Harm Reducing A-CRA Implementation Decreases Truancy and Disciplinary Action

This session is from the NASP 2021 Annual Convention

  • PMD: 4,9
  • Skill Level: Advanced
  • Session 6: Recent Developments in Assessment and Research

Learner Objectives

This session will help participants…

  1. describe the efficacy of adolescent harm reduction models for decreasing truancy and required disciplinary action.
  2. be exposed to the evidence-based A-CRA model available for school mental health professionals by an A-CRA certified clinician-researcher.
  3. describe specific skills that support school functioning, such as communication, problem-solving, and prosocial skills demonstrated by practitioner-researchers.


The adolescent community reinforcement approach (A-CRA) focuses on improving school satisfaction and reducing substance use. Longitudinal data supports the effectiveness of A-CRA in decreasing truancy and episodes of disciplinary action despite a lack of emphasis on school behavior. Participants will learn how harm reducing methods foster a positive environment that can positively affect patient lifestyle behavior.



Luke C. Walden, Union University
Mollie D. Carter, Union University
Rebecca W. Lawson, Centerstone Research Institute


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