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2.
J Stud Alcohol ; 64(5): 727-32, 2003 Sep.
Article in English | MEDLINE | ID: mdl-14572196

ABSTRACT

OBJECTIVE: Native-American adolescents are reported to be at high risk for drug and alcohol use and related negative consequences. A brief screening instrument that is culturally and developmentally appropriate can aid clinicians who work with Native youth in determining whether more extensive assessment of substance use is necessary. The CRAFFT has been shown to be a valid and reliable screen among general adolescent outpatient clinic samples. METHOD: Data were collected as part of the Journeys of the Circle project, a collaborative effort between the Seattle Indian Health Board (SIHB) and the University of Washington's Addictive Behaviors Research Center. Psychometric properties of the CRAFFT were examined in 70 American-Indian and Alaska-Native youths ages 13 to 19 recruited from public schools and SIHBs outpatient clinics. RESULTS: The CRAFFT demonstrated good internal consistency (alpha = 0.81). A score of 2 or higher on the CRAFFT was found to be optimal for capturing youths with high alcohol-related problems (sensitivity, 0.95; specificity, 0.86), frequent alcohol use (sensitivity, 1.00; specificity, 0.72) and frequent marijuana use (sensitivity, 1.00; specificity, 0.75). A cut-point of 3 was appropriate for identifying adolescents with frequent other drug use (sensitivity, 0.86; specificity, 0.76). CONCLUSIONS: The CRAFFT may be a valid instrument for identifying Native youths at risk for alcohol and other drug problems. This brief screen can be effective in helping providers determine the need for further assessment and treatment or prevention services for Native-American adolescents.


Subject(s)
Alcoholism/epidemiology , Indians, North American/statistics & numerical data , Inuit/statistics & numerical data , Mass Screening , Personality Assessment/statistics & numerical data , Substance-Related Disorders/epidemiology , Adolescent , Alaska/epidemiology , Alcoholism/ethnology , Alcoholism/prevention & control , Female , Humans , Male , Psychometrics , Reproducibility of Results , Risk Factors , Students/psychology , Students/statistics & numerical data , Substance-Related Disorders/ethnology , Substance-Related Disorders/prevention & control , United States/epidemiology
3.
Alcohol Clin Exp Res ; 27(8): 1327-9, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12966331

ABSTRACT

There has been an increasing call for and development of culturally appropriate substance prevention/intervention for ethnic minorities in schools and communities, especially among reservation and in urban American Indian and Alaska Native (AIAN) communities. Past attempts to intervene in and reduce misuse of alcohol and other drugs have not had great success. The Journeys of the Circle Project utilized innovative programs with a strong emphasis on historic cultural traditions.


Subject(s)
Adaptation, Psychological , Alcohol Drinking/ethnology , Alcohol Drinking/prevention & control , Indians, North American , Adolescent , Humans , Risk Factors , United States
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