Alcohol and other drug consumption and problem severity lie along a continuum. Using traditional dichotomies to categorize DWI offenders fails to account for their diversity in the level of alcohol and drug use disorders, driving practices, and risk for recidivism.15,34,35 Clearly, noncompliance is an important consideration. The noncompliant offenders who did not complete screening had the highest rates of SUD at follow-up and utilized more treatment resources over the ensuing years than other groups. This indicates a need for close monitoring of noncompliant offenders and raises the possibility that screening programs should develop special sanctions or treatment programs for these individuals. One study shows that incarcerated firsttime DWI offenders with antisocial personality benefitted more from a motivational interviewing-based treatment program than offenders without antisocial personality disorder.36,37 Most of the offenders were Native Americans. Participants with antisocial personality disorder reported heavier and more frequent drinking at baseline, but had greater declines in drinking from intake to post-treatment assessments than control subjects.
