Objectives: The Alcohol Use Disorders Identification Test (AUDIT) is used to assess the level of alcohol use/misuse and to inform the intensity of intervention delivered within screening, brief intervention, and referral to treatment (SBIRT) programs. Policy initiatives are recommending delivery of SBIRT within health care settings to reduce alcohol misuse and prevent alcohol-impaired driving. Recent reports are considering extending delivery of SBIRT to criminal justice settings. One consideration in implementing SBIRT delivery is the question of resource utilization; the amount of effort required in delivering the 4 different intensities of intervention in SBIRT: Alcohol education, simple advice, brief counseling and continued monitoring, and brief counseling and referral to specialist (from least to most intense in terms of delivery time, the skill level of the provider, and personnel resources).
Methods: In order to inform expectations about intervention intensity, this article describes the AUDIT scores from 982 adults recently arrested for alcohol-impaired driving. The distribution of scores is extrapolated to state rates for individuals arrested for alcohol-impaired driving by intervention level.
Results: Though alcohol education was the most common intervention category, about one quarter of the sample scored in a range corresponding with the more intensive interventions using the brief counseling, continued monitoring for ongoing alcohol use, and/or referral to specialist for diagnostic evaluation and treatment.
Conclusions: This article provides local distribution of AUDIT scores and state estimates for the number of individuals scoring in each level of risk (AUDIT risk zone) and corresponding intervention type. Routine criminal justice practice is well positioned to deliver alcohol screening, education, simple advice, and continued alcohol monitoring, making delivery of SBIRT feasible for the majority of alcohol-impaired drivers. Challenges to implementing the full range of SBIRT services include resource demands of brief counseling, identifying the appropriate providers within a criminal justice context, and availability of community providers for referral to diagnostic and specialty care. Solutions may vary by state due to differences in population density and incidence rates of alcohol-impaired driving. 相似文献
Safety performance is comprised of two components, safety compliance and safety participation. However, relationships between safety performance and unsafe behavior have not been thoroughly investigated. In this work, scales for safety compliance and safety participation were revised for use in the oil industry, and job burnout scale was developed on the basis of the Maslach Burnout Inventory-General Survey (MBI-GS). A structural equation model was then employed to investigate the interactions of these factors for 238 front-line oil workers from the PetroChina Huabei Oilfield Company in China. From the results, it was determined that workers' unsafe behavior could not be reduced significantly solely from these two dimensions of safety performance. Compared with safety participation, safety compliance was found to have a greater influence on unsafe behavior. However, job burnout was found to be a significant moderator between these two components and unsafe behavior. Furthermore, it was determined that oil workers' occupational psychological health conditions must be taken into account to improve organizational safety management and reduce workers’ unsafe behavior. 相似文献