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 . The CRAFFT Screening Interview. The CRAFFT is a behavioral health screening tool for use with children under the age of 21 and is recommended by the. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use.

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Sign in to access your subscriptions Sign in to your personal account. Participants were consecutively crsfft in approximately half of the 12 clinic sessions conducted each week. Create a free personal account to download free article PDFs, sign up for alerts, and more. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. This is the first study to examine its use in adolescent toil inpatients.

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. History Philosophy Portal Psychologist. Therefore, its discriminant properties can help clinicians estimate not only the presence but also the magnitude of risk of substance-related problems.

Approximately one half of participants had used alcohol or other drugs during the past year, and more than one fourth had experienced alcohol- or drug-related problems. Copyright American Medical Association.

This study demonstrates that the brief CRAFFT test has good validity for identifying substance-related problems and disorders in adolescent medical patients. Of the 29 drug dependence diagnoses, 27 were related to cannabis use, and 2 were related to use of 3,4-methylenedioxymethamphetamine MDMA or “ecstasy”. There are limitations to the generalizability of our findings regarding diagnostic classifications.

The findings on prevalence may be further limited, in that the study sample, although generally reflective of the clinic population at large, was not selected randomly. Few comparable validation studies have been conducted in general adolescent clinic settings, and none of these included both a risk assessment ie, the POSIT scale and a psychiatric diagnostic interview ie, the ADI.


To assess the ability of the CRAFFT test to discriminate among diagnostic classification groups, we first converted CRAFFT scores to ranks, then used 1-way analysis of variance and a post-hoc comparison test to compare mean ranks between pairs of groups. The sensitivity and specificity found in this study for the dependence category were close to those reported in the previous pilot study 0.

Privacy Policy Terms of Use. The first three items Part A evaluate alcohol and drug use over the past year and the other six Part B ask about situations in which the respondent used drugs or alcohol and any consequences of the usage. Arch Pediatr Adolesc Med.

CRAFFT Screening Test

If universal screening is to improve, health care systems must find ways to provide the additional resources needed for assessment of substance-using adolescents. 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.

However, the relative risk of a false-positive test eg, additional interview is low compared with that of a false-negative ie, missed diagnosis and opportunity for early intervention.

Many widely used screening devices are either toil for busy medical offices or developmentally inappropriate for adolescents.

Asterisk indicates the optimal cut point ie, the maximum product of sensitivity and specificity. A research assistant explained the study procedures to interested patients and obtained signed assent.

The extent to which some participants may have underreported and others overreported their use of substances is unknown.

A research assistant reviewed the birth dates of all scheduled patients before a clinic session and placed a recruitment reminder form on the cover of the chart of each age-eligible patient. Alcohol Clin Exp Res. Geneva, Switzerland World Health Organization.

Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Purchase access Subscribe to JN Learning for one year. Although written questionnaires may present an advantage in efficiency when patients complete them in the waiting area, they are limited by risks to confidentiality.

Neuropsychiatric Disease and Treatment. These findings also suggest a need to increase the capacity of systems and communities to provide substance abuse treatment rcafft adolescents.

Participants with both abuse and dependence diagnoses eg, cannabis abuse and alcohol dependence were classified as having dependence. Providers can therefore determine the optimal score cut point for the screening category they most wish to target cragft how best to interpret a positive screen in their own patient populations. However, we cannot assess to what degree they followed this instruction; provider selection bias, resulting in higher than actual prevalence estimates for disorders, remains a possibility.


Despite these limitations, this study provides strong crfft evidence for the criterion validity of the CRAFFT test. Create a personal account to register for email alerts with links to free full-text articles. 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.

New approaches, such as office-based interventions, must be developed to adequately meet the need for treatment. Corresponding author and reprints: J Am Dent Assoc. This study provides good supportive evidence for the validity of the CRAFFT test as a substance abuse screening device for use among a general population of adolescent clinic patients.

Due to heteroscedasticity, we used the Tamhane T2 post hoc comparison test based on a t test that did not assume equal variance. Languages Simple English Edit links.

CRAFFT Screening Tool | Patient Centered Primary Care Institute

A Guide for Clinicians and Researchers. Questionnaires have certain limitations. Explicit use of et al. Winters, PhD, for consultation on the study measurement battery; and S. Adolescents may use alcohol and other drugs at higher rates when not in school, and recall bias may have resulted in higher reports of past month use by participants recruited during the summer months.

They may require staff time for administration or scoring.

CRAFFT Screening Test – Wikipedia

Guidelines for Use in Primary Health Care. Overall, we recommend using a score of 2 or higher as indicating a need for further assessment. National Survey Results on Drug Use,