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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In addition, tobacco use is highly prevalent among people living with HIV 7and has the potential to contribute to non-AIDS defining illnesses and mortality in this population 8. Research has shown that CRAFFT has relatively high sensitivity and specificityinternal consistencyand test-retest reliability as a screener for alcohol and substance misuse.

We informed providers at the beginning of the study and periodically reminded them that their patient need not ever have used qudstionnaire or other drugs to participate. Diagnostic classifications for substance use during the past 12 months were no use An additional aim of the study was to examine whether there were any sociodemographic differences among those who reported frequent substance use among those who screened positive on the CRAFFT compared to frequent queationnaire users who did not screen positive on the CRAFFT.

A new questionmaire screen for adolescent substance abuse. A number of screening devices are available for this purpose, including brief questionnaires and orally administered tests. The CRAFFT test offers pediatricians, nurse-clinicians, family practitioners, qestionnaire, and other primary care providers a practical means of quickly identifying adolescent patients who need more comprehensive assessment or referral to substance abuse treatment specialists.

Please review our privacy policy. To date, the CRAFFT has been utilized in samples of youth living with HIV as an indicator of problematic substance use 18 — 21 ; however, to our knowledge, research has yet to validate its use by examining how it is associated with self-report substance use behaviors.


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. Each “yes” answer is scored as “1” point and a CRAFFT total score of two or higher identifies “high risk” for a substance use disorder and warrants further assessment. During the month recruitment period, providers invited adolescent patients to participate in the study.

Winters, PhD, for consultation on questionnzire study measurement battery; and S. Youth were informed that the survey would ask questions about their health, sexual behaviors and substance use behaviors. Monitoring the Future national results on adolescent drug use: The use and misuse of alcohol, tobacco, marijuana and other illicit drugs is highly prevalent among adolescents and young adults 2.

These findings also suggest a need to increase the capacity of systems and communities to provide substance abuse treatment for adolescents. Depression and stigma in high-risk youth living with HIV: Matern Child Health J. Receiver operating characteristic curves are presented in Figure 2. 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.

CRAFFT Screening Test – Wikipedia

Predictors of self-reported adherence to antiretroviral medication in a multiside study of ethnic and racial minority HIV-positive youth. Approximately one in four participants reported any non-marijuana illicit drug use This study demonstrates that the brief CRAFFT test has good validity for identifying substance-related problems and disorders in adolescent medical patients.

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. The majority of sample self-reported a male gender identity Privacy Policy Terms of Use. 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.

For tobacco, alcohol and marijuana use, we categorized use into none, at least once a month, and weekly or more. However, some adolescents may be reluctant to discuss their alcohol and other drug use with the pediatrician, even when parents are not present. Study investigators and the ADI’s author reviewed all videotapes to ensure initial competence, and the trained research assistants periodically observed and rated each other to ensure adherence.


Youth were told that the purpose of the survey was to help design programs for youth and young adults living with HIV to help them lead healthier and happier lives.

CRAFFT Screening Test

The Patient Protection and Affordable Care Act, approved insupports the integration of substance abuse interventions and treatments into mainstream healthcare systems, and the U. Guidelines for universal screening of adolescent patients for substance use have been available for some time. Our website uses cookies to enhance your experience.

Journal of Pediatric Health Care.

The sensitivity and specificity found in this study for the dependence category were close to those reported in the previous pilot study 0. 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.

Of the eligible patients, We instructed providers to invite all to year-old patients to participate, not only those who had used alcohol or other drugs.

Drug and alcohol dependence. The Children’s Hospital Boston Committee on Clinical Investigation institutional review board waived the requirement for parental consent in accordance with current guidelines for adolescent health research.

The Nation’s Number 1 Health Problem. Comparison of clinical, laboratory, and self-report screening procedures. Table craft presents bivariate comparisons of those who screened positive on the CRAFFT with those who did not on each of the substance use variables.

Drug and Alcohol Dependence. Development, reliability and feasibility. Preventive services in a health maintenance questionnaife.

These findings have serious implications for adolescent health care.