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California Association of Drinker Driver Treatment Programs
                          2007 Fall Forum


            Women and DUI
                    Deborah Werner
         Children and Family Futures, Inc.
     4940 Irvine Boulevard, Suite 202 * Irvine, CA 92620
          714/505.3525 * dwerner@cffutures.org
               www.cffutures.org/calwcf

This Presentation is Made Possible Through a Contract with the
 State of California Department of Alcohol and Drug Programs




                          Goals
To help DUI program staff understand
differences between male and female
participants
To help DUI programs identify ways to reach
and motivate women DUI offenders in order
to improve women’s retention and program
outcomes
Part 1:     Women AOD Use & Abuse
            W         U     Ab




Women and Men - Priorities
Men are action and activity oriented
                            oriented.
Women are people and process oriented.
Sex-Role stereotyping – males are societal,
women are familial


Body image, appearance key importance for
women; performance key importance for
males.
Men & Women - Communication
 Males tend to be linear in conversation –
 women tend to speak in a spiral.
 Males less comfortable with expressing
 “internal emotions” – compassion, love,
 sadness.
 Females less comfortable with expressing
 “external emotions” – anger.
 Women use more words.




 Male communication is problem solving
 oriented. Want to fix it.


 Female communicates to process problems.
 Want to express it.
Women & Men - Disparities
•   In 2004, women's median annual earnings were only $.76 for every
    $1.00 earned by men. For women of color, the gap is even worse –
    only $.69 for African American women and $.58 for Latinas. (NOW)
•   In California 55% of women are in the labor force. (American
    FactFinder)
•   15.3% of California families with children below age 18 live below
    the poverty level. In female headed households with children under
    18 more than 32.5% are below poverty level (American FactFinder,
    California)
•   Fifty-five percent of all employed women work in female-dominated
        y      p                p y
    jobs (jobs in which women comprise 70 percent or more of the
    workforce) whereas only 8.5 percent of all men work in these
    occupations. (Men working in female-dominated jobs still receive
    about 20 percent more than women who work in female-dominated
    jobs.) (National Organization for Women)




Women’s Alcohol and Other
Drug Use is Different than
           Men
Women’s Pathways to Use
  Partners
  Peer Pressure
  Low Esteem
  Self-Medicating/Coping with Pain
  Media Messages




        Women and Alcohol Use

  Past Month Alcohol Use Among People Aged 12 +
                           percent of percent of
                            females      males
Any use of alcohol              45.0%      57.5%
Binge alcohol use               15.1%
                                15 1%      30.8%
                                           30 8%
Heavy alcohol use                3.3%      10.5%

  Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and
  Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and
  Mental Health Services Administration. Available at http://www.oas.samhsa.gov
Alcohol Abuse by Race
          Race and Alcohol Abuse/Dependence by Gender
                                      percent of percent of
                                       females     males
 White                                      5.6%      10.6%
 African American/Black                     3.5%       9.7%
 Latino/Hispanic                            3.8%      12.1%
 American Indian/Native American           13.7%      19.5%
 Pacific Islander                           5.7%      12.8%
 Asian                                      2.3%       5.4%
 Two or More Races                          7.7%       9.9%

 Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and
 Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and
 Mental Health Services Administration. Available at http://www.oas.samhsa.gov




          Alcohol Abuse by Age

   Age and Alcohol Abuse/Dependence by Gender
                           percent of percent of
                            females      males
Ages 12 ‐17                      6.0%       5.5%
Ages 18 ‐ 25                    12.9%      22.0%
Ages 26 ‐ 49                     5.4%
                                 5 4%      12.4%
                                           12 4%
Ages 50 or older                 1.6%       5.0%

 Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and
 Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and
 Mental Health Services Administration. Available at http://www.oas.samhsa.gov
Binge Drinking
College Alcohol Study conducted by Harvard
University found that 50% of males and 39%
of female college students on US Campuses
binge drink. (Wechsler et al. 1995).
Nearly half of high school girls drink alcohol
and more than one in four binge drink.
(Grunbaum, et al., 2004)


23% of alcohol fatalities are female                             (inferred from
ADP Fact Sheet: Driving Under the Influence Statistics, Nov. 2004)




                  DUI Prevalence
Among adults (21 and older) 11 4% of
                             11.4%
females and 22% of males reported driving
while under the influence. (NSDUH, 2005)
Among youth aged 16 – 20, surveyed in
2002-2003, 18% of females report driving
under the influence of alcohol or illicit drugs
in the last year. (24% of males)
Young women use substances to:
 Improve mood
 Self-medicate mood disturbances
 Increase confidence
 Lose inhibitions
 Lose weight
 Access to alcohol and other drugs
 Partners, boyfriends & peers encourage use
 Higher incidence of dependency associated with
 child abuse and neglect




The experience women have with substance
  use is very different then the experience
                    of men.
Problems and Consequences
The problems and consequences of substance
for women tend to be personal and self-
destructive.

The problems and consequences of substance
use for men tend to be societal and destructive
to others.




     Worse Health Effects
Drink for drink, women’s brains and organs
          drink
are exposed to a higher concentration of
alcohol compared with men.
Women are more likely to develop
inflammation of the liver and to die of
cirrhosis.
Telescoping effect
Sexual Related Consequences
 More likely to experience sexual assault
 More likely to have unplanned sex
 Unplanned/teenage pregnancy and STDs


 More likely to experience violence, domestic
                           violence
 violence




                 Children
Women are often primary care-takers of
 children.
  • Alcohol use can lead to endangerment,
    chaotic up-bringing, poor role modeling,
    increased risk of abuse or neglect, CPS
    involvement
 Children are a barrier to accessing services.
  • Child care, safety, fear of removal
 Children are a motivator for change.
Women and DUI
Less Prevalence
Less Arrests
Barriers to Intervention and Participation
Reaching Women
Women with Multiple Problems
Relapse Factors




               Prevalence
In 1988 women made up only 10.6% of DUI
                             10 6%
arrestees. By 1997 it had grown to 13.2% of
arrestees.
In 1997 more than 25,000 women arrested
for DUI.
2005 women = 17.5% of arrestees 31,160
women arrested.
Females Arrested for DUI less likely to
  be Hispanic than Male Arrestees.
             percent of       percent of         percent of
               males           females             total
   White            46.1%             65.4%              41.8%
  Hispanic          47.8%             19.4%              44.1%
   Black              6.6%              7.3%              6.7%
   Other               .4%              7.9%              7.5%
   Total          100.0%            100.0%             100.0%

              Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on
              Arrests for Driving Under the Influence, 1997, April 1999




                2005 California

             percent of       percent of         percent of
               males           females             total
   White            46.4%             60.7%                40.7
  Hispanic          44.7%             23.8%                45.5
   Black              7.1%              8.1%                 7.1
   Other              6.7%              7.4%                 6.7
   Total          100.0%            100.0%             100.0%

              Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on
              Arrests for Driving Under the Influence, 1997, April 1999
Females are older at time of arrest
           than males

                 percent of percent of percent of
                   males     females     total
 Juvenile              0.9%       1.1%       0.9%
  18‐24               22.3%      18.2%      21.8%
  25‐29               19.3%      16.4%      18.9%
  30‐39               30.8%      33.9%      31.2%
  40‐49               17.4%
                          %      21.1%
                                     %      17.9%
                                                %
  50 or older          9.4%       9.2%       9.3%
  Total              100.0%     100.0%     100.0%

                Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on
                Arrests for Driving Under the Influence, 1997, April 1999




                           CA 2005


 Median Age – Males 33.0
 Median Age – Females 33.3

 42.7% of Males and 40.9% of Females
 between 21 – 30
 9% of males under 20 and 8.2% of females
                          8 2%
 under 20
Fatal crashes among female drivers with BACs of .10 and
higher, by driver age*




 *Computed from NHTSA 1997 Fatality Analysis Reporting System data.




            Women Not Arrested
      Among y
           g youth aged 16 – 20, surveyed in
                      g                 y
      2002-2003, 18% of females report driving
      under the influence of alcohol or illicit
      drugs in the last year. (24% of males)
      Among those reporting driving under the
      influence 6% of males and 2% of females
      reported being arrested and booked for
      DUI in the last year.
                                                            OAS, 2004
No Arrest – No Services
Among adults (21 and older) 11 4% of
                             11.4%
females and 22% of males reported driving
while under the influence. (OAS, 2005)
Among all adult drivers 1.1% of males and
.2% of females report an arrest for DUI.
(OAS, 2005a)




 Is It Really Giving Them a
            Break?
Erica’s Story 14 years old, driving under
        Story.         old
influence and crashed car. On scene – no
DUI checks. At Court    12 hours of
community service.
Police not wanting to see girls/young women
in jail, bring them home instead of arresting
them.
Messages that Reach Women
National Highway Traffic Safety Administration
study explored young women's views of
impaired driving messages.
The data analysis showed that women were
most affected by
• emotional appeals
• graphic images of negative consequences
• PSAs depicting realistic situations
• those in which they could identify with the
  characters




Reaching Women Continued
Authoritative messages were rejected by the
participants, especially the youngest women.
Using celebrities in these messages was not
viewed as effective.
Humor in PSAs was seen positively by some
participants and negatively by others.
The data indicate that impaired driving
messages targeting young women would be
more effective if they were tailored for them.
Barriers to Women’s Participation

 Trauma
 Powerlessness
 Self-Efficacy
 Family Responsibilities
 Life Challenges
 STIGMA




 DUI Programs and Women
Designed for Men
    g
Male dominated settings
How are family responsibilities addressed?
How is a woman with low self-efficacy and
powerlessness assisted?
Economic and other hurtles to
participation/case management?
STIGMA faced by women is greater than men.
Men with AOD problems also judge women more
harshly.
Paris Hilton hit Les Deux for her first visit
                                         to a club since being released from jail
                                         after serving more than three weeks for a
                                         probation violation in an alcohol-related
                                         d
                                         driving case.
                                               g case




Britney Spears didn't just make a
financial settlement with the owner of
a car she hit – she offered, to make a
personal apology.




Actress Michelle Rodriguez
                                            Cynthia Watros, who plays Libby
speaks out about her sentence
                                            on ABC's hit series "Lost,"
for violating probation.
                                            pleaded guilty to drunken
                                            driving in Hawaii.
Nicole Richie, who is six months
              pregnant, has enrolled in a lengthy
              anti-drinking education program.
              Papers filed with the Superior Court
              of California show that on Sept. 26
              Richie signed up for a 18-month anti-
              drinking driver course, known as the
              SB 38 Alcohol Program.

              She was "pleasantly surprised" to be
              released after serving 82 minutes of
              her four-day jail sentence for a
              second DUI conviction.




Lindsay Lohan pleaded guilty to two counts of being
under the influence of cocaine and pleaded no
contest to driving with a blood alcohol level of .08
percent or higher and reckless driving.

She will serve at least 24 hours in jail in her
drunken-driving cases under the terms of a plea deal
reached Thursday. Lohan was also placed on three
years probation and ordered to complete an 18-
month alcohol education program.

She has completed her second treatment program,
has support of family and friends and a sober
companion for follow-up.
References
Office of Applied Studies (August 2, 2007). NSDUH Report:
Gender Differences in Alcohol Use and Alcohol Dependence or
Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and
Mental Health Services Administration. Available at
http://www.oas.samhsa.gov
Office of Applied Studies (July 1, 2005). NSDUH Report: Driving
Under the Influence Among Adult Drivers Rockville, MD:
Substance Abuse and Mental Health Services Administration.
Available at http://www.oas.samhsa.gov
Office of Applied Studies (September 2, 2005). NSDUH Report:
Offi    f A li d St di (S t       b 2 2005)           R     t
Arrests for Driving Under the Influence Among Adult Drivers
Rockville, MD: Substance Abuse and Mental Health Services
Administration. Available at http://www.oas.samhsa.gov
Criminal Justice Statistics Center Report Series, Vol 1 No 1,
Report on Arrests for Driving Under the Influence, 1997, April
1999




Office of Applied Studies (
           pp             (December 31, 2004). NSDUH Report:
                                      ,     )          p
Driving Under the Influence Among Young Persons. Rockville,
MD: Substance Abuse and Mental Health Services
Administration. Available at http://www.oas.samhsa.gov
Grunbaum, J.A., Kann, L., Kinchen, S., Ross, J., Hawkins, J.,
Lawry, R., et al. (2004). Youth Risk Behavior Surveillance:
United States, 2003. Morbidity and Mortality Weekly Report:
Surveillance Summaries, 55 (SS-2).
(Wechsler et al (1995). Am. J. of Public Health. 85. 921-926.)
          et.al. (1995) Am J             Health 85 921 926 )
ADP Fact Sheet: Driving Under the Influence Statistics, Nov.
2004. Available at www.adp.ca.gov

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Dui Ppt

  • 1. California Association of Drinker Driver Treatment Programs 2007 Fall Forum Women and DUI Deborah Werner Children and Family Futures, Inc. 4940 Irvine Boulevard, Suite 202 * Irvine, CA 92620 714/505.3525 * dwerner@cffutures.org www.cffutures.org/calwcf This Presentation is Made Possible Through a Contract with the State of California Department of Alcohol and Drug Programs Goals To help DUI program staff understand differences between male and female participants To help DUI programs identify ways to reach and motivate women DUI offenders in order to improve women’s retention and program outcomes
  • 2. Part 1: Women AOD Use & Abuse W U Ab Women and Men - Priorities Men are action and activity oriented oriented. Women are people and process oriented. Sex-Role stereotyping – males are societal, women are familial Body image, appearance key importance for women; performance key importance for males.
  • 3. Men & Women - Communication Males tend to be linear in conversation – women tend to speak in a spiral. Males less comfortable with expressing “internal emotions” – compassion, love, sadness. Females less comfortable with expressing “external emotions” – anger. Women use more words. Male communication is problem solving oriented. Want to fix it. Female communicates to process problems. Want to express it.
  • 4. Women & Men - Disparities • In 2004, women's median annual earnings were only $.76 for every $1.00 earned by men. For women of color, the gap is even worse – only $.69 for African American women and $.58 for Latinas. (NOW) • In California 55% of women are in the labor force. (American FactFinder) • 15.3% of California families with children below age 18 live below the poverty level. In female headed households with children under 18 more than 32.5% are below poverty level (American FactFinder, California) • Fifty-five percent of all employed women work in female-dominated y p p y jobs (jobs in which women comprise 70 percent or more of the workforce) whereas only 8.5 percent of all men work in these occupations. (Men working in female-dominated jobs still receive about 20 percent more than women who work in female-dominated jobs.) (National Organization for Women) Women’s Alcohol and Other Drug Use is Different than Men
  • 5. Women’s Pathways to Use Partners Peer Pressure Low Esteem Self-Medicating/Coping with Pain Media Messages Women and Alcohol Use Past Month Alcohol Use Among People Aged 12 + percent of percent of females males Any use of alcohol 45.0% 57.5% Binge alcohol use 15.1% 15 1% 30.8% 30 8% Heavy alcohol use 3.3% 10.5% Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov
  • 6. Alcohol Abuse by Race Race and Alcohol Abuse/Dependence by Gender percent of percent of females males White 5.6% 10.6% African American/Black 3.5% 9.7% Latino/Hispanic 3.8% 12.1% American Indian/Native American 13.7% 19.5% Pacific Islander 5.7% 12.8% Asian 2.3% 5.4% Two or More Races 7.7% 9.9% Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov Alcohol Abuse by Age Age and Alcohol Abuse/Dependence by Gender percent of percent of females males Ages 12 ‐17 6.0% 5.5% Ages 18 ‐ 25 12.9% 22.0% Ages 26 ‐ 49 5.4% 5 4% 12.4% 12 4% Ages 50 or older 1.6% 5.0% Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov
  • 7. Binge Drinking College Alcohol Study conducted by Harvard University found that 50% of males and 39% of female college students on US Campuses binge drink. (Wechsler et al. 1995). Nearly half of high school girls drink alcohol and more than one in four binge drink. (Grunbaum, et al., 2004) 23% of alcohol fatalities are female (inferred from ADP Fact Sheet: Driving Under the Influence Statistics, Nov. 2004) DUI Prevalence Among adults (21 and older) 11 4% of 11.4% females and 22% of males reported driving while under the influence. (NSDUH, 2005) Among youth aged 16 – 20, surveyed in 2002-2003, 18% of females report driving under the influence of alcohol or illicit drugs in the last year. (24% of males)
  • 8. Young women use substances to: Improve mood Self-medicate mood disturbances Increase confidence Lose inhibitions Lose weight Access to alcohol and other drugs Partners, boyfriends & peers encourage use Higher incidence of dependency associated with child abuse and neglect The experience women have with substance use is very different then the experience of men.
  • 9. Problems and Consequences The problems and consequences of substance for women tend to be personal and self- destructive. The problems and consequences of substance use for men tend to be societal and destructive to others. Worse Health Effects Drink for drink, women’s brains and organs drink are exposed to a higher concentration of alcohol compared with men. Women are more likely to develop inflammation of the liver and to die of cirrhosis. Telescoping effect
  • 10. Sexual Related Consequences More likely to experience sexual assault More likely to have unplanned sex Unplanned/teenage pregnancy and STDs More likely to experience violence, domestic violence violence Children Women are often primary care-takers of children. • Alcohol use can lead to endangerment, chaotic up-bringing, poor role modeling, increased risk of abuse or neglect, CPS involvement Children are a barrier to accessing services. • Child care, safety, fear of removal Children are a motivator for change.
  • 11. Women and DUI Less Prevalence Less Arrests Barriers to Intervention and Participation Reaching Women Women with Multiple Problems Relapse Factors Prevalence In 1988 women made up only 10.6% of DUI 10 6% arrestees. By 1997 it had grown to 13.2% of arrestees. In 1997 more than 25,000 women arrested for DUI. 2005 women = 17.5% of arrestees 31,160 women arrested.
  • 12. Females Arrested for DUI less likely to be Hispanic than Male Arrestees. percent of percent of percent of males females total White 46.1% 65.4% 41.8% Hispanic 47.8% 19.4% 44.1% Black 6.6% 7.3% 6.7% Other .4% 7.9% 7.5% Total 100.0% 100.0% 100.0% Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on Arrests for Driving Under the Influence, 1997, April 1999 2005 California percent of percent of percent of males females total White 46.4% 60.7% 40.7 Hispanic 44.7% 23.8% 45.5 Black 7.1% 8.1% 7.1 Other 6.7% 7.4% 6.7 Total 100.0% 100.0% 100.0% Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on Arrests for Driving Under the Influence, 1997, April 1999
  • 13. Females are older at time of arrest than males percent of percent of percent of males females total Juvenile 0.9% 1.1% 0.9% 18‐24 22.3% 18.2% 21.8% 25‐29 19.3% 16.4% 18.9% 30‐39 30.8% 33.9% 31.2% 40‐49 17.4% % 21.1% % 17.9% % 50 or older 9.4% 9.2% 9.3% Total 100.0% 100.0% 100.0% Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on Arrests for Driving Under the Influence, 1997, April 1999 CA 2005 Median Age – Males 33.0 Median Age – Females 33.3 42.7% of Males and 40.9% of Females between 21 – 30 9% of males under 20 and 8.2% of females 8 2% under 20
  • 14. Fatal crashes among female drivers with BACs of .10 and higher, by driver age* *Computed from NHTSA 1997 Fatality Analysis Reporting System data. Women Not Arrested Among y g youth aged 16 – 20, surveyed in g y 2002-2003, 18% of females report driving under the influence of alcohol or illicit drugs in the last year. (24% of males) Among those reporting driving under the influence 6% of males and 2% of females reported being arrested and booked for DUI in the last year. OAS, 2004
  • 15. No Arrest – No Services Among adults (21 and older) 11 4% of 11.4% females and 22% of males reported driving while under the influence. (OAS, 2005) Among all adult drivers 1.1% of males and .2% of females report an arrest for DUI. (OAS, 2005a) Is It Really Giving Them a Break? Erica’s Story 14 years old, driving under Story. old influence and crashed car. On scene – no DUI checks. At Court 12 hours of community service. Police not wanting to see girls/young women in jail, bring them home instead of arresting them.
  • 16. Messages that Reach Women National Highway Traffic Safety Administration study explored young women's views of impaired driving messages. The data analysis showed that women were most affected by • emotional appeals • graphic images of negative consequences • PSAs depicting realistic situations • those in which they could identify with the characters Reaching Women Continued Authoritative messages were rejected by the participants, especially the youngest women. Using celebrities in these messages was not viewed as effective. Humor in PSAs was seen positively by some participants and negatively by others. The data indicate that impaired driving messages targeting young women would be more effective if they were tailored for them.
  • 17. Barriers to Women’s Participation Trauma Powerlessness Self-Efficacy Family Responsibilities Life Challenges STIGMA DUI Programs and Women Designed for Men g Male dominated settings How are family responsibilities addressed? How is a woman with low self-efficacy and powerlessness assisted? Economic and other hurtles to participation/case management? STIGMA faced by women is greater than men. Men with AOD problems also judge women more harshly.
  • 18. Paris Hilton hit Les Deux for her first visit to a club since being released from jail after serving more than three weeks for a probation violation in an alcohol-related d driving case. g case Britney Spears didn't just make a financial settlement with the owner of a car she hit – she offered, to make a personal apology. Actress Michelle Rodriguez Cynthia Watros, who plays Libby speaks out about her sentence on ABC's hit series "Lost," for violating probation. pleaded guilty to drunken driving in Hawaii.
  • 19. Nicole Richie, who is six months pregnant, has enrolled in a lengthy anti-drinking education program. Papers filed with the Superior Court of California show that on Sept. 26 Richie signed up for a 18-month anti- drinking driver course, known as the SB 38 Alcohol Program. She was "pleasantly surprised" to be released after serving 82 minutes of her four-day jail sentence for a second DUI conviction. Lindsay Lohan pleaded guilty to two counts of being under the influence of cocaine and pleaded no contest to driving with a blood alcohol level of .08 percent or higher and reckless driving. She will serve at least 24 hours in jail in her drunken-driving cases under the terms of a plea deal reached Thursday. Lohan was also placed on three years probation and ordered to complete an 18- month alcohol education program. She has completed her second treatment program, has support of family and friends and a sober companion for follow-up.
  • 20. References Office of Applied Studies (August 2, 2007). NSDUH Report: Gender Differences in Alcohol Use and Alcohol Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov Office of Applied Studies (July 1, 2005). NSDUH Report: Driving Under the Influence Among Adult Drivers Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov Office of Applied Studies (September 2, 2005). NSDUH Report: Offi f A li d St di (S t b 2 2005) R t Arrests for Driving Under the Influence Among Adult Drivers Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov Criminal Justice Statistics Center Report Series, Vol 1 No 1, Report on Arrests for Driving Under the Influence, 1997, April 1999 Office of Applied Studies ( pp (December 31, 2004). NSDUH Report: , ) p Driving Under the Influence Among Young Persons. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.oas.samhsa.gov Grunbaum, J.A., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Lawry, R., et al. (2004). Youth Risk Behavior Surveillance: United States, 2003. Morbidity and Mortality Weekly Report: Surveillance Summaries, 55 (SS-2). (Wechsler et al (1995). Am. J. of Public Health. 85. 921-926.) et.al. (1995) Am J Health 85 921 926 ) ADP Fact Sheet: Driving Under the Influence Statistics, Nov. 2004. Available at www.adp.ca.gov