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Estimating the Effect of 24/7 Sobriety on Morbidity and Mortality in North Dakota

Award Number: R01AA026457
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2019
PERIOD OF PERFORMANCE END DATE: 08/31/2024

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Estimating the Effect of 24/7 Sobriety on Morbidity and Mortality in North Dakota - PROJECT SUMMARY Alcohol has been linked to morbidity and mortality resulting from intoxication, dependence and the biological consequences of alcohol use on organs and tissue. The relationship between alcohol and disease is especially concerning among those who exhibit heavy drinking episodes. The CDC estimates that 80,000 deaths are attributable to excessive alcohol use in the U.S. annually, making alcohol use the third-leading lifestyle-related cause of death. Alcohol use is particularly problematic among criminal justice populations as are alcohol-related adverse consequences such as mortality. While the issues have been well-documented, efforts thus far to identify strategies that effectively reduce alcohol-related harms have produced mixed results. The mixed results may be explained, in part, by the extent to which these interventions target those drinkers most likely to experience or impose harms and the extent to which the interventions successfully reduce drinking. The goal of this project is to determine whether North Dakota's 24/7 Sobriety Program for criminal justice offenders reduced morbidity and mortality in counties that implemented the program. North Dakota's 24/7 Sobriety Program (hereafter, ND 24/7) applies the concept of frequent alcohol testing in combination with swift, certain but modest sanctions for alcohol violations to offenders living in the community. Participants must submit to breathalyzer tests twice per day or wear continuous alcohol monitoring bracelets. Those testing positive or missing a test face an immediate, but brief, jail term. The program's primary goal is to reduce heavy drinking among this population and the criminal justice consequences of their alcohol use (e.g. repeat DUI). Although they have not yet been studied rigorously, the effects of the program are likely to extend to other alcohol-related outcomes – with morbidity and mortality being among the most costly. Exploiting variation in the timing of the program's implementation across ND counties, we will employ quasi-experimental methods to determine whether the program influenced emergency room visits, hospital admissions and mortality. We will also assess whether implementation features (e.g. testing, exposure) influence outcomes. We will then use these findings to construct a measure of the program's benefits. The study's goal is to provide policymakers and other stakeholders with rigorous analyses of the program. The proposed study is innovative in its focus on the health- and mortality-related consequences of a targeted intervention to reduce the adverse consequences associated with alcohol use among those likely to impose the greatest costs on themselves and society. The proposed study team is uniquely qualified to conduct this study. They are currently evaluating ND 24/7's effects on DUI. And their NIAAA-funded evaluation of South Dakota's 24/7 Sobriety Project indicated that the South Dakota program reduced heavy drinking and, consequently, repeat drunk driving arrests, domestic violence arrests, and traffic crashes among young males.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$15,641 )
2025	2021	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	3	1/3/2025	NON-COMPETING CONTINUATION	-$15,641
														Subtotal = -$15,641

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	3	9/15/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $316,115 )
2021	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	3	8/16/2021	NON-COMPETING CONTINUATION	$316,115
														Subtotal = $316,115

Issue Date FY: 2020 ( Subtotal = $397,646 )
2020	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	2	8/11/2020	NON-COMPETING CONTINUATION	$397,646
														Subtotal = $397,646

Issue Date FY: 2019 ( Subtotal = $423,173 )
2019	2019	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	1	9/13/2019	NEW	$423,173
														Subtotal = $423,173

Grand Total All Awards = $1,121,293

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Estimating the Effect of 24/7 Sobriety on Morbidity and Mortality in North Dakota

Award Number: R01AA026457

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2019

PERIOD OF PERFORMANCE END DATE: 08/31/2024

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