Accuracy of Alcohol Diagnosis Among DWI Offenders Referred for Screening

Accuracy of Alcohol Diagnosis Among DWI Offenders Referred for Screening PDF Author: Sandra C. Lapham
Publisher:
ISBN:
Category :
Languages : en
Pages : 7

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Book Description
Background: Most US courts use screening programs to evaluate substance-abuse problems of convicted driving while impaired (DWI) offenders. Typically self-report information determines need for treatment. However, little is known about the accuracy of self-reports of alcohol-use problems in this population. Methods: DSM-III-R alcohol abuse and dependence diagnoses from an initial, court-ordered screening evaluation of 583 female and 495 male convicted DWI offenders were compared with diagnoses and other self-reported information from a voluntary, noncoerced interview 5 years after the screening referral. Results: At initial screening, 16.8% of offenders were diagnosed with alcohol abuse and 20.1% with alcohol dependence. At the 5-year interview, 19.9 and 60.1% received a retrospective diagnosis of alcohol abuse or dependence at the age at which they were screened. Significantly fewer of those with a retrospective alcohol diagnosis reported that their alcohol use self-reports at screening were "very accurate" compared to those with no retrospective diagnosis. Conclusions: Although many DWI offenders undergoing screening have diagnosable alcohol-related problems, underreporting is common, leading to inaccurate diagnosis and, therefore, a missed treatment opportunity. The research community and policymakers should review and reform the current screening system for alcohol-impaired drivers to better address this serious public health problem.

Accuracy of Alcohol Diagnosis Among DWI Offenders Referred for Screening

Accuracy of Alcohol Diagnosis Among DWI Offenders Referred for Screening PDF Author: Sandra C. Lapham
Publisher:
ISBN:
Category :
Languages : en
Pages : 7

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Book Description
Background: Most US courts use screening programs to evaluate substance-abuse problems of convicted driving while impaired (DWI) offenders. Typically self-report information determines need for treatment. However, little is known about the accuracy of self-reports of alcohol-use problems in this population. Methods: DSM-III-R alcohol abuse and dependence diagnoses from an initial, court-ordered screening evaluation of 583 female and 495 male convicted DWI offenders were compared with diagnoses and other self-reported information from a voluntary, noncoerced interview 5 years after the screening referral. Results: At initial screening, 16.8% of offenders were diagnosed with alcohol abuse and 20.1% with alcohol dependence. At the 5-year interview, 19.9 and 60.1% received a retrospective diagnosis of alcohol abuse or dependence at the age at which they were screened. Significantly fewer of those with a retrospective alcohol diagnosis reported that their alcohol use self-reports at screening were "very accurate" compared to those with no retrospective diagnosis. Conclusions: Although many DWI offenders undergoing screening have diagnosable alcohol-related problems, underreporting is common, leading to inaccurate diagnosis and, therefore, a missed treatment opportunity. The research community and policymakers should review and reform the current screening system for alcohol-impaired drivers to better address this serious public health problem.

Alcohol Research & Health

Alcohol Research & Health PDF Author:
Publisher:
ISBN:
Category : Alcoholism
Languages : en
Pages : 308

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Book Description


The SAGE Handbook of Drug & Alcohol Studies

The SAGE Handbook of Drug & Alcohol Studies PDF Author: Kim Wolff
Publisher: SAGE
ISBN: 1473944201
Category : Medical
Languages : en
Pages : 840

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Book Description
With contributions from leading international academics across the biological sciences, this handbook takes a critical look at the key contemporary issues and debates in the field. The 31 chapters are divided into four parts: Part I Determination of Substance Misuse Part II PK and PD in Relation to Patterns of Use Part III Detection and Treatment of Drug and Alcohol Use Part IV Controversies and New Approaches This Handbook is an excellent reference text for the growing number of academics, students, scientists and practitioners in the drug and alcohol studies community, and will be a vital resource to the allied professions involved in work-place drug testing, clinical toxicology, and forensic science.

Getting to Zero Alcohol-Impaired Driving Fatalities

Getting to Zero Alcohol-Impaired Driving Fatalities PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309468264
Category : Medical
Languages : en
Pages : 607

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Book Description
Alcohol-impaired driving is an important health and social issue as it remains a major risk to Americans' health today, surpassing deaths per year of certain cancers, HIV/AIDS, and drownings, among others, and contributing to long-term disabilities from head and spinal injuries. Progress has been made over the past decades towards reducing these trends, but that progress has been incremental and has stagnated more recently. Getting to Zero Alcohol-Impaired Driving Fatalities examines which interventions (programs, systems, and policies) are most promising to prevent injuries and death from alcohol-impaired driving, the barriers to action and approaches to overcome them, and which interventions need to be changed or adopted. This report makes broad-reaching recommendations that will serve as a blueprint for the nation to accelerate the progress in reducing alcohol-impaired driving fatalities.

Substance Abuse Treatment and the Stages of Change, Second Edition

Substance Abuse Treatment and the Stages of Change, Second Edition PDF Author: Gerard J. Connors
Publisher: Guilford Publications
ISBN: 1462524982
Category : Psychology
Languages : en
Pages : 369

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Book Description
A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.

Substance Abuse Treatment and the Stages of Change

Substance Abuse Treatment and the Stages of Change PDF Author: Gerard J. Connors
Publisher: Guilford Press
ISBN: 1462508065
Category : Psychology
Languages : en
Pages : 369

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Book Description
A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.

Research Methods in Anthropology

Research Methods in Anthropology PDF Author: H. Russell Bernard
Publisher: Rowman Altamira
ISBN: 0759112436
Category : Social Science
Languages : en
Pages : 682

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Book Description
Research Methods in Anthropology is the standard textbook for methods classes in anthropology. Written in Russ BernardOs unmistakable conversational style, his guide has launched tens of thousands of students into the fieldwork enterprise with a combination of rigorous methodology, wry humor, and commonsense advice. Whether you are coming from a scientific, interpretive, or applied anthropological tradition, you will learn field methods from the best guide in both qualitative and quantitative methods.

Alcohol-Related Violence

Alcohol-Related Violence PDF Author: Mary McMurran
Publisher: John Wiley & Sons
ISBN: 1118411064
Category : Psychology
Languages : en
Pages : 368

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Book Description
New in the Wiley Series in Forensic Clinical Psychology, Alcohol-Related Violence: Prevention and Treatment presents an authoritative collection of the most recent assessment and treatment strategies for alcohol-related aggression and violence. Features contributions from leading international academics and practitioners Offers invaluable guidance for practitioners regarding intervention to reduce alcohol-related aggression and violence Describes evidence-based interventions at a number of levels, including populations, bar room, families, couples, and individuals

Assessment and Treatment of the DWI Offender

Assessment and Treatment of the DWI Offender PDF Author: Charles Wuth
Publisher: Routledge
ISBN: 1317825616
Category : Psychology
Languages : en
Pages : 295

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Book Description
Work more effectively with DWI offenders! This valuable book provides current information on the psychological, social-demographic, and psychiatric characteristics of DWI offenders. It also will provide you with up-to-date assessment strategies that can be employed with offenders, who characteristically are resistant to such assessment. Until now, books written on this subject have focused purely on research that has been done with offenders. This book, however, provides both theoretical and applied strategies for working with this very difficult population in clinical/treatment settings. Assessment and Treatment of the DWI Offender provides practical treatment approaches such that will help you manage client resistance and incorporate family members and significant others into the treatment process to more effectively treat offenders. Assessment and Treatment of the DWI Offender examines: the important variables that separate DWI offenders from alcoholics in general, as well as the “normal” population patterns of drinking behavior among offenders the magnitude of the DWI problem in the United States the history of the DWI countermeasures movement prevention and public education organizations such as SADD, MADD, the Partners in Progress program, the College Binge Drinking Initiative, and more enforcement techniques like breath testing, standardized field sobriety tests, on-site drug detection devices, etc. problems with the tools and techniques that are currently being used to address this issue interviewing techniques that work with DWI offenders more! Intended primarily for counselors, social workers, psychologists, and other professionals who work with DWI offenders and packed with helpful and easy-to-read statistical charts and tables, this book is also essential for graduate students in psychology, social work, chemical dependency, or any of the helping professions.

Clinical Assessment of Malingering and Deception, Fourth Edition

Clinical Assessment of Malingering and Deception, Fourth Edition PDF Author: Richard Rogers
Publisher: Guilford Publications
ISBN: 1462544185
Category : Law
Languages : en
Pages : 673

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Book Description
"Widely used by practitioners, researchers, and students--and now thoroughly revised with 70% new material--this is the most authoritative, comprehensive book on malingering and related response styles. Leading experts translate state-of-the-art research into clear, usable strategies for detecting deception in a wide range of psychological and psychiatric assessment contexts, including forensic settings. The book examines dissimulation across multiple domains: mental disorders, cognitive impairments, and medical complaints. It describes and critically evaluates evidence-based applications of multiscale inventories, other psychological measures, and specialized methods. Applications are discussed for specific populations, such as sex offenders, children and adolescents, and law enforcement personnel. Key Words/Subject Areas: malingering, deception, deceptive, feigning, dissimulation, feigned cognitive impairment, feigned conditions, defensiveness, response styles, response bias, impression management, false memories, forensic psychological assessments, forensic assessments, clinical assessments, forensic mental health, forensic psychological evaluations, forensic psychologists, forensic psychiatrists, psychological testing and assessment, detection strategies, expert testimony, expert witnesses, family law, child custody disputes, child protection, child welfare Audience: Forensic psychologists and psychiatrists; other mental health practitioners involved in interviewing and assessment, including clinical psychologists, social workers, psychiatrists, and counselors. Also of interest to legal professionals"--