Teaching Skills to Reduce DUI Recidivism
An Evidence-Based Cognitive Behavioral Therapy Program
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The purpose of this manual is to assist counselors in implementing RE-thinking Avenues for Change (REACH), a cognitive behavioral therapy developed for clients with a first-time driving under the influence (DUI) offense who are enrolled in a DUI program. The goal of REACH is to prevent drinking and driving. The authors conducted a randomized clinical trial evaluating how helpful REACH was compared with existing DUI groups in program for individuals with a first-time DUI offense, and they found that clients who received REACH reported lower odds of impaired driving upon program completion than did clients in existing groups.
This manual presents the 12-session REACH protocol used in the research study. Each session is interactive and encourages clients to share ideas and information; examine the thoughts, feelings, and behaviors that put them at risk for future drinking and driving; learn or enhance existing coping skills; and provide fellow group members with peer support.
Table of Contents
Session One
Making Informed Choices About Drinking (Part 1)
Session Two
Making Informed Choices About Drinking (Part 2)
Session Three
Connecting Emotions and Drinking
Session Four
Navigating Risky Situations
Session Five
Connecting Situation, Thoughts, and Feelings
Session Six
Talking Back to Harmful Thoughts
Session Seven
Coping with Criticism
Session Eight
Everyday Choices Can Increase the Chances of Drinking and Driving
Session Nine
Communicating in Difficult Situations
Session Ten
Establishing Supportive Relationships
Session Eleven
Increasing Enjoyable Activities
Session Twelve
Problem-Solving in Difficult Times
Appendix A
Motivational Interviewing Strategies
Appendix B
REACH Tips Sheet
Appendix C
Balanced Placebo Research Design
Appendix D
Blood Alcohol Content Cards
Research conducted by
This study was funded by the National Institute on Minority Health and Health Disparities and conducted by the Social and Behavioral Policy Program within RAND Social and Economic Well-Being.
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