Azahar Lopez, PsyD Chrislyn Nefas,...
Transcript of Azahar Lopez, PsyD Chrislyn Nefas,...
![Page 1: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/1.jpg)
Azahar Lopez, PsyD Chrislyn Nefas, MA
Program Manager Research Analyst IV
August 26, 2017
![Page 2: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/2.jpg)
What were they thinking?
DUI Offenders Tell All
August 26, 2017
![Page 3: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/3.jpg)
Today’s Objectives
1. Increase their knowledge of the circumstances of last use prior to driving among DUI offenders convicted in Orange County.
2. Understand how data collected from DUI offenders can be used to implement impaired driving prevention services through data driven decisions.
3. Learn about a collaboration between primary prevention and secondary prevention/treatment to reduce impaired driving collisions.
By the end of the workshop, participants will:
![Page 4: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/4.jpg)
In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each had over 10,000 DUI arrests • Orange = 13,020 These four counties accounted for 45.5% of all California DUI arrests
2015 California Department of Motor Vehicle’s Annual Report of the California DUI Management Information System
![Page 5: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/5.jpg)
Orange County’s Strategic Goal: Reduce AOD Impaired Driving Collisions
2016 Fatal Collisions - 38 (44 victims killed) Injury Collisions - 1,098
Office of Traffic Safety report run 6/20/17
![Page 6: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/6.jpg)
Orange County top Collision Factors over 1,000 in 2016. Driving Under the Influence of AOD is ranked fourth.
1,015
1,593
2,282
3,143
3,849
5,554
13,781
Unsafe Starting or Backing
Unknown
Traffic Signals and Signs
Automobile Right-Of-Way
Improper Turning
Driving Under the Influence of AOD
Unsafe Speed
Office of Traffic Safety report run 6/20/17
![Page 7: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/7.jpg)
Orange County number of convictions by offense. Orange County has an overall 98% conviction rate.
9998 9250
8633
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
2014 2015 2016
Alcohol
1149 531 532
2014 2015 2016
Combo
95% 94% 96% 340 735 838
2014 2015 2016
Drugs
93% 96% 96%
98% 99%
98%
![Page 8: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/8.jpg)
Orange County Health Care Agency’s Goal: Reduce Recidivism Rates
36% of People convicted of a DUI in CA had a
10 years
2nd offense within
2015 Annual Report of the California DUI Management Information System. California Department of Motor Vehicles.
![Page 9: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/9.jpg)
Orange County’s need
More information • Where impaired drivers were drinking • Why they were driving
![Page 10: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/10.jpg)
Reached out to law enforcement agencies in Orange County to access information already collected
Assessment period
![Page 11: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/11.jpg)
Assessment Period
Obligated to write in quotes
Approximately
80%
Four problems with information collected at time of arrest
![Page 12: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/12.jpg)
Assessment period Four problems with information collected at time of arrest
![Page 13: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/13.jpg)
Conclusion – needed to do our own study = COLD
Has been done previously – 2002, 2005 partnership with Behavioral Health Services
Monitor the DUI providers in the County Responsible for referral process
Assessment period
![Page 14: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/14.jpg)
Collaboration
Behavioral Health Services Authority & Quality Improvement Services Division (AQIS) Court Program
Public Health Services Health Promotion Division (HP) Alcohol and Drug Education and Prevention Team (ADEPT)
![Page 15: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/15.jpg)
Previous Studies • Point in time • DUI providers administered
the surveys • Orange County DUI programs
• No incentive
Current Design
• Ongoing surveillance data collection project
• Time of conviction • Capture out of county DUI
program participants • Incentive
![Page 16: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/16.jpg)
DUI offender process in Orange County
• Four superior court locations (Fullerton, Westminster, Santa Ana, Newport Beach) o Offender assigned court-based on the
location of arrest
• Two County staff at each location (Alcohol Liaisons) o Issue and track DUI program referrals o Report compliance back to court for every
case convicted in Orange County
![Page 17: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/17.jpg)
DUI offender process in Orange County
• Staff trained to administer the COLD survey at time of referral
• Each interaction is entered into an
electronic database connected to a case number to track participation to avoid duplication
![Page 18: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/18.jpg)
Purpose of COLD Survey
• Determine the circumstances surrounding impaired driving in Orange County
• Inform prevention efforts • Learn about factors contributing to re-offense • Learn about return offenders experience with DUI
programs previously attended
![Page 19: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/19.jpg)
Determine the circumstances of last drink prior to arrest
![Page 20: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/20.jpg)
Circumstances of Last Drink Survey
Demographic information
![Page 21: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/21.jpg)
Circumstances of Last Drink Survey
Impact of respondents’ behavior onto others
![Page 22: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/22.jpg)
Circumstances of Last Drink Survey
Respondents’ perception prior to arrest
![Page 23: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/23.jpg)
Multiple Offender Survey
![Page 24: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/24.jpg)
Multiple Offender Survey
Factors contributing to their DUI re-offense
![Page 25: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/25.jpg)
Multiple Offender Survey
Reasons for recurring DUI
![Page 26: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/26.jpg)
Elicit Feedback about previous DUI Program
Multiple Offender Survey
![Page 27: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/27.jpg)
Partnership with OC Links
![Page 28: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/28.jpg)
Five languages English Spanish Korean Farsi Vietnamese
Survey design
![Page 29: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/29.jpg)
Survey design
o Anonymous o Voluntary o Incentive o If attorney/legal representative
present attached flyer to paperwork
![Page 30: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/30.jpg)
Survey design
Pros Survey as soon as convicted They have paperwork with them about their case Interpreter with them Control tracking of surveys Control of survey administration (8 employees) Able to reach out of county DUI program participants
![Page 31: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/31.jpg)
Survey design
Pilot study October, 2016 – March, 2017
Surveillance data project Minor revisions Retraining April, 2017 - ongoing
![Page 32: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/32.jpg)
COLD Pilot
Survey October
2016-March 2017
![Page 33: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/33.jpg)
Revised COLD
Survey April
2017 to Current
![Page 34: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/34.jpg)
MO Pilot Survey Oct 2016 - March 2017
![Page 35: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/35.jpg)
Revised MO Survey April 2017 - Current
![Page 36: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/36.jpg)
Survey design
Representative Sample Who? In and out of county DUI program clients Clients represented by lawyers All four court locations
How many? Set a target goal of 70% of all clients
![Page 37: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/37.jpg)
Overall pilot survey response rate. Overall response rates steadily declined after December.
73%
56%
77% 72%
63% 59%
Oct Nov Dec Jan Feb March
Quality improvement
Project
County goal = 70%
![Page 38: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/38.jpg)
2 3 Approximately
DUI Clients completed a survey
Out of every
3,622 Total respondents
16% Out of county DUI program respondents
Pilot survey response
![Page 39: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/39.jpg)
Overall surveillance response rate at time of ask.
72% 66% 70%
78%
80% 78% 80% 89%
April May June July
County goal = 70% Including Attorneys
Without Attorneys
![Page 40: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/40.jpg)
Surveillance survey response
8 10 DUI Clients without attorneys have completed a survey
Out of every
1,830 Total 1st quarter respondents
![Page 41: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/41.jpg)
Circumstances of Last Drink Survey
Demographic information
![Page 42: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/42.jpg)
Gender of COLD respondents*
74.9% male
24.8% female
* .4% selected “Declined to State” and .0003 selected “Transgender”
![Page 43: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/43.jpg)
There are more male DUI offenders compared to Orange County’s male population.
75%
49% Males
![Page 44: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/44.jpg)
Race/Ethnicity of COLD respondents
1%
2%
2%
7%
8%
31%
49%
Native American
Other
African American/Black
Asian/Pacific Islander
Multi-Racial
White/Caucasian
Hispanic/Latino(a)
![Page 45: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/45.jpg)
There are more Hispanic/Latino(a)’s and Multi-Racial DUI Offenders in county DUI programs compared to Orange County’s overall racial/ethnic population.
8%
48%
3%
34%
Multi-Racial
Hispanic/Latino
![Page 46: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/46.jpg)
There are less White/Caucasian’s and Asian/Pacific Islander DUI Offenders in Orange County DUI programs compared to Orange County’s overall racial/ethnic population.
7%
33%
20%
41%
Asian/Pacific Islander
White/Caucasian
![Page 47: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/47.jpg)
Circumstances of Last Drink Survey
Impact of respondents’ Behavior onto others
![Page 48: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/48.jpg)
Reported being involved in a collision.
27% of DUI offenders
![Page 49: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/49.jpg)
Reported having a passenger in their car.
3 10 DUI offenders
Out of every
Approximately
![Page 50: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/50.jpg)
Circumstances of Last Drink Survey
Respondents’ perception prior to arrest
![Page 51: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/51.jpg)
Likelihood of arrest
39% 37% 15% 5% [VALUE]
0% 100%
Very Unlikely
Very Likely
Unlikely
Somewhat Likely
Likely
3 4 DUI offenders
Thought it was unlikely that they would be arrested
Out of every
Approximately
![Page 52: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/52.jpg)
Perceived reduction of ability to drive
26% 28% 23% 17% 6%
0% 100%
Not at all Very little Somewhat A fair amount
Very much
![Page 53: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/53.jpg)
Circumstances of last drink prior to arrest
![Page 54: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/54.jpg)
Day of arrest
46% of arrests took place Friday (22%) and Saturday (24%)
Least Frequent arrest days Mondays (7%) Tuesdays (8%) Wednesdays (9%)
![Page 55: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/55.jpg)
Time of arrest
77% of arrests were between the hours of 8:01 p.m. and 6:00 a.m.
Least Frequent (4%) time of arrest was between 6:01 a.m. and noon
![Page 56: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/56.jpg)
Substance of impairment
Alcohol Only
Alcohol and Drug(s)
Drug(s) Only
89%
7%
4%
11% involved drug(s)
![Page 57: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/57.jpg)
Of the 11% involving drugs
5%
3%
3%
1%
1%
Prescription Medication
Illegal Drugs
Medical Marijuana
Recreational Marijuana
Other%s do not add up to 11% because some clients selected more than one drug
65% Used as prescribed 17% Not used as prescribed 18% Not prescribed to me
![Page 58: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/58.jpg)
Multiple Offender Survey
![Page 59: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/59.jpg)
Multiple Offender Survey
Factors contributing to their DUI re-offense
![Page 60: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/60.jpg)
Years since completion of previous DUI program
11% 12% 13% 11% 9%
44%
< 1 yr - 1yr 2 yrs 3 yrs 4 yrs 5 yrs > 5 yrs
Less than half completed their program over 5 years ago.
![Page 61: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/61.jpg)
Substance used at the time of arrest
86% Same Substance
14% Different Substance
![Page 62: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/62.jpg)
Average number of drinks
17%
29%
23%
13% 11%
3% 4%
1 to 2 3 to 4 5 to 6 7 to 8 9 to 10 11 to 12 > 13
Of the alcohol involved DUI’s, 52% of multiple offenders consumed 3 to 6 drinks.
![Page 63: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/63.jpg)
Multiple Offender Survey
Reasons for recurring DUI
![Page 64: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/64.jpg)
Why do you think you received another DUI?
5%
20%
25%
40%
The program I previouslyattended was not effective
I had no choice but to drive
I am addicted to a substance
I did not think I was under theinfluence
![Page 65: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/65.jpg)
Other reasons for DUI arrest
DeMichele, M, & Payne, B. (2008). Predicting Repeat DWI: Chronic Offending, Risk Assessment, and Community Supervision. American Probation and Parole Association.
![Page 66: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/66.jpg)
OC Links referral cards
A total of 152 clients left their information on an interest card and were contacted by an OC Links representative.
![Page 67: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/67.jpg)
Elicit Feedback about previous DUI Program
Multiple Offender Survey
![Page 68: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/68.jpg)
DUI program provider enrollment
53% YES
1 2 multiple offenders
Were planning on enrolling with the same DUI program provider
Out of every
Approximately
![Page 69: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/69.jpg)
Program feedback categories
11% Negative
21% Neutral 68%
Positive Feedback
Most of the feedback received was positive.
![Page 70: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/70.jpg)
Other possible uses
Top cities of Last Drink • Data driven services
Utilize the demographic information
Raise public awareness • Media Campaigns
Impaired driving prevention services • Community education • Social norm changes
![Page 71: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/71.jpg)
Other possible uses
Work with establishments (Bars, Clubs, or restaurants) • Responsible Beverage Service trainings to alcohol serving
establishments o Technical assistance follow-up
• Develop profiles of the patterns of DUI offenders
![Page 72: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/72.jpg)
Reported place of last drink establishment vs. elsewhere
22%
77%
85%
25%
56%
69% Arrested between 8:01pm - 6:00am
Unlikely to be arrested
Ability to drive reduced
Average drinks
Average hours at place of last drink
![Page 73: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/73.jpg)
MO Survey uses
• Share results with the DUI program Providers
• Report results to community stakeholders
• Inform or partner with other efforts to reduce AOD addiction among 1st time DUI offenders
![Page 74: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/74.jpg)
MO Survey uses
• Improve and recognize current DUI program efforts
• Inform factors that can contribute to recidivism
rates to inform secondary prevention
![Page 75: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/75.jpg)
Recommendations for implementation
Get to know your agency – develop necessary partnerships
Have a clear purpose
Think about reliability/validity early on in the process • Consistent request for survey (survey script) • Tracking procedures to avoid duplication
People are typically burdened by surveys • Convey how the participants are helping • Only ask questions that are “need to know” vs “good to know”
![Page 76: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/76.jpg)
• Alcohol Liaison Team • OC Links Team • Public Health Services/Behavioral Health Services
Management
Acknowledgements
![Page 77: Azahar Lopez, PsyD Chrislyn Nefas, MAapps.cce.csus.edu/sites/sud/2017/speakers/uploads/WS4_Nefas.C.pdf · In 2013, Los Angeles, San Diego, Orange and San Bernardino counties each](https://reader033.fdocuments.in/reader033/viewer/2022050103/5f41e178cca963773c7bb4cb/html5/thumbnails/77.jpg)
Questions?
Azahar Lopez, PsyD Chrislyn Nefas, MA [email protected] [email protected]
Program Manager Research Analyst IV