The CRAFFT is an efficient and effective health screening tool designed to identify substance use,substance-related riding/driving risk,and substance use disorder among youth ages 12-21. It has been implemented as part of universal screening efforts in thousands of busy medical and community health settings,as it yields information that can serve as the basis for early intervention and patient-centered counseling. The current version of the tool,the CRAFFT 2.1,includes evidence-based revisions to increase the sensitivity and specificity of the tool and includes vaping as a method of administration for marijuana use. The CRAFFT 2.1+N contains additional questions about tobacco and nicotine use.