Year: 2025
Type: article
Study design: Observational Study
Abstract: logistic regression models to determine the association between positive screen and referral to services; we compared models using the c-statistic.Results: For Aim 1, 26.7% of youth received any drug test and 58% received a CRAFFT screen.Of those who received a CRAFFT, 42% screened positive.Of those who received a drug test, 54.4% screened positive.Cannabinoids were the most prevalent substance detected (84.5%), followed by alcohol (28.2%) and nicotine (10.3%).For Aim 2, youth whose most severe charge was drug-related received more drug tests and CRAFFTs and screened positive more often.Additionally, the following variables differentiated drug test receipt: ethnicity; CRAFFT receipt: sex assigned at birth; and positive CRAFFT screen: race and ethnicity.For Aim 3, positive drug test (OR¼8.4895% CI¼6.06-11.87)and CRAFFT screen (OR¼11.55,95% CI¼8.33-16.01)were associated with behavioral health referral; the c-statistic was slightly higher for positive CRAFFT (0.77) than for drug test (0.74).Conclusions: Conducting screening among YILS given the disparity in SU compared to non-legal-involved youth remains crucial.Probation officers and agency staff may be utilizing information from the CRAFFT screener to make referral recommendations differently than drug test results.Especially for less resourced counties that minimally or do not administer drug tests, screeners that capture problematic SU may be particularly helpful in triaging youth to other services that may routinely monitor use.Future research is needed to identify the optimal frequency of SU screening to inform screening recommendations.
Source: Journal of Adolescent Health
Authors: Bradley Kerr, Chelsea Olson, Megan Moreno
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: hybrid
Estimated APC paid: $3,670
OpenAlex ID: W4407207548