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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Clinical and Experimental Research27 1: The precise reasons that so many physicians fail to screen are unknown. Matern Child Health J.

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. Get free access to newly published articles.

Questionnaires have certain limitations. This page was last edited on 3 Octoberat They unquestionably reinforce the importance of the existing Guidelines for Adolescent Preventive Services recommendations for universal substance abuse screening.

Am J Drug Alcohol Abuse. J Adolesc Health Care. A number of screening devices are available for scrfening purpose, including brief questionnaires and orally administered tests.

CRAFFT Screening Tool | Patient Centered Primary Care Institute

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 cgafft interview ie, the ADI.

Corresponding author and reprints: All data were 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 scrdening log.


Archivos argentinos de pediatria. Arch Pediatr Adolesc Med.

We compared the dual-entry files to identify discrepancies and reconciled them by checking the original data source. Create a free personal account craffy download free article PDFs, sign up for alerts, customize your interests, and more. A clinic provider can be reasonably reassured when CRAFFT is negative but should assess his or her patient further when the test is positive. However, barriers to screening for other preventable health risks include a belief that the prevalence of the problem is low in the physician’s own patient population, inadequate training, lack of time or personnel to perform the screening, and perceived lack of effective treatments.

This study relied on adolescents’ self-report. However, self-report of alcohol and other drug use has been shown to be generally reliable and compares favorably with other methods of substance use detection. 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. New approaches, such as office-based interventions, must be developed to adequately meet the need for treatment.

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

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

This is the first study to examine its use in adolescent psychiatric inpatients. Although written questionnaires may present an advantage in efficiency when patients complete them in the waiting area, they are limited by risks to confidentiality. Revista de salud publica Bogota, Colombia. Asterisk indicates the optimal cut point ie, the maximum product of sensitivity and specificity.


Some providers may therefore choose to further assess those adolescents whose score is only 1.

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

We excluded a total of 41 patients 5. These findings also suggest a need to increase the capacity of systems and communities to provide substance abuse treatment for adolescents. They may also pose a risk to adolescents’ confidentiality, especially when parents are present in the waiting area. Some adolescents may answer this question affirmatively based on having ridden in a car with an intoxicated family member, rather than driving after drinking or riding with an intoxicated peer.

Of the 43 drug abuse diagnoses, 36 were related to cannabis, 5 to stimulants including caffeine pills, methylphenidate hydrochloride, and amphetaminesand 2 to both cannabis and stimulants. Substance abuse affects men and women of all races, ethnic groups, and ages—including adolescents. However, some adolescents may be reluctant to discuss their alcohol and other drug use with the pediatrician, even when parents are not present.

The CRAFFT test offers pediatricians, nurse-clinicians, family practitioners, internists, 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.

Validity was not significantly affected by age, sex, or race. We transformed participant age into a dichotomous variable ie, younger youth and older youth based on the sample median to preserve adequate cell size for analyses.

This study was conducted in a single urban hospital-based adolescent clinic.