V. GUIDELINE AREA 5 - TREATMENT AND REHABILITATION. NHTSA Highway Safety Program guidelines provide that many first-time impaired-driving offenders and most repeat offenders have substantial substance abuse problems that affect their entire lives, not just their driving. They have been neither prevented nor deterred from impaired driving. Each State should implement a system to identify and refer these drivers to appropriate substance abuse treatment programs to change their dangerous behavior.

A. ANALYSIS. Guideline Area 5 (Treatment and Rehabilitation) contains two components: Diagnosis and Screening, and Treatment and Rehabilitation. As shown in Table 7, 196 recommendations were produced and 67 of the recommendations were priority recommendations. Appendix G compiles all of the Guideline Area 5 recommendations.

Guideline Area 5 generated the fewest number of recommendations, compared to the other guideline areas. However, a significant portion (25 percent or more) of recommendations for both Areas 5A (Diagnosis and Screening) and 5B (Treatment and Rehabilitation) were priority recommendations.

TABLE 7
NUMBER OF RECOMMENDATIONS FOR GUIDELINE AREA 5
TREATMENT AND REHABILITATION

 
Total Number of Recommendations
Number of Priority Recommendations
Percent that are Priority
5A - Diagnosis and Screening
28
9
32%
5B - Treatment and Rehabilitation
168
58
35%
TOTAL GUIDELINE AREA 5 RECOMMENDATIONS
196
67
34%


B. 5A - Diagnosis and Screening. Per NHTSA Highway Safety Guidelines, each State should have a systematic program to evaluate persons who have been convicted of an impaired-driving offense to determine whether they have a significant alcohol or drug use problem.

There were 28 recommendations for Guideline Area 5A, including 9 priority recommendations. The majority of these recommendations involved developing or providing a screening mechanism for DUI offenders. Recommendations made 10 or more times for Guideline 5A include (in descending order):

 
Total Number of Recommendations
Number of Priority Recommendations
Percent that are Priority
· Develop/provide a screening mechanism for DUI offenders. 16 5 31%



C. 5B - Treatment and Rehabilitation. Per NHTSA Highway Safety Guidelines, each State should establish and maintain programs to treat alcohol- and other drug-impaired persons referred through traffic courts and other sources.

There were 168 recommendations for Guideline Area 5B, including 58 priority recommendations. In general terms, most of these recommendations fell into one of several categories, including: (1) provide offenders, including youths, with appropriate treatment access; (2) perform evaluations of assessment and treatment programs; (3) develop and implement a client tracking system; (4) develop and use standard treatment guidelines and criteria; and (5) provide adequate resources for treatment programs. Recommendations made 10 or more times for Guideline 5B include (in descending order):

 
Total Number of Recommendations
Number of Priority Recommendations
Percent that are Priority
· Evaluate assessment/treatment programs.
24
5
21%
· Develop/implement a DUI client tracking
system.
16
8
50%
· Provide offenders with access to treatment
and/or education programs.
14
5
36%
· Create task forces to explore variety of
treatment and rehabilitation issues.
11
5
45%
· Ensure availability of appropriate alcohol
and drug treatment/rehabilitation for
youthful offenders.
11
6
55%
· Provide adequate funding for treatment
programs.
10
4
40%
· Use of standard criteria for determining
treatment and rehabilitation needs.
10
2
20%


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