Your W/IDIP Intake Interview: Welcome My Son, Welcome To The Machine.

Your W/IDIP Intake Interview

What happens at your intake interview is dictated by He-A 707.10:

 He-A 707.10  IDIP and WIDIP Intake Interview.

      (a)  There shall be an initial one-on-one intake interview between the client and a NH LADC, or an IDIP or WIDIP staff member under LADC supervision.

      (b)  The intake interview shall take place prior to, and separate from, course sessions.

      (c)  The intake interview shall include the following steps:

(1)  Each client shall provide the IDIP or WIDIP with the documents required pursuant to He-A 704.04;

(2)  The client shall complete the DRI-II and the RIASI diagnostic instruments;

(3)  The LADC shall complete Form IDIP-011, client profile, by including the following printed or typewritten information:

a.  The facility code;

b.  The section where the client is assigned;

c.  The last four digits of the client’s Social Security number;

d.  The client’s name;

e.  The client’s initials;

f.  The program type;

g.  The client’s address;

h.  The client’s date of birth;

i.  The date of the client’s intake interview;

j.  The client’s gender;

k.  Whether the client is restarting a program;

l.  The court of the client’s conviction;

m.  The date of the client’s arrest;

n.  The client’s blood alcohol test results, or an indication of the client’s refusal of consent;

o.  All of the client’s DWI convictions, including the current one, and drug impaired driving convictions, unless otherwise protected by law;

p.  All DWI courses previously attended by the client;

q.  The client’s marital status;

r.  The client’s education level;

s.  The client’s occupation;

t.  The client’s current income;

u.  Whether the program fee was reduced due to financial hardship;

v.  The client’s history of treatment for any other alcohol or other substance abuse problem;

w.  The frequency of alcohol consumption in the past;

x.  The client’s scores on the DRI-II and RIASI diagnostic instruments; and

y.  The signature of the LADC completing the top of the form, which shall not be printed or typewritten;

(4)  The client shall provide to the LADC completing Form IDIP-011, client profile, the information required in (3)c., o. through t., v., and w.;

(5)  The client shall complete Form IDIP-019, consent for the release of confidential information, specifically for the department, the convicting court, and the department of safety, by including:

a.  The client’s name;

b.  The name and address of the convicting court; and

c.  The client’s dated signature;

(6)  The provider staff member shall sign and date Form IDIP-019, consent for the release of confidential information;

(7)  The client shall read and complete either Form IDIP-014, IDIP client agreement, or Form IDIP-015, WIDIP client agreement, by including:

a.  The client’s name; and

b.  The client’s dated signature, indicating that he or she has read the form and agrees to attend the identified sessions; and

(8)  The provider staff member shall complete either Form IDIP-014, IDIP client agreement, or Form IDIP-015, WIDIP client agreement, by including:

a.  The class location of the IDIP or WIDIP, including the street address, city or town, and telephone number;

b.  All scheduled session days, dates, times, and instructors; and

c.  The dated signature of the IDIP or WIDIP staff member.

     (d)  The client shall read, complete, and sign any other forms and materials that describe the provider’s individual IDIP or WIDIP policies and procedures or that offer other information related to the program.

What Happens During Your W/IDIP Intake Interview

You arrive at Amethyst Foundation in Epping at the appointed time with your required paperwork:

• an original certified copy of your driving record, no older than 60 days, from New Hampshire, any state in which you hold a driver's license, and any state in which you've been arrested or convicted on a DWI/DUI
• Your Department of Safety Notice Of Action indicating what program you are to take (i.e., IDIP)
• Superior or district court orders
• Chemical test results

If you forget any of these, or you attend an interview for the wrong program, you are rescheduled and charged an "administration fee" ($50 if IDIP, $100 if WIDIP, etc...).

You give these to the intake interviewer, who will be a LADC or, more likely, supervised staff member.

You then take two assessment exams; the RIASI (Research Institute on Addictions Self-Inventory) and DRI-II (Driver Risk Inventory-II).

The RIASI is the 1995 edition of the diagnostic instrument created by Thomas J. Nochasjski of the State University of New York that is specifically designed for DWI offenders.  I have posted the actual RIASI test you will take here.  You can see that the questions are pretty straightforward.  Be careful about the questions that seem to be asking about something else but are actually asking about your alcohol/drug use, stress coping, or agressiveness.  These are the nonobvious, subtle questions that I wrote about previously, here.

The DRI-II is the first edition, published in 1997, of the driving while impaired risk and needs assessment instrument created by Behavioral Data Systems, Ltd., which supposedly evaluates alcohol and other drug abuse, identifies driver aggressiveness, and measures stress coping abilities.  I do not have a copy of the DRI-II test, but the questions are very similar to those of the RIASI test.

Both tests are complete baloney and there is no scientific evidence at all that they are predictive for DUI/DWI reoffending.  Everyone, if they answer truthfully, will score as an alcoholic/drug addict on the RIASI.  The same is true for the DRI-II.  There are scientific papers showing the unreliability of the RIASI.  All but two of the studies done on the DRI-II, however, were conducted by Behavioral Data Systems, Ltd., the company that makes and sells it, so, of course, it works just smashingly.  The two non-BDS authored studies are severely flawed in methodology and are inconclusive.  Both the RIASI and DRI-II exams are garbage (I'll cover this topic in a later post).  But they are easy and cheap to administer, and give the appearance of being accurate and "scientific," so the state and recovery industry love them.

The DRI-II claims to measure "truthfulness" which you need to be very careful about.  I was completely honest when I took the DRI-II the first time, but I flunked the "truthfulness" component.

I really hate to advise anyone to do this, but I in this instance I have to.  LIE.  Lie on both exams.  You never drank or took drugs except for the night of the DUI/DWI.  For the DRI-II, you will take this again at the end of your assigned aftercare, so remember your lies, so that you can repeat them the second time you take it.  The DRI-II test compares the answers you give on the second administration to the the answers you gave on the first administration.  Just be consistent.  You are an angel who never took a drink or drug until your DUI/DWI...got it?  Good.

The people at Amethyst Foundation will do everything in their power to get you to be honest.  They will pretend to want to help you, or will suggest that there will be no consequences to your admissions.  Do not fool yourself.  They only want to get you to admit that you are an alcoholic or drug abuser and then punish you.

Why would they want to do that?

Because they are all former hardcore down and out alcoholics that have gone through AA.  They see everyone who gets arrested for a DUI/DWI as an alcoholic.  AA is a religious-based organization whose 10th and 12th steps mandate that members continue lifelong participation in the program and "carry this message to alcoholics and to practice these principles in all our affairs."  They see you as an "unfortunate" and want to save you.

And also because these are people who are angry at the world for their past and current problems and who have now been given some power.  You'll see that these are very spiteful, petty people.

So, in conclusion, lie on the RIASI and two administered DRI-II exams.  They are rigged against you.  Answer truthfully and you will be labelled an alcoholic or drug user by Amethyst and you can kiss your license goodbye for at least nine months while you attend AA meetings and pay for expensive weekly counseling sessions with a LADC (which are not covered by insurance).

Other Intake Paperwork

In addition to the assessment tests, you'll also have to fill out a bunch of paperwork, the most important of which is IDIP-019, the consent for release of confidential information, specifically for the Department of Health and Human Services, the convicting court, and the Department of Safety.  Once you sign this, be aware that anything you say or do from now on will not confidential and will be used against you.  Even statements made during aftercare AA meetings and individual LADC "counseling" sessions will be used against you (see the previous post for an outrageous example of this).  So be paranoid from this point onward.

Miscellaneous

I've been told that the intake interviewers will also take notes regarding your appearance, manners, punctuality, and anything else that might indicate alcohol or substance abuse.  Make sure you are clean (haircut, shave, use visine, mouthwash, etc...), dress well in ironed clothing, sit up straight, maintain eye contact, be calm, don't fidget, and be polite.  Do not smell of tobacco smoke (a symptom to them of an addictive personality) or alcohol.  Don't appear too intelligent.  They would probably love seeing some subtle indication that you are christian (jewelry, necklace?).

I doubt if my intake interviewer would have noticed, though.  (See below.)

My Intake

My intake was pretty routine.  It was performed by an old lady training to become a LADC.  She arrived almost a half-hour late, looked hungover in ragged clothing and uncombed/undyed hair, and shuffled, stumbled, and mumbled her way through the paperwork.  Multiple times I had to correct her instructions or redo the paperwork because of her confusion.  One of the Amethyst Foundation administrators (one of the few there that seems somewhat together) yelled at her several times, when she arrive late, and when she went to ask for help.  That wasn't bad--at least she wasn't one of the mean ones.  You'll meet those.

So, good luck.  Be paranoid.  Lie. Remember your lies so that you lie consistently (especially on the second DRI-II test).  Keep your mouth shut and incriminate yourself as little as possible.  Pretend you are stupid--they like that.

Please Tell Me Your Experiences With Amethyst Foundation, Inc.

Send Me Your Stories About Amethyst Foundation, Inc.

I would love to hear about people's experiences with Amethyst Foundation, Inc.  I know there must be many, many stories about this fraudulent operation.

Yet, there is no information on the web about Amethyst Foundation, Inc., at all.  Please pass your stories, good and bad, on to me and I will post them anonymously.

People deserve to know what they are getting into when they are ordered to go there.

My email is AtheosAmericus@gmail.com

The RIASI test--I Bet You Didn't Know You Were An Alcoholic/Substance Abuser.

The RIASI Test

During your one hour intake interview you will take the DRI-II and RIASI tests, which supposedly assess your abuse/dependence on alcohol/drugs. 

The DRI-II:  In my last post I wrote that there are essentially no peer review studies of the DRI-II test.  All but two of the many studies of the DRI-II were done by the company that sells the test, Behavior Data Systems, Inc., which is like the tobacco companies publishing studies telling you that smoking cigarettes is good for you.  (The two peer review studies had severely faulty methodology and are of little value.)  But, since it's computerized and automatically scored, it's good for the lazy people that work at places like Amethyst Foundation, Inc.  Also, the phony veneer of scientific respectability pushed by the marketing people at Behavior Data Systems is easily bought by the intellectually and scientifically naive, uncritical people at Amethyst.  These people simply decide to "believe" things, whereupon they become fact--like the "effectiveness" of AA despite multiple rigorous scientific studies that show it is of zero value.  Unfortunately, I do not have a copy of the DRI-II to post, but I'm working on it.

The RIASI:  This test is a joke and I can't believe it's still being used.  Essentially, everyone, if they answer honestly, will score as an alcoholic or drug abuser.  Below is a complete copy, with the answers they are looking for:

                                                                                                 HOW YOU SHOULD
                                                                                                           ANSWER

T  F  1.  I smoke or use tobacco products.*                                                  False
T  F  2.  I have no problem telling a companion that he or she has done
                 something to hurt my feelings.*                                                   True
T  F  3.  I often feel so restless I can't sit still.                                                False
T  F  4.  When I drink 7 or more drinks, I become aggressive.                        False
T  F  5.  I like people who are sharp and witty even though they may
                  sometimes hurt other peoples' feelings.*                                     False
T  F  6.  When the alcohol runs out, I leave the party.                                    False
T  F  7.  When I make plans I am almost certain to make them work.             False
T  F  8.  I have relatives who have had problems with alcohol or drugs.            False
T  F  9.  I have been arrested for crimes other than drinking and driving.*         False
T  F  10.  My hand often shakes when I try to do something.                          False
T  F  11.  I am irritated a lot more than people are aware of.                           False
T  F  12.  Since the age of 18, I have been accidentally cut, or cut in a fight
                or burned badly enough to leave scar.                                           False
T  F  13.  A family member was arrested for drinking and driving.*                  False
T  F  14.  When I don't get my own way, I sulk or pout.                                 False
T  F  15.  I slow down when a traffic light turns yellow.                                   True
T  F  16.  I often feel like a powder keg ready to explode.                              False
T  F  17.  When I have a problem, I try to make it go away by drinking.          False
T  F  18.  I have no trouble sleeping or staying awake.*                                 True
T  F  19.  I sometimes do dangerous or risky things just for fun.                     False
T  F  20.  I have experienced a major stressful life event in the past .           
               12 months.                                                                                  False
T  F  21.  I feel like I have lived the right kind of life.*                                      True
T  F  22.  It is easy for me to turn down an unreasonable request
               from a friend.                                                                                True
T  F  23.  I have feelings that something bad will happen to me.                      False
T  F  24.  I feel like I have lost energy.  I am fatigued and tired.                       False
T  F  25.  I often have feelings of nervousness.                                               False
T  F  26.  I often feel sad or blue.                                                                  False
T  F  27.  A drink or two gives me energy to get started.                                 False
T  F  28.  I am probably not capable of slapping someone, even when I lose
               my temper.*                                                                                 True
T  F  29.  When I get beyond a certain point, I don't stop drinking until all the
                booze is gone or I pass out.                                                         False
T  F  30.  I don't like to break Rules, even when I think they are wrong.            True
T  F  31.  I hardly ever drink more than I plan to.*                                           True
T  F  32.  I am not interested in surprising or upsetting others by doing
               something that might shock them.                                                  True
T  F  33.  It depresses me that I did not do more for my parents.                     False
T  F  34.  I like to gamble for money.                                                              False
T  F  35.  After 7 or more drinks, I feel happier.                                              False
T  F  36.  I often acted without thinking as a child.                                          False
T  F  37.  I was referred for a liver test, or a blood test for liver enzymes.*        False
T  F  38.  Since the age of 18, I have needed emergency treatment for an
                injury of some kind.                                                                      False
T  F  39.  I skipped school as a kid.*                                                             False
T  F  40.  When I am drinking, I make sure I do not skip any meals.                True
T  F  41.  I often feel hopeless about the future.                                              False


___  42.  In the past five (5) years, how many jobs have you had?                    One
___  43.  How many traffic tickets for moving violations have you ever
               received (i.e. speeding, running a red light or a stop sign)?                One
___  44.  How much money do you usually spend on alcohol a week?
               Include the cost of drinking at home, at friends' or relatives'
               houses, and in bars and restaurants.                                               Nothing
___  45.  If you go out drinking, how many places do you drink at in
               one evening?  Include friends' and relatives' homes, as well
               as bars and restaurant.                                                                   Zero
___  46.  What is the largest number of drinks you ever consumed in a
                24-hour period?  (One drink is a 12 once beer, or a one ounce
                shot of liquor, or one mixed drink, or a 4 ounce glass of wine,
                or a 12 ounce wine cooler.)*                                                          Two
___  47.  How many days of the week do you usually drink?  If you
               drink less than once a week, please write 1.*                                   Zero
___  48.  When you are drinking, how many drinks do you usually have?*         One
___  49.  How many drinks does it take before you begin to feel the
               effects of alcohol?*                                                                        One

Listed below are a few statements about our relationship with others.  Please CIRCLE the number that indicates how much each statement is TRUE or FALSE for you.

Definitely  Mostly   Don't   Mostly  Definitely
    True       True    Know   False      False
  
       1           2           3         4            5

50.  I am always courteous, even to people who are disagreeable.               Circle 1
51.  I sometimes feel resentful when I don't get my way.                             Circle 5
52.  No matter who I'm talking to, I'm always a good listener.                      Circle 1

  

You will be given two scores:  A Total Score, and a Recidivism Score.  Your recidivism score will be based on those questions with asterisks after them.  These are all "subtle question" types--questions that don't outwardly appear to be asking about alcohol or substance abuse.  Therefore, be careful about how you answer these questions.

These tests are designed so that everyone can take them, and for ease of grading.  So they are written at the 4-5th grade level, every answer is True or False or a number, and the subtle questions are indicated with asterisks.  The asterisks will be visible on your exams--we can't have the LADCs doing any extra work like copying, etc...  (Remember, these people are lazy and stupid.  Copier technology is too much to ask them to deal with.)

Looking at the questions, it's no wonder everyone scores as a substance abuser.  Look at this subtle (asterisked) question:

"I have no problem telling a companion that he or she has done something to hurt my feelings.*"

If you answer False to this, you're an alcoholic.  Imagine, if you're a man, sitting at the bar having a drink with your friend Chuck, saying to him, "Gosh, Chuck.  When you said said my shirt looked gay, it hurt my feelings."  Well, to not score as an alcoholic, you have to be hypersensitive and have no problems whining about it.

I like this one, too, another subtle one:

"I like people who are sharp and witty even though they may sometimes hurt other peoples' feelings.*"

Answer True and your an alcoholic.  Most forms of comedy (parody, satire, etc...) are going to hurt someone's feelings.  Provocative ideas and opinions are likely to hurt people's feelings.  I like Triumph the Comic Insult Dog and Christopher Hitchens, so I guess I'm a hardcore alcoholic.  How stupid.

I also liked:

"I often acted without thinking as a child."

Answer True = alcoholic.  To the genius psychologist who designed this test:  CHILDREN ARE BY NATURE IMPULSIVE.  Look it up in your Psychology 101 textbook, idiot.

Starting Your Driver Intervention Program

Where You Stand At This Point

You've had your license taken away and have gone to court.  You have two suspensions at this point.  Let's say that it's a 1st Offense DWI, or RSA 265-A:18, in which case they are:

• the administrative (Department of Safety, Division of Motor Vehicles) suspension is 6 months; and,
• the criminal court suspension is 9 months.

The will run concurrently, unless you refused a BAC test, in which case they run consecutively.

Driver Intervention Programs

The criminal court suspension will require that you enter and successfully complete a relevant driver intervention program before you get your license back.  If you enroll within 45 days they'll reduce your criminal court suspension significantly, usually 3 months.  For a 1st Offense DWI, you need to enroll in either the Weekend Impaired Driver Intervention Program (WIDIP) or the Impaired Driver Intervention Program (IDIP).  Each consists of 20 hours of instruction.  The WIDIP is a residential program lasting from Friday night to Sunday afternoon, and costs $585.  The IDIP is a 22 hour course that meets twice a week for 3 hours a night, for 3 weeks, and costs $460.  If this is your second DUI, you will either take the Phase II (if they were spaced a long time apart) or the MOP courses.

You have to take your course at the facility closest to your residence or place of work.  For me, this meant Amethyst Foundation, Inc. or REAP.  I chose Amethyst.  Most of you will also likely go to Amethyst Foundation or REAP.

This is from the Department of Safety, Division of Motor Vehicles Website:

Alcohol Intervention/Education Programs

THERE ARE FOUR TYPES OF PROGRAMS:

• Impaired Driver Intervention Program (IDIP) or Weekend Impaired Driver Intervention Programs (WIDIP)
• Phase II Programs for the Repeat First Offender
• The Multiple Offender Program (MOP) for Second or Subsequent Offenders
• 28 Day Residential Treatment Programs

PROVIDING AGENCIES:

• Amethyst Foundation (Provides: IDIP, WIDIP, Phase II, and MOP)
  120 Hedding Road
  Epping, NH 03042
  Phone: 603-679-2100 or 1-800-327-1114
  E-mail: amethystfoundation@myfairpoint.net
  Website: http://amethystfoundation.com 

• Community Alcohol Information Program (CAIP) (Provides: IDIP, WIDIP, and Phase II)
  119 North Main Street
  Boscawen, NH 03303
  PO Box 8507
  Penacook NH 03303-8507
  Phone: 603-753-8181 or 1-800-660-4246
  Fax: 603-753-4422 

• Court Referral Program (Provides: IDIP)
  103 Roxbury Street, Suite 206
  Keene NH 03247
  Phone: 603-352-0800
  Fax: 603-352-1699

• Friendship House (Provides: 28 Day Residential)
  Route 302
  Bethlehem, NH 03574
  Phone: 603-869-2210 

• Serenity Place (REAP) (Provides: IDIP, Phase II, and MOP)
  93 Manchester Street
  Manchester NH 03101
  PO Box 1477
  Manchester NH 03105
  Phone: 603-625-4528
  Fax: 603-625-6982 

• Southeastern NH Alcohol & Drug Abuse Services (Provides: IDIP and MOP)
  272 County Farm Road
  Dover NH 03820
  Phone: 603-516-8160
  Fax: 603-749-3983
  
• The Farnum Center (Provides: 28 Day Residential)
  235 Hanover Street
  Manchester NH 03104
  Phone: 603-622-3020 exts 10 or 33

• Tri-County Community Action Program (Provides: IDIP, WIDIP, Phase II, and MOP)
  PO Box 659
  Berlin NH 03570
  Phone: 603-752-7941
  Fax: 603-752-7832

The New Hampshire Code of Administrative Rules (He-A 700), and the New Hampshire Statutes (RSA 265-A:39 and RSA 265-A:42) describe everything about these programs.  Print these out and read them so that you understand everything relevant to the program you are enrolling in!

Once you enroll, be sure that a copy of your enrollment documents are mailed to the New Hampshire Circuit Court where you were convicted, so that they will reduce your sentence.

What "Successful Completion" Means

You must "successfully complete" your intervention program.  So just attend class and be on your best behavior, right?  No.

He-A 702 contains the definitions used in He-A Chapter 700.  The definitions are always at the beginning of each chapter and they often mean something different than a normal person would think.

He-A 702 (ao) "Successful completion" means "successful completion" as defined in RSA 265-A:42, II and III and RSA 265-A18, VII(c)."

RSA 265-A18, VII(c) states:

"Successful completion'' means meeting further counseling requirements, if any, arising out of the final evaluation given to the offender at the I.D.I.P. or the M.O.P. or its equivalent; provided, however, that the offender shall have the right to a hearing before the commissioner or designee, who shall determine whether the further counseling requirements arising out of the final evaluation are warranted and appropriate, and whether the offender should be eligible for license restoration.  The definition in this subparagraph shall also apply to RSA 265-A:42.

 RSA 265-A:42, II:

For the purposes of this section, "successful completion'' means meeting further counseling requirements, if any, arising out of the final evaluation given to the offender at the I.D.I.P. or the M.O.P. or its equivalent; provided, however, that the offender shall have the right to a hearing before the commissioner or designee, who shall determine whether the further counseling requirements arising out of the final evaluation are warranted and appropriate, and whether the offender should be eligible for license restoration.

Administrative rule He-A 704.05  "Attendance and Completion Requirements," states:

(a)  Pursuant to RSA 265-A:42, V(a), a client shall be presumed to have successfully completed an IDIP or WIDIP if he or she has met the following requirements:

   (1)  Attendance at all class sessions, with active participation in discussions and assessments,  and completion of exercises, tests, and all required forms;

   (2)  Completion of the scheduled exit evaluation and assessment interview; and

   (3)  Payment in full of all assessed program and administrative fees.

(b)  The presumption in (a) shall be overcome by the provider if the LADC     conducting the exit evaluation and assessment interview issues a positive finding for alcohol or other drug abuse and/or dependence and requires the client to comply with further counseling requirements before the program is considered to have been successfully completed. 

 Isn't that sneaky?  After the classes, you are not done if the LADC conducting the exit evaluation and assessment interview issues a positive finding for alcohol or other drug abuse and/or dependence.  In that case they can ask you to do "further counseling requirements" or "aftercare."  Aftercare may be significant and require more than a year to finish, until which you will not get your license back.

What Constitutes A "Positive Finding" Which Will Trigger Aftercare?

The guidelines for what constitutes a positive finding are in He-A 707.12 (c):

He-A 707.12  Exit Evaluation and Assessment Interview.

          (c)  The LADC conducting the exit evaluation and assessment interview shall issue a positive finding, thus overcoming the presumption of successful completion described in He-A 704.05(a), if any of the following exists:

(1)  The client’s diagnostic test scores indicate alcohol or drug abuse or dependence, as follows:

a.  The client’s DRI-II alcohol or drug scale score is at the 60th percentile or greater;

b.  The client’s DRI-II truthfulness scale score is at the 90th percentile or greater; or

c.  The client’s RIASI score is 10 or greater;

(2)  The client is age 21 or over and had a blood alcohol concentration (BAC) of 0.16 or higher at the time of arrest;

(3)  The client has 2 or more alcohol or drug-related motor vehicle arrests or convictions;

(4)  The client is under the age of 21 and had a BAC of 0.08 or higher at the time of arrest; or

(5)  The client meets diagnostic criteria for alcohol or other substance abuse and/or dependence in accordance with the most recent version of the Diagnostic and Statistical Manual for Mental Disorder (currently the DSM-IV).

If you scored positive for any of the 5 items above (there are really 8), you will get assigned aftercare.  You will have to see a LADC counselor, attend AA meetings, and abstain completely from alcohol or any mood-altering substance.  Aftercare may last over a year.

Several points:

• The people at Amethyst Foundation were absolutely incompetent at every aspect of their job.  (Probably because of long term alcohol use and the pro-belief/anti-intellectual philosophy they espouse as AA'ers.)  Beware!  Keep copies of all your paperwork.  Get everything in writing.

• The LADCs there are shockingly incompetent and ignorant about science, interpreting diagnostic test scores, the law, etc...  Never, ever, follow their advice.  Pretend that you are impressed with their knowledge--their insecurity feeds off of that.  

• Never show that you have an independent thought.  Say and do as little as possible, because they will use whatever they can get against you to justify more aftercare.  

• The amount of aftercare is discretionary.  If the LADC dislikes you, he/she can, once they have a positive finding, dump a ton of aftercare on you.

• The LADCs there think that they are on a mission to punish you for the betterment of society.  They are on a huge ego trip.  Don't fight it--it will only make it worse on you.

•  The recovery industry feeds off of itself.  Expect the LADC to order as part of your aftercare counseling with another LADC.  Insurance will not cover this (unless they are also Licensed Mental Health Counselors, which 99.9% are not because they only have high school/GED educations).

Items (2), (3), and (4) are straightforward.  If you are under 21, you are screwed--aftercare is mandatory if your BAC was at or above .08.  This explains all the teenagers I see in AA.  Mothers Against Drunk Driving is going after "underage" drinking very, very hard.  MADD actively opposes any consumption of alcohol by anyone under the age of 21, even when not associated in any way with driving.  Item (3) is arguably unconstitutional because merely being arrested of an alcohol- or drug-related motor vehicle violation is not an indication of guilt.

Item (5) is meeting the DSM-IV criteria for alcohol or substance abuse or dependence.  You will be assessed for this during the courses.  Without telling you that the questions are related to the DSM-IV criteria, or their impact on your aftercare, the LADC teaching the course will have you answer them.  WATCH OUT!  The LADC I had did not ask the questions exactly as phrased by the DSM-IV and most people ended up being diagnosed incorrectly as alcohol dependent or abusers.  When the LADC hands you out a questionnaire with these questions be very, very careful.

DSM-IV Diagnostic Criteria for Alcohol Dependence

A maladaptive pattern of alcohol use, leading to clinically significant impairment or distress, as manifested by three or more of the following seven criteria, occurring at any time in the same 12-month period:

1.       Tolerance, as defined by either of the following:

a)      A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.

b)      Markedly diminished effect with continued use of the same amount of alcohol.

2.       Withdrawal, as defined by either of the following:

a)      The characteristic withdrawal syndrome for alcohol (refer to DSM-IV for further details).

b)      Alcohol is taken to relieve or avoid withdrawal symptoms.

3.       Alcohol is often taken in larger amounts or over a longer period than was intended.

4.       There is a persistent desire or there are unsuccessful efforts to cut down or control alcohol use.

5.       A great deal of time is spent in activities necessary to obtain alcohol, use alcohol or recover from its effects.

6.       Important social, occupational, or recreational activities are given up or reduced because of alcohol use.

7.       Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the alcohol (e.g., continued drinking despite recognition that an ulcer was made worse by alcohol consumption).

DSM-IV Diagnostic Criteria for Alcohol Abuse 

1. A maladaptive pattern of alcohol abuse leading to clinically significant impairment or distress, as manifested by one or more of the following, occurring within a 12-month period:

a)      Recurrent alcohol use resulting in failure to fulfil major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to substance use; substance-related absences, suspensions or expulsions from school; or neglect of children or household).

b)      Recurrent alcohol use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine).

c)      Recurrent alcohol-related legal problems (e.g., arrests for alcohol-related disorderly conduct).

d)      Continued alcohol use despite persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the alcohol (e.g., arguments with spouse about consequences of intoxication or physical fights).

2. These symptoms must never have met the criteria for alcohol dependence.

References:  DSM-IV. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC.

Item (1) contains three criteria, meeting any one will require aftercare.  Two are DRI-II scores.  The third is your RIASI score.  These two diagnostic tests will be administered to you during you one hour intake interview with the agency providing your W/IDIP.

 The DRI-II AND RIASI Diagnostic Tests

If you score high on these two diagnostic tests, you will be assigned aftercare.  What are these?

First, the DRI-II.  According to the company that designs and sells it, Behavior Data Systems, Ltd.:

The Driver Risk Inventory-II, or DRI-II, was designed specifically for DUI/DWI offender assessment. The National Highway Traffic Safety Administration (NHTSA) reviewed all major DUI/DWI offender tests and rated the DRI-II as the best. NHTSA is the highest federal authority in the DUI field. The DRI-II assesses offender truthfulness, quantifies alcohol and drug abuse severity, classifies substance abuse/dependency according to DSM-IV criteria, measures stress handling abilities and determines driver risk. The DRI-II has impressive reliability, validity and accuracy.

Description

The Driver Risk Inventory-II, or DRI-II, is a brief, easily administered and automated (computer-scored and interpreted) DUI/DWI offender screening instrument or test. The DRI-II contains six scales that measure client truthfulness, driver risk, stress coping abilities, alcohol abuse severity and drug abuse severity while concurrently classifying offenders as substance abusers or substance dependent in accordance with DSM-IV criteria.

Six Driver Risk Inventory-II Scales

The DRI-II contains 6 separate scales (or measures) that are standardized on the DUI/DWI offender population. These include:

Truthfulness Scale: Measures how truthful the offender was while completing the DRI-II. It detects denial and identifies attempts to try and fake good.

Alcohol Scale: Measures alcohol (beer, wine and other liquor) use and abuse. This scale measures the severity of alcohol abuse while identifying alcohol-related problems.

Drugs Scale: Measures the severity of illicit drug (marijuana, crack, cocaine, amphetamines, barbiturates and heroin) use and abuse while identifying drug-related problems.    

Substance Abuse/Dependency Scale: Utilizes DSM-IV criteria to classify substance abuse or substance dependency. Substance (alcohol and other drugs) users are classified with DSM-IV criteria.    

Driver Risk Scale: Measures driver risk independent of substance (alcohol or other drugs) use or abuse. Some people are simply dangerous drivers.  

Stress Coping Abilities Scale: Measures one's ability to cope effectively with stress. Stress exacerbates symptoms of emotional and mental health problems.

The DRI-II assesses attitudes and behaviors, yielding a DUI/DWI offender profile. Paper-pencil or on-screen test administration takes 25 minutes to complete, and tests are computer-scored with reports printed on-site within 2 ½ minutes.

The DRI-II was developed specifically for DUI/DWI offender evaluation. It is much more than just another alcohol or drug test; consequently, the DRI-II measures important behaviors missed by other tests.

Driver Risk Inventory-II Test Booklet

DRI-II test booklets are provided free. These booklets contain 140 items (84 true/false, 56 multiple choice). This booklet is written at a high 5th grade to a low 6th grade level. If a person can read the newspaper, they can read the DRI-II. It takes 25 minutes, on average, for DUI/DWI offenders to complete the test. DRI-II test booklets are available in both English and Spanish.

                 "Over one million DUI/DWI offenders in the DRI Database"

Driver Risk Inventory-II Reports

In brief, DRI-II reports summarize the DUI/DWI offender's self-reported court history, explain what attained scores mean and offer specific score-related recommendations.

Within 2½ minutes from test data entry, automated (computer-generated) 3-page reports are printed on-site. These reports summarize a lot of information in an easily understood format. For example, these reports include a DRI-II profile (graph), which summarizes DUI/DWI offender findings at a glance. Also included are attained scale scores, an explanation of what each score means and specific score-related recommendations.

Significant items (direct admissions) are highlighted, and answers to the built-in interview (the last sequence of multiple choice items) are presented. Emphasis has been placed on having meaningful reports that are helpful and easily understood.

To go directly to the example DRI-II report, click on the DRI-II Report link.

Wow!  That sounds like a great test, doesn't it?  The problem is that there is almost zero peer-review of the DRI-II test.  There have been only two studies of the DRI-II by independent researchers and those were seriously flawed.  All the other studies were done by Behavior Data Systems, Ltd.  In fact, Behavior Data Systems collects all DRI-II data and refuses to share it.  The passage above is just a sales pitch.

The AAA Foundation for Traffic Safety reviewed the DRI-II test in the exhaustive, rigorous study, "Review of screening instruments and procedures for evaluating driving while intoxicated/impaired (DWI) offenders."  (Chang, et al., 2002).  The authors state that the DRI-II "has not been sufficiently validated," and do not recommend using it for that reason.

Next, the RIASI test.  This is short for "Research Institute on Addiction Self Inventory."  It's a 52 question, paper and pencil, 15 minute test developed in 1997 which supposedly predicts the likelihood of recidivism.

The Baldwin Research Institute, while conducting a study of the NY State Office of Alcoholism and Substance Abuse Services (OASAS), had this to say about the RIASI test:

Individuals who are charged with a DWI are also required to have medical evaluations. After placement in a Drunk Driving Program an assessment tool (RIASI) is used to evaluate the seriousness of the client’s problem. The problem with this evaluation tool is that it is an inaccurate measure of a substance abuse problem. After contacting Tom Nochajski from the University of Buffalo, one of the creators of the RIASI test, my office obtained a copy of the test and the accompanying research information backing up its efficacy and information pertaining to how it’s administered. After handing out the RIASI to 9 employees of Baldwin Research Institute, Inc. and tallying the results not a single person passed. What makes this result completely erroneous is that, to date, not a single person who took the test uses drugs or drinks and not a single person passed the test. Failing the tests is an indication that substance abuse treatment is necessary.

The RIASI is not very specific.  Most people score as substance abusers.

How To Not Flunk The Assessments

How to interact with the LADCs

(Note:  most of this material is from the excellent site, DUI School Truth, by "1lastdui." It's an excellent site and I have posted it on my blogroll.)

The LADC should be a trained interviewer that looks for clues that you are being untruthful or a Substance Abuser during your “Alcohol Assessment” or “Substance Abuse” interview. This causes problems because you may be telling the truth but you are acting like you are not. The best way to avoid this is to know what they look for from people who are being untruthful. You must be prepared for the interview so that they do not determine you untruthful and in need of intensive rehab. Below is a list of the things they look for to determine if you need intensive rehab.

1. Being on time. They note if you are on time or not. If you are late they take this as meaning that your life is unmanageable and you are having trouble coping. To the councilor this is a sign that you are an alcoholic or substance abuser in need of intensive rehab.

2. Appearance. They note this in the paperwork they send to the Court, Probation and the DMV . You should be clean shaven and in your best clothes and shoes and refreshed. If you are not, you may be having trouble coping with Substance Abuse and and in need of intensive rehab.

3. Eye contact. If you look away from them often this is a sign that you are being untruthful and need to have a “time out” to think up an untruthful answer. If you to roll your eyes or look up to the right or left may be lying.

4. Posture. When you sit in the chair if you fidget in the chair, slouch or cross your arms or legs, this is a sign that you are trying to protect yourself and may be being untruthful.

5. Hand gestures. If you touch your mouth or face during the interview it is taken as a defensive measure to protect yourself and you are being untruthful.

6. Detailed answers. If you give long elaborate answers it will be taken that you have thought the answers out before hand and are prepared to be untruthful.

7. Tell tale answers. The councilor will believe that you are untruthful if you use any of the following statements:

I know it sounds bad but …

It is hard to believe but …

Not really …

8. Being nervous and talking to fast or slow. Nervousness always means that you are hiding something and afraid the councilor is going to find out. If you talk to fast it could mean that you have been practicing the answers. If you talk to slow it may be because that you need extra time to come up with a good untruthful answer.

9. How you act after you think the interview is over. The interview is not over until you actually leave the room and on your way home. The councilor is looking for you to sigh and stretch out in your chair. This is a sign that you have let your guard down and that you were hiding something they did not find.  They will ask you if you have any questions and then follow it with a long period of silence. They are expecting you to make a mistake at this time and mention a question that you have may been untruthful about.

Look for these subtle questions on the DRI-II, RIASI, and any other material you encounter:

These questions are designed to see if you have been untruthful on other questions and if you are an alcoholic or abuse drugs. They are asking you about Substance Abuse tendencies and the questions and answers for someone that does not need extended rehab are shown below. They are looking for signs of Substance Abuse that are not outwardly apparent.  Below is a list of questions and the answers that someone who does not need intensive rehab would give (If you answer them differently you may want to seek further treatment):

 

1. Do you smoke? The answer is NO because the majority of all Substance Abusers smoke and it is determined as a sign that you have a problem with Substance Abuse. If you smoke occasionally (About a pack a week) this question may be dismissed in the interview. The councilor will also be noting your teeth and hands for signs of nicotine stains.

2. Have you ever been diagnosed with high blood pressure? The answer is NO. Again the majority of substance abusers have high blood pressure.

3. Do you ever sweat uncontrollably at night? The answer to this is NO. These are called night sweats and substance abusers in need of intensive treatment have this problem.

4. Do you have diarrhea during the month? The answer to this is NO. Many substance abusers have diarrhea because of substance abuse.

5. Have you ever had a sexually transmitted disease or been tested for one? The answer to this is NO. Substance abusers are known to have unprotected sex at times. If you say that you have been tested for a sexually transmitted disease they will think that you have been doing risky sex due to substance abuse. They may require you to have an HIV test and go to HIV avoidance classes.

6. Have you ever been diagnosed as depressed? The answer is NO. Again the majority of alcoholics in need of intensive treatment have been or need to be treated for depression.

7. Was anyone in your family an alcoholic or a substance abuser? The answer to this is NO. Many psychologists believe that substance abuse is inherited and if you have a relative that is a substance abuser you could have gotten it from them.

8. Have you ever taken anti-depressants? The answer to this is NO. This is also a subtle question to see if you answered question 6 truthfully.

9. Do you have trouble sleeping at night? The answer to this is NO. Substance abusers have trouble sleeping at night and often use this as an excuse to abuse substances to excess. They have no way of verifying this unless you tell them.

10. Do you have migraines? The answer is NO. DUI councilors see these as hangovers and a reason for the Substance Abuser to use substances to excess.

11. Do you sometimes speed in your car? The answer is NO. DUI councilors believe that substance abuse lowers your inhibitions and causes you to do risky behavior.

12. Do you get angry or upset easily? The answer is NO. Substance abusers have a tendency of getting angry and upset easily.

13. Is anyone in your family or a close friend a member of Alcoholics Anonymous or Narcotic Anonymous? The answer is NO.

14. Do you have to take more of less alcohol or drugs to get the same effect? The answer is NEITHER. If you are abusing a substance you build up a tolerance to it and it takes more each time you use it. If you have abstained for a while you may have to take less to get the same effect.

15. How many of your friends use alcohol or drugs regularly? This may be asked in various forms. The answer is always less than 25% if for alcohol and at or as close to 0% for drugs. If you socialize with people who drink or do drugs, than you most likely have the same tendencies.

16. Have you and your Spouse been talking about Divorce? The answer is NO. The councilors believe that if you and your Spouse are talking about Divorce, there is a good chance that it is Substance Abuse related.

17. Do you have any chronic illnesses? The answer to this is NO. If you have a chronic illness they will see this as a reason to self medicate yourself.

18. Do you have many close friends? The answer to this is MANY. Councilors believe that when you are a Substance Abuser you will loose all of your friends slowly and will become alone.

19. Do you have any Hobbies? The answer to this is MANY. It is believed that the Substance Abuser looses all interest in hobbies and just wants to abuse Substances.

20. Have you ever taken these types of Assessment Tests before or ever studied about them? The answer to this is NO. If you have taken these tests before it means that you have been at least assessed for substance abuse problem in the past and are most likely re-offending. If you have studied about these tests, there is a good chance that you are going to be untruthful with your answers.

Other Signs of Substance Abuse the LADCs Will Look For:

When you are talking to the LADCs they are making mental notes about the signs of Substance Abuse tendencies that you are giving them. If you admit to or act like some of these signs, you may be a problem Substance Abuser in need of extended or enhanced treatment and monitoring.  They only find out about these traits by asking and observing you, and most of the time have no way to verify any of the signs they report . Below is an fairly exhaustive list of the traits they look for:

 

1. Arrives at meetings or appointments under the influence.

2. Talks about getting drunk or high during class. Knows the lingo of people typical of having a drinking or drug problem.

3. Frequently goes off the wagon after attempts to stop.

4. Behaves in a impulsive or inappropriate manner.

5. Is seen as angry or defiant.

6. Over reacts to ordinary circumstances involving criticism or advice.

7. Is secretive about what they do.

8. Takes risks and acts in a reckless manner.

9. Breaks or bends rules and believes they are above the law.

10. Has financial problems.

11. Has increasing legal problems.

12. Makes inappropriate or unreasonable choices.

13. Has difficulty retaining eye contact.

14. Experiences sleep disturbances.

15. Has deteriorating personal hygiene.

16. Has chronic illnesses requiring doctor or hospital visits.

17. Has wide mood swings.

18. Has difficulty with schedules.

19. Makes many complaints or grievances.

20. Uses excessive sick time.

21. Is frequently tardy.

22. Hostile, disrespectful, untruthful, and uncooperative.

23. Withdrawn, depressed, tired, careless, or manipulative.

24. Having financial, work, school and/or family struggles because of drinking.

25. Has relatives who are heavy drinkers, alcoholics, AA or NA members or do illegal drugs regularly.

26. Has friends who are heavy drinkers, alcoholics, AA or NA members or that do illegal drugs regularly.

27. Frequents bars and night clubs or places where excessive alcohol or drugs are used.

28. Has lost all interest in hobbies.

29. Has ever been diagnosed as depressed, bipolar, or with any other psychological problem.

30. Has ever been put on anti-depressant, anti-psychotic or mood stabilizer drugs.

31. Has built up a high tolerance and has to take more alcohol or drugs to get the same effect.

32. Has been on the “wagon” for a while and needs very little alcohol or drugs to get the same effect.

33. A large number (above 25%) of their friends drink alcohol regularly.

34. Has friends who do illegal drugs on a regular basis.

Final Advice 

   

Keep a low profile.  Say and do as little as possible.  Be polite.  The DRI-II and RIASI tests, and the LADCs, will ask subtle questions that try to get you to reveal that you are a substance abuser.  Be on the look out for them.  The LADCs are on a mission...to punish you.  They will lie, try to gain your trust, only to hurt you.  Never, ever trust them.  They will dig, and dig, and dig, for any admission from you that they will then use against you.  They are stupid, mean, spiteful, and incredibly judgmental.  They are on a crusade to punish every drinker they encounter.