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Alcohol Misuse: Criminal Justice
Contexts & Outcomes
National Infrastructure for Translating Research into Clinical PracticeNIH-NIAAA 1R25AA02048001
Arlington, VA 9/17/14
Randall Brown MD, PhD, FASAMProgram Director
University of Wisconsin
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Summary of Module Contents
• Slide Deck: N = 40• Handout materials: slides, article
reprints• Annotated bibliography• Test questions: 5 pretest; 5 posttest• Suggestions & resources– Natl Center for DWI Courts• Treatment court attendance (NCDC)• Advisory panel involvement
– Formulation of driver safety plans
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Overview• Alcohol misuse violence and
trauma• Penalty w/o treatment previous
drinking patterns + associated behavior
• 40% Tx referrals originate in criminal justice
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Overview
• Key Point– Collaborative, multi-pronged interventions
improve outcomes
• Main recommendations– Screen & intervene to prevent alcohol-
related crime & trauma– Collaborate w/ supervision– Address co-morbidity
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Key Point Overview
• Collaborative, multi-faceted intervention– Treatment + supervision– Holistic approach• Comorbidity• Social circumstances• Engagement of close personal contacts• “Behavioral” & relational issues
– Monitoring/accountability
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Recommendation #1
• Screen & intervene to prevent future alcohol-related issues
• SORT level B• References– D’Onofrio G et al. Ann Emerg Med, 2012; 60: 181-
92.– Field C et al. ACER, 2010; 34: 2004-10.– Schermer C et al. J Trauma, 2006; 60: 29-34.
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Recommendation #2
• Collaborate with supervision• SORT B• References– Friedmann P et al. Addiction, 2012; 107: 1099-
1108.– Guydish J et al. Crime Delinq, 201; 211: 167-98.
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Dissemination Strategy
• Module for formal didactic (1 hour)• Interfacing with criminal justice– Treatment court (OWI, veteran)– Involvement in safe driver plans– Deferred prosecution unit
• Systems process improvement– FQHC– VA– Court/corrections advisory role