EXCEEDTHE SPACE PROVIDED. This R01 grant application requests 5 years of funding to extend the observation period of a cohort of first-time driving while impaired (DWI) offenders to 15 years. Subjects were first observed at the time of court-mandated referral for substance abuse evaluation to a screening program in Albuquerque, NM for a first DWI offense (1989-1992). A subset of 1,396 offenders was interviewed 5 years later where current and 12-month diagnoses of substance use and other psychiatric disorders were ascertained. A current secondary analysis grant examines the longitudinal database developed for the 5-year follow-up study. For the proposed study we will locate, and conduct structured, in-person interviews with the entire cohort of participants in the 5-year follow-up study. An estimated 71% of subjects can be located, with 5% deceased. A pilot study revealed a high (92%) willingness to participate, yielding an estimated total of 750 subjects (35% non-Hispanic White; 47% Hispanic; 15% American Indian; 3% other races; 56% of subjects are females). Interviews and questionnaires will measure the 15-year progression of alcohol use and other psychiatric disorders; examine attributes of subjects who achieved sobriety with and without the aid of formal and informal treatment; determine long-term rates of driving outcomes, including violations, crashes, and DWI arrests; and evaluate two alternative theoretical models (i.e., the Social-Control, and the Cognitive-Behavioral models) in predicting long- term, drinking/driving and traffic outcomes. Finally, through conduct of a qualitative study with a subset of offenders, we will assess subjects' self-report information and variability in long-term maintenance of sobriety and relapse. Prevalence of alcohol and drug abuse/dependence, and mental health diagnoses will be ascertained through well- specified diagnostic criteria. Rates will be compared between genders and between Hispanic and non-Hispanic White subjects. Driving outcomes will be ascertained by self-report and using computer-based archival record data for those who still reside in New Mexico (estimated to be about 88% of subjects). Driving after drinking is the largest single cause of alcohol-related deaths in the U.S., and over one third of drivers in alcohol-related crashes have previous drunk-driving arrests. Yet few studies have examined long-term outcomes of convicted dnmk drivers. Longer-term follow-up in this DWI sample, already described in rich detail, could add much to the body of knowledge regarding drunk drivers. The ability to collect long-term follow-up data coupled with theory development and an integrated empirical focus will provide a unique contribution to the development of prevention and treatment programs for both female and male offenders PERFORMANCSEITE(S)(organizationc,ity,state) Behavioral Health Research Center of the Southwest 612 Encino Place NE Albuquerque, NM 87102 KEYPERSONNELS ========================================Section End===========================================
