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Larry M. Gentilello, MD; Frederick P. Rivara, MD, MPH; Christopher W. Dunn, PhD; Dennis M. Donovan, PhD
University of Washington School of Medicine Seattle

JAMA. 1996;275(5):358-359.

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In Reply.

—There are a number of pre-event interventions that may be used to reduce the rate of alcohol-related motor vehicle crashes. These include education, enforcement, and engineering modifications such as an ignition interlock device. However, these additional strategies were not the focus of our article. We would like to thank Ms Miller for providing updated data on the New York State Health Care Intervention Services program. We applaud their efforts and agree that we need more programs of this type, not only in primary care settings, but in trauma centers throughout the country.

We congratulate Dr Rostenberg and the Center for Substance Abuse Treatment for the development of the TIP. There is growing recognition that alcohol-related trauma is a public health problem of enormous dimensions. Interventions exist that have been demonstrated to be useful and cost-effective in a variety of settings, and their acceptance by trauma centers is long . . . [Full Text PDF of this Article]

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