CRAFFT as a substance use screening instrument for adolescent psychiatry admissions

Tyler S. Oesterle, Mario J. Hitschfeld, Timothy W. Lineberry, Terry D. Schneekloth

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Background: Adolescent use of alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use in adolescent psychiatric inpatients. Methods: We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission. We compared CRAFFT scores with other measures of substance use, including urine drug screens and the diagnosis of a substance use disorder at discharge. We also examined measures of depression and suicidality in individuals with elevated CRAFFT scores (≥2 positive answers out of 6) and compared them with measures in those with normal CRAFFT scores. Results: Elevated CRAFFT scores were correlated with other measures of alcohol and substance use, including the diagnosis of a substance use disorder at discharge (P

Original languageEnglish (US)
Pages (from-to)259-266
Number of pages8
JournalJournal of Psychiatric Practice
Volume21
Issue number4
DOIs
StatePublished - Jul 1 2015

Keywords

  • Adolescents
  • CRAFFT
  • Inpatient
  • Screening
  • Substance use

ASJC Scopus subject areas

  • Psychiatry and Mental health

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