Philosophy of the Summit Outpatient Program
The Summit Outpatient Program embraces The Adolescent Community Reinforcement Approach (A-CRA) as a fundamental framework for the assessment, planning and provision of services to adolescents experiencing challenges with substance use. A comprehensive behavioral program, A-CRA is based on the belief that environmental contingencies – people, places and things – play a powerful role in encouraging or discouraging substance use. A-CRA utilizes social, recreational, familial and vocational reinforcers to assist adolescents in the recovery process. The goal is to rearrange multiple aspects of the adolescent’s life so that a clean and sober lifestyle is more rewarding than one dominated by alcohol and/or substance use.
The Summit Outpatient Program:
- Makes extensive use of modeling, role-playing and shaping, and uses positive reinforcement for each step toward recovery, no matter how small. When the adolescent finds “payoffs” for learning new skills and trying new behaviors, they creates their own motivation for change.
- Does not view substance use as an isolated behavior independent of the rest of the individual’s life, but rather, as intertwined with many aspects. Attention must be given to the context in which the substance use occurs. The Summit Outpatient Program actively helps clients and their families address problems other than those that are purely related to substance use.
- Recognizes the significant relationship between interpersonal violence/trauma and substance use disorders in adolescents. The prevalence of predisposing trauma conditions points to the need to assess and provide services that address these complex needs. The Summit Outpatient Program provides substance-use services that are trauma informed and trauma specific.