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Mandating Treatment Based on Interlock Performance: Evidence for Effectiveness.

Robert B Voas1, A Scott Tippetts1, Gwen Bergen2

  • 1Pacific Institute for Research and Evaluation, Calverton, Maryland.

Alcoholism, Clinical and Experimental Research
|July 19, 2016
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Summary

Integrating alcohol use disorder (AUD) treatment with ignition interlocks significantly reduces alcohol-impaired driving recidivism after device removal. This approach offers sustained benefits beyond the interlock period, preventing rearrests and crashes.

Keywords:
AUD TreatmentDUI RecidivismImpaired DrivingInterlocksMultiple DUI Offenders

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Criminology

Background:

  • Vehicle alcohol ignition interlocks curb drunk driving but lack lasting effects post-removal.
  • Integrating alcohol use disorder (AUD) treatment with interlocks may extend recidivism reduction.
  • A Florida policy mandated AUD treatment for driving under the influence (DUI) offenders with interlocks.

Purpose of the Study:

  • To evaluate the effectiveness of mandated AUD treatment integrated with ignition interlock programs.
  • To assess if AUD treatment reduces DUI recidivism after interlock removal.

Main Methods:

  • Cox regression analysis compared recidivism rates.
  • Two groups were analyzed: offenders with AUD treatment and matched offenders without treatment.
  • Recidivism was tracked for 48 months post-interlock removal.

Main Results:

  • The ignition interlock plus AUD treatment group showed a 32% lower recidivism rate post-removal.
  • This reduction is statistically significant (95% CI [9, 49]).
  • An estimated 41 rearrests, 13 crashes, and 9 injuries were prevented in the treated group.

Conclusions:

  • This study strongly supports integrating AUD treatment into interlock programs.
  • Mandated AUD treatment significantly lowers DUI recidivism after interlock removal.
  • Treatment offers sustained benefits, reducing re-offense rates by one-third.