C - Have you ever ridden in a CAR
driven by someone (including yourself) who was "high"
or had been using alcohol or drugs?
R - Do you ever use alcohol or drugs to RELAX,
feel better about yourself, or fit in?
A - Do you ever use alcohol/drugs while you are
by yourself, ALONE?
F - Do your family or FRIENDS ever tell you that
you should cut down on your drinking or drug use?
F - Do you ever FORGET things you did while using
alcohol or drugs?
T - Have you gotten into TROUBLE while you were
using alcohol or drugs?
*2 or more yes answers suggests a
significant problem
Principles of brief office intervention for adolescent
substance abuse:
- Develop a discrepancy (between
goals and current behaviors)
- Avoid arguments
- Roll with resistance
- Empathy as a counseling style (be interested, curious,
"real", listen and reflect on strengths and
competencies, let them know you are worried about their
substance use without being "preachy")
- Self-Efficacy (optimism, e.g., You can do it!)
