The CRAFFT Screening Interview. Begin: “I’m going to ask you a few questions that I ask all my patients. Please be honest. I will keep your answers confidential.” . that you sniff or “huff”)? Put “0” if none. The CRAFFT Questionnaire (version ). Please answer all questions honestly; your answers will be kept confidential. The CRAFFT is a (updated version of a) behavioral health screening tool for use with children ages and is recommended by the American Academy of .

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Among frequent substance users, those older in age, behaviorally infected, with history of incarceration or unstably housed were more likely to screen positive on the CRAFFT. There were a total of 59 abuse diagnoses; 16 were for alcohol alone, 30 for other drugs alone, and 13 for both alcohol and other drugs. International Journal of Drug Policy.

Because alcohol- and drug-related motor-vehicle crashes are the leading cause of death among adolescents, the CRAFFT includes a single risk item to evaluate this. Participants were consecutively recruited in approximately half of the 12 clinic sessions conducted each week.

Open in a separate window. Adult programs rarely accept younger adolescents, and they are not designed to respond to the unique developmental needs of younger or older adolescents. Its name is a mnemonic of the first letters of key words in the test’s 6 questions. The CRAFFT test offers pediatricians, nurse-clinicians, family practitioners, internists, and queztionnaire primary care providers a practical means of quickly identifying adolescent patients who need more comprehensive assessment or referral to substance abuse treatment specialists.

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CRAFFT Screening Test – Wikipedia

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Privacy Policy Terms of Use. Author manuscript; available in PMC Jul 1. For diagnostic groups, the CRAFFT median scores with interquartile ranges were no use, 0 ; questionnairs use, 1 ; problem use, 2 ; abuse, 2 ; and dependence, 4 However, barriers to screening for other preventable ctafft risks include a belief that the prevalence of the problem is low in the physician’s own patient population, questionnaire training, lack of time or personnel to perform the screening, and perceived lack of effective treatments.


In contrast, the CRAFFT addresses both alcohol and other substance use in six items and has a relatively simple scoring system. Lauderdale, FL Find articles by M.

Many widely used screening devices are either impractical for busy medical offices or developmentally inappropriate for adolescents. Statistical Analyses First, we calculated descriptive statistics to summarize substance use and other characteristics of the sample.

One study reported that adolescent medical patients were frequently dishonest when answering providers’ questions about substance crfft because parents were present.

First, the CRAFFT is the only screening test that includes an item on drinking and driving or riding with an intoxicated driver. The CAGE questions, which are widely used in medical settings, are a good example of this type of brief screen. This association may be particularly strong for adolescents and young adults whose cognitive control system is still developing 5. A Guide for Clinicians and Researchers. Receiver operating characteristic curves are presented in Figure 2.

CRAFFT Substance-related risks and problems Screening Questionnaire for Adolescents

Please review our privacy policy. Sign in to customize your interests Sign in to your personal account. J Adolesc Health Care. Asterisk indicates the optimal cut point ie, the maximum product of sensitivity and specificity. Archivos argentinos de pediatria. Create a personal account to register for email alerts with links to free full-text articles. Matern Child Health J. Journal of Pediatric Health Care.

The CRAFFT test receiver operating characteristic curves for any problem ie, alcohol or other drug problem use, abuse, or dependence Aany diagnosis ie, abuse or dependence Band a dependence diagnosis C. Each ADI was scored twice, first by a research assistant using the standard written instructions and then by computer using an SPSS syntax algorithm developed by the instrument’s author.


Participants were almost equally distributed across years of age; Demographic differences by screening positive on the CRAFFT among participants who reported weekly or more marijuana use and any non-marijuana illicit drug use in the past 3 months.

Pre-teen alcohol use initiation and suicide attempts among middle and high school students: Screening for substance use and identifying those with risky alcohol and drug use behaviors in primary care settings allows for integrated approaches to provide adequate preventative care and treatment. Alcohol-associated motor vehicle accidents are a leading cause of death among adolescents, 38 and a question regarding this risk should be a part of routine screening.

All data ctafft entered twice into a specially designed data management program based on Access 97 software Microsoft, Redmond, Washwhich included automatic range and logic checks and an entry-tracking log. A CRAFFT score of 2 or higher was associated with the maximal product of sensitivity and specificity, which is also the cut point closest to the upper-left corner of the graph.

American Journal of Public Health.

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CRAFFT Screening Test

Prevalence rates among adolescent patients seen in other clinics, family practices, or general pediatric practices may be different. Guidelines for universal screening of adolescent patients for substance use have been available for some time.

The older version of the questionnaire contains 9 items in total, answered in a “yes” questionbaire “no” format. Eighteen of the 22 sites obtained quewtionnaire of parental consent; however, written parental permission was obtained when required for youth under the age of A new brief screen for adolescent substance abuse.