Here's a few examples to see the difference in how a teen responds to exact screening language, versus one you might phrase yourself.
Provider: "Have you had alcohol in the past year?"
Teenager: Yeah, sure, I've had a few beers.
Teen's Thought Bubble: I drink at parties almost every weekend now. It's been such a good time!
Provider: "You don't drink, do you?"
Teenager: "Um no."
Teen's Thought Bubble: Like I'd tell YOU. Sounds like you'd freak if I told you the truth.
Provider: "In the past year, on how many days have you had more than a few sips of beer, wine, or any drink containing alcohol?"
Teenager: Um, I guess, like... almost 50? Only like once a week.
Teen's Thought Bubble: I drink at parties on the weekend. I guess that's like four times a month, times 12 months a year oh man, yeah, 48...
Provider: "Do you smoke marijuana?"
Teenager: Sometimes.
Teen's Thought Bubble: Maybe I can downplay this. I don't want to get in trouble.
Provider: "In the past year, how many times have you gotten high?
Teenager: Maybe about seven or eight times.
Teen's Thought Bubble: I don't really get "high." Mostly I just mellow out when I smoke.
The Tool's Question
Provider: "In the past year, how many times have you used marijuana: never, once or twice, monthly, or weekly or more?"
Teenager: Weekly or more.
Teen's Thought Bubble: I don't smoke every week but some weeks I smoke twice, so I think yeah, it's weekly or more.
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