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Ignition Interlock Device Mandatory Sentencing

Tiffini Diage University of Wisconsin, Madison. Ignition Interlock Device Mandatory Sentencing. Objective. Ignition Interlock Device (IID) sentencing, impact on Wisconsin motor vehicle crashes? IID locks out vehicle ignition Breath sample >0.02% BAC Rolling re-test required.

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Ignition Interlock Device Mandatory Sentencing

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  1. Tiffini Diage University of Wisconsin, Madison Ignition Interlock Device Mandatory Sentencing

  2. Objective • Ignition Interlock Device (IID) sentencing, impact on Wisconsin motor vehicle crashes? • IID locks out vehicle ignition • Breath sample >0.02% BAC • Rolling re-test required

  3. WI Alcohol Related MVC’s, 2007 • 17,847 people involved • Injuries - 4,190 • Hospitalizations - 991 • ED visits - 3199 • Deaths - 331 • 50% were sober victims *CODES Data provided by Wayne Bigelow; Center for Health Systems Research and Analysis, University of Wisconsin – Madison

  4. Proposed Wisconsin OWI Law • Mandatory IID Sentencing Requirements • All repeat offenders (2nd offense or more) • All 1st time offenders with BAC > 0.15 • Offender pays $1,200 / device / year

  5. Methods • Literature review – current evidence • Experience from other states • Impact analysis using Wisconsin data

  6. Databases Reviewed, 2007 FARS = Fatal Accident Reporting System WI DOT = Wisconsin Department of Transportation

  7. Results • Literature evidence • IID’s lower recidivism while device is installed (Risk Ratio 0.05 – 0.33) • Long-term effectiveness, uncertain • Experience from other states • New Mexico • 85% reduction in recidivism • 25% reduction in alcohol related crashes • California • Increase in non-alcohol related crashes with IID users compared on non-IID users

  8. Wisconsin Data, 2007 • FARS – 142 fatal crashes • 30 with prior DUI’s (21%) • 27 were 1st offense, 3 were 2nd offense • CODES – 4,190 injuries • No information on priors or BAC • WI DOT - 40,260 DUI convictions • 23,689 1st offenders (58%) • 16,571 2nd – 13th repeat offense (42%)

  9. Findings • Impact of IID law on WI public health? • Interaction with few fatal cases from 2007 • Large potential impact on repeat offenders • Low “in use” recidivism • Decrease drunk driving exposure • Reduction in risk of alcohol related crashes • Forward evaluation: IID data fields in CODES and FARS

  10. Discussion/Considerations • Political motivation vs. evidence based intervention • Ideology of policy based intervention? • Punitive measure vs. prevention/treatment • Could IID compliment treatment approach? • Proper evaluation is required for public health assessment • Effectiveness, unintended consequences • Data communication – i.e. sentencing, manufacturer, law enforcement

  11. Motor Vehicle Crash Data IID Data

  12. Acknowledgements • Timothy E. Corden, MD • Steven Hargarten, MD • Injury Research Center staff • Sergeant William Brown, Milwaukee Co. Sheriffs OWI Task Force Leader • WI Department of Transportation staff • Wayne Bigelow; Center for Health Systems Research and Analysis, University of Wisconsin – Madison

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