Age-Related Services & Outcomes After DUI Interventions

与年龄相关的服务

• 批准号: 7410097
• 负责人: Frederic C Blow
• 金额: $ 41.41万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7410097
• 关键词: Address; Admission activity; Adopted; Adult; Age; Aging; Alcohol abuse; Alcohol consumption; Alcohols; American; Americas; Automobile Driving; Baby Booms; Behavior; Caring; Characteristics; Client; Clinical; Community Surveys; Comorbidity; Consumption; Counseling; Criminal Justice; Data; Data Analyses; Data Set; Diagnosis; Dill; Distal; Drug abuse; Drug usage; Drunk driving; Education; Elder Abuse; Elderly; Elements; Emergency Situation; Enabling Factors; Ethnic Origin; Female; Funding; Future; Gap Junctions; Gender; Generations; Health; Health Personnel; Health Services; Health Services Needs; Health Status; Healthcare; Hour; Impairment; Imprisonment; Individual; Injury; Insurance; Intervention; Intervention Studies; Interview; Knowledge; Lead; Legal; Life; Link; Longevity; Measurement; Measures; Medical; Mental Health; Methods; Modeling; Motor Vehicles; National Institute on Alcohol Abuse and Alcoholism; Nexus (resin cement); Numbers; Observational Study; Outcome; Participant; Pathway interactions; Patients; Pattern; Pharmaceutical Preparations; Policies; Population; Principal Investigator; Process; Psychotherapy; Race; Range; Rate; Recording of previous events; Recruitment Activity; Reporting; Research; Research Personnel; Respondent; Retirement; Risk; Screening procedure; Services; Severities; Socioeconomic Factors; Stereotyping; Structure; Substance Abuse, Other; Substance abuse problem; Sum; Surveys; System; Time; Universities; Variant; Visit; Vulnerable Populations; Work; World War II; age group; age related; aged; alcohol abuse therapy; alcohol and other drug; alcohol behavior; alcohol effect; alcohol intervention; alcohol misuse; alcohol related problem; alcohol use disorder; base; cohort; convict; court; day; demographics; drinking; drinking behavior; driving under influence; experience; follow-up; improved; indexing; innovation; intervention program; male; medical complication; middle age; mortality; offender; older women; probation; problem drinker; programs; prospective; psychological distress; psychosocial; service utilization; skills; treatment program; trend; young adult

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.

描述（由申请人提供）：法院强制执行的酒后驾车计划可能被证明是针对那些在任何其他环境中通常无法识别的个人进入治疗系统的关键切入点。在美国，接近退休或即将退休的人比例越来越大，而越来越多的“婴儿潮一代”将在未来几十年内步入晚年；这些人群的饮酒水平可能比之前报道的要高，并且可能会经历更严重的酒精相关后果，包括酒后驾车被捕。鉴于对因饮酒而遭受法律后果的成年人（例如法院强制执行的酒后驾车计划）中的年龄、饮酒结果和服务使用之间的关系缺乏了解，并且中老年人数量不断增加在美国，拟议的前瞻性观察研究将招募并采访（基线）一组连续的老年人（55 岁及以上）队列（n = 200）以及性别和种族/种族匹配的中年成年人队列（年龄40-54 岁；n=200）和年龄较小的人（18-39 岁；n=200）参与酒后驾车示范项目。 莱特州立大学周末干预计划 (WIP) 是一项为期 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、促成性和需求特征的变化（例如人口统计、当前和过去的饮酒情况和后果、卫生服务的使用、治疗史以及寻求治疗的障碍）参与国家认可的酒后驾车干预计划的法院指定的三个年龄组的客户的治疗情况、既往酒后驾车历史以及刑事司法判定（指数酒后驾车干预）2) 检查与年龄相关的变化；参与酒后驾车干预计划后 18 个月内转介、联系和参与正式和非正式的药物滥用治疗，并确定与服务使用类型相关的关键特征； 3）测量不同年龄组在饮酒的纵向过程、酒精相关行为的变化以及身体/心理社会状态方面的差异。为了了解近端和远端结果，将在 6、12 和 18 个月时进行随访评估。这项研究将提供有关年轻至中年至晚年成年人在干预和治疗参与过程的重要时刻之一与年龄相关的相似性和差异的重要新知识。