Nochajski | Stasiewicz

This study investigated the use of brief harm reduction approaches with convicted DWI offenders. Researchers assessed the relative utility of increasing client motivation for change and reducing future harm related to alcohol and/or drug use, including DWI recidivism. Early results suggest caution for treatment providers when interpreting stage of change for DUI offenders as assessment of individuals’ stage of change differed between stage of change measures. Motivation to change was not significantly associated with drinking-driving and, as individuals developed more self-efficacy, they reported less drinking-driving. Readiness to change and self-efficacy were significantly associated with binge drinking and as a person’s belief in their ability to refuse drinks increased, binge drinking frequency decreased. Finally, significant predictors of drinking-driving included alcohol dependence severity, were low self-efficacy, number of drinking-related negative consequences including a prior DUI arrest, of drinking, and other drug use. Harm reduction efforts might consider these predictors.The 18-month follow-up interviews have recently been completed and the main outcome results are pending. Funded by a grant of $2,561,901 from NIAAA, 1999-2005.