Adolescent SBIRT

Helping social workers and nurses prevent adolescent substance use

Screening Tools and Examples

Alcohol, Tobacco, and Drug Use

CRAFFT

(Self-Administered)

CRAFFT 2.1 (Revised 9-2020)

CRAFFT 2.1+N HONC (Revised 9-2020)

Spanish (Spain)

Español 2.0 and 2.1

Spanish (LatAm)

Español 2.0 and 2.1

CRAFFT

(Clinician Interview)

Spanish (Spain)

Español 2.0

Spanish (LatAm)

Español 2.0 and 2.1

COWS - Clinical Opiate Withdrawal Scale

Research: Wesson, D. R., & Ling, W. (2003). The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs, 35(2), 253–9.

Pocket Guide for Alcohol Screening and Brief Intervention for Youth

NIAAA

USAUDIT - The Alcohol Use Disorders Identification Test, Adapted for Use in the United States: A Guide for Primary Care Practitioners

AUDIT Screening Tool English

World Health Organization

NIDA Chart of Evidence-Based Screening Tools and Assessments for Adults and Adolescents

NIAAA 3 Question Screen

Screening & Assessment of Cannabis Use Disorders

by Susan Stoner, PhD

World Health Organization

LEVEL 2 Substance Use (Child Age 11–17) - Adapted from the NIDA-Modified ASSIST

DAST (multiple versions)

DAST 10-Item (Spanish)

NIDA Online Screening Tools: BSTAD & S2BI

BSTAD - Brief Screener for Tobacco, Alcohol, and Other Drugs

Research: Kelly, S. M., Gryczynski, J., Mitchell, S. G., Kirk, A., O’Grady, K. E., & Schwartz, R. P. (2014). Validity of brief screening instrument for adolescent tobacco, alcohol, and drug use. Pediatrics, 133(5), 819-826.

S2BI Online Scre- Screening to Brief Intervention

Research: Levy, S., Weiss, R., Sherritt, L., Ziemnik, R., Spalding, A., Van Hook, S., & Shrier, L. A. (2014). An electronic screen for triaging adolescent substance use by risk levels. JAMA Pediatrics. 168(9), 822-828.

Adolescent SBIRT Toolkit for Providers Guide

Depression, Suicide, and Anxiety

PHQ-A Severity Measure for Depression—Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A]). Depression pre-screen PHQ-2A (items 1-2). Depression and suicide pre-screen PHQ3A (items 1-2 and 9).

Severity Measure for Generalized Anxiety Disorder, Child Age 11 to 17

Trauma or Traumatic Stress

Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale [NSESSS])

Child PTSD Symptom Scale (CPSS; age 8-18)