Gender differences in driving under the influence (DUI) program client characteristics: Implications for treatment delivery

Reilly, Kelly; Woodruff, Susan I.; Hohman, Melinda; Barker, Melanie

doi:10.1080/03630242.2018.1434589

Cited by 11 publications

(7 citation statements)

References 16 publications

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“…While there were limited substance use differences, females in the current study were significantly more likely to report mental health problems, which is similar to findings from other studies of nonrural DUI offenders . The rates in the current study are comparable to those found in previous research focused on other rural drug‐using female offenders .…”

Section: Discussionsupporting

confidence: 86%

“…Recent research has highlighted the increasing number of female drivers who are arrested for driving under the influence (DUI) . As a result, more studies have focused on understanding sex differences among DUI offenders to identify the unique characteristics and needs of female impaired drivers . For example, female DUI offenders are more likely to use substances daily, meet drug use disorder criteria, and have co‐occurring mental health problems compared with male DUI offenders.…”

Section: Introductionmentioning

confidence: 99%

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Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders

2019

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Background and Objectives Studies have documented sex differences among driving under the influence (DUI) offenders, but none have examined rural DUI offenders. Methods Rural DUI offenders (83 males and 34 females) self‐reported past year and lifetime substance use, mental health problems, and impaired driving history. Results Substance use and impaired driving histories were similar, but significant disparities in mental health problems for female DUI offenders were found. Conclusions and Scientific Significance This initial examination of sex differences among rural DUI offenders suggests additional research is needed to better understand their substance use and mental health problems and whether different treatment approaches are needed. (Am J Addict 2019;28:405–408)

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders

2019

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“…This gender distribution mirrors that identified for Types I and II alcoholism; Type II alcoholism is more prevalent among men than women (Cloninger et al, 1996; Del Boca and Hesslebrock, 1996). This distribution also supports prior work in this area (Reilly et al, 2018) as well as prior work with this sample (LaPlante et al, 2008) that finds that female repeat DUI offenders tend to have a more severe profile of mental health issues than male repeat DUI offenders.…”

Section: Discussionsupporting

confidence: 82%

Externalizing and self-medicating: Heterogeneity among repeat DUI offenders

Nelson

Shoov

LaBrie

et al. 2019

Drug and Alcohol Dependence

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Aim: Despite significant reductions in Driving Under the Influence (DUI) in the United States during recent decades, DUI continues to be a major public health threat. The current study investigated the intersection of two domains known to influence DUI: criminal history and psychiatric comorbidity. Methods: DUI recidivists (N=743) attending a court-mandated two-week inpatient DUI program completed a computerized mental health assessment as part of their intake to that program. Participants’ criminal records were obtained 4–5 years after program attendance. Findings: This study identified three primary repeat DUI offender subtypes with distinct patterns of criminal behavior and psychiatric comorbidity: (Type I) those whose DUI emerges from a pattern of drinking to cope with mood and anxiety problems, (Type II) those whose DUI emerges as part of a larger pattern of externalizing and criminal behavior, and (Type III) those whose DUI offenses reflect more acute triggers and isolated episodes of excessive drinking. Conclusion: These findings suggest that current treatment models used in DUI programs are inadequate to address the heterogeneity in the population of DUI recidivists and that earlier and more comprehensive screening would allow for better targeting of resources to DUI offender subtypes.

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“…A growing body of research has demonstrated that female impaired drivers constitute a distinct subpopulation of impaired drivers. Compared to males, studies have shown that female impaired drivers are more likely to report psychiatric disorders, such as anxiety, bipolar, or depressive disorders (Maxwell and Freeman 2007;Reilly et al 2019). This is consistent with the higher prevalence of anxiety and mood disorders among women that has been documented in the general population across cohorts from different countries (Seedat et al 2009).…”

Section: Introductionsupporting

confidence: 62%

Impaired driving among rural female drug-involved offenders

Webster

Tillson

Dickson

et al. 2020

Traffic Injury Prevention

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Objective: Very little is known about rural female impaired drivers despite disproportionate rates of impaired driving arrests and associated traffic fatalities in rural areas. The present study examined past year impaired driving histories and impaired driving correlates in a sample of rural female drug-involved offenders.Methods: Drug-involved women (N = 400) from three rural jails completed a confidential interview focused on substance use and related risk behaviors. After removing cases with missing data (n = 23), participants self-reporting past year impaired driving (n = 254) were compared to those who did not (n = 123) on demographic characteristics, substance use, mental health, and criminal histories. Impaired drivers also reported the substances involved in their past year impaired driving episodes.Results: A significantly higher percentage of impaired drivers reported past year use of eight of the 11 substances (including alcohol) examined when compared to other drug-involved offenders. While symptoms of major depressive and post-traumatic stress disorders were similar, significantly more impaired drivers (49.6%) reported symptoms of generalized anxiety disorder than did other drug-involved offenders (35.0%). No differences in criminal histories were found. Nearly all (94.9%) of impaired drivers reported driving under the influence of drugs in the past year; less than one-fourth reported driving under the influence of alcohol. Prescription opioids were the most prevalent substance type involved in impaired driving episodes (84.6%) followed by anti-anxiety medications (40.9%). Approximately one-third of impaired drivers reported driving under the influence of methamphetamine (33.9%), marijuana (31.5%), and alcohol (30.7%) in the past year. Conclusions:Findings indicate that rural female impaired drivers may have more extensive substance use and mental health problems than other rural female drug-involved offenders. In addition, study results suggest a recent history of impaired driving may serve as a marker for a more extensive substance use history. Other implications include that early identification of impaired drivers in at-risk groups may be an important opportunity to prevent future traffic injuries and fatalities.

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Gender differences in driving under the influence (DUI) program client characteristics: Implications for treatment delivery

Cited by 11 publications

References 16 publications

Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders

Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders

Externalizing and self-medicating: Heterogeneity among repeat DUI offenders

Impaired driving among rural female drug-involved offenders

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