BSN Tracker

Assessment Tool: CRAFFT

The CRAFFT is a validated six-item screening tool for substance use disorders in adolescents aged 12–21. It screens for all substances — alcohol, cannabis, prescription drug misuse, and other drugs. The mnemonic covers six behavioural consequences of substance use: Car, Relax, Alone, Forget, Friends/Family, and Trouble. A score of ≥ 2 is a positive screen. Administer in a private setting without parents or guardians present, and explain confidentiality limits before beginning. Used in the D443 substance use assessment context (D443.10.2) for special history-taking considerations.

CRAFFT — Adolescent Substance Use Screen

A six-item validated screening tool for substance use disorders in adolescents (ages 12–21). Each "Yes" answer scores 1 point. A score of ≥ 2 is a positive screen indicating probable substance use disorder and the need for further assessment. The CRAFFT mnemonic covers the key behavioural consequences of substance use: Car, Relax, Alone, Forget, Friends/Family, Trouble.

Score interpretation

0–1

No significant concern — brief education

2

Positive screen — further assessment

3–6

High concern — referral indicated

Administer this screen privately, without parents or guardians present. Explain confidentiality limits before starting. CRAFFT screens for any substance (alcohol, cannabis, prescription misuse, other drugs).

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 or drugs while you are by yourself, Alone?
F — Do you ever Forget things you did while using alcohol or drugs?
F — Do your Family or Friends ever tell you that you should cut down on your drinking or drug use?
T — Have you ever gotten into Trouble while you were using alcohol or drugs?