High Risk Offender Scheme

A special program in England, Wales, and Scotland was introduced in 1983, and the criteria widened in 1990 to cover drivers who were convicted of having a blood alcohol concentration (BAC) in excess of 200 mg/100 mL of blood, or refusing to provide an evidential specimen, or two offenses involving BACs in excess of 80 mg/100 mL of blood within a 10-yr period. This group accounts for approx 30-40% of drunk drivers in Britain. To regain their licenses at the end of a period of disqualification, the drivers must undergo a medical examination (including blood tests to discover biochemical evidence of excessive alcohol consumption) to demonstrate with reasonable certainty that they are not alcohol abusers (3). Similar statues apply in the United States. In California, drivers with a BAC higher than 200 mg/100 mL, in addition to whatever other sanctions are imposed, are required to attend a 6-months educational program (22). In the United States, penalties for drunk driving may be "enhanced" under special circumstances, such as a second conviction for drunk driving, speeding at the time of arrest, the presence of a child in the car, or the causation of property damage or injury.

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