Get the CRAFFT

There are two versions of the CRAFFT 2.1: a Clinician Interview and a Self-administered Questionnaire. Research has shown that adolescents report greater comfort and likelihood of honesty with self-administered questionnaires (electronic versions or on paper) compared to face-to-face interviews. The self-administered version is also more time-efficient to administer than an interview. Therefore, we recommend the use of the Self-administered Questionnaire whenever possible, under conditions that protect patient privacy and confidentiality. The responses can then be used by the healthcare provider during the appointment to facilitate brief counseling.

The CRAFFT 2.1+N versions contain extra questions that are related to tobacco and nicotine use. These are available as a Clinician Interview and a Self-administered Questionnaire.

To ensure confidentiality, some offices set aside a private corner of the waiting room for the patients to complete the screen pre-visit. Other offices find it more practical to have patients complete the screen in the exam room prior to their appointment with their clinician. The most important principle is to ensure that parents cannot see their children’s responses, so that adolescents feel comfortable reporting honestly.

The CRAFFT 2.1 screen has been translated into several languages. These translations have been completed using rigorous best practices, with translation, back translation, and reconciliation of identified discrepancies. Funding for these translations was provided by the Massachusetts Department of Public Health, Bureau of Substance Abuse Services and the Massachusetts Behavioral Health Partnership.

 

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Clinician-Administered Version

The CRAFFT 2.1 Screening Interview is intended for use by trained clinicians as a brief interview with an adolescent patient. The CRAFFT 2.1+N contains additional questions about tobacco and nicotine use.

 

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Self-Administered Version

The CRAFFT 2.1 Self-administered Questionnaire is intended to be completed in a private place by the patient either on paper or on an electronic device. The CRAFFT 2.1+N contains additional questions about tobacco and nicotine use.

 

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CRAFFT Cards

Pocket Cards of the CRAFFT 2.1+N Screening Interview are now available for clinician use. All cards are printed on a yellow, laminated 4×5 pocket card.

Pocket Cards of the CRAFFT 2.1 Screening Interview are also available for clinician use. All cards are printed on a red, laminated 4×5 pocket card.

To order CRAFFT cards, please fill out our self-service CRAFFT card request form. If the hyperlink does not work, paste this text into your browser: https://redcap.link/crafftrequest. Alternatively, you may complete the CRAFFT Card Request Form [PDF] and send the completed form to us by mail (address above) or email (crafft@childrens.harvard.edu). If you have any questions regarding your order, or need more than 25 cards, please email us for assistance.

The suggested donation is $1.00/card or $20.00/25 cards, plus $2.50 for shipping and handling. 

Mailed donations: Please mail a check per the following instructions:

• Please make checks out to: Boston Children’s Hospital CRAFFT Fund #96357
• Please mail to: Center for Adolescent Behavioral Health Research (CABHRe)
  300 Longwood Avenue | Mailstop 3189
  Boston, MA 02115

Electronic donations: At this time, we unfortunately cannot accept online payments in exchange for CRAFFT cards. We are working to make this available as soon as possible. (If you would like to make a philanthropic, tax-deductible contribution to our mission, please click here.)

 

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Reproduce the CRAFFT

The CRAFFT questions are copyright protected by Boston Children’s Hospital; however, a goal of CABHRe is to make the CRAFFT widely available to qualified clinicians and researchers, and we welcome reproductions of this screening tool.

In order to use or reproduce the CRAFFT in your work, the following conditions must be met:

1. The CRAFFT must be printed in order with no substitutions 

2. The CRAFFT questions are presented as-is with no modifications

3. The copyright attribution must be included:

© John R. Knight, MD, Boston Children’s Hospital, 2020.
Reproduced with permission from the Center for Adolescent Behavioral Health Research (CABHRe), Boston Children’s Hospital.
For more information and versions in other languages, see www.crafft.org.

4. The confidentiality statement must be included (for clinical settings, 42 CFR Part 2, or for other settings, an equivalent confidentiality statement):

NOTICE TO CLINIC STAFF AND MEDICAL RECORDS:
The information on this page is protected by special federal confidentiality rules (42 CFR Part 2), which prohibit disclosure of this information unless authorized by specific written consent.

5. Your reproduction will be offered at no charge (or, if part of a product/package for sale, at no additional charge/not sold separately)

6. You must submit a final draft of your reproduction (either a reprint, screen shot or electronic program) with a description of the intended context for use.

To request permission to reproduce the CRAFFT, please fill out our self-service reproduction request form. If the hyperlink does not work, paste this text into your browser: https://redcap.link/crafftrequest

All submissions will be reviewed by the CRAFFT team, and you will be notified by email of approval. The CRAFFT administrative team reserves the right to refuse permission for any reason. Any changes made after approval require a separate approval. Please email crafft@childrens.harvard.edu with questions or comments.