The general purpose of this paper is to emphasize the need to approach impaired-driving problems systematically. Specific aims are to document the persistence of the alcohol-crash problem in Canada and to indicate a principal cause: drivers with drinking problems. Despite concerted efforts based on deterrence (harsher penalties for offenders, stricter enforcement) or primary prevention (education, alcohol-control policies), it would appear that this high-risk group of drivers continues to account for a large portion of the alcohol-crash problem. To deal effectively with them will require comprehensive programs that cut across boundaries defined by the statutory mandates of agencies involved with impaired-driving problems. Moreover, a truly systematic approach will demand structural changes and new processes specific to the challenge posed by problem-drinking drivers.
Samenvatting