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An evaluation and education program for driving while intoxicated offenders.

D J Kruzich, H D Silsby, J D Gold

    Journal of Substance Abuse Treatment
    |January 1, 1986
    PubMed
    Summary
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    Driving While Intoxicated (DWI) among soldiers often signals serious alcohol problems. An inpatient program found 88% of participants met criteria for alcohol abuse or dependence, highlighting the need for intervention.

    Area of Science:

    • Military Health
    • Addiction Medicine
    • Public Health

    Background:

    • Driving While Intoxicated (DWI) is a significant issue, particularly among young male soldiers.
    • Heavy drinking and alcohol-related issues contribute to motor-vehicle accidents and fatalities in this demographic.

    Purpose of the Study:

    • To develop and evaluate a mandatory inpatient program for soldiers arrested for DWI.
    • To assess the prevalence of alcohol abuse and dependence in this population.
    • To identify factors associated with alcohol problems in soldiers with DWI.

    Main Methods:

    • Implemented a mandatory, inpatient evaluation and education program for soldiers within a week of DWI.
    • Administered diagnostic criteria (DSM-III) and various questionnaires (Vaillant, MacAndrews, MMPI, Mortimer-Filkins).

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  • Analyzed demographic data, BAC at arrest, and blood hematology/chemistry values.

    • Main Results:

    • Of 490 soldiers, 88% met DSM-III criteria for alcohol abuse or dependence.
    • Factors linked to diagnosis included age, questionnaire scores, BAC, prior alcohol problems, and specific blood values.
    • DWI serves as a critical indicator of underlying alcohol issues.

    Conclusions:

    • The inpatient program effectively identified a high prevalence of alcohol abuse/dependence among soldiers with DWI.
    • DWI is a significant marker for serious alcohol-related problems requiring intervention.
    • The findings support the necessity of comprehensive evaluation and education programs for affected soldiers.