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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Guidelines for Use in Primary Health Care. The older version of the questionnaire contains 9 items in total, answered in a “yes” or “no” format. This practice serves both inner-city and suburban youth from crafftt wide range of social strata, racial groups, and ethnic backgrounds.

Create a free personal account to download free article PDFs, sign up for alerts, and more. We excluded a total of 41 patients 5.

Asterisk indicates the optimal cut point ie, the maximum product of sensitivity and specificity. 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”. Receiver operating characteristic curves are presented in Figure 2. Create a free personal account to access your subscriptions, sign up for alerts, and more. This page was last edited on 3 Octoberat This question is designed to screen for risk of alcohol-related car crashes.

Sign in to save your search Sign in to your personal account. Sensitivity, specificity, and positive and negative predictive values of a CRAFFT score of 2 or higher for identifying each of the 3 screening categories are presented in Table 2.

Journal of studies on alcohol.

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.


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Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients

By contrast, healthier and less-affected patients may have been more likely to agree to participate in the study, resulting in self-selection bias and lower than actual estimates of prevalence. Because alcohol- and drug-related motor-vehicle crashes screenimg the leading cause of death among adolescents, the CRAFFT includes a single risk item to evaluate this.

We plotted receiver operating characteristic curves to determine the optimal cut point for screeninb CRAFFT test ie, total score with the highest product of sensitivity and specificity for identifying 3 screening categories: Clinical and Experimental Research27 1: The research assistant told participants that the purpose of the study was to assess the value of screening questions screning use of alcohol and other drugs and that we would keep their answers confidential.

First, the CRAFFT is the only screening test that includes an item on drinking and driving or riding with an intoxicated driver.

Alcohol Clin Exp Res. However, the necessity for an adolescent screening measure was made apparent by research findings suggesting that half of high school students drink, a third binge drink, and a fourth use marijuana.

CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions.

These findings also suggest a need for additional time and personnel to further assess the substantial numbers of adolescents who will screen positive when universal screening is implemented. Questionnaires may be targeted at substance use alone or include this as just one part of a more comprehensive adolescent screening. We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission.


A pilot study among adolescent patients who had used alcohol and other drugs found that CRAFFT had promising concurrent validity compared with a more lengthy scale. Current Drug Abuse Reviews. Privacy Policy Terms of Use. Retrieved from ” https: Languages Simple English Edit links. This study was conducted in a single urban hospital-based adolescent clinic. From Wikipedia, the free encyclopedia.

Therefore, its discriminant properties can help clinicians estimate not only the presence but also the magnitude of risk of substance-related problems. They unquestionably reinforce the importance of the existing Guidelines for Adolescent Preventive Services recommendations for universal substance abuse screening. Purchase access Subscribe to the journal. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide.

To be practical, they must be designed to be completed by patients within the usual waiting time, and scoring procedures must be sufficiently streamlined so that results can be given to the physician before the medical visit begins.

Participants crfft almost equally distributed across years of age; It has been established as valid and reliable for identifying youth who need further assessment and therapeutic intervention [5] The CRAFFT was originally designed to screen adolescents at high risk of substance use disorders in primary medical care offices.

Some adolescents may answer this question affirmatively based on having ridden crzfft a car with an intoxicated family member, rather than driving after drinking or riding with an intoxicated peer.