ALCOHOL AWARENESS. What is your pattern of drinking? 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP

Transcription

1 ALCOHOL AWARENESS What is your pattern of drinking? 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 1

2 Drinking Pattern Do you drink only on special occasions? Do you drink only on weekends? Are you binge drinking? Age Started Type of How much? How often? Drinking Drink How long did it take for your tolerance to build up? When did you have to drink more to get the usual high? 6/9/2010 6:46 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 2

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4 Personal Information Go to secure site and pay your fee of $ Then complete the following information and to: If you have questions, call me at address: Name: Address: Date of Birth: Phone No.: Cell No.: Best time to call: SPN No.: Probation Officer: Probation Officer s Fax No.: Your current charge: Court No.: Cause or Case No.: If you want the information to go to your attorney, list his name and fax number: Mrs. Gregory will give you an informal phone interview to explain the program. 6/9/2010 6:12 PM c2009 Eva Gregory, MA, CCJAP 4

5 ONE WON T HURT. YOU DESERVE A DRINK. ALCOHOL AND DRUG AWARENESS ON LINE 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 5

6 SEPTEMBER 19, JACQUI

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8 IF YOU DRINK, IT DOES NOT BOTHER ME. WRONG! The American Journal on Addictions 10(suppl.):1-2, 2001 Approximately 14 million adults either abuse alcohol or are alcoholics. In addition, several million more adults have unsafe drinking habits that could lead to problems with alcohol. These numbers translate into enormous monetary costs: alcohol misuse costs society approximately $185 billion annually in terms of lost productivity, medical and legal costs and property damage. Dissemination of research on alcoholism is thus critical for improving the health of the nation. 6/9/2010 8

9 Social Values Your nuclear family is a culture. Different cultures have different social values. Social Value 1: Abstinence The family does not drink at all. The problems associated with drinking are not worth it. Social Value 2: Moderation. The family will drink but it is though of as being improper and not acceptable to get drunk. Social Value 3: Permissive: Drink as much as you want and get as drunk as you want. 6/9/2010 9

10 Advertising and the Alcohol Industry Ads appealing to youth. Belonging Appeal Athletics Leisure activities focus on alcohol 6/9/ C-6 54

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13 OBJECTIVE To have people carry out responsible drinking driving decisions which will prevent future DWI/DUI behavior. 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 13

14 What is the pattern of your drinking? Do you drink only on weekends or after work? Was the situation which led to your arrest unique or had similar situations previously occurred? 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 14

15 At what age do you begin using alcohol and drugs? Alcohol Social Drugs Age/Amount used/how often Age/Amount Used/ Name of Drug/how often 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 15

16 TRAFFIC DEATHS & ALCOHOL Number of traffic deaths last year US? Texas? Have traffic related deaths increased or decreased in the last five years? What percent of traffic deaths involve alcohol? Has the percentage of alcohol traffic related deaths increased or decreased over the last 5 years? A-2 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 16 4

17 TRAFFIC DEATHS 2002 U.S. 42,850 Texas 3,725 TRENDS IN TRAFFIC DEATHS YEAR US TX ,967 3, ,850 3,725 Up 2% Up 6% 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 17 A-3 5

18 ALCOHOL RELATED TRAFFIC DEATHS % 5 YEAR TREND: US - Up 6% 47% Texas - Down 5% A-4 6/9/2010 6:12 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 18 6

19 POSSIBLE REASONS FOR DECLINE IN PERCENTAGE OF ALCOHOL-RELATED DEATHS IN TEXAS More enforcement? Stronger Laws? Lower BAC level used? More breath tests given? Education? 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 19 A-5 7

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22 DEFINITION OF INTOXICATION IN TEXAS Alcohol concentration of.08 or more. Not having normal use of mental or physical faculties because of alcohol or other drugs. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 22 A-6 9

23 Blood Alcohol Content BAC Blood Alcohol Concentration is the concentration of alcohol in the blood. It is measured either as a percentage by mass, by mass per volume, or a combination. For example, a BAC of 0.20% can mean 2 grams of alcohol per 1000 grams of blood. In most countries BAC is reported as grams of alcohol per liter of blood (g/l). Because of specific gravity of blood is close to 1 g/cm3, the numerical value of BAC measured as mass per volume and that of BAC measured as mass per mass do not differ to any consequential degree other than the placement of the decimal point. For Example: 1 g/l is equivalent to 0.94 g/kg. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 23

24 BAC can be roughly estimated using a mathematical approach. It is not as accurate as a breathalyzer. While thee are several ways to calculate BAC, one of the most effective ways is to simply measure the total amount of alcohol consumed divided by the total amount of water in the body effectively giving the percent alcohol per volume water in the blood. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 24

25 Metabolism and excretion Alcohol is removed from the bloodstream by a combination of metabolism, excretion, and evaporation. The relative proportion disposed of it in each way varies from person to person, but typically about 92 to 98% is metabolized, 1 to 3% is excreted in urine, and 1 to 5% evaporates through the breath. A very small proportion (less than 0.5%) is also excreted in the sweat, tears, etc. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 25

26 Gender plays an important role in the amount of water a person has. Women 49%. In general, men have a higher percent of water per pound 58% than This fact alone explains why men require more alcohol than women to achieve the same BAC level. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 26

27 Chemical factors acetaldehyde dehydrogenate Women s Alcohol metabolism varies from that me due to biochemical factors the enzyme which breaks alcohol and the effects of oral contraceptives. Acetaldehyde dehydrogenase is the enzyme which breaks down alcohol. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 27

28 Excretion» Excretion into urine typically begins after about 40 minutes, whereas metabolisation commences as soon as the alcohol is absorbed, and even before alcohol levels have risen in the brain. In fact, in some males, alcohol dehydrogenase levels in the stomach are high enough that some metabolization occurs even before the alcohol is absorbed. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 28

29 Slowing down detoxification Rate of detoxification of alcohol can be slowed by certain drugs which interfere with the action of heavy metals, and some pyrazole compounds. Also suspected of having this effect are Tagament, Zantax and Tylenol. Alcohol in non-carbonated beverages is absorbed more slowly than alcohol in carbonated drinks. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 29

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33 Lower BAC level? The legal limit for intoxication was at.10% BAC until September 1, 1999 when it was lowered to.08%. Having a lower BAC level could influence drivers to reduce alcohol consumption before driving, and this could be a reason for future reduction in alcoholrelated deaths. As the average BAC at arrest in Texas is.16, this may not be a significant factor. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 33

34 More breath tests given? If more breath tests were given, this would be expected to increase convictions that in turn could have a deterrent effect on DWI and, thus, lower deaths. Breath tests actually declined from 100,855 in 1983 to 57,402 in Therefore, this cannot be a reason. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 34

35 Education? Education programs for persons convicted of DWI have been implemented, especially since 1984, and general education in alcohol/drug use has been improved. Studies by the Texas Commission on Alcohol and Drug Abuse have indicated that a person is 50% less likely to be rearrested for DWI offense if he/she has completed such a program. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 35

36 1. What is BAC:? Evaluation 2. What are three possible reasons for decline in DWI deaths in TEXAS? 3.What percentage of drivers killed in Texas in 2002 had alcohol in their system? 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 36

37 What happen at the time of your Had you been drinking? arrest? Batson: Yes, but I had only 3-4 beers. Why did the officer say he stopped you? Batson: Well, I left the Loma Linda Club t about 1:15 A. M. and was headed home. A cop pulled me over about ten minutes later. He said I did not have my headlights on. It was a full moon, and with the streetlights, I guess I did not notice and I forgot to turn them on. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 37

38 Time of arrest.. Did he ask you to take a breath test? Batson: Yes, but I refused. What is the law in Texas for refusing a test? What about Implied Consent? Now let s give every person in this group at opportunity to tell their story. WRITE A ONE PAGE ESSAY ABOUT YOUR ARREST USING THE SAME OUTLINE AS THE BATSON STORY. E- mail THIS ESSAY TO Mrs. Gregory at eva_gregory@ymail.com. 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 38

39 ADMINISTRATIVE LICENSE REVOCATION (ALR) (FAILED TEST) ARRESTED for DWI, Intoxication Assault, or Intoxication Manslaughter Test is taken and failed (.08 or greater) Adult Penalty Loss of license 90 days if no alcohol/drug contacts in last ten years 1 year if one or more alcohol/drug contacts in last ten years Officer takes possession of license Temporary license for 40 days $125 reinstatement fee 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 39 A-7 10

40 IMPLIED CONSENT LAW (REFUSED TEST) Arrested operating motor vehicle or a watercraft of 50 hp or greater Refuse breath or blood test Adult Penalty - Loss of license 180 days if no alcohol/drug contact in last ten years Two years if one or more alcohol/drug contacts in last 10 years License taken at time of arrest and 40 day temporary license issued $125 reinstatement fee 6/9/2010 6:13 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 40 A-8 11

41 DWI PENALTIES IN TEXAS 1st LICENSE FINES Up to 90 days 72 hours JAIL $2,000 1 LOST year 180 days 2 nd Up to $4, days 2 years 30 days 1 year 3 rd + Up to $10, days 2 years 2 10 years 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 41 A-9 12

42 LICENSE SURCHARGE ON DWI CONVICTIONS DWI, Intoxication Assault, Intoxication Manslaughter Conviction $1,000 per year for first conviction within a 36 month period $1,500 per year for subsequent convictions within a 36 month period $2,000 on a first or subsequent conviction if BAC was.16 or greater at time of test 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 42 A-10 13

43 OPEN CONTAINER LAW Vehicle on public highway (stopped or moving) Driver or passenger Knowingly possess in passenger area Open, seal broken, or contents partially removed Penalty - Class C misdemeanor - up to $500 fine EXCEPTIONS: Vehicle for hire - passenger area Motor home living quarters Locked storage area Trunk A-11 Behind last seat if no trunk 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 43 14

44 ALCOHOL AWARENESS COURSE MODULES A - Alcohol / Drug Traffic Safety Problem B - Effects of Alcohol / Drugs on the Driving Task C - Alcohol / Drug Abuse & Dependency D - Personal Action to Avoid Future DWI Behavior 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 44 A-12 15

45 License Surcharge Drivers convicted on or after September 1, 2003 for DWI, Intoxication Assault, and Intoxicated Manslaughter must pay an additional $1,000 per year for three years for a divers license. The amount goes up to the $1,500 per year if there is a subsequent conviction within 3 year period. In addition, the surcharge is $2,000 if the BAC was.16 or higher at the time of the test. 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 45

46 ? True or False????? Alcohol is a stimulant All drugs are depressants Alcohol/drugs decrease mental and physical abilities There are ways to sober up quickly??? Alcohol/drugs affect individuals differently? 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 46? B-1 17

47 WHICH HAS MORE ALCOHOL? Beer - 12 oz. Wine - 4 oz. Whiskey - 1 oz. Cooler - 12 oz. 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 47 B-2 18

48 To make Comparisons: *Size of drink in ounces; Strength of drink in percentage of alcohol by volume (4%, 12%, 40%, etc.) = percentage of the drink is pure alcohol. Cooler.60 oz. pure alcohol Beer.58 oz. pure alcohol Wine.48 oz. pure alcohol Whiskey.40 oz. pure alcohol

49 BLOOD ALCOHOL CONCENTRATION FACTORS Strength Food Rate of Absorption Carbonation *OTHER FACTORS: Emotions Drinking Rate Body Weight Size of Drink Male/Female Differences 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 49 B-3 19

50 HOW MANY DRINKS =.08? BODY WEIGHT (LBS) # OF 12 OZ. BEERS IN ONE HOUR BLOOD ALCOHOL CONCENTRATION When Drinking Rate Exceeds Elimination Rate, BAC Rises. 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 50 B-4 20

51 REMOVING ALCOHOL FROM THE BODY Elimination BREATH 8% ABSORPTION SWEAT 2% LIVER 90% BAC is lowered about.015% per hour. 6/9/2010 6:14 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 51 B-5 22

52 ELIMINATION RATE BAC STOPS DRINKING 1:30.16 = PEAK 2: = INTOXICATED LEGALLY 7: = IMPAIRED 9: ABSORPTION > ELIMINATION > > > > > > > > > > > 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 52 B-6 23

53 ALCOHOL & YOUR BRAIN Sequence of Mental Growth Progression of Alcohol s Sedative Effects Higher Learning Center Muscle Control Vital Functions Higher Learning Center Vital Functions Muscle Control 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 53 B-7 24

54 ALCOHOL SEDATES THE BRAIN, SPINAL CORD AND SPINAL COLUMN. THERE IS NO WAY TO SOBER UP. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 54

55 Alcohol/Drugs decrease mental and physical ability TRUE. 1. Perception a person s perception of how well he/she is performing is greatly influenced by the consumption of alcohol or other drugs, and that people often believe that their abilities are better than they really are. 2. The depressant action of drugs and alcohol on the brain and central nervous system lowers mental and physical functions and keeps a person from performing complex tasks such as driving. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 55

56 All drugs are depressant---false. Cocaine and Meth are stimulates. Valium, Quaaludes, Marijuana are depressants. LSD and mescaline are hallucinates. Marijuana also has multiple effects. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 56

57 HOW ALCOHOL AFFECTS VISION visual acuity night vision side vision glare recovery color distinction distance judgment eye focus double vision double vision B-8 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 57 25

58 SHORT-TERM EFFECTS OF ALCOHOL Perception Emotions Sleep Motor ability Heart Hangover 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 58 B-9 26

59 REASONS FOR DIFFERING EFFECTS OF ALCOHOL Expectations Tolerance Mood Individual Differences Fatigue 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 59 B-10 27

60 SHORT-TERM EFFECTS OF ALCOHOL Perception Emotions Sleep Motor ability Heart Hangover 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 60 B-9 26

61 There are ways to sober up quickly FALSE. Time is the only way to sober up. Define: SOBER UP It is not the temporary increases in mental alertness, but rather the removal of alcohol or other drugs from the system. The liver is the organ which detoxifies alcohol. TIME is the only factor that will produce a lower BAC in an individual s body. A cold shower, long walk or black coffee will not work. A NORMAL BODY PROCESSES WILL ONLY LOWER THE BAC ABOUT.015% PER HOUR. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 61

62 Effects of Alcohol/Drugs on Humans True or False? Alcohol is a stimulant? All drugs are depressants? Alcohol/drugs decrease mental and physical abilities? Alcohol/drugs affect individuals differently? 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 62

63 Pre-instruction Estimate of Safe Drinking and Driving Levels How many drinks can you consume and still drive safely? beers in hours. Make a mental estimate for yourself at this time. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 63

64 Evaluation What are the possible penalties for DWI in Texas? Give 3 provisions of the Texas Implied Consent Law. What is the illegal BAC for driving in TEXAS? 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 64

65 I.P.D.E. 1. Identify This involves gaining information from the driving scene using all senses (eyes, ears, etc.) possible. 2. Predict After the information has been gained, the driver must predict potential conflicts and what other drivers might do. 3. Decide Using the information gained and predictions made, the driver must decide his/her course of action. 4. Execute This final step involves using vehicle controls (steering, brakes, signals, or accelerator) to carry out the decisions made. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 65

66 Example: Imagine that you are approaching an intersection where there is a stop sign. You desire to make a right turn, but you notice a vehicle approaching from the left whose right turn indicator is flashing. What do you Identify? What prediction will you make? What will you decide to do? What action (execution) will you take? 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 66

67 On a sheet of Paper, Explain Your answers To this picture. I.P.D.E. 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 67 B-11 28

68 SUMMARY OF EFFECTS Human Effects: Brain Vision Perception Driving Related Factors: IPDE, Attention, Tracking, Risk, Reaction Time, Actual Driving Tests Risk Factors: Fatal Crash Involvement Crash Responsibility Driver Death 6/9/2010 6:15 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 68 B-12 29

69 DRIVING TASK EFFECTS & BAC BAC TASK AFFECTED: Divided Attention BAC /9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP B-13 30

70 D WHAT IS HAPPENING? E A B C F 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 70 WHAT IS THE I.P.D.E. IN THIS PICTURE? B-14 31

71 DRIVING TASK EFFECTS & BAC BAC TASK AFFECTED: Divided Attention InformationProcessing BAC /9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP B-13 32

72 DRIVING TASK EFFECTS & BAC BAC TASK AFFECTED: Divided Attention InformationProcessing Tracking and Steering Perception BAC /9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP B-13 34

73 PERCEPTION A Do you see two faces on the stem? Do you see a young girl And a old Lady? B 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 73 B-16 35

74 DRIVING TASK EFFECTS & BAC BAC TASK AFFECTED: Divided Attention InformationProcessing Tracking and Steering Perception Reaction Time BAC /9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP B-13 36

75 RISK OF DEATH AFTER DRINKING AGE BAC M 5 F 3 M 52 F 15 M 15,560 F Why are there gender differences for young people? Why is age a factor? B-19 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 75 40

76 SURVIVAL RISK & BAC BAC Increased Chance of Death.03 Compared to Sober Drivers * * Given a crash has occurred. 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 76 B-20 41

77 BAC & CRASH RESPONSIBILITY BAC % Responsible for Crash % % %.15 and greater 96% 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 77 B-21 42

78 SUMMARY OF EFFECTS Human Effects: Brain Vision Perception Driving Related Factors: IPDE, Attention, Tracking, Risk, Reaction Time, Actual Driving Tests Risk Factors: Fatal Crash Involvement Crash Responsibility Driver Death 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 78 B-12 43

79 PREVENTING INTOXICATION Food Time Strength Amount 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 79 B-22 44

80 YOU KNOW YOU VE HAD TOO MUCH IF... IF someone asks to drive you home IF you can t remember how much you ve had IF routine things surprise you IF you seem to be the only one drinking IF fine motor skills become difficult 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 80 B-23 45

81 MARIJUANA S EFFECTS ON ABILITIES RELATED TO DRIVING Speed Tracking & Handling Judgment Vision Dynamic Glare Recovery Peripheral Concentration Complex Reaction Time 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 81 B-24 46

82 ALCOHOLISM More/less alcohol needed for desired effect Withdrawal symptoms or drink to avoid withdrawal Desire for unsuccessful efforts to cut down Drinking larger amounts or for longer period than planned Activities reduced/given up because of drinking Continued use despite problems Much time spent to obtain, use, or recover Any three c2009 Eva reveal Gregory,MA, LCDC,SPA,CCJAP alcoholism. 6/9/2010 6:16 PM 82 C-1 49

83 SUBSTANCE ABUSE Has using alcohol or drugs in the last year... Contributed to difficulty/inability to meet home, school, or work responsibilities? Put self in physical danger (driving, sports activities, etc.)? Led to problems with the legal system? Led to problems with others (friends, family, fights, etc.)? Any one YES answer reveals abuse. 6/9/2010 6:16 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 83 C-2 50

84 SIGNS OF ALCOHOLISM Increase in tolerance Craving alcohol Drinking to cope PREOCCUPATION WITH DRINKING Personality change Feelings of remorse, guilt, shame, selfhatred Blackouts Rationalization???? Blaming others C-3 c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 6/9/2010 6:16 PM 84 51

85 SIGNS OF ALCOHOLISM Denial Hiding/protecting source Gulping/sneaking drinks Work problems Money problems Physical problems Binge drinking Delirium tremens (DT s) 6/9/2010 FAMILY 6:17 PMPROBLEMS c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 85 C-4 52

86 OTHER SIGNS OF ALCOHOLISM Difficulty in sleeping Loss of sexual potency Telephonitis Not that bad yet CHANGING JOBS Drinking alone Opinion of AA/NA 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 86 C-5 53

87 OTHER SIGNS OF ALCOHOLISM DWI-PI-MIP arrests Different behavior after drinking Family history Leisure activities focus on alcohol Heavy smoking Age at which drinking began Use of other drugs 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 87 C-6 54

88 ACCIDENT FACTORS Time of day Woman s drinking Child s inattention Attention to girlfriend DRIVER S DRINKING No seatbelts 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 88 D-1 57

89 MIP means A person under the age of 21 years has been given a citation by a police office or Texas Alcohol Beverage Control Officer for being illegally in possession, ownership, or control of an alcoholic beverage.

90 Minors are at risk of an MIP citation When they go to a party. When they go to a nightclub. When they are in a vehicle where alcohol is present.

91 Constructive Possession Is when a minor is in an automobile where alcohol is readily accessible to any minor passenger in the vehicle. This extends to the seat, floor, or stored in the truck of an automobile in which the driver is a minor and in possession of the keys.

92 Constructive possession also exists when: 1. You are at a table with several people who are drinking from a picture of beer with cups scattered about; 2. You pick up empty beer cans and cups; 3. You hold a friend s beer so that they can put on a jacket, or 4. You used a beer can as spittoon.

93 Fines This offense is Class C misdemeanor. First Offense: $0-$500. Jail confinement: None Alcohol Awareness Education (Judge s Option). 12 Hours Community Service Driver s license or permit suspended for 60 days.

94 2 nd offense Fine: $500. Jail: Term not to exceed 60 days Hours Community Service. Alcohol Awareness Education (Judge s Option) Driver s license or permit suspended for 120 days.

95 PERSONAL ACTION Regulate Drinking None Separate from driving Monitor & control amount Improve Relationships Use Public Transportation Avoid Situations Substitute Other Activities 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 95 D-2 58

96 Final Exam 1. What are 2 steps that you can take in your Personal Action Plan to prevent future DWI/DUI? 2. What are two factors that effects the possibility of an accident? 3. If you stop having time for AA or NA meeting in your life, that gives an opportunity for returning to old behaviors (relapse). True False 4. What is one factor that meets the criteria for a person to be diagnosis as substance abuse? 5. What is one factor to meet the criteria for the diagnosis of alcoholism? 6. What are two marijuana effects on the abilities related to driving? 7. Name one factor that would allow you to know you have had too much to drink? 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 96

97 Final Exam Page 2 8. What is the main factor in preventing intoxication? 9. Summary of effects include Human effects; Driving related factors and risk factors. True False 10. If your BAC level is.08, what crash percentage responsibility would you have? 11. What is your increased change of death in a crash if your BAC is.07? 12. What does I.P.D.E. stand for? 13. What are the surcharges for DWI in Texas? 6/9/2010 6:17 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 97

98 Final Exam Page What is the illegal BAC for driving in TX? 15. Can you be charged with DWI/DUI if your BAC is less than.08? 16. Alcohol is a stimulant. True False 17. Alcohol decreases mental and physical abilities. True False 18. A normal body processes will only lower the BAC about.015% per hour. True False 19. Time is the only way to sober up. True False 20. Alcohol sedates your central nervous system. True False 21. Alcohol effects your higher learning center (Judgment) first. True False 22. Open, seal broken, or contents partially removed is Class C misdemeanor. True False 6/9/2010 6:18 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 98

99 Final Exam Page Implied consent law (Refused Test) is operating a vehicle in a public place or a watercraft of 50 HP or greater and suspected of using alcohol and being intoxicated. True False 24. What is BAC? 25. What are three possible reasons for decline in DWI deaths in TEXAS? 26. What is the chemical enzyme that breaks down alcohol? 27. How does alcohol damage the liver? 28. How does alcohol effect the reproduction system? 6/9/2010 6:18 PM c2009 Eva Gregory,MA, LCDC,SPA,CCJAP 99