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Abstract
Overall cultural attitudes and behaviors related to drinking and driving have changed dramatically in the past 40 years, but left in its wake a core of individuals who, despite education, threats, and punishments, continue to frequently drive with high blood alcohol concentrations. It is important that addiction counselors, law enforcement officers, prosecutors, judges, probation officers, and administrative hearing officers recognize this “hard core drinking driver” and structure interventions that can both enhance personal recovery and protect public safety. This article profiles hard core drinking drivers and offers guidelines for their treatment and management.