Age-Related Services & Outcomes After DUI Interventions

描述(由申请人提供)：法院规定的酒后驾车程序可能被证明是进入治疗系统的关键入口点，这些人通常在任何其他环境中都不被识别。在美国，即将退休或即将退休的人的比例越来越大，未来几十年将有更多的婴儿潮一代人步入晚年；这些人的饮酒量可能比之前报道的更高，可能会经历更严重的与酒精相关的后果，包括酒后驾车被捕。鉴于在经历酒精使用的法律后果的成年人中年龄、酒精使用结果和服务使用之间的关系缺乏了解(例如，法院规定的酒后驾车计划)，以及美国中老年人数量的增加，拟议的前瞻性观察性研究将招募和采访(基线)连续队列(n=200)参与酒后驾车行为模型计划的中年(40-54岁；n=200)和更年轻(18-39岁；n=200)的老年人(n=200)和性别和种族/种族匹配的成年人。 莱特州立大学周末干预计划(WIP)是一个为期3天的心理社会计划，是监禁的替代方案。拟议研究的具体目的是：1)确定参与国家认可的酒后驾车司机干预计划的三个年龄组的法院授权客户在诱因、诱因和需求特征(例如，人口统计数据、当前和过去的酒精使用和后果、卫生服务使用、治疗史、寻求治疗的障碍、既往酒后驾车史以及刑事司法判定)方面的年龄相关变化；2)检查在参加酒后驾驶干预计划后18个月内转介、联系和参与正式和非正式药物滥用治疗的年龄相关变化，并确定与服务使用类型相关的关键特征；以及3)按年龄组衡量纵向饮酒过程中的差异、与酒精有关的行为的变化以及身体/心理社会状况。为了了解近端和更远端的结果，将在6个月、12个月和18个月时进行随访评估。这项研究将提供关键的新知识，关于在干预和治疗参与过程的重要关头之一的年轻、中年和晚年成年人与年龄相关的相似性和差异性。

DESCRIPTION (provided by applicant): Court-mandated DUI programs may prove to be key entry points into the treatment system for individuals who often are not identified in any other setting. There is a growing proportion of individuals in the U.S. who are near or in retirement, and a larger cohort of 'Baby Boomers' who will reach late life in the coming , decades; these cohorts may drink at higher levels than previously reported and may experience greater alcohol-related consequences including DUI arrests. Given this lack of knowledge regarding the relationship between age, alcohol use outcomes, and service use among adults experiencing legal consequences of their alcohol use (e.g., court-mandated DUI programs), and the increasing numbers of middle-aged and older adults in the U.S., the proposed prospective observational study will recruit and interview (at baseline) a consecutive cohort (n=200) of aging adults (age 55 and older) and gender and ethnicity/race matched cohorts of adults at mid-life (age 40-54; n=200) and younger ages (age 18-39; n=200) participating in a model DUI program. The Wright State University Weekend Intervention Program (WIP) is a 3-day psychosocial program that is an alternative to incarceration. The specific aims of the proposed study are to: 1) determine the age-related variations in predisposing, enabling, and need characteristics (e.g. demographics, current and past alcohol use and consequences, health services use, history of treatment, and barriers to seeking treatment, history of previous DUIs, and criminal justice determination following (the Index DUI intervention) of the three age groups of court-mandated clients participating in a nationally-recognized DUI driver intervention program; 2) examine age-related variations in referral, linkage and engagement in formal and informal substance abuse treatment in the 18-months following participation in a DUI intervention program, and to identify the key characteristics associated with types of service use; and 3) measure the differences by age group in the longitudinal course of drinking, changes in alcohol-related behaviors, and physical/psychosocial status. In order to understand both proximal and more distal outcomes, follow-up assessments will be conducted at 6-, 12-, and 18-months. This study will provide critical new knowledge regarding the age-related similarities and differences of adults in younger- to mid- to later-life at one of the important junctures in the intervention and treatment engagement process.