Clinical Measures

CRAFFT 2.1 - Car, Relax, Alone, Forget, Friends, Trouble

Description

The CRAFFT 2.1 is a 9-item self-report screener designed to identify substance use, substance-related riding/driving risk, and substance use disorder among youth ages 12-21.

Special Instructions

Patients who answer “0” to questions 1-3 should answer question 4, then stop. Patients who answer 1 or higher to any of the first 3 questions should answer questions 4-9. Once the patient has submitted it, you may preview it on the uninitialed documents tab in the EHR. However, do not initial it or it won't later be pulled into your Mobile Note.

Scores Produced

Total (0-6)

Interpretation

Risk Level

CRAFFT Score

Low

No use in past 12 months and CRAFFT score of 0

Medium

No use in past 12 months and "Yes" to CAR question only

OR

Use in past 12 months and CRAFFT score less than 2

High

Use in past 12 months and CRAFFT score greater than or equal to 2

The bar chart below shows the positive predictive value (the percent of screen-positives that are true positives) of each CRAFFT score for identifying adolescents meeting DSM-5 criteria for a Substance Use Disorder.

References

The CRAFFT 2.1 Manual, The Center for Substance Use Research, 2018

© John R. Knight, MD, Boston Children’s Hospital, 2020.Reproduced with permission from the Center for Adolescent Behavioral Health Research (CABHRe), Boston Children’s Hospital. For more information and versions in other languages, see www.crafft.org

Downloads

CRAFFT-2.1_provider_manual.pdf

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