












Louisiana costs for Alcohol Use on the
Healthcare system.
Louisiana Resource locator
Dr. Scribner
Power Point on Alcohol Excise Taxes
Impact on Auto Insurance Rates
Alcohol-related crashes accounted for an estimated 18% of
Louisiana’s auto insurance payments. Reducing alcohol-related
crashes by 10% would save $60 million in claims payments and loss
adjustment expenses.
Costs per Drink
the societal costs of alcohol-related crashes in Louisiana
averaged $1.30 per drink consumed. People other than the drinking
driver paid $.80 per drink.
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We can't end the consequence of a problem that is not being
addressed. If we really want to stop drinking and driving, then
our broken system must be changed.
More facts on alcohol and other
drug addiction
DWI 2004PowerPoint
on Louisiana DWI Laws and Reform
Alcoholism
treatment must be an integral component of all policies,
strategies, and laws which address drinking and driving.
Without treatment of the underlying disease there is no feasible
means of reducing the number of repeat offenders, and no real way to
identify those in need of treatment for Alcoholism (Alcohol
Dependence) a brain disease.
- Legislation which imposes penalties for drinking and driving
must include provisions for alcoholism (alcohol dependency)
treatment, in addition to accountability This means we must identify those with problems (see
our 2003 proposed legislation)
- Establish first time arrest screening applications to identify
those "at risk" -- mandatory
screening for identification of problem
drinkers, and referral to mandated state licensed treatment
facilities.
- Louisiana State Board Certified Substance Abuse Councilors, or
those who are by law allowed to provide services, for intervention, treatment, and monitoring of those
receiving services for Alcoholism/Alcohol Abuse or Alcohol
Dependence, should perform all screening, treatment, and
monitoring.
At present every parish uses their local procedure not a statewide
standard sentencing protocol (Court approved referral for any
service, vs. state licensed professionals) which means
anyone could provide reading materials and a film strip, and be a
local provider of these services, not helpful for the majority
arrested, needing help for a drinking problem, encourages
the untreated, unidentified alcoholic to repeat the experience
(just had a slap on wrist)
- There should be a provision for monitoring compliance
(collaborative system with Public Safety) with the
law and ensuring the availability of high quality treatment and
rehabilitation programs, in accordance with state-established
standards.
- We need to set up a database available to courts, treatment
providers, and law enforcement, we don't need repeat offenders
slipping through the cracks, and accountability depends on this
being developed.
- State insurance commissioners should require and/or state
legislators should enact legislation requiring health insurance
providers to include coverage for treatment and rehabilitation of
alcohol and other drug dependent persons in all health insurance
policies.
State at present provides only 8% to those in need, and
collectively 99% of anyone who does get help in that 8% gets it
from our state DHH office OAD, we need other private offerings for
coverage to lighten the load on the state, and open more doorways
to treatment for the some 70% employed persons who are alcoholic.
- Workshops/seminars for local employers to educate them on the
cost benefits of a comprehensive alcohol/drug insurance program
should be offered by treatment professionals and their
professional associations.
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Costs to Louisiana (Compare to all other States
here)
Intensive Probation Supervision with Treatment: Intensive
probation supervision with treatment is an alternative to
incarcerating repeat offenders. This early intervention program
seeks to reduce alcohol-impaired driving by addressing repeat
offenders’ drinking habits and provides intensive individual
counseling and monitoring.
Implementation
of this program in Louisiana could decrease recidivism by an
estimated 48%,
causing DWI crashes to decrease by 4%. Typically, per person
arrested, this program costs approximately $1,100 and can avoid an
estimated $5,500 in crash costs and $480 in incarceration costs.
Myths on DWI's and "HardCore Drinkers"
HardCore insinuates people who just lack morality, are weak in
character, generally believed to be irresponsible,
negligent, or being poor decision makers.
Truth
- Nearly three-quarters of drivers convicted of driving while
impaired are either problem drinkers or alcoholics.
- Binge drinkers (those who consumed five or more drinks at a
single sitting during the past month) are 30 times more likely to
drive while impaired than those who do not binge.
- Problem drinkers and Alcoholics often require treatment for
this brain disease, to have the ability to become accountable,
they have lost the power to choose responsibly.
Alcohol problems are solved if the person just stops drinking,
right?
Treatment for alcohol problems usually involves multiple
approaches.
Treatment is a series of steps that individuals take under the
guidance of family doctors, addiction specialists and other health
care professionals to address the physical, psychological, emotional
and social conditions that contribute to their alcohol problems.
Alcohol treatment is frequently accompanied by self-help support
groups such as Alcoholics Anonymous and Rational Recovery.
Treatment for alcohol addiction has proven as effective as
treatment for other chronic, manageable, long-term health conditions
such as diabetes, hypertension and asthma, so long as the treatment
is well delivered and tailored to the needs of the particular
patient.
But as in any chronic disease, treatment brings varying levels of
success. Some people stop drinking and remain sober. A national
survey recently found that more than half of all persons in recovery
from an addiction had never had a relapse once they stopped drinking
or using drugs. Others have long periods of sobriety with bouts of
relapse. And still others cannot stop drinking for any length of
time.
DWI 2004
PowerPoint on Louisiana DWI Laws and
Reform |
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