Models of Treatment and Education with DUI Offenders

1
Models of Treatment and Education with DUI
Offenders

• Tom Wilson Counseling Center
• Boise, Idaho

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Education Model

• 12 to 24 hours presented over several weeks
• Identifies goals as reducing risk for relapse and
  reducing risk for recidivism
• Intended for lower risk offenders

• Based on the following manualized curriculum
• Driving With Care Alcohol, other Drugs, and
  Driving Safety Education, Level II Education
• Kenneth W. Wanberg, Harvey B. Milkman and David
  S. Timken.

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Education Approach

• The education model uses a cognitive-behavioral
  model of behavior change to reduce the risk for
  relapse and recidivism
• Assumes that most clients are in
  pre-contemplation stage, i.e., dont really think
  they have a problem other than DUI

4
Motivation Techniques

• Facilitator uses non-confrontational, Socratic
  questioning methods to develop discrepancy
  between clients and society/groups view of
  problem
• Motivational interviewing techniques used to
  facilitate change

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Lesson Topics

• LESSON 1 PROGRAM ORIENTATION DEVELOPING A
  WORKING RELATIONSHIP
• LESSON 2 ALCOHOL AND OTHER DRUG IMPAIRED
  DRIVING THE LAWS AND BEYOND THE LAWS
• LESSON 3 HOW OUR THINKING, ATTITUDES AND BELIEFS
  CONTROL OUR ACTIONS
• LESSON 4 HOW BEHAVIOR IS LEARNED AND CHANGED
  LEARNING SELF-CONTROL AND DRIVING WITH CARE

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Lesson Topics

• LESSON 5 ALCOHOL AND OTHER DRUGS HOW DO THE
  FACTS AND IDEAS ABOUT ALCOHOL AND OTHER DRUG USE
  FIT YOU?
• LESSON 6 ALCOHOL AND OTHER DRUG USE PATTERNS
  HOW DO THEY FIT YOU?
• LESSON 7 PROBLEM OUTCOMES OF ALCOHOL AND OTHER
  DRUG USE PATTERNS OF MISUSE AND ABUSE HOW DO
  THEY FIT YOU?
• LESSON 8 PATHWAYS TO RELAPSE AND RECIDIVISM

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Lesson Topics

• LESSON 9 PROCESS AND STEPS TO PREVENTING RELAPSE
  AND RECIDIVISM
• LESSON 10 PREVENTING RELAPSE AND RECIDIVISM
  BUILDING PERSONAL VALUES AND PROSOCIAL ATTITUDES
  AND BEHAVIORS AND DRIVING WITH CARE
• LESSON 11PREVENTING RELAPSE AND RECIDIVISM
  MANAGING STRESS AND EMOTIONS
• LESSON 12 PREVENTING RELAPSE AND RECIDIVISM
  BUILDING HEALTHY FAMILY AND SOCIAL RELATIONSHIPS

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Sample Worksheet, Page 1
Your DWI Event Describe and evaluate the
specific circumstances surrounding your DWI
arrest? Type of event?

• 1. Date of arrest
• 2. Time of arrest
• 3. Location of arrest
• 4. Persons you were with
• 5. Time took first drink
• 6. Total drinks or drug doses from first to
  arrest
• 7. Kind of alcohol
• 8. Where did most drinking take place
• 9. Blood alcohol level

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Sample Worksheet, Contd

• 10. Events before started to drink who with,
  where, what was happening, conflicts with people
• 11. Thoughts you remember before you started
  drinking
• 12. Events during drinking who with, where, what
  was happening, conflicts with people
• 13. Feelings and emotions you remember before and
  after started drinking
• 14. How did you act when you were arrested?

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Sample Worksheet, Contd

• 15. Where were you taken after your arrest?
• 16. How long did you stay where you were taken?
• 17. Who were among the first persons in your
  family that you spoke to after you were
  arrested?
• 18. What did they say and do? Write down their
  reaction.
• 19. What were your thoughts after you returned
  home?
• 20. What were your feelings after you returned
  home?

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Therapy Program

• Consists of 21, two-hour manual guided sessions
  and homework
• Designed for clients who meet diagnostic criteria
  for alcohol abuse or dependence or who have a
  high BAC of .15 or greater
• 2 or more DUIs
• Has completed Level 2 Education
• Requires active participation in a group process
  and increased accountability

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Therapy Group Expectations

• Complete all exercises and worksheets
• Attend all sessions and pay all fees
• Actively participate in group
• Complete homework, thinking reports
• Alcohol and Drug Free
• Follow group rules and program policies

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Therapy Session Topics

• SESSION 1 UNDERSTANDING AND ENGAGING THE
  CHANGE PROCESS
• SESSION 2 PROGRAM ORIENTATION II TARGETS AND
  TOOLS FOR CHANGE
• SESSION 3 PATHWAYS TO AOD OUTCOMES AND
  ADDICTION
• SESSION 4 AOD PROBLEM OUTCOMES AND PATTERNS

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Therapy Session Topics

• SESSION 5 MANAGING AOD CRAVINGS AND URGES
• SESSION 6 SKILLS IN COGNITIVE SELF-CONTROL
  RECOGNIZING AND CHANGING NEGATIVE THOUGHTS
• SESSION 7 SKILLS IN COGNITIVE SELF-CONTROL
  RECOGNIZING AND CHANGING ERRORS IN THINKING

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Therapy Session Topics

• SESSION 8 SKILLS IN COGNITIVE SELF-CONTROL
  MANAGING STRESS AND DEPRESSION
• SESSION 9 SKILLS IN COGNITIVE SELF-CONTROL
  RECOGNIZING AND MANAGING ANGER
• SESSION 10 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING COMMUNICATION TOOLS AND SKILLS

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Therapy Session Topics

• SESSION 11 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING STARTING A CONVERSATION
• SESSION 12 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING GIVING/RECEIVING POSITIVE
  REINFORCEMENT
• SESSION 13 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING LEARNING PROBLEM SOLVING
• SESSION 14 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING ASSERTIVENESS SKILLS

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Therapy Session Topics

• SESSION 15 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING LEARNING AND PRACTICING REFUSAL
  SKILLS
• SESSION 16 SOCIAL AND RELATIONSHIP SKILLS
  BUILDING DEVELOPING AND KEEPING INTIMATE AND
  CLOSE RELATIONSHIPS
• SESSION 17 STRENGTHENING RECIDIVISM AND RELAPSE
  PREVENTION SKILLS
• SESSION 18 RELAPSE AND RECIDIVISM PREVENTION
  YOUR RELAPSE AND RECIDIVISM PREVENTION PLAN AND
  LIFESTYLE BALANCE

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Therapy Session Topics

• SESSION 19 COMMUNITY RESPONSIBILITY SKILLS
  STRENGTHENING CHARACTER AND PROSOCIAL VALUES
  AND BEHAVIOR
• SESSION 20 COMMUNITY RESPONSIBILITY SKILLS
  UNDERSTANDING AND PRACTICING EMPATHY
• SESSION 21 COMMUNITY RESPONSIBILITY AND
  RELATIONSHIP SKILLS RESOLVING CONFLICTS AND
  NEGOTIATION

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Client Feedback

• General client satisfaction rated as high
• Clients liked structured format and task
  orientation
• Clients liked facilitators non-confrontational
  style
• Clients appreciated facilitators skill in
  managing disruptive group members
• Clients identified with some of the group members
• Client retention rate 90 (successfully completed
  program)
• Did not like being forced into treatment
• Did not like having to pay for treatment