The CRAFFT Questions

A Brief Screening Test for Adolescent Substance Abuse*

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!)