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Adolescent Alcohol Screening and Intervention Algorithm

Adolescent Alcohol Screening and Intervention Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Alcohol and Tobacco, Related


15
Appendix B.
ADOLESCENT Alcohol
Screening and Intervention
Algorithm
Screen for alcohol misuse
Primary Care: Screen new patients and at Least Annually
Hospital Inpatients: Every Admission
ED: Every Admission
CRAFFT 2.0, Part A: 3 Question Pre-Screen
During the past 12 months, on how many days did you:
1. Drink more than a few sips of beer, wine, or any drink containing alcohol? Say “0” if none.
2. Use any marijuana (pot, weed, hashish, or in foods) or “synthetic marijuana” (like “K2” or “Spice”)? Say “0” if none.
3. Use anything else to get high? (like other illegal drugs, prescription or over-the-counter medications, and things you
sniff or “huff”)? Say “0” if none.
Ask all six
CRAFFT
questions
Patient Response
“0” for all questions?
Complete CAR
question of
CRAFFT Assessment
Patient
Response
“Yes”?
Screening complete
Yes No
Provide patient
education
regarding safe
driving habits.
2 or more YES
answers?
Provide brief
intervention
Yes
Give positive
reinforcement,
encourage to continue
to not use
No
Provide brief intervention and Refer to specialist
in alcohol/drug related issues*
*Addiction Medicine consult suggested for inpatients.
AUD diagnosis and/or referral for additional outpatient
treatment may be made by consulting service.
Follow up with Primary
Care in about 4 weeks
Follow up with Primary Care in
about 2-8 weeks
Did patient begin
treatment with
referred services?
Consider pharmacotherapy
and/or behavioral
management in Primary Care
Follow up per PCP
discretion
No
Yes
Yes
No
Last Reviewed Nov 2016
Alcohol – Pediatric/Adult –
Ambulatory/Inpatient
Copyright © 201� University of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2016CCKM@uwhealth.org