk3/ftp04/MQ64967.pdf

Karen Makarchuk“A Thesis Submitted To The Faculty of Graduate Studies In Partial Fulfilment for the Requirements For The Degree Of Master Of Science Department Of Medical Science”

The Manual is titled:

“Dealing with Problem Gambling: Helping the Gambler Helping Yourself

A Self-Help Manual for Concerned Significant Others of Problem Gamblers”

It comprises 8 chapters and each chapter provides work sheets for the participant to think about and then complete

1. Understanding Problem Gambling2. Becoming and Staying Motivated to Help

3. Increasing Your Awareness of the Gambling Problem

4. Understanding and Changing the Role You Play

5. Communication Training6 Engaging the Gambler into Treatment

7. Getting Control of Finances8. Dealing with Other Issues

Assessment and Treatment

Clients are required to complete 4 questionnaires before the 1st session

1. Concerned Significant Others of Gamblers DSM-1V Screening Questionnaire

2. Inventory of Consequences Scale for the Gambler and Concerned Significant Other

3. Brief Symptom Inventory4. Relationship Happiness Scale

Clients are also required to complete the questionnaires when the manual work is completed.

The Argument

Family case discussion and the use of CRAFT

Conclusion

Thank you