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Relapse to driving under the influence (DUI): a review
Thomas H Nochajski1, Paul R Stasiewicz
1School of Social Work, University at Buffalo, 660 Baldy Hall, Amherst, NY 14260, United States. thn@buffalo.edu
Clinical Psychology Review
|December 21, 2005
Summary
Driving under the influence (DUI) is a major public health issue. Understanding repeat DUI offenders requires multifactorial models, not simple ones, to reduce impaired driving fatalities.
Area of Science:
- Public Health
- Criminology
- Psychology
Background:
- Driving under the influence (DUI) remains a significant public health concern, with fatalities from alcohol-related crashes plateauing.
- Persistent or repeat DUI offenders contribute to the stalled progress in reducing impaired driving injuries and deaths.
Purpose of the Study:
- To review models of DUI relapse and empirical literature on offender characteristics and intervention impacts.
- To advocate for multifactorial models to understand and address DUI relapse.
Main Methods:
- Overview of DUI relapse models.
- Review of empirical literature on DUI relapse, offender characteristics, and intervention effectiveness.
- Analysis of data on first-time vs. repeat DUI offenders.
Main Results:
- DUI offenders are a heterogeneous group.
- Simple models focusing on limited factors (e.g., demographics) are insufficient to explain DUI relapse.
- Legal sanctions and rehabilitation programs show varied impacts on subsequent DUI behavior.
Conclusions:
- Multifactorial models integrating legal, social, and psychological factors are needed to explain DUI relapse.
- Recognizing offender heterogeneity is crucial for identifying high-risk subgroups for targeted prevention and intervention.
- Developing and testing such models will advance understanding and reduce DUI recidivism.
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