is illegal, and carries risk for negative consequences. A provider might begin with the questions based upon the HEEADSS (Home, Education/employment, peer group Activities, Sexuality, Suicide/depression, Safety), a psychosocial interview providing structured questions to enhance communication and decrease stress when interviewing adolescents (Goldenring & Rosen, 2004). Results indicating alcohol use prompt the need for additional screening, using a developmentally appropriate instrument, validated for use with adolescents. One such instrument endorsed by AAP is the CRAFFT, a six-item behavioral health instrument developed to screen for high-risk alcohol and other drug use disorders in persons under 21 years of age (Knight, Sherritt, Shrier, Harris, & Chang, 2002). A score greater than two indicates potential problems with alcohol use and warrants additional assessment and possibly intervention.
