Treatments for Alcohol‐Related Impaired Driving

Brown, Thomas G.; Ouimet, Marie Claude

doi:10.1002/9781118411094.ch15

Cited by 4 publications

(6 citation statements)

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“…As well, many offenders continue to drive under the influence of elevated but under per se blood alcohol concentration limits and under the influence of drug use, which individually or synergistically significantly impair their safe driving ability (C'de Baca et al., 2009 ). Drug-impaired driving, although increasingly prevalent, is more difficult to detect than alcohol-impaired driving (Brown and Ouimet, 2012 ; Lapham et al., 2002 ). Alternatively, self-reported information concerning DWI events is also problematic.…”

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confidence: 99%

A Randomized Controlled Trial of Brief Motivational Interviewing in Impaired Driving Recidivists: A 5‐Year Follow‐Up of Traffic Offenses and Crashes

Ouimet

Dongier

Leo

et al. 2013

Alcohol Clin Exp Res

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BackgroundIn a previously published randomized controlled trial (Brown et al. Alcohol Clin Exp Res 2010; 34, 292–301), our research team showed that a 30-minute brief motivational interviewing (BMI) session was more effective in reducing percentages of risky drinking days in drunk driving recidivists than a control information–advice intervention at 12-month follow-up. In this sequel to the initial study, 2 main hypotheses were tested: (i) exposure to BMI increases the time to further arrests and crashes compared with exposure to the control intervention (CTL) and (ii) characteristics, such as age, moderate the benefit of BMI.MethodsA sample of 180 community-recruited recidivists who had drinking problems participated in the study. Participants gave access to their provincial driving records at baseline and were followed up for a mean of 1,684.5 days (SD = 155.7) after randomization to a 30-minute BMI or CTL session. Measured outcomes were driving arrests followed by convictions including driving while impaired (DWI), speeding, or other moving violations as well as crashes. Age, readiness to change alcohol consumption, alcohol misuse severity, and number of previous DWI convictions were included as potential moderators of the effect of the interventions.ResultsFor arrests, Cox proportional hazards modeling revealed no significant differences between the BMI and the CTL group. When analyses were adjusted to age tertile categories, a significant effect of BMI in the youngest age tertile (<43 years old) emerged. For crashes, no between-group differences were detected.ConclusionsBMI was better at delaying DWI and other dangerous traffic violations in at-risk younger drivers compared with a CTL similar to that provided in many remedial programs. BMI may be useful as an opportunistic intervention for DWI recidivism prevention in settings such as DWI courts. Treatment effectiveness studies are needed to ascertain how the present findings generalize to the real-world conditions of mandated relicensing programs.

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A Randomized Controlled Trial of Brief Motivational Interviewing in Impaired Driving Recidivists: A 5‐Year Follow‐Up of Traffic Offenses and Crashes

Ouimet

Dongier

Leo

et al. 2013

Alcohol Clin Exp Res

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“…Sendo assim, pode-se afirmar que é notório que o uso de bebidas alcoólicas e outras drogas nas estradas tem se tornado hábito tradicional e frequente entre motoristas caminhoneiros, somado à revelia da introjeção das leis, regras e costumes. 19,21 Estudos têm demonstrado a vulnerabilidade dos caminhoneiros em relação à aids, desta forma, diversas estratégias de intervenção precisam ampliar o envolvimento destes trabalhadores em processos que os tornem em mecanismos mais eficazes de educação sobre os riscos de contaminação pelo HIV, pela alienação e preservação. A maioria refere não fazer uso do preservativo devido aos aspectos culturais ligados ao sexo masculino, que tornam os homens mais vulneráveis às práticas de risco, dotados de sensações de fortaleza, imunidade e ímpeto.…”

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“…Torna-se importante, neste sentido, se ter uma percepção clara da decisão a tomar, além dos riscos a serem assumidos, pois é preciso ter a compreensão do limite de convivência e da exposição ao risco. 13,15,18,19 Os dados revelados no ASSIST quanto ao envolvimento dos motoristas e ao uso das drogas provam que os motoristas que fazem uso de álcool, tabaco e outras drogas necessitam de atenção especial com relação à oferta relativa às intervenções de tratamento, uma vez que a maioria dos usuários indica a necessidade breve, o cuidado é necessário para que não as torne uma necessidade intensiva. Ou melhor, o uso de drogas é um problema no contexto das rodovias e pode piorar sob a condição de envolvimento do uso múltiplo de álcool e outras drogas.…”

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O uso de drogas por motoristas caminhoneiros e o comportamento de risco nas estradas

Antoniassi

Melo

Mendes

et al. 2016

Rev Epidemiol Control Infect

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. (87,5%), seguidos de 75% da cocaína e 62,5% do crack. Desses, 55,6% fazem uso associado entre as drogas, e 50% consomem álcool nas estradas e 45% já dirigiram após consumir bebida. 61,5% já tiveram alguma DST, e uma parcela que não faz uso do preservativo. Conclusão: observou-se que o uso associado de drogas expõe os motoristas em risco de acidentes, problemas com leis, contágio de doenças, levando a uma degradação social e pessoal com consequências irreversíveis que oneram a vida dos envolvidos, e os cofres públicos, estado vulnerável a possível dependência da droga. Background and Objectives:To assess the use of drugs by truck drivers and their exposure to risk and life style on the roads. Since drugs are increasingly present among truck drivers, and because they are active in traffic, they must perceive the need to avoid exposing themselves to risks that can affect health conditions and prevent social complications caused by bad habits. Methods: This is a quantitative, descriptive and exploratory study with 31 drivers working for a dairy cooperative. A questionnaire was created with 34 questions regarding the Risk Exposure and Lifestyle in Traffic, and the ASSIST Test. Statistical analyses were performed using the Epi Info ® statistical program.The significance level was set at p <0.05, and 95% CI for the chi-square test. Results: The study showed that 75% of the participants were smokers, 64% consumed alcohol and 25.8% used illicit drugs. Stimulants are the most often consumed drugs (87.5%), followed by 75% of cocaine and 62.5% of crack. Of these, 55.6% use more than one drug, and 50% consume alcohol on the roads and 45% have already driven after drinking alcohol. 61.5% have already had some type of STD, and some of them do not use condoms. Conclusion: It was observed that the associated use of illicit drugs put drivers at risk for accidents, problems with the Law, disease contamination, leading to a social and personal degradation with irreversible consequences, affecting the lives of all those involved, as well as public resources, making these drivers vulnerable to possible drug addiction. RESUMO ABSTRACTRecebido em:

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“…However, recent research provides more consistent evidence of beneficial effects when remedial programs are used to supplement licensing actions (Mann, Vingilis, and Stewart 1988;Mann, Anglin, Wilkins, Vingilis, MacDonald, and Sheu 1994;Wells-Parker, Bangert-Drowns, McMillen, and Williams 1995;Wells-Parker, Mann, Dill, Stoduto, Shuggi, and Cross 2009;Wickens, Butters, Flam-Zalcman, Stoduto, and Mann 2013). Nevertheless, the evidence for the beneficial impact of these programs is not always consistent, perhaps due to differences in program types and evaluation methods (e.g., Brown and Ouimet 2013;Mann et al 1988). …”

Section: Introductionmentioning

confidence: 99%

“…Problematic alcohol use is a widely noted characteristic of drinking drivers (Health Canada 2004;Lapham, Skipper, and Simpson 1997;Macdonald and Mann 1996;Mann, Anglin, Wilkins, Vingilis, and Macdonald 1993;Brown and Ouimet 2013). A substantial proportion of convicted drinking drivers can be considered problem drinkers or alcohol abusers (Smart and Schmidt 1961;Stasiewicz, Nochajski, and Homish 2007;Vingilis 1983).…”

Section: Introductionmentioning

confidence: 99%

Impact of Ontario’s Remedial Program for Drivers Convicted of Drinking and Driving on Substance Use and Problems

Stoduto¹,

Mann²,

Flam-Zalcman³

et al. 2014

Canadian Journal of Criminology and Criminal Justice/La Revue c

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En 1998, l'Ontario a adopté une loi exigeant que toute personne reconnue coupable de conduite avec facultés affaiblies suive un programme de mesures correctives, nommé Bonne Conduite, avant que leur permis de conduire ne soit revalidé. Selon une évaluation, les clients doivent suivre soit un programme d' « éducation » soit un programme de « traitement », selon le niveau des *Please direct correspondence to Robert E. Mann, Centre for Addiction and Mental Health, 33 Russell St., Toronto, ON, M5S 2S1; robert_mann@camh.net © 2014 CJCCJ/RCCJP doi:10.3138/CJCCJ.2014.ES04 problèmes liés. Plusieurs mois après avoir terminé le programme, les participants réalisent une entrevue de suivi. Nous rapportons la consommation d'alcool ou d'autres drogues et ses indicateurs des résultats pour 22 277 participants ayant réalisé le suivi entre 2000 et 2005.Un lien a été établi entre le fait d'avoir terminé le programme et une réduction importante de la fréquence de consommation d'alcool ou d'autres drogues, du nombre de verres consommés en une séance, du nombre total de consommateurs et des conséquences négatives causées par la consommation d'alcool ou d'autres drogues. Un grand nombre de participants devinrent des « non-consommateurs » de diverses substances au cours du programme. Ces résultats démontrent que le programme de mesures correctives a des effets bénéfiques sur les participants, qu'il s'agisse du programme éducatif ou de traitement.Mots clés : programme de rééducation, conducteur ivre condamné, problème de toxicomanie, alcool, drogues In 1998, Ontario passed legislation requiring that all drivers convicted of drinking and driving complete a remedial program, called Back on Track (BOT), before their driver's licences could be reinstated. Based on an assessment, clients are assigned to complete either an "education" program or a "treatment" program, depending on levels of substance-related problems. Several months following completion of their program, participants complete a follow-up interview. We report substance use and related outcome measures on 22,277 BOT participants who completed follow-up between 2000 and 2005. Completion of BOT was associated with significant reductions in the frequency of alcohol and other drug use, number of drinks consumed per drinking occasion, total numbers of substance users, and negative consequences resulting from substance use. A large number of participants became "non-users" of various substances over the course of the program. These findings provide evidence that the remedial program has beneficial effects for participants in both the education and treatment components of BOT.

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Treatments for Alcohol‐Related Impaired Driving

Cited by 4 publications

References 208 publications

A Randomized Controlled Trial of Brief Motivational Interviewing in Impaired Driving Recidivists: A 5‐Year Follow‐Up of Traffic Offenses and Crashes

A Randomized Controlled Trial of Brief Motivational Interviewing in Impaired Driving Recidivists: A 5‐Year Follow‐Up of Traffic Offenses and Crashes

O uso de drogas por motoristas caminhoneiros e o comportamento de risco nas estradas

Impact of Ontario’s Remedial Program for Drivers Convicted of Drinking and Driving on Substance Use and Problems

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