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Statewide Administration of the CRAFFT Screening Tool: Highlighting the Spectrum of Substance Use.

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Title: Statewide Administration of the CRAFFT Screening Tool: Highlighting the Spectrum of Substance Use.
Authors: Agley, Jon (AUTHOR), Gassman, Ruth A. (AUTHOR), Jun, Mikyoung (AUTHOR), Nowicke, Carole (AUTHOR), Samuel, Susan (AUTHOR)
Source: Substance Use & Misuse. Nov2015, Vol. 50 Issue 13, p1668-1677. 10p. 4 Charts.
Subjects: Substance abuse & psychology, Substance abuse diagnosis, Alcohol drinking, Drug addiction, Probability theory, Questionnaires, School failure, Schools, Self-evaluation, Social skills, Substance abuse, Multiple regression analysis, Secondary analysis, Data analysis software, Descriptive statistics, Adolescence
Geographic Terms: Indiana
Abstract: Background: Adolescent alcohol and drug use in the United States are associated with negative consequences spanning multiple domains. Much of the public health surveillance of these behaviors relies on self-report survey data. These data frequently takes the form of frequency or prevalence data for specific substances, which may not provide a complete picture of use.Objectives: This study analyzes a state-level survey that includes the CRAFFT screening tool. The study's goal is to elucidate the spectrum of substance use severity across a large segment of substance-using adolescents attending schools in the state of Indiana and to assess the contribution of a variety of predictor variables to the variance between users falling into each category of use severity.Methods: Data were collected in 2011 from 168,801 adolescents, of whom 25,204 met the inclusion criteria for this study. The authors utilize multinomial logit analyses to highlight variables, including sociodemographic data, poly-drug use, and risk/protective behavior scales, associated with each category of use.Results: Seriousness of use is not uniform across substance-using adolescents; 49% were categorized as nonproblem users, 33% as problem users, and 18% as dependent users. Risk and protective factors predict adolescents’ severity of substance use, but do not do so uniformly. Poly-drug use is a significant predictor of problem use and dependent use as well.Conclusions: The CRAFFT may provide a more nuanced perspective of adolescent substance use than frequency/prevalence data alone; the authors describe the implications derived from these data and analyses to the adolescent prevention and treatment systems. [ABSTRACT FROM PUBLISHER]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Statewide Administration of the CRAFFT Screening Tool: Highlighting the Spectrum of Substance Use.
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. Nov2015, Vol. 50 Issue 13, p1668-1677. 10p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse+%26+psychology%22">Substance abuse & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+diagnosis%22">Substance abuse diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+addiction%22">Drug addiction</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22School+failure%22">School failure</searchLink><br /><searchLink fieldCode="DE" term="%22Schools%22">Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Indiana%22">Indiana</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Adolescent alcohol and drug use in the United States are associated with negative consequences spanning multiple domains. Much of the public health surveillance of these behaviors relies on self-report survey data. These data frequently takes the form of frequency or prevalence data for specific substances, which may not provide a complete picture of use.Objectives: This study analyzes a state-level survey that includes the CRAFFT screening tool. The study's goal is to elucidate the spectrum of substance use severity across a large segment of substance-using adolescents attending schools in the state of Indiana and to assess the contribution of a variety of predictor variables to the variance between users falling into each category of use severity.Methods: Data were collected in 2011 from 168,801 adolescents, of whom 25,204 met the inclusion criteria for this study. The authors utilize multinomial logit analyses to highlight variables, including sociodemographic data, poly-drug use, and risk/protective behavior scales, associated with each category of use.Results: Seriousness of use is not uniform across substance-using adolescents; 49% were categorized as nonproblem users, 33% as problem users, and 18% as dependent users. Risk and protective factors predict adolescents’ severity of substance use, but do not do so uniformly. Poly-drug use is a significant predictor of problem use and dependent use as well.Conclusions: The CRAFFT may provide a more nuanced perspective of adolescent substance use than frequency/prevalence data alone; the authors describe the implications derived from these data and analyses to the adolescent prevention and treatment systems. [ABSTRACT FROM PUBLISHER]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=111312822
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        Value: 10.3109/10826084.2015.1027930
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1668
    Subjects:
      – SubjectFull: Substance abuse & psychology
        Type: general
      – SubjectFull: Substance abuse diagnosis
        Type: general
      – SubjectFull: Alcohol drinking
        Type: general
      – SubjectFull: Drug addiction
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      – SubjectFull: Probability theory
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      – SubjectFull: Questionnaires
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      – SubjectFull: Schools
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      – SubjectFull: Social skills
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      – SubjectFull: Adolescence
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      – SubjectFull: Indiana
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      – TitleFull: Statewide Administration of the CRAFFT Screening Tool: Highlighting the Spectrum of Substance Use.
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              Text: Nov2015
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