Case Study 1: Screening

  • Jessica GrayEmail author


This case describes Ben, a 14-year-old male who is presenting to his primary care physician for routine care. His parents report that they are concerned that he may be using marijuana and note that his grades and relationship with them have both declined. The case demonstrates use of the CRAFFT screening tool to assess Ben’s risk of a substance use disorder and provide a brief intervention and, if appropriate, referral to treatment.


CRAFFT Adolescent substance use Screening SBIRT Brief intervention 


  1. 1.
    Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G. Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Arch Pediatr Adolesc Med. 2002;156(6):607–14.CrossRefGoogle Scholar
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    Mitchell SG, Kelly SM, Gryczynski J, Myers CP, O’Grady KE, Kirk AS, Schwartz RP. The CRAFFT cut-points and DSM-5 criteria for alcohol and other drugs: a reevaluation and reexamination. Subst Abus. 2014;35(4):376–80.CrossRefGoogle Scholar
  3. 3.
    American Academy of Pediatrics. Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011;126(5):e1330–40.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Departments of Medicine and PediatricsMassachusetts General Hospital/Harvard Medical SchoolBostonUSA

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