Pre-Booking The Crafft

Question: Discuss about the CRAFFT, patient situation and plan of care. Answer: The CRAFFT CRAFFT is a tool for clinical assessment designed for the screening of the risks of substance related problems in adolescents. CRAFFT stands for the six items of the assessment Car, Relax, Alone, Forget, Friends, Trouble. It consists of a set of questionnaire, which consists of 9 items. First three questions evaluate the drug and alcohol use in the past year and the remaining six questions evaluate the situations of drug or alcohol usage and their consequences. The CRAFFT can be interviewed by the clinician or can be a self report set of questionnaires. This tool is used to identify the risk potency for the disorder of substance disorder and justifies if further assessment is required. Article Review As per the research work conducted by Skogen et al. (2013), the psychometric properties were examined for the CRAFFT questionnaires. The adolescents of Norway measured the concurrent validity for illicit drug abuse and alcohol consumption. Data from the survey of ung@hordaland was employed. The measures of concurrent validity were determined by binge drinking, alcohol consumption and drug use. A linear relationship of these parameters with CRAFFT score was established for both the sexes. The outcome of this study showed satisfactory results for concurrent validity and the psychometric properties were found to be adequate. However, since the determination of a cut point for suitable results was not available, further research was suggested. Kandemir et al. (2015) conducted a study to validate the diagnostic test of CRAFFT on a group of adolescents of Turkey. 124 adolescents participated in the study and self-administration of CRAFFT was carried out. The average age of the participants was found to be 16.653 years and with a score of two or more in the part B, problems of substance dependence among the youths were found to be optimal for detection. So, the outcome of the study was found to be satisfying for the application of CRAFFT as a reliable and valid tool for the identification of risk of substance abuse among the Turkish adolescent population. Patient Situation This is the case study of a 17-year boy named John. He came to the clinic with an injury of the leg due to falling from the staircase. A CRAFFT analysis was performed on John. He replied that he was riding with someone in a car who was drinking (Car). He also stated that even he drinks quite often to relax or partying with his friends (Relax). He was also in a problem once because of drinking (Trouble). Therefore, the total score of John was three. From the above observations, it was quite clear that John was at a high risk of the disorder of alcohol abuse. Further, follow up questions and their reply by John established this risk parameter (Sacco et al., 2014). Plan of Care The drinking habit of John was quite concerning. Kids and adolescents suffering black outs due to alcohol consumption often develop alcohol dependence at a later stage. So John was strictly advised to completely stop drinking for the sake of his good health. Proper and healthy diet was also recommended with a few medications for the injury relief. A follow up meeting was fixed in four weeks to check the patient health and further discussion on the risks of alcohol consumption, if required. John readily agreed to abstain from alcohol consumption and signed an abstinence challenge form the physician. References H, K., , A., S, E., S, S., SB, K., H, B. (2015). Validity and reliability of the turkish version of CRAFFT substance abuse screening test among adolescents.Neuropsychiatric Disease and Treatment,2015, 1505-1509. Sacco, P., Bright, C. L., Springer, J. (2014). CASE STUDY 1à ¢Ã¢â€š ¬Ã‚ 5 THE CASE OF AUNDRIA: TREATING SUBSTANCE ABUSE DURING ADOLESCENCE USING CBT AND MOTIVATIONAL INTERVIEWING.Case Studies in Child, Adolescent, and Family Treatment, 72. Skogen, J. C., Be, T., Knudsen, A. K., Hysing, M. (2013). Psychometric properties and concurrent validity of the CRAFFT among norwegian adolescents. Ung@hordaland, a population-based study.Addictive Behaviors,38(10), 2500-2505. doi:10.1016/j.addbeh.2013.05.002