What is the CRAFFT screen, and for whom is it designed?

• A. The CRAFFT is a 6-item screening tool for substance use risk in adolescents; stands for Car, Relax, Alone, Forget, Friends, Trouble.
• B. The CRAFFT is a 10-item adult screening for alcohol use.
• C. CRAFFT stands for Car, Rest, Alone, Failing, Friends, Trouble.
• D. CRAFFT is a laboratory test for substance use.

Answer: (A)

The CRAFFT screen is a brief six-item tool designed to identify adolescents who may be at risk for alcohol or other substance use. It’s specifically intended for youth, roughly ages 12 to 21, and is commonly used in primary care, pediatrics, school, or behavioral health settings. The name comes from the six questions represented by the letters: Car, Relax, Alone, Forget, Friends, Trouble. A positive screen—typically endorsing two or more items—signals the need for a more thorough assessment. It is not meant for adults and is not a laboratory test.