30 January 2015, Vienna

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Safe & Sober Alcohol interlocks and the fight against drink-driving Alcohol interlocks in Finland 30 January 2015, Vienna Marita Löytty, Special Adviser Responsible traffic. A joint effort.

Content Rehabilitation programme for DUI* offenders 1. The facts 2. The steps 3. The evaluation study Doctors prescribing alcohol interlocks Alcohol interlock as a preventive measure for drivers having a drinking problem * Driving Under the Influence of alcohol Responsible traffic. A joint effort.

Finland 5,4 million inhabitants 3,6 million driving licences 5,0 million vehicles Area 338 432 m2 (10 % lakes) BAC-limit: 0,5 Drink-drivers caught by the police: 17 500 in 2014 Road traffic accidents: ~ 20 % of deaths and ~ 10 % of injuries related to DUI 3

Rehabilitation program with alcohol interlocks the facts A trial July 2005 June 2008 Permanent since July 2008 Voluntary for DUI offenders (the offender may choose the interlock program instead of being banned from driving) 17 500 DUI cases in 2014 (incl. recidivists) Approx. 500 new participants each year Program length 1 3 years (court decides) Costs for the participant ~ 150 /month Brochure in English: http://www.poliisi.fi/poliisi/home.nsf/files/9b780854655e6cafc2257cb7003f8 136/$file/alkolukkoesite_suomi_muokattu2_EN.pdf 4

Rehabilitation program with alcohol interlocks the steps DUI offender is caught by the police The police informs the offender about the interlock possibility The offender gets the interlock installed and the vehicle inspected visits a doctor or a another health care professional submits the driving licence application to the police receives a driving licence with national code 111 (interlock) takes the interlock to data-read-out every 60 days after the mandatory period may get the interlock removed from the vehicle, or instead, may leave the device in the vehcile 5

The evaluation study published in February 2013 Trafi Publications 6/2013 (in English): Effectiveness and impact of alcohol interlock-controlled driving rights http://www.trafi.fi/palvelut/julkaisut/2013_julkaisut/effectiveness_and_i mpact_of_alcohol_interlock-controlled_driving_rights The study included A survey (questionnaire) to all the drivers in the interlock program since July 2008 (N=1569; response rate 45 %) An analysis of the drink-driving offences before, during and after the interlock period An analysis of the interlock log data Interviews with the relevant authorities within the process 6

The evaluation study Population The average age of the interlock driving licence holders was 51 years. The youngest was 20 years old, the oldest 82. 84 % of the drivers were male. At least one third of the drivers leave voluntarily the alcohol interlock fitted in their vehicle after the mandatory period of 1 3 years! 7

The evaluation study How did/does the alcohol interlock affect the use of alcohol for you? Reduced drinking 25 No longer drank before driving 17 Stopped drinking 11 Other 3 Professional help 0,3 Had an effect, but cannot say how 7 No effect % 0 10 20 30 40 36 8

The evaluation study 9

The evaluation study Best things about using an interlock Keeping one's driving rights was felt to be the largest benefit (95 % of all the respondents). More than half (58 %) of the drivers also appreciated the certainty that they would not accidentally set out intoxicated. One-third of the drivers kept their jobs thanks to the interlock. The emphasis on traffic safety was also valued (28 %). Free-form answers listed getting sober as a benefit, as well as the fact that the interlock teaches one to think and reminds of the dangers of the drink. Some drivers viewed the interlock as a friend and travel companion: I drive a Renault and I've named the alcohol interlock Pierre. Pierre tells me when it s safe to drive. Above all, the alcohol interlock is a health instrument and a friend. 10

The evaluation study Worst things about using an interlock Waiting time for the device to warm up (59 % of all the respondents) and rather high expenses (57 %) were seen as the worst aspects of using an alcohol interlock. Almost half (54 %) of the respondents considered re-tests while driving to be unpleasant, and many felt them to be a safety hazard*. The interval of randomly required re-tests was felt to be too frequent**. Exhaling in public was felt to be awkward by 43 % of the respondents. Many also described the attitude of outsiders as suspicious or negative. ** time period of 6 min to give a breath sample for a re-test *** first re-sample required in 5 10 min, after that every 30 45 min 11

The evaluation study: Recidivism More than half of the drivers had been convicted of DUI several times before applying for the alcohol interlock driving licence. 3.3 % of the drivers were caught for DUI during their period of alcohol interlock controlled driving rights (most likely with another vehicle, not fitted with an interlock). After the end of the interlock supervision period, 2.5 % of the drivers were caught for a DUI offence. The recidivism rate of alcohol interlock users seems to be significantly smaller than that of all DUI offenders, as generally the recidivism rate in Finland is more than 30 %. 12

The pros and cons of the programme from the perspective of the authorities Pros The scheme of the rehabilitation program is rather simple and the administrative burden is relatively small. The program is effective and also widely accepted. Cons The number of participants is very low compared to the number of yearly DUI cases. Two main reasons: Relatively short driving bans (for a DUI offence) in Finland and the costs of the program. The log-data is not used to the extent it could be used. There are no medical check-ups after the program. 13

Doctors prescribing alcohol interlocks: Alcohol interlock as a preventive measure for drivers having a drinking problem The problematic use of alcohol may come up at medical examination for a driving licence or for a licence renewal, at medical examination for another reason (annual check etc.), or when the driver is referred to the doctor by the police. The doctors are obliged to inform the police if the person does not meet the health requirements for a driving licence. In terms of alcohol use the doctors have two options; Order a follow-up period of 3 12 months, after which a re-assessment whether the person is still having a drinking problem or not, or Inform the police that the person meets the health requirements only with an alcohol interlock (code 113 for the driving licence). 14

Thank you! Questions? marita.loytty@trafi.fi Kumpulantie 9, 00520 Helsinki PO Box 320, FI-00101 Helsinki, Finland Telephone +358 29 534 5000 www.trafi.fi Responsible traffic. A joint effort.