1. Alcohol Misuse: Criminal Justice Contexts & Outcomes National Infrastructure for Translating Research into Clinical Practice NIH-NIAAA 1R25AA02048001 Arlington, VA 9/17/14 Randall Brown MD, PhD, FASAM Program Director University of Wisconsin

2. Summary of Module Contents Slide Deck: N = 40 Handout materials: slides, article reprints Annotated bibliography Test questions: 5 pretest; 5 posttest Suggestions & resources – Natl Center for DWI Courts Treatment court attendance (NCDC) Advisory panel involvement – Formulation of driver safety plans

3. Overview Alcohol misuse  violence and trauma Penalty w/o treatment  previous drinking patterns + associated behavior 40% Tx referrals originate in criminal justice

4. Overview Key Point – Collaborative, multi-pronged interventions improve outcomes Main recommendations – Screen & intervene to prevent alcohol- related crime & trauma – Collaborate w/ supervision – Address co-morbidity

5. Key Point Overview Collaborative, multi-faceted intervention – Treatment + supervision – Holistic approach Comorbidity Social circumstances Engagement of close personal contacts “Behavioral” & relational issues – Monitoring/accountability

6. Recommendation #1 Screen & intervene to prevent future alcohol-related issues SORT level B References – D’Onofrio G et al. Ann Emerg Med, 2012; 60: 181- 92. – Field C et al. ACER, 2010; 34: 2004-10. – Schermer C et al. J Trauma, 2006; 60: 29-34.

7. Recommendation #2 Collaborate with supervision SORT B References – Friedmann P et al. Addiction, 2012; 107: 1099- 1108. – Guydish J et al. Crime Delinq, 201; 211: 167-98.

8. Dissemination Strategy Module for formal didactic (1 hour) Interfacing with criminal justice – Treatment court (OWI, veteran) – Involvement in safe driver plans – Deferred prosecution unit Systems process improvement – FQHC – VA – Court/corrections advisory role