Driving Under the Influence of Alcohol

Could California Do More to Prevent It?

by Katherine E. Watkins, Beau Kilmer, Karen Chan Osilla, Marlon Graf

Download Free Electronic Document

FormatFile SizeNotes
PDF file 0.2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

While the rate of alcohol-related traffic fatalities declined nationally over the past two decades, California's rate began to rise again in 2011. This Perspective considers whether California could do more to reduce driving under the influence (DUI) and other threats to public health and safety imposed by repeat DUI offenders. California's current approach to addressing DUIs largely focuses on reducing the probability that individuals drive while impaired. In this Perspective, we argue that future approaches will also need to better target the problem drinking that underlies impaired driving and other negative outcomes. We consider strategies currently in use statewide and in some California counties, as well as in other states. Many options are discussed, including ignition interlock devices, DUI courts, the 24/7 Sobriety program, and substance use treatment, including pharmacotherapy, for those with an alcohol use disorder. At this point, there is insufficient evidence about which types of programs work best for which individuals. Research is needed to assess the effectiveness and cost-effectiveness of these new strategies for addressing repeat DUI offenders.

This work was conducted within RAND Health, a division of the RAND Corporation.

This publication is part of the RAND Corporation Perspective series. RAND Perspectives present expert insights on timely policy issues. All RAND Perspectives undergo peer review to ensure high standards for quality and objectivity.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.