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ADSAC HISTORY AND OVERVIEW

ADSAC HISTORY AND OVERVIEW. March 21, 2013. Linda Clark ADSAC Field Services Coordinator Post Office Box 53277 Oklahoma City, OK 73152 405.522.5837 lclark@odmhsas.org. NOVEMBER 4-9, 2012.

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ADSAC HISTORY AND OVERVIEW

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  1. ADSAC HISTORY AND OVERVIEW March 21, 2013

  2. Linda Clark • ADSAC Field Services Coordinator • Post Office Box 53277 • Oklahoma City, OK 73152 • 405.522.5837 • lclark@odmhsas.org

  3. NOVEMBER 4-9, 2012 NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION PROVIDED TECHNICAL ASSISTANCE TO THE OKLAHOMA HIGHWAY SAFETY OFFICE WHICH RESULTED IN A LIST OF PRIORITY RECOMMENDATIONS

  4. Some of the recommendations refer to • SCREENING • ASSESSMENT • TREATEMENT • REHABILITATION

  5. ADSAC A Standardized Intervention for Driver’s License Reinstatement

  6. ADSAC ADSAC is an acronym for ALCOHOL AND DRUG, SUBSTANCE ABUSE COURSES This phrase is found in Title 47 Motor Vehicle Code and originally referred to the entire process of assessment, education and treatment. Authority for the ADSAC process comes from Title 43A Mental Health Law Title 47 Motor Vehicle Code Title 22 Criminal Code

  7. The ADSAC mission is to promote public safety by reducing the occurrence of substance abuse and related high-risk behavior.

  8. ADSAC ODMHSAS has responsibility for; ASSESSMENT Defining type, duration and intensity of intervention. FACILITATION 10 & 24 hour course standards and curricula CERTIFICATION Assessors Assessment Agencies Facilitators Course Organizations TRAINING Assessors Instruments, Interview Techniques & Code Facilitators Adult Education, Interactive Journaling & Code

  9. SCOPE • 25% to 40% of the population never drink alcohol • 20% of the drinking population consume 90% of the alcohol • 30% of this group are physically dependent on alcohol NATIONAL INSTITUTE OF HEALTH

  10. ADSAC HISTORY OF ADSAC IN OKLAHOMA

  11. HISTORY ADSAC BEGAN AS AN OFFENSE DRIVEN PROCESS

  12. ADSAC • November 1, 1985 10 hour DUI school Testing suspensions • July 1, 1991 10 hour DUI school All alcohol related suspensions • May 26, 1993 10 hour DUI school Drug convictions • September 1, 1993 Assessment required • November 1, 1996 24 hour DUI school • July 1, 2003 Assessment driven – Evidence based • July 1, 2008 Recommendations in code • November 1, 2008 Change in assessment fee collection

  13. NATION WIDE RESEARCH ADSAC IS AN EVIDENCE BASED PROCESS

  14. NEW LAW LICENSE REVOCATION AFTER JULY 1, 2003

  15. NEW LAW ASSESSMENT DRIVEN PROCESS

  16. NEW LAW ASSESSMENT NEEDS TO BE DONE FIRST

  17. NEW LAW MUST FOLLOW ADSAC ASSESSMENT RECOMMENDATIONS FOR LICENSE REINSTATEMENT

  18. ADSAC • Alcohol or other drug related driving offenses (upon arrest) • DUI • DUI D • DWI • APC • Drug offenses (upon conviction) • Possession • Transportation • Distribution • Paraphernalia

  19. ADSAC PRIMARY PURPOSE

  20. ADSAC REDUCE RECIDIVISM

  21. ADSAC ASSESSMENT PROCESS

  22. ADSAC TITLE 450 Chapter 22 Certification of Alcohol and Drug Assessment and Evaluations Related to Driver’s License Revocation Effective July 1, 2009

  23. ADSAC PROCESS • ASSESS NEED • Use approved tools • Comprehensive evaluation • Interview participant • Search arrest history • Clarify areas of concern or where inconsistency exists • RECOMMEND INTERVENTIONS • Participants required to complete as condition of license reinstatement (depends on revocation date)

  24. ADSAC ADSAC ASSESSMENT PROCESS • Face to face interview • Bio-psych-social Addiction Severity Index (ASI) • Drivers Risk Inventory revised (DRI II) • Defendant Questionnaire (DQ) • Additional supporting assessment instrument

  25. ASSESSMENT INSTRUMENTS Drivers Risk Inventory revised DRI II Defendant Questionnaire DQ

  26. ASSESSMENT INSTRUMENTS Drivers Risk Inventory revised DRI II # QUESTIONS…140 TIME TO ADMINISTER 30 MINUTES

  27. ASSESSMENT INSTRUMENTS Defendant Questionnaire DQ # QUESTIONS…162 TIME TO ADMINISTER 35MIN

  28. RECOMMENDATIONS BASED ON SCORES From the DRI-II or DQ

  29. OTHER COMPONENTS SECOND SUPPORTIVE INSTRUMENT CLINICAL INTERVIEW

  30. DRI-II AND DQ SCORES HELP DETERMINE THE INTERVENTION CATEGORY INTERVENTION CATEGORIES BASED ON ASAM CRITERIA

  31. ADSAC TOOLS USED TO ASSESS ARE, IN PART BASED ON ASAM CRITERIA

  32. ADSAC • DR. MEE LEE • Consulted with ADSAC to help implement ASAM criteria • a board-certified psychiatrist, and certified by the American Board of Addiction Medicine (ABAM).

  33. DR MEE LEE/ASAM • In the 1980's, Dr. Mee-Lee was one of 3 main authors doing initial work on what was known as the Cleveland Criteria. • This work developed into the ASAM Criteria with the first edition published in 1991.

  34. DR MEE LEE/ASAM • the chief Editor of the revised second edition of the ASAM Patient Placement Criteria, ASAM PPC-2R, published in April 2001.

  35. WHY DO PEOPLE CHANGE?

  36. William R. Miller and Stephen Rollnick Discovered insights into change while treating alcohol and other drug problems.

  37. William R. Miller and Stephen Rollnick They conducted research to study “change”

  38. FINDINGS Motivation is fundamental to change The greater the motivation to change, the higher the likelihood that change will occur

  39. William R. Miller and Stephen Rollnick WHICH RESULTED IN THE DEVELOPMENT OF MOTIVATIONAL INTERVIEWING

  40. William R. Miller and Stephen Rollnick MOTIVATIONAL INTERVIEWING IS NOW A KEY COMPONENT OF THE ADSAC PROCESS

  41. ADSAC ADSAC COURSES

  42. ADSAC TITLE 450 Chapter 21 Certification of Alcohol and Drug Substance Abuse Courses (ADSAC), Organizations and Facilitators Effective July 1, 2009

  43. Interactive Journaling • The course encourages responsible decision-making by providing participants with accurate information, use of Interactive Journaling® and the application of the Stages of Change and Motivational Interviewing principles.

  44. Outcome measures • All participants who complete the courses also complete a standardized pre/post-test, which measures knowledge and attitude/behavior change as well as a course evaluation.

  45. POST TEST RESULTS (Level 1intervention/ 10 hour ADSAC) • Question 1: Gender • Male 69% • Female 31%

  46. POST TEST RESULTS (10 hour ADSAC) • Question 2: Age • 15-19 5% • 20-29 51% • 30-39 19% • 40-49 14% • 50-59 7% • 60+ 4%

  47. POST TEST RESULTS (10 hour ADSAC) • Question 3: Ethnicity • African American 5% • American Indian 14% • Asian/Pacific Islander 1% • Hispanic/Latino 8% • White/Caucasian 68% • Other 4%

  48. POST TEST RESULTS (10 hour ADSAC) • Overall, how would you rate this course? • Good • 25% • Average • 4% • Poor • 0% • Excellent • 71%

  49. POST TEST RESULTS (10 hour ADSAC) • Questions 5-9 • How useful were the following activities in helping you meet your goals for the course? • Very Useful Useful Not Useful • Participant Workbook 69% 31% 0% • Homework 47% 45% 8% • Personal Change Plan 65% 35% 0% • Class Discussions 79% 20% 1% • Small Group Activities 59% 39% 2%

  50. POST TEST RESULTS (10 hour ADSAC) • How much did you learn from the course? • 79% responded with the highest rating of Learned a Lot

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