A substantial proportion of first time DWI offenders are problem drinkers who my benefit from early clinical intervention. These individuals, however, are frequently offered only psychoeducation about drinking and driving. More intensive psychotherapeutic interventions are typically reserved for multiple DWI offenders who are more likely to be in the later stages of a progressive drinking problem when they are less likely to respond to treatment. In order to examine the potential value of early clinical intervention with first time DWI offenders, the present study will compare the efficacy of a relapse prevention/coping skills therapy with two less intensive traditional DWI interventions, psychoeducation and group interaction. In addition to evaluating the comparative efficacy of the three treatments, hypotheses will be explored about the match between treatments and patient characteristics such as degree of alcohol severity, general psychopathology and sociopathy. Finally, the design of the study addresses many of the methodological failings of the past treatment outcome research conducted with DWI offenders: 1) Subjects will be randomly assigned to treatments, 2) Multidimensional assessments of functioning will be collected, 3) Treatment specific outcome measures will be used, and 4) Treatments will be clearly defined and manual guided.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA009098-02
Application #
3113222
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1992-07-01
Project End
1996-06-30
Budget Start
1993-07-01
Budget End
1994-06-30
Support Year
2
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Yale University
Department
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520
Schlauch, Robert C; O'Malley, Stephanie S; Rounsaville, Bruce J et al. (2012) Internalizing and externalizing dimensions and alcohol use in first time DWI offenders: indirect effects through coping self-efficacy. Psychol Addict Behav 26:133-9
Holt, Laura J; O'Malley, Stephanie S; Rounsaville, Bruce J et al. (2009) Depressive symptoms, drinking consequences, and motivation to change in first time DWI offenders. Am J Drug Alcohol Abuse 35:117-22
Palmer, Rebekka S; Ball, Samuel A; Rounsaville, Bruce J et al. (2007) Concurrent and predictive validity of drug use and psychiatric diagnosis among first-time DWI offenders. Alcohol Clin Exp Res 31:619-24
Ball, S A; Jaffe, A J; Crouse-Artus, M S et al. (2000) Multidimensional subtypes and treatment outcome in first-time DWI offenders. Addict Behav 25:167-81