2009 Revisions Texas Department of State Health Services 1.

2009 Revisions 2009 Revisions

Texas Department of State Health ServicesTexas Department of State Health Services1

COURSE OBJECTIVECOURSE OBJECTIVE

1. Gain information about the effects of alcohol and drugs on driving skills.

2. Identify your own drinking or drugged driving pattern.

3. Develop a plan to reduce the chance that you will be involved in future DWI behavior.

COURSE PURPOSESCOURSE PURPOSES

To have people carry out responsible drinking/drugged driving decisions which

will prevent future DWI behavior.

3

TRAFFIC DEATHS & ALCOHOLTRAFFIC DEATHS & ALCOHOL

Number of traffic deaths in 2007…• US?• Texas?

Have traffic related deaths increased or decreased since 1997?

What percent of traffic deaths involve alcohol?

Has the percentage of alcohol traffic related deaths increased or decreased since 1997?

4

YEAR US TX

1997 41,967 3,510

2007 41,059 3,363

Down 2.2% Down 4.4%

TRENDS IN TRAFFIC DEATHSTRENDS IN TRAFFIC DEATHS

TRAFFIC DEATHS 2007TRAFFIC DEATHS 2007

U.S. – 41,059Texas – 3,363

PP-5

ALCOHOL RELATED TRAFFIC DEATHS OF ALL TRAFFIC DEATHS: 2007

ALCOHOL RELATED TRAFFIC DEATHS OF ALL TRAFFIC DEATHS: 2007

37%

44%

PP-6

2002-2007 TRENDUS – Down 9.7%Texas – Down 6.5%

More enforcement?

Stronger Laws?

Lower BAC level used?

More breath tests given?

Education?

POSSIBLE REASONS FOR DECLINE IN PERCENTAGE OF ALCOHOL-RELATED

DEATHS IN TEXAS

POSSIBLE REASONS FOR DECLINE IN PERCENTAGE OF ALCOHOL-RELATED

DEATHS IN TEXAS

7

DEFINITION OF INTOXICATION IN TEXAS

DEFINITION OF INTOXICATION IN TEXAS

Alcohol concentration of .08 or more.

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because of alcohol or other drugs.

Not having normal use of mental or physical faculties

ARRESTED for DWI, Intoxication Assault, or Intoxication Manslaughter

Test is taken and failed (.08 or greater)

Adult Penalty – Loss of license 90 days if no alcohol/drug contacts in last ten years 1 year if one or more alcohol/drug contacts in last ten years

Officer takes possession of license

Temporary license for 40 days

$125 reinstatement fee

ADMINISTRATIVE LICENSE REVOCATION (ALR)

(FAILED TEST)

ADMINISTRATIVE LICENSE REVOCATION (ALR)

(FAILED TEST)

10

IMPLIED CONSENT LAW(REFUSED TEST)

IMPLIED CONSENT LAW(REFUSED TEST)

Arrested operating motor vehicle or a watercraft of 50

hp or greater

Refuse breath or blood test

Adult Penalty - Loss of license 180 days if no alcohol/drug contact in last ten years Two years if one or more alcohol/drug contacts in last 10 years

License taken at time of arrest and 40 day

temporary license issued

$125 reinstatement fee11

DWI PENALTIES IN TEXASDWI PENALTIES IN TEXAS

JAILLICENSE LOSTFINES

72 hours – 180 days

90 days – 1 year

Up to $2,0001st

30 days – 1 year

180 days – 2 years

Up to $4,0002nd

2 – 10 years180 days –

2 yearsUp to

$10,0003rd

+

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LICENSE SURCHARGE ON DWI CONVICTIONS

LICENSE SURCHARGE ON DWI CONVICTIONS

1. DWI, Intoxication Assault, Intoxication, Manslaughter Conviction

a. $1,000 per year for first conviction within a 36 month periodb. $1,500 per year for subsequent convictions within a 36

month periodc. $2,000 on a first or subsequent conviction if BAC was .16 or

greater at time of test2. Surcharge if peace officer, firefighter, or EMS personnel

is killed or seriously injured.a. Serious bodily injury—2nd degree felony, 2-20 years in prison,

up to $10,000 fine.b. Killed—1st degree felony, 5-99 years/life in prison, and up to

$10,000 fine.

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OPEN CONTAINER LAWOPEN CONTAINER LAW Vehicle on public highway (stopped or moving) Driver or passenger Knowingly possess in passenger area Open, seal broken, or contents partially removed

Vehicle for hire - passenger area Motor home living quarters Locked storage area Trunk Behind last seat if no trunk

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Penalty - Class C misdemeanor - up to $500 fine

EXCEPTIONS:EXCEPTIONS:

DWI EDUCATION COURSE MODULESDWI EDUCATION COURSE MODULES

A - Alcohol / Drug Traffic Safety Problem

B - Effects of Alcohol / Drugs on the Driving Task

C - Alcohol / Drug Abuse & Dependency

D - Personal Action to Avoid Future DWI Behavior

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True or False?Alcohol is a stimulant?

?

?

?

?

?

??

?

?Alcohol/drugs affect individuals differently

There are ways to sober up quickly

Alcohol/drugs decrease mental and physical abilities

All drugs are depressants

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WHICH HAS MORE ALCOHOL?WHICH HAS MORE ALCOHOL?

Beer - 12 oz.

Cooler - 12 oz.

Wine - 4 oz.

Whiskey - 1 oz.

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BLOOD ALCOHOL CONCENTRATION FACTORS

BLOOD ALCOHOL CONCENTRATION FACTORS

Rate of Absorption

Drinking Rate

Size of Drink

Body Weight

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Strength

Emotions

Other ingredients

Carbonation

Food

Male/Female Differences

# OF 12 OZ. BEERS IN ONE HOUR

HOW MANY DRINKS = .08?HOW MANY DRINKS = .08?

20

BLOOD ALCOHOL CONCENTRATION

0.08

BODY WEIGHT (LBS)

220

200

160

180

140

120

100

5

4

3

2

4

3

2

1When Drinking Rate Exceeds Elimination Rate, BAC Rises.

REMOVING ALCOHOL FROM THE BODYREMOVING ALCOHOL FROM THE BODY

Elimination

ABSORPTION

22BAC is lowered about .015% per hour.

BREATH 8%

SWEAT 2%

LIVER 90%

ELIMINATION RATEELIMINATION RATE

ELIMINATION

STOPSDRINKING – 1:30

ABSORPTION >

>

.16 = PEAK – 2:00

>

.08 = INTOXICATEDLEGALLY – 7:30

> > > > >

.05 = IMPAIRED – 9:30

> > > >

BAC

23

ALCOHOL & YOUR BRAINALCOHOL & YOUR BRAIN

Sequence ofMental Growth

Progression of Alcohol’s Sedative Effects

Higher Learning Center

Vital Functions

Muscle Control

Higher Learning Center

Vital Functions

Muscle Control

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HOW ALCOHOL AFFECTS VISIONHOW ALCOHOL AFFECTS VISION

visual acuity

side vision

glare recovery

eye focus

color distinction

distance judgment

night vision

double visiondouble vision 25

SHORT-TERM EFFECTS OF ALCOHOLSHORT-TERM EFFECTS OF ALCOHOL

Perception

Sleep

Heart

Emotions

Motor ability

Hangover26

REASONS FOR DIFFERING EFFECTS OF ALCOHOL

REASONS FOR DIFFERING EFFECTS OF ALCOHOL

Expectations

Mood

Tolerance

Fatigue

Individual Differences27

I.P.D.E.I.P.D.E.

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SUMMARY OF EFFECTSSUMMARY OF EFFECTS

29

Driving Related Factors:IPDE, Attention, Tracking,

Risk, Reaction Time, Actual Driving Tests

Human Effects:BrainVision

Perception

Risk Factors:Fatal Crash Involvement

Crash ResponsibilityDriver Death

DRIVING TASK EFFECTS & BACDRIVING TASK EFFECTS & BAC

BAC

BAC

.02 .04 .06 .08 .10 .12

.12.02 .04 .06 .08 .10

TASK AFFECTED:

Divided Attention

30

D

CB

31

E

FA


BAC

BAC

.02 .04 .06 .08 .10 .12

.12.02 .04 .06 .08 .10

TASK AFFECTED:

Divided Attention

Information Processing

32

33

NO PASSING ZONE


BAC

BAC

.02 .04 .06 .08 .10 .12

.12.02 .04 .06 .08 .10

TASK AFFECTED:

Divided Attention


Tracking and Steering

Perception

34

35

PERCEPTIONPERCEPTION

A B


BAC

BAC

.02 .04 .06 .08 .10 .12

.12.02 .04 .06 .08 .10

TASK AFFECTED:

Divided Attention


Tracking and Steering

Perception

Reaction Time

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REACTION & BRAKING DISTANCESREACTION & BRAKING DISTANCES

Reaction Increase %

60 MPH40 MPH20 MPHBAC

.00%22+20 =

42 ft44+73 =

117 ft66+184 =

250 ftNONE

.05%29+20 =

49 ft58+73 =

131 ft87+184 =

271 ft+32%

Reaction distance + Braking distance = Stopping distance

.10%31+20 =

51 ft62+73 =

135 ft93+184 =

277 ft+41%

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EFFECTS OF ALCOHOL ON DRIVING ABILITY

EFFECTS OF ALCOHOL ON DRIVING ABILITY

Skid, Crash Simulator,

Auto Control

EXERCISE

Control Group - Unchanged

Blocked Lane,Slalom, T-Turn

-13%

-2%

-17%

-3%

.04 .07 .10

-24%

-8%

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RISK OF DEATH AFTER DRINKINGRISK OF DEATH AFTER DRINKING

16-20

21-34

35+

M – 5F – 3

3

3

M – 52F – 15

13

11

M– 15,560F– 738

572

382

Why are there gender differences for young people?

Why is age a factor? 40

.150+.080 - .099.020 - .049

BACAGE

SURVIVAL RISK & BACSURVIVAL RISK & BAC

BACIncreased Chance of Death

Compared to Sober Drivers *

.03 1.2

.07 1.5

.12 2.4

.17 2.5

.22 3.7

41* Given a crash has occurred.

BAC & CRASH RESPONSIBILITYBAC & CRASH RESPONSIBILITY

BAC% Responsible

for Crash

.01 - .05 64%

.05 - .079 88%

.08 - .149 92%

.15 and greater 96%

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SUMMARY OF EFFECTSSUMMARY OF EFFECTS

43

Driving Related Factors:IPDE, Attention, Tracking,

Risk, Reaction Time, Actual Driving Tests

Human Effects:BrainVision

Perception

Risk Factors:Fatal Crash Involvement

Crash ResponsibilityDriver Death

PREVENTING INTOXICATIONPREVENTING INTOXICATIONFood Time

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Strength Amount

YOU KNOW YOU’VE HAD TOO MUCH IF...YOU KNOW YOU’VE HAD TOO MUCH IF...

IFsomeone

asksto drive you

home

IFyou can’tremember how muchyou’ve had

IFroutine things

surprise you

IFyou seem to be the only one drinking

IFfine motor

skills become difficult

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FATAL CRASH RESPONSIBILITY OF DRIVERS USING ALCOHOL & MARIJUANA

FATAL CRASH RESPONSIBILITY OF DRIVERS USING ALCOHOL & MARIJUANA

* Compared to sober risk of responsibility.46

Increased Odds of Fatal Crash Responsibility *

Drugs

5.7Alcohol >.05

3.0Marijuana

19.0Alcohol & Marijuana

MARIJUANA’S EFFECTS ON ABILITIES RELATED TO DRIVING

MARIJUANA’S EFFECTS ON ABILITIES RELATED TO DRIVING

Skills related to driving performance are impaired as THC blood level increases.

Marijuana affects driver’s attentiveness, perception of time and speed, and ability to draw on past driving experiences.

Impairment increases when marijuana is combined with alcohol.

47

EFFECTS OF DOWNERS ON ABILITIES RELATED TO DRIVING

EFFECTS OF DOWNERS ON ABILITIES RELATED TO DRIVING

• Downers include benzodiazepines (Xanax, Valium), sedatives (Ambien), tranquilizers, and barbiturates.

• Slower reaction time, reduced vigilance, impaired attention tasks and cognition

• Level of risk varies with type of downer and how long driver has been using it (risk greater when first start using).

• Valium produces significant driving impairment over multiple doses.

• Crash risk is 1.6 to 5 times that of driver with no drugs.

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EFFECTS OF OPIATES ON ABILITIES RELATED TO DRIVING

EFFECTS OF OPIATES ON ABILITIES RELATED TO DRIVING

• Opioids (heroin, Vicodin, OxyContin, morphine, codeine) produce mental clouding, calmness, and drowsiness.

• Effects include slow driving, weaving, poor vehicle control, slow response to stimuli, falling asleep.

• Impairment varies by type of opioid used, route of administration, and tolerance.

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EFFECTS OF STIMULANTS ON ABILITIES RELATED TO DRIVING

EFFECTS OF STIMULANTS ON ABILITIES RELATED TO DRIVING

• Stimulants include cocaine, MDMA, methamphetamine, Adderall.

• Cocaine associated with speeding, losing vehicle control, high-risk behaviors, aggressive driving, inattentive driving.

• Low doses may enhance alertness, but prolonged use results in sleep deprivation, paranoia, aggression.

• Some evidence of psychomotor and cognitive impairment in attention, perception and memory with MDMA use.

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ALCOHOLISMALCOHOLISM

More/less alcohol needed for desired effect

Withdrawal symptoms or drink to avoid withdrawal

Desire or unsuccessful efforts to cut down

Drinking larger amounts or for longer period than

planned

Activities reduced/given up because of drinking

Much time spent to obtain, use, or recover

Continued use despite problems

Any three reveal alcoholism.51

Contributed to difficulty/inability to meet home, school, or work responsibilities?

Put self in physical danger (driving, sports activities, etc.)?

Led to problems with the legal system?

Led to problems with others (friends, family, fights, etc.)?

Any one YES answer reveals abuse.

Has using alcohol or drugs in the last year...

SUBSTANCE ABUSESUBSTANCE ABUSE

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SIGNS OF ALCOHOLISMSIGNS OF ALCOHOLISM

• Increase in tolerance

• Craving alcohol

• Drinking to cope

• Preoccupation with drinking

• Personality change

• Feelings of remorse, guilt, shame, self-hatred

• Blackouts

• Rationalization

• Blaming others

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?? ? ?

• Binge drinking

• Delirium tremens (DT’s)

• Physical problems

• Money problems

• Work problems

• Gulping/sneaking drinks

• Hiding/protecting source

• Denial

SIGNS OF ALCOHOLISMSIGNS OF ALCOHOLISM

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• Loss of sexual potency

• Difficulty in sleeping

• “Telephonitis”

• “Not that bad yet”

• Changing jobs

• Drinking alone

• Opinion of AA/NA

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OTHER SIGNS OF ALCOHOLISMOTHER SIGNS OF ALCOHOLISM

• Use of other drugs

• Age at which drinking began

• Heavy smoking

• Leisure activities focus on alcohol

• Family history

• Different behavior after drinking

• DWI-PI-MIP arrests

OTHER SIGNS OF ALCOHOLISMOTHER SIGNS OF ALCOHOLISM

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NUMERICAL DRINKING PROFILE (NDP)

NUMERICAL DRINKING PROFILE (NDP)

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SCORE INDICATION

1

2 - 5

6 - 7

No Problem

Potential Problem

Evident Problem

ACCIDENT FACTORSACCIDENT FACTORSTime of day

Woman’s drinking

No seatbelts

DRIVER’S DRINKING

Child’s inattention Attention to girlfriend

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PERSONAL ACTIONPERSONAL ACTION

Regulate Drinking None Separate from driving Monitor & control amount

Improve Relationships

Use Public Transportation

Avoid Situations

Substitute Other Activities

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Texas DWI Education Program2009 Revisions

Texas Department of State Health Services

59

2009 Revisions Texas Department of State Health Services 1.

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Transcript of 2009 Revisions Texas Department of State Health Services 1.