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CRAFFT Clinician Administer

CRAFFT Clinician Administer - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Questionnaires


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.”

Part A

During the PAST 12 MONTHS, did you: No Yes
1. Drink any alcohol (more than a few sips)?
(Do not count sips of alcohol taken during family or religious events.)

2. Smoke any marijuana or hashish?
3. Use anything else to get high?

(“anything else” includes illegal drugs, over the counter and
prescription drugs, and things that you sniff or “huff”)


For clinic use only: Did the patient answer “yes” to any questions in Part A?
No Yes

Ask CAR question only, then stop Ask all 6 CRAFFT questions


Part B No Yes
1. Have you ever ridden in a CAR driven by someone (including yourself) who
was “high” or had been using alcohol or drugs?

2. Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit
in?

3. Do you ever use alcohol or drugs while you are by yourself, or ALONE?
4. Do you ever FORGET things you did while using alcohol or drugs?
5. Do your FAMILY or FRIENDS ever tell you that you should cut down on your
drinking or drug use?

6. Have you ever gotten into TROUBLE while you were using alcohol or drugs?

CONFIDENTIALITY NOTICE:
The information recorded on this page may be protected by special federal confidentiality rules (42 CFR Part
2), which prohibit disclosure of this information unless authorized by specific written consent. A general
authorization for release of medical information is NOT sufficient for this purpose.
© CHILDREN’S HOSPITAL BOSTON, 2011. ALL RIGHTS RESERVED.
Reproduced with permission from the Center for Adolescent Substance Abuse Research, CeASAR, Children’s Hospital
Boston. (www.ceasar.org)


SCORING INSTRUCTIONS: FOR CLINIC STAFF USE ONLY
CRAFFT Scoring: Each “yes” response in Part B scores 1 point.
A total score of 2 or higher is a positive screen, indicating a need for additional assessment.
Probability of Substance Abuse/Dependence Diagnosis Based on CRAFFT Score
1,2







DSM-IV Diagnostic Criteria
3
(Abbreviated)
Substance Abuse (1 or more of the following):
 Use causes failure to fulfill obligations at work, school, or home
 Recurrent use in hazardous situations (e.g. driving)
 Recurrent legal problems
 Continued use despite recurrent problems
Substance Dependence (3 or more of the following):
 Tolerance
 Withdrawal
 Substance taken in larger amount or over longer period of time than planned
 Unsuccessful efforts to cut down or quit
 Great deal of time spent to obtain substance or recover from effect
 Important activities given up because of substance
 Continued use despite harmful consequences
© Children’s Hospital Boston, 2011. This form may be reproduced in its exact form for use in
clinical settings. Center for Adolescent Substance Abuse Research, www.CeASAR.org.
References:
1. Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ. A new brief
screen for adolescent substance abuse. Arch Pediatr Adolesc Med 1999;153(6):591-6.
2. Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G. Validity of the CRAFFT substance
abuse screening test among adolescent clinic patients. Arch Pediatr Adolesc Med
2002;156(6):607-14.
3. American Psychiatric Association. Diagostic and Statistical Manual of Mental Disorders,
fourth edition, text revision. Washington DC, American Psychiatric Association, 2000.

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