Age-Related Services & Outcomes After DUI Interventions

描述（由申请人提供）：法院授权的DUI计划可能被证明是进入治疗系统的关键切入点，对于那些经常在任何其他环境中无法识别的个人。在美国，越来越多的人接近或退休，以及更多的“婴儿潮一代”，他们将在未来几十年内达到晚年;这些人群可能会比以前报道的更高水平饮酒，并可能会经历更大的酒精相关后果，包括DUI逮捕。鉴于缺乏关于年龄、酒精使用结果和经历酒精使用法律的后果的成年人使用服务之间关系的知识（例如，法院授权的DUI项目），以及美国越来越多的中年和老年人，所提出的前瞻性观察性研究将招募和访问（在基线）一个连续的老年人（年龄55岁及以上）队列（n=200）和性别和种族/种族匹配的中年人（年龄40-54; n=200）和年轻人（年龄18-39; n=200）队列，这些成年人参与一个模型DUI项目。 赖特州立大学周末干预计划（Wright Weekend Intervention Program）是一个为期3天的心理社会计划，是监禁的替代方案。拟议研究的具体目标是：1）确定与年龄相关的易感性、使能性和需求特征的变化（例如，人口统计学、当前和过去的酒精使用和后果、卫生服务使用、治疗史和寻求治疗的障碍、既往DUI史，和刑事司法确定以下（指数DUI干预）的三个年龄组的法院授权的客户参与国家认可的DUI司机干预计划; 2）检查年龄相关的变化，转诊，联系和参与正式和非正式的药物滥用治疗在18个月后，参加DUI干预计划，并确定与服务使用类型相关的关键特征;和3）测量不同年龄组的纵向饮酒过程中的差异，酒精相关行为的变化，和身体/心理社会状态。为了了解近端和远端结局，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，在干预和治疗参与过程中的重要节点之一，年轻到中年到晚年的成年人与年龄相关的相似性和差异。

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.