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From: Concurrent Substance Use and Mental Health Problems in Youth: Screening for Concurrent Substance Use and Mental Health Problems in Youth (© 2009, CAMH)


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Brief description

The RAFFT is very similar to the CRAFFT (described earlier). The five items cover alcohol as well as other drugs. It does not, however, seem to have been the subject of as much research as the CRAFFT.

Appropriate target populations

Adolescents between 13 and 18 years old. The only validation study was conducted in a health care delivery setting where prevalence of substance use disorder and other psychiatric issues is high.

Administration options

Formats available

___ self-administered (paper-and-pencil)

___ self-administered (computer)

_X_ clinician-administered

Items are typically given verbally but would be amenable to paper and pencil or computerized format.

Languages available

_X_ English

___ French

___ Other

Accessibility and cost

_X_ no charge for use

___ use requires permission of test developer

___ use requires special training and/or professional or academic credentials

___ fee for use

Where to access

The RAFFT is reprinted here:


R. Do you drink/drug to Relax, feel better about yourself, or fit in?

A. Do you ever drink/drug while you are by yourself, Alone?

F. Do any of your closest Friends drink/drug?

F. Does a close Family member have a problem with drink/drugs?

T. Have you ever gotten into Trouble from drinking/drugging?


For more information, see:

Riggs, S.R. & Alario, A. (1989). Adolescent substance use instructor's guide. In C. Dube, M. Goldstein, D. Lewis, E. Myers & W. Zwick (Eds.), Project ADEPT Curriculum for Primary Care Physician Training. (pp. 1-57). Providence, RI: Brown University.

Summary of test development data

Quality of reporting

High, based on STARD rating (see Appendix, p.76).

Summary of validity and reliability data

Moderate, based largely on the limited number of validation studies and lack of reliability assessment.