Show your patient his/her score on this graph and discuss level of risk for a substance use disorder. Probability of a DSM-5 Substance Use Disorder by CRAFFT score* CRAFFT Score & Schwartz RP. (2014). The CRAFFT *Data source: Mitchell SG, Kelly SM, Gryczynski J, Myers CP, O’Grady KE, Kirk AS, cut-points and DSM-5 criteria for alcohol and other drugs: a reevaluation and reexamination. Substance Abuse, 35(4), Use these talking points for brief counseling. REVIEW screening results response: you tell me more about For each “yes” “Can that?” RECOMMEND not to use your doctor (nurse/health care provider), my recommendation is not “As to use any alcohol, marijuana or other drug because they can: 1) Harm your developing brain; 2) Interfere with learning and memory, and 3) Put you in embarrassing or dangerous situations.” risk counseling RIDING/DRIVING are the leading cause of death for young people. I “Motor vehicle crashes give all my patients the Contract for Life. Please take it home and discuss it with your parents/guardians to create a plan for safe rides home.” RESPONSE elicit self-motivational statements Non-users: someone asked you why you drink or use drugs, “If don’t what would you Users: would be some of the benefits of say?” “What not using?” REINFORCE self-efficacy "I believe you have what it takes to keep alcohol and drugs from getting in the way of achieving your goals." Give patient Contract for Life. Avail © John R. Knight, MD, Boston Children’s Hospital, 2016. Reproduced with permission from the Center for Adolescent Substance Abuse Research (CeASAR), Hospital. For Boston Children’s more information and versions in other languages, see
Show your patient his/her score on this graph and discuss level of risk for a substance use disorder. Probability of a DSM-5 Substance Use Disorder by CRAFFT score* CRAFFT Score *Data source: Mitchell SG, Kelly SM, Gryczynski J, Myers CP, O’Grady KE, Kirk AS, & Schwartz RP. (2014). The CRAFFT cut-points and DSM-5 criteria for alcohol and other drugs: a reevaluation and reexamination. Substance Abuse, 35(4), Use these talking points for brief counseling. REVIEW screening results For each “yes” response: “Can you tell me more about that?” RECOMMEND not to use “As your doctor (nurse/health care provider), my recommendation is not to use any alcohol, marijuana or other drug because they can: 1) Harm your developing brain; 2) Interfere with learning and memory, and 3) Put you in embarrassing or dangerous situations.” RIDING/DRIVING risk counseling “Motor vehicle crashes are the leading cause of death for young people. I give all my patients the Contract for Life. Please take it home and discuss it with your parents/guardians to create a plan for safe rides home.” RESPONSE elicit self-motivational statements Non-users: “If someone asked you why you don’t drink or use drugs, what would you say?” Users: “What would be some of the benefits of not using?” REINFORCE self-efficacy "I believe you have what it takes to keep alcohol and drugs from getting in the way of achieving your goals." Give patient Contract for Life. Avail © John R. Knight, MD, Boston Children’s Hospital, 2016. Reproduced with permission from the Center for Adolescent Substance Abuse Research (CeASAR), Boston Children’s Hospital. For more information and versions in other languages, see
Project_SUCCESS_Screening__Assessment_Form.docx