ABSTRACT
This chapter presents an overview of evidence-based policies and programs designed to reduce highway crashes involving alcohol-impaired drivers. Alcohol-impaired driving has been recognized as a problem almost as long as automobiles have existed. The chapter provides evidence-based countermeasures that have been associated with valid measures of reductions in alcohol-impaired driving. These countermeasures have proven to be effective or to have strong potential to reduce impaired driving in the future. In a systematic review of interventions designed to reduce alcohol use and related harms in drinking environments, a study included seven studies that evaluated server-training interventions to increase responsible-beverage-service practices. Virtually all drivers are impaired with regard to driving performance at 0.05 g/dL blood alcohol concentration. The highly successful random breath testing enforcement procedure used in Australia, Sweden, and other countries allows officers to stop any vehicle on the road at random and to require the driver to take a breath test.
