Intervention paper: The SBIRT CRAFFT assessment tool The key to effective work with Hispanic youth is allowing them the opportunity to tell their story – g
Intervention paper: The SBIRT CRAFFT assessment tool The key to effective work with Hispanic youth is allowing them the opportunity to tell their story – giving them a voice to share their perspectives on matters impacting their life decisions. The SBIRT CRAFFT assessment tool is designed to give adolescents insight into characteristics exhibited which can lead to substance abuse.His name is Diego, We were doing a role play. I will send you the skit just look over them. He scored high on the craft screening a 5 which he needed an additional assessment. It don’t have to be a page just a couple paragraphs. 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
Ask CAR question only, then stop
Yes
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, 2009. 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
Abuse/Dependence DX
Probability of Substance Abuse/Dependence Diagnosis Based on CRAFFT Score1,2
10 0 %
80 %
60 %
40 %
20 %
0%
1
2
3
4
5
6
CRAFFT Score
DSM-IV Diagnostic Criteria3 (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, 2009. This form may be reproduced in its exact form for use in
clinical settings, courtesy of the Center for Adolescent Substance Abuse Research, Children’s
Hospital Boston, 300 Longwood Ave, Boston, MA 02115, U.S.A., (617) 355-5433,
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.
Vignette: SBIRT Social Work
Client: Diego (Alcohol and drug abuse)
Diego, a 14-year-old Hispanic male, presented to the school social worker because of worry that
he would be kicked off the soccer team if the coach found out her used substances.
About six months ago, Diego tried drinking alcohol a few times, all of which happened at large
family gatherings, when he and a few cousins his age snuck sips of beer when no adults were
looking. He once was able to steal a whole six pack without anyone noticing and shared it with
friends. He did not think the beer tasted very good, but drinking two bottles made him feel
“buzzed” and he had a lot of fun drinking with his friends. He believes his parents have no idea
that he has tried alcohol and that he would get into trouble if they found out.
He has tried marijuana twice. Both times occurred during lunch at school, when some friends
invited him to meet them in a secluded area off campus to “get high.” The first time he didn’t
feel anything, but the second time he felt spacey, confused, but remembered laughing a lot.
That day, he and his friends ended up returning to school an hour late and he received
detention as a result. A teacher suspected at the time that he was under the influence of
marijuana, but he denied it.
Diego thinks both alcohol and marijuana are fun to use and do not pose any real risk. As long as
his parents and school officials don’t know that he drinks and smokes once in a while, then he
sees no problem with continuing to do so.
Your Task:
In the role play you are a social worker at a high school. After your initial meeting with Diego
family you gave Carlos Hernandez the CRAFFT screening tool to assess his alcohol and drug use
and associated behaviors. He scored a 1 for “moderate risk” on the CRAFFT. Using the skills you
have learned about performing a Brief Negotiated Interview (BNI), you are asked to meet with
Diego for an individual session. (Note: Make sure to reference the BNI observation sheet to
ensure interview criteria are met).
Source: Adapted from SBIRT Oregon (2015). Addressing unhealthy alcohol and drug use with
patients: Training curriculum. Retrieved from http://www.sbirtoregon.org/training.php
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