drink drivers rehabilitation systems birgit bukasa
TRANSCRIPT
Drink Drivers Rehabilitation Systems
Birgit Bukasa
European Road Safety Day 13th of October, 2010
Actual deterrence strategy for drink driving offenders
• European legislations to combat drinking and driving are strongly based on deterrence theory.
• All countries have implemented sanctions for drink driving offences – driving ban, withdrawal of driving licence, fines, imprisonment …
• Deterrence theory supposes that drivers will refrain from drink driving due to fear of these consequences.
European Road Safety Day 13th of October, 2010
Deterrence effectiveness
DRUID empirical studies analyses show:
• Licence related sanctions (driving ban/licence withdrawal) are more effective than fines or prison.
• Minimum 3 months of driving ban/withdrawal is needed to create significant impact - from 12 months upward no additional benefits for traffic safety are observed.
• In case of longer withdrawal periods, driving while suspended increases significantly - mainly to carry out everyday obligations (work, driving to work or driving kids to school).
European Road Safety Day 13th of October, 2010
Deterrence effectiveness
Further results of DRUID empirical studies analyses:
• Combination of shorter driving ban/withdrawal + treatment/rehabilitation shows better results than longer withdrawal periods alone.
• Combination of licence restrictions + treatment gives the best results regarding recidivism rate, driving ban is in the second place while a licence restriction without additional measures has the worst results.
• “Close monitoring” is important (eg biological marker, alcohol interlocks, medical controls).
European Road Safety Day 13th of October, 2010
Actual situation in Europe
Results from DRUID surveys:• In at least 10 European countries licence withdrawal
period is above 12 months, in 9 countries above 24 month depending on the BAC level (no accident).
• In 73% of countries a reduction of the withdrawal period is not possible.
• In 67% of countries conditional withdrawal is not possible.
• In 63% of countries conditional re-granting of driving licence is not practiced.
• In about 12 countries driver rehabilitation measures are applied.
European Road Safety Day 13th of October, 2010
Monitoring
Integrated approach for drink driving offenders in future
Deterrence
Rehabili-tation
European Road Safety Day 13th of October, 2010
Rehabilitation of drink drivers
DRUID results reveal:
• At least two main groups, namely non-addicts and addicts have to be distinguished. Their risk of relapse differs significantly due to the severity of the underlying problem behaviour (alcohol).
• At least two levels of intervention have to be provided: Less intense rehabilitative measures for non-
dependent offenders (specific target group oriented).
Intense treatment for dependent offenders (established addiction therapy in the health sector).
European Road Safety Day 13th of October, 2010
European standard group intervention – principal approach
• Combination of psychological/therapeutic intervention with informative/educative and group dynamic elements.
• Topics are not restricted to traffic issues, but extend to private, lifestyle or health issues.
• Active participation of the offenders is stimulated and supported by highly professional course leaders mostly with (traffic-) psychological and/or therapeutic background.
European Road Safety Day 13th of October, 2010
DRUID Feedback study - evaluation of courses by alcohol offenders
46,0%48,7%
1,7% 0,5%3,1%
0%
10%
20%
30%
40%
50%
60%
Very good Good Poor Very poor Missing
European sample (n = 7.339 in total, 9 countries)
46,0%48,7%
1,7% 0,5%3,1%
0%
10%
20%
30%
40%
50%
60%
Very good Good Poor Very poor Missing
European Road Safety Day 13th of October, 2010
DRUID Feedback study – evaluation of course effects by alcohol offenders
1
2
3
4
AT BE FR DE GB HU IT PL NL
conscious raising support for behavioural changes
1 = agree completely …...... 4 = disagree completely
European sample (n = 7.339 in total, 9 countries)
European Road Safety Day 13th of October, 2010
European standard group intervention - effectiveness
DRUID empirical studies analyses reveal:
• The European standard group intervention programmes show good scientific evidence regarding reduction of recidivism.
• Average reduction rate of recidivism of 45.5% (reduction rates vary from 15.4% up to 71.9%) was observed.
European Road Safety Day 13th of October, 2010
Systems for drink drivers in future
Recommendations• Driver rehabilitation for drink-driving offenders
should be part of a comprehensive countermeasure system in Europe.
• An integrated approach can better serve the main goals:
Deterrence – Rehabilitation – Monitoring
restoring mobility as early as possible without endangering traffic safety and keeping the offenders socially integrated.
European Road Safety Day 13th of October, 2010
Drink drivers rehabilitation systems
Thank you for your attention !
www.druid-project.eu