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CRAFFT Questionnaire

Screens adolescents for high-risk alcohol and drug use.

CRAFFT Questionnaire
Have you ridden in a CAR driven by someone (including yourself) who was high or had used alcohol or drugs?
Do you use alcohol or drugs to RELAX, feel better about yourself, or fit in?
Do you use alcohol or drugs while you are by yourself, ALONE?
Do you FORGET things you did while using alcohol or drugs?
Do your family or FRIENDS ever tell you that you should cut down on your drinking or drug use?
Have you gotten into TROUBLE while using alcohol or drugs?
Result0 points

Negative screen — low likelihood of a problematic substance use disorder, though clinical judgment should still guide further questioning.

When to use

  • Brief screen for problematic alcohol and drug use in adolescents (typically ages 12-21) during primary care or emergency visits.

Formula

CRAFFT = number of "yes" answers to the 6 items (Car, Relax, Alone, Forget, Friends/Family, Trouble). Range 0-6; score of 2 or more is a positive screen.

Pearls and pitfalls

  • Intended to follow a brief pre-screen about any past-year alcohol, drug, or e-cigarette use — CRAFFT is applied to those who endorse any use.
  • A later version, CRAFFT 2.1, adds a separate substance-specific frequency prescreen, but the 6-item scored questionnaire is unchanged.

References

  1. 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.