Which of the following statements about the contingency management/CRA model is FALSE?

The statement that drug abuse stems from primary psychiatric issues is considered false within the context of the contingency management/community reinforcement approach (CRA) model. This model emphasizes that drug use is not solely a result of underlying psychiatric disorders; rather, it focuses on behavioral elements and learned behaviors associated with substance use.

In the CRA model, drug use is recognized as a behavior that is learned and can be modified through reinforcement strategies. The therapy aims to substitute drug-related reinforcement with positive reinforcement from non-drug sources, thereby promoting healthier behaviors and lifestyles. This highlights the importance of environmental and contextual factors, rather than attributing drug abuse solely to psychiatric conditions.

The other statements reflect essential aspects of the CRA model and its understanding of addiction. A family history of alcoholism can be a significant risk factor for developing substance use issues, showcasing the interplay of genetic and environmental influences. Recognizing drug use as a learned behavior aligns with the CRA's foundation, as it notes that patterns of substance use can be shaped and changed through behavioral interventions. Finally, the encouragement of reinforcing non-drug sources underscores the CRA approach's effectiveness in finding healthier rewards and motivations outside of substance use.