A large scale study of the characteristics of impaired drivers in treatment in Texas
Objectives: This is a study of individuals entering treatment who had been arrested for DUI in the past year or who entered treatment while on probation for DUI to determine their levels of impairment and the factors that predict treatment completion and abstinence at follow-up.
Methods: Secondary data analysis was performed on an administrative dataset of 29,566 adult Texans who entered publicly-funded substance abuse treatment between 2000 and 2005. Multivariate logistic regressions predicted multiple past-year arrests, treatment completion, and abstinence at follow-up.
Results: Being older, homeless, having more problems with peer or social relationships, using daily, and having more public intoxication arrests predicted entering treatment with more than one DUI arrest in the past year. Individuals with multiple arrests in the past year were more impaired and the least likely to complete treatment or be abstinent in their last month of treatment. The strongest predictor of completing treatment was having been treated in a residential environment (OR 3.35, CI 2.44 – 4.60, p<.0001) and the strongest predictor of past-month abstinence at follow-up was completing treatment (OR 2.18. CI 1.83 – 2.59. p<.0001) and the strongest risk factor was living in a situation where the individual was exposed to alcohol abuse or drug use (OR 0.13, CI 0.10 – 0.17, p<.0001).
Conclusions: This study provides evidence of the extent of abuse and dependence among DUI arrestees and their need for treatment not only for their substance abuse problems, but also for other problems, including co-occurring mental health problems. Closer supervision by probation during follow-up could reinforce abstinence and prevent recidivism.
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|Item Type:||Journal Article|
|Additional Information:||Self-archiving of the author-version is not yet supported by this publisher. For more information, please refer to the journal’s website (see hypertext link) or contact the author.|
|Keywords:||drink driving, coerced treatment, recidivism|
|Subjects:||Australian and New Zealand Standard Research Classification > LAW AND LEGAL STUDIES (180000)|
Australian and New Zealand Standard Research Classification > COMMERCE MANAGEMENT TOURISM AND SERVICES (150000) > TRANSPORTATION AND FREIGHT SERVICES (150700) > Road Transportation and Freight Services (150703)
Australian and New Zealand Standard Research Classification > STUDIES IN HUMAN SOCIETY (160000) > DEMOGRAPHY (160300)
Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
|Divisions:||Current > Research Centres > Centre for Accident Research & Road Safety - Qld (CARRS-Q)|
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2007 Lippincott Williams & Wilkins|
|Deposited On:||29 Jan 2008|
|Last Modified:||29 Feb 2012 23:35|
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