Enhancing the effectiveness of traditional interventions with drinking drivers by adding brief individual intervention components.

Wells‐Parker, Elisabeth; Williams, Martha R.

doi:10.15288/jsa.2002.63.655

Cited by 70 publications

(62 citation statements)

References 25 publications

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“…They concur with conceptual models hypothesizing that a longer duration of help may reduce the risk of impaired driving among individuals prone to drive while intoxicated (Mann et al, 1983;Wells-Parker and Williams, 2002).…”

Section: Treatment Aa and Dwisupporting

confidence: 71%

“…In addition, because people with a DWI history who sought help were more likely to have psychological symptoms, this population may respond well to interventions, such as AA, that offer opportunities to address not only drinking but also psychological factors such as impulsivity, coping choices, and depression symptoms that may exacerbate the risk of DWI (Wells-Parker and Williams, 2002). The fi ndings imply that more and sustained mutual help for alcohol use disorders may be associated with better DWI outcomes via fewer drinking consequences as well as improved psychosocial functioning and coping among previously untreated individuals.…”

Section: Limitations and Conclusionmentioning

confidence: 99%

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Driving While Intoxicated Among Individuals Initially Untreated for Alcohol Use Disorders: One- and Sixteen-Year Follow-Ups

Timko¹,

Desai²,

Blonigen³

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study examined associations between frequency of driving while intoxicated (DWI) at baseline and obtaining alcohol-related help at follow-up, and between obtaining help and subsequent reductions in DWI. It also examined improvements on personal functioning and life context indices as mediators between obtaining help and reduced occurrences of DWI. Method: A total of 628 individuals who were initially untreated for alcohol use problems completed a baseline inventory; follow-ups were 1, 3, and 16 years later. Results: More extended participation in outpatient treatment and Alcoholics Anonymous (AA) during Year 1 was associated with a lower likelihood of DWI at the 1-year follow-up. More extended participation in AA through Year 3 was associated with a lower likelihood of DWI at the 16-year follow-up. Improvement on personal functioning and life context indices was associated with reduced risk of subsequent occurrences of DWI. Decreases in drinking-related problems, impulsivity, and drinking to reduce tension mediated associations between more AA participation and reductions in DWI at 1 year. Conclusions: Among initially untreated individuals, sustained mutual help may be associated with a reduced number of occurrences of DWI via fewer drinking consequences and improved psychological functioning and coping. Treatment providers should attend to these concomitants of DWI and consider actively referring individuals to AA to ensure ongoing AA affi liation. The majority of studies of DWI have focused on community samples or samples of people arrested and convicted for DWI who were mandated to treatment. In contrast, we examined DWI in a sample of individuals who, at entry into the study, had initiated help seeking but were untreated for alcohol use problems; these individuals were followed for 16 years. Compared with non-help-seeking community samples, these help seekers likely have more severe alcohol-related dysfunction (George and Tucker, 1996;Tucker, 1995) but also more recognition of their alcohol misuse, motivation to change, and commitment to abstinence (Timko et al., 1994). However, compared with individuals reporting previous treatment for alcohol use disorders, these individuals likely have less severe alcohol-related dysfunction but also less motivation to change and commitment to abstinence (LoCastro et al., 2008). Thus, in the context of previous studies of DWI, we examined a sample that, by virtue of seeking help for the fi rst time, was unique in terms of severity of alcoholrelated disorder and motivation to change.To examine the behavior of DWI, this study used the conceptual framework developed by Moos and colleagues (Moos and Finney, 1983;Moos et al., 1990b) and adopted by other investigators (e.g., Buri et al., 2007) to examine the context of alcohol-related outcomes (Figure 1). The framework suggests that there is an association between (a) the individual's functioning and life context (e.g., severity of alcohol misuse, psychological symptoms, negative life events, social su...

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Section: Treatment Aa and Dwisupporting

confidence: 71%

Section: Limitations and Conclusionmentioning

confidence: 99%

Driving While Intoxicated Among Individuals Initially Untreated for Alcohol Use Disorders: One- and Sixteen-Year Follow-Ups

Timko¹,

Desai²,

Blonigen³

et al. 2011

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

show abstract

“…physiological, cognitive, etc.) effects of alcohol/drug use on driving ability, as well as provide information and advice for changing DUI behavior (28). As stand-alone education programs have previously been found to be ineffective, this approach is often included as a component of a larger intervention program (29).…”

Section: Educationmentioning

confidence: 99%

Effectiveness of interventions for convicted DUI offenders in reducing recidivism: a systematic review of the peer-reviewed scientific literature

Curtis

Sønderlund

Day

et al. 2014

The American Journal of Drug and Alcohol Abuse

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Background: Driving under the influence (DUI) is a major cause of death and disability. Although a broad array of programs designed to curb DUI incidents are currently offered to both firsttime and recidivist DUI offenders, existing evaluations of the effectiveness of these programs have reported mixed results. Objective: To synthesize the results of DUI program evaluations and determine the strength of the available evidence for reducing recidivism for different types of programs. Methods: A systematic review of all EBSCO databases, EMBASE, PubMed, ProQuest, Sociological Abstracts and TRIS was conducted to identify evaluations of treatments/ interventions to prevent DUI offenses. Additional articles were identified from reference lists of relevant articles. Results: A total of 42 relevant studies were identified by the search strategy. Of these, 33 utilized non-experimental evaluation designs or reported insufficient data to allow effect sizes to be calculated, making meta-analysis unfeasible. Evaluations of several different program types reported evidence of some level of effectiveness. Conclusion: Because of the general lack of high quality evidence assessing the effectiveness of DUI prevention programs, it is not possible to make conclusive statements about the types of programs that are likely to be most effective. Nonetheless, there was some evidence to support the effectiveness of programs that utilize intensive supervision and education. There is a need for future evaluations to adopt more scientifically rigorous research designs to establish the effects of these programs.

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“…While researchers have noted the value in screening for comorbid psychiatric disorders among DUI populations for some period of time (Wells-Parker & Williams, 2002), only more recently is research beginning to illuminate the extent of such mental health problems among this population (Albanese et al, 2010). Additionally, it has been noted that DUI treatment programs predominantly focus exclusively on drinking behaviour and DUI education (Albanese et al, 2010) and that under-diagnosis of comorbid psychiatric disorders is a significant concern for the DUI treatment providers (McMillan et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Unraveling the complexity of driving while intoxicated: A study into the prevalence of psychiatric and substance abuse comorbidity

Freeman

Maxwell

Davey

2011

Accident Analysis & Prevention

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2011) Unraveling the complexity of driving while intoxicated: a study into the prevalence of psychiatric and substance abuse comorbidity. Accident Analysis and Prevention, 43(1), pp. 34-39. Results: Analysis indicated that non-past year DUI clients were more likely to present with more severe illicit substance use problems, while past year DUI clients were more likely to have a primary problem with alcohol. Nevertheless, a cannabis use problem was also found to be significantly associated with DUI recidivism in the last year. In regards to mental health status, a major finding was that depression was the most common psychiatric condition reported by DUI clients, including those with more than one DUI offence in the past year. This cohort also reported elevated levels of Bipolar Disorder compared to the general population, and such a diagnosis was also associated with an increased likelihood of not completing treatment. Additionally, female clients were more likely to be diagnosed with mental health problems than males, as well as more likely to be placed on medications at admission and more likely to have problems with methamphetamine, cocaine, and opiates. © Copyright 2011 ElsevierConclusions: DUI offenders are at an increased risk of experiencing comorbid psychiatric disorders, and thus, corresponding treatment programs need to cater for a range of mental health concerns that are likely to affect recidivism rates.

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Enhancing the effectiveness of traditional interventions with drinking drivers by adding brief individual intervention components.

Cited by 70 publications

References 25 publications

Driving While Intoxicated Among Individuals Initially Untreated for Alcohol Use Disorders: One- and Sixteen-Year Follow-Ups

Driving While Intoxicated Among Individuals Initially Untreated for Alcohol Use Disorders: One- and Sixteen-Year Follow-Ups

Effectiveness of interventions for convicted DUI offenders in reducing recidivism: a systematic review of the peer-reviewed scientific literature

Unraveling the complexity of driving while intoxicated: A study into the prevalence of psychiatric and substance abuse comorbidity

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