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Adolescent substance use is a highly pervasive issue that strongly correlates with increasing depression and anxiety rates. Standardized screening tools for substance use, such as the CRAFFT or the Screening to Brief Intervention Tool, are freely available but not widely utilized for every patient encounter in clinical practice. This project aimed to improve standardization of substance use screening at a primary care clinic located in Castleton, Vermont through implementation of the CRAFFT tool as an automatically-loaded form in each adolescent encounter note. The goal was to improve substance use detection rates by facilitating efficient incorporation of standardized screening into the primary care provider's workflow.

Clinical Site

Castleton Community Health Center


Vermont, Substance Use, Adolescent, Adolescence, E-Cigarette, Vaping, Alcohol, Marijuana, Screening, Youth

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Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Medical Education | Primary Care

Adolescent Substance Use: Standardizing Screening Methods in Clinical Practice