Evaluation of The RDT Program and RBT in Victoria MUARC Report 355 Updates

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EVALUATION OF THE ROADSIDE

DRUG TESTING EXPANSION AND


ROADSIDE ALCOHOL TESTING
ENFORCEMENT PROGRAMS IN
VICTORIA

A/PROF STUART NEWSTEAD


PROF MAX CAMERON
LUKE THOMPSON
BELINDA CLARK

JULY, 2020
(RELEASED MAY, 2021)

REPORT NO. 355


MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE
REPORT DOCUMENTATION PAGE
Report No. Report Date Release Date ISBN ISSN Pages
355 July 2020 May 2021 978-1-925413-25-0 1835-4815 (On-Line) 109+Appendices
Title and sub-title:

Evaluation of the Roadside Drug Testing Expansion and Roadside Alcohol Testing Enforcement Programs in Victoria
Author(s) Type of Report & Period Covered
Newstead, S., Cameron, M., Thompson, L., & Clark, B. Final Report, 2004-2018
Sponsoring Organisations - This project was funded as contract research by the following organisations: Transport Accident Commission (TAC).

Abstract:
Drink and drug driving continue to be overrepresented in both serious and fatal injury crashes, in Victoria. To address the
growing drug driving problem in Victoria, in 2015 the Transport Accident Commission (TAC) funded the Roadside Drug Testing
Expansion Program, a program aimed at increasing the capacity of Victoria Police in the detection of drug drivers. The aims of the
expansion were two-fold, the first being to train additional Victoria Police members to undertake RDT, the second to increase the
annual number of POFTs conducted for drug driving to 100,000 per annum by 2017.
This project aimed to evaluate the road safety impacts of the TAC funded expansion in roadside drug testing in Victoria in 2015.
To achieve this, research has focused on: measuring the increase in drug tests delivered; establishing the link between Victoria Police
member training to deliver drug testing; establishing the association between measures of drug testing delivery and the presence of
drugs and alcohol in fatally and seriously injured vehicle controllers; and, integrating these results into an updated Traffic Enforcement
Resource Allocation Model (TERAM) to estimate the road trauma and economic impacts of measured increases in drug testing
resulting from the TAC funded program. In addition, further application of the updated TERAM was able to estimate the benefits of
further expansion of the drug testing program subsequent to the initial TAC funded increase, as well as estimating the point of
diminishing returns for both the drug and alcohol enforcement programs. Finally, to assist with future enforcement and research, days
and hours of the week where drugs and alcohol are more likely to be detected in crash involved vehicle controllers were estimated.
Based on the results, implications for future drug and alcohol enforcement in Victoria have been identified.

Key words:
Random Drug Testing, RDT, roadside drug testing, drug driving enforcement, RBT random breath testing, BAC, blood alcohol content

Disclaimer:
This report is disseminated in the interest of information exchange. The views expressed here are those of the authors, and not necessarily those of Monash University.

Reproduction of this page is authorised Monash University Accident Research Centre Building 70, Monash
University Victoria 3800, Australia. Telephone: +61 3 9905 4371, Fax: +61 3 9905 4363

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | ii
PREFACE
Project Manager / Team Leader:
 A/Prof Stuart Newstead (Project Leader)
 Belinda Clark (Project Coordinator)

Research Team:
 A/Prof Stuart Newstead
 Belinda Clark
 Luke Thompson
 Prof Max Cameron

Contributorship Statement
Belinda Clark: Project Coordination, Ethics submission, data investigation, report writing
Luke Thompson: Data cleaning and management, analysis and report writing
Prof Max Cameron: Expert advisor, data analysis design, TERAM analysis, report writing
A/Prof Stuart Newstead: Project oversight, expert advisor, data analysis design, data analysis, report writing

Ethics Statement
Ethics approval was granted by:
 Monash University Human Research Ethics Committee (MUHREC)
 Victoria Police Research Coordinating Committee (RCC)

Acknowledgements
The project team wish to thank the following people for their contributions to the project:
 The Coroners Court of Victoria, Dimitri Gerostamoulos, Matthew Di Rago and The Victorian Institute of Forensic
Medicine for providing crash fatality and toxicology data.
 Victoria Police, especially the assistance of Peter Tester, Tom McGillian, Livia Beattie, Melanie McShane, Dennis
Margetic, Trent Rhodes and staff from TIS, RPDAS and Road Policing Command.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | iii


CONTENTS
EXECUTIVE SUMMARY ................................................................................................................................. xiii

GLOSSARY OF TERMS ................................................................................................................................ xvii

1 INTRODUCTION ....................................................................................................................................... 1

1.1 Project aims and objectives ........................................................................................................ 2


2 DATA ......................................................................................................................................................... 4

2.1 RDT data..................................................................................................................................... 4


2.2 RBT data ..................................................................................................................................... 4
2.3 TIS and RCIS data ...................................................................................................................... 5
2.4 Victorian Coronial data ............................................................................................................... 6
2.5 Police member testing qualifications data .................................................................................. 6
3 CRASH IMPACTS OF ROADSIDE DRUG AND ALCOHOL ENFORCEMENT ........................................ 7

3.1 Crash impacts of roadside drug testing ...................................................................................... 7


3.1.1 Annual RDT enforcement (POFTs & OFTs) .............................................................................. 7
3.1.2 Illicit drug presence in crashes ................................................................................................ 10
3.1.3 Analysis approach ................................................................................................................... 16
3.1.4 Analysis results ........................................................................................................................ 17
3.2 Crash impacts of roadside alcohol testing ................................................................................29
3.2.1 Annual RBT enforcement (PBTs & EBTs) ............................................................................... 29
4 HIGH AND LOW DRUG AND ALCOHOL HOURS ................................................................................. 56

4.1 Data preparation .......................................................................................................................56


4.2 Analysis approach ....................................................................................................................58
4.3 Analysis results .........................................................................................................................61
5 IMPACT OF POLICE MEMBER TRAINING ON TEST DELIVERY ........................................................ 65

5.1 Data preparation .......................................................................................................................65


5.2 Analysis approach ....................................................................................................................65
5.3 Analysis results .........................................................................................................................65
6 IMPACT OF TAC-FUNDED ROADSIDE DRUG TESTING INCREASES ON ROAD TRAUMA ............ 71

6.1 Planned increases in roadside drug testing ..............................................................................71


6.2 Trends in preliminary oral fluid tests (POFTs) and detection rates ..........................................71
6.3 Trends in vehicle controller serious injuries and fatalities involving drugs ...............................73
6.4 Relationships between roadside drug testing and drug involvement in seriously and fatally
injured vehicle controllers 2006-2016 .......................................................................................................74
6.5 Traffic Enforcement Resource Allocation Model (TERAM) ......................................................77
6.6 Effects of TAC-funded increased roadside drug testing ...........................................................77
6.7 Effects of increased POFTs and detection rates during 2018/19 .............................................80
6.7.1 Planned increases in random and targeted POFTs ................................................................ 80

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | iv
6.7.2 Actual increase in POFTs during 2018/19 to 14 May 2019 ..................................................... 82
6.8 Effects of further increases in roadside drug testing ................................................................84
6.8.1 Social costs of crash savings valued by Human Capital Method ............................................ 84
6.8.2 Social costs of crash savings valued by Willingness-to-Pay Method ...................................... 84
6.8.3 Impacts on other traffic enforcement programs ....................................................................... 84
7 INTEGRATION OF ESTIMATED RELATIONSHIPS BETWEEN DRUG AND ALCOHOL TESTING INTO
TERAM ............................................................................................................................................................ 87

7.1 Relationships with roadside alcohol testing ..............................................................................87


7.2 Roadside alcohol testing inputs to TERAM ..............................................................................88
7.2.1 Annual PBTs and detection rates 2006-2016 .......................................................................... 88
7.2.2 Illegal alcohol presence in vehicle controller casualties .......................................................... 88
7.3 Estimated crash savings from increases in PBTs and detection rates.....................................89
7.4 Effects of further increases in roadside alcohol testing ............................................................91
7.4.1 Social costs of crash savings valued by Human Capital method ............................................ 91
7.4.2 Social costs of crash savings valued by Willingness-to-Pay method ...................................... 91
7.5 Comparison of maximum savings and costs of roadside alcohol and drug testing ..................94
8 DISCUSSION .......................................................................................................................................... 96

8.1 Evaluation data .........................................................................................................................96


8.2 Relationship between enforcement effort and drug and alcohol presence in crash involved
vehicle controllers .....................................................................................................................................97
8.2.1 Drug enforcement and crashes ............................................................................................... 98
8.2.2 Alcohol enforcement and crashes ........................................................................................... 99
8.2.3 Summary of relationships between enforcement and drug and alcohol presence in crashes 99
8.3 Times of alcohol and drug prevalence in crashes ..................................................................100
8.4 Impacts of increased drug testing training ..............................................................................101
8.5 Overall impact of the TAC funded increase in roadside drug testing .....................................101
8.5.1 TAC funding from 2014/15 to 2017/18 .................................................................................. 101
8.5.2 Increased POFTs during 2018/19.......................................................................................... 102
8.5.3 Further increases in POFTs to economically-justified maximum levels ................................ 102
8.6 The enhanced TERAM ...........................................................................................................102
8.6.1 Inclusion of roadside alcohol testing with drug testing in TERAM ......................................... 102
8.6.2 Increases in PBTs to economically-justified maximum levels ............................................... 102
8.6.3 Comparison of savings from roadside alcohol and drug testing ............................................ 103
8.7 Implications for future drug and alcohol enforcement practice ...............................................103
8.8 Future research.......................................................................................................................104
9 CONCLUSIONS .................................................................................................................................... 105

9.1 Increase in drug testing and its relationship to drug testing training ......................................105
9.2 The relationship between drug and alcohol testing and drug and alcohol presence in crash
involved vehicle controllers .....................................................................................................................105
9.3 Estimation of drug and alcohol hours .....................................................................................106

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9.4 Impacts of increased drug and alcohol road trauma ..............................................................106
9.5 Implications for future drug and alcohol enforcement ............................................................107
10 REFERENCES ...................................................................................................................................... 109

APPENDIX A VICTORIA POLICE REGION AND DIVISION CORRESPONDING TO LOCAL GOVERNMENT


AREA (LGA) .................................................................................................................................................. 110

APPENDIX B MODEL OUTPUT – RDT Serious Injury ................................................................................. 113

APPENDIX C MODEL OUTPUT – RDT Fatal Injury ..................................................................................... 117

APPENDIX D MODEL OUTPUT – RBT serious injury .................................................................................. 123

APPENDIX E MODEL OUTPUT – RBT fatal injury ....................................................................................... 127

APPENDIX F High and low alcohol hours by police region ........................................................................... 133

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | vi
FIGURES
Figure 1 Relationship between percentage of driver fatalities with proscribed drugs, or any impairing drug, versus number
of drivers screened by RDT (POFTs) in Victoria per year ................................................................................................... 2

Figure 2 Annual number of Preliminary Oral Fluid Tests (POFTs) conducted, Victoria 2005-2018..................................... 7

Figure 3 Annual number of Preliminary Oral Fluid Tests (POFTs) by Police Region, Victoria 2010-2016 .......................... 8

Figure 4 Rate of Oral Fluid Tests (OFTs) per 100 POFTs conducted, Victoria 2005-2018 ................................................. 9

Figure 5 Rate of Oral Fluid Tests (OFTs) per 100 POFTs conducted by Police Region, Victoria 2005-2018 ..................... 9

Figure 6 Rate (%) of THC and Methamphetamine (Meth) detected in seriously injured vehicle controllers, Victoria 2006-
2016 .................................................................................................................................................................................. 12

Figure 7 Rate (%) of THC and Methamphetamine detected in fatally injured vehicle controllers, Victoria 2006-2016 ...... 13

Figure 8 Rate (%) of any drug and proscribed drug presence detected in fatal injury crashes, Victoria 2006-2016 ......... 14

Figure 9 Model fit assessments – THC affected seriously injured vehicle controller counts.............................................. 18

Figure 10 Relative odds of a seriously injured vehicle controller having THC in their system by number of POFTs, per
Police Region .................................................................................................................................................................... 18

Figure 11 Model fit assessments – Methamphetamine affected seriously injured vehicle controller counts ..................... 19

Figure 12 Relative odds of a seriously injured vehicle controller having Methamphetamine in their system by percentage
detection rate of drug tests ................................................................................................................................................ 20

Figure 13 Model fit assessments – THC affected fatally injured vehicle controller counts by Region ............................... 22

Figure 14 Relative odds of a fatally injured vehicle controller having THC in their system by annual number of POFTs,
per Region......................................................................................................................................................................... 22

Figure 15 Relative odds of a fatally injured vehicle controller having THC in their system by percentage detection rate
(‘Hit rate’), by Region......................................................................................................................................................... 23

Figure 16 Model fit assessments – THC affected fatally injured vehicle controller counts by Region, car and bus-based
operations ......................................................................................................................................................................... 23

Figure 17 Relative odds of a fatally injured vehicle controller having THC in their system by annual number of POFTs,
per Region, car-based operations ..................................................................................................................................... 24

Figure 18 Relative odds of a fatally injured vehicle controller having THC in their system by percentage detection rate
(‘Hit rate’) by Region, car-based operations ...................................................................................................................... 24

Figure 19 Model fit assessments – Methamphetamine affected fatally injured vehicle controller counts by Region ......... 26

Figure 20 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by annual number
of POFTs, per Region ....................................................................................................................................................... 26

Figure 21 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by percentage
detection rate (‘Hit rate’), by Region .................................................................................................................................. 27

Figure 22 Model fit assessments – Annual Methamphetamine affected fatally injured vehicle controller counts by Region,
car- and bus-based operations.......................................................................................................................................... 27

Figure 23 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by annual number
of POFTs, per Region, car-based operations .................................................................................................................... 28

Figure 24 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by percentage
detection rate (‘Hit rate’) by Region, car-based operations ............................................................................................... 28

Figure 25 Annual number of Preliminary Breath Tests (PBTs) delivered, Victoria 2006-2016 .......................................... 29

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Figure 26 Annual number of PBTs delivered by testing device used, Victoria 2006-2016 ................................................ 29

Figure 27 Annual number of PBTs delivered by Police Region, Victoria 2006-2016 ......................................................... 30

Figure 28 Annual number of PBTs delivered by car or bus operations, Victoria 2006-2016 ............................................. 30

Figure 29 Annual number of positive EBTs per 1000 PBTs, Victoria 2006-2016 .............................................................. 31

Figure 30 Annual number of positive EBTs per 1000 PBTs by Police Region, Victoria 2006-2016 .................................. 31

Figure 31 Annual number of positive EBTs per 1000 PBTs by mode of operation, Victoria 2006-2016............................ 32

Figure 32 Percentage of seriously injured vehicle controllers by illegal BAC range .......................................................... 35

Figure 33 Percentage of fatally injured vehicle controllers by illegal BAC range ............................................................... 36

Figure 34 Model fit assessments – Illegal alcohol level (BAC≥0.05) seriously injured vehicle controller counts by year
and Region ........................................................................................................................................................................ 39

Figure 35 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Police Region .................................................................................................. 39

Figure 36 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by the Hit rate, per 1000 alcohol tests ............................................................................................................................... 40

Figure 37 Model fit assessments – Illegal alcohol level (BAC≥0.05) seriously injured vehicle controller counts by year
and Region, car and bus-based operations....................................................................................................................... 41

Figure 38 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Region, car-based operations ......................................................................... 41

Figure 39 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Region, bus-based operations ........................................................................ 42

Figure 40 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by the hit rate, per 1000 alcohol tests, bus-based operations ........................................................................................... 42

Figure 41 Model fit assessments – High-range alcohol level (BAC ≥0.15) seriously injured vehicle controller counts by
year and Region: car and bus combined ........................................................................................................................... 44

Figure 42 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of PBTs delivered, per Region................................................................................................. 44

Figure 43 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their
system by the hit rate, per 1000 alcohol tests ................................................................................................................... 45

Figure 44 Model fit assessments – High-range alcohol level (BAC ≥0.15) seriously injured vehicle controller counts by
year and Region: car and bus operations separate ........................................................................................................... 46

Figure 45 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of car PBTs delivered, per Region........................................................................................... 47

Figure 46 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of bus PBTs delivered, per Region .......................................................................................... 47

Figure 47 Model fit assessments – Illegal alcohol level (BAC ≥0.05) fatally injured vehicle controller counts by year and
Region: car and bus operations combined ........................................................................................................................ 49

Figure 48 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
the hit rate, per 1000 alcohol tests: car and bus tests combined ....................................................................................... 49

Figure 49 Model fit assessments – Illegal alcohol level (BAC ≥0.05) fatally injured vehicle controller counts by year and
Region: car and bus operations combined: car and bus operation separate..................................................................... 50

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | viii
Figure 50 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
annual number of PBTs delivered, per Region, bus-based operations ............................................................................. 50

Figure 51 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
the hit rate, per 1000 alcohol tests, bus-based.................................................................................................................. 51

Figure 52 Model fit assessments – High-range alcohol level (BAC≥0.15) fatally injured vehicle controller counts by year
and Region: car and bus combined ................................................................................................................................... 53

Figure 53 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their
system by the hit rate, per 1000 alcohol tests: car and bus combined .............................................................................. 53

Figure 54 Model fit assessments – High-range alcohol level (BAC≥0.15) fatally injured vehicle controller counts by year
and Region: car and bus-separate .................................................................................................................................... 54

Figure 55 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their
system by annual number of PBTs delivered, per Region, bus-based .............................................................................. 54

Figure 56 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their
system by the hit rate, per 1000 alcohol tests, bus-based................................................................................................. 55

Figure 57 Presence of alcohol (BAC≥0.05) in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016 ............................................................................................................................................................ 57

Figure 58 Presence of THC in seriously injured vehicle controllers by time of day and day of week, Victoria 2006-2016 57

Figure 59 Presence of Methamphetamines in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016 ............................................................................................................................................................ 58

Figure 60 Presence of alcohol (BAC≥0.05) in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016, illustrating previous Method for defining high and low alcohol hours ................................................. 59

Figure 61 ROC curve produced from logistic regression model for alcohol presence, in seriously injured vehicle
controllers.......................................................................................................................................................................... 60

Figure 62 High alcohol hours (shaded grey) for Victoria, based on data from 2006-2016 ................................................ 61

Figure 63 High THC hours (shaded grey) for Victoria, based on data from 2006-2016 .................................................... 62

Figure 64 High Methamphetamine hours (shaded grey) for Victoria, based on data 2006-2016 ...................................... 62

Figure 65 High alcohol hours (shaded grey) for metropolitan Victoria, based on data 2006-2016 .................................... 63

Figure 66 High alcohol hours (shaded grey) for rural Victoria based on data 2006-2016 ................................................. 63

Figure 67 Cumulative number of police members trained for drug testing across all of Victoria, 2005-2018 .................... 66

Figure 68 Number of POFTs delivered relating to number of members trained in the North West Metro Region of Victoria,
2005-2018 ......................................................................................................................................................................... 66

Figure 69 Number of POFTs delivered relating to number of members trained in the Southern Metro Region of Victoria,
2005-2018 ......................................................................................................................................................................... 67

Figure 70 Number of POFTs delivered relating to number of members trained in the Eastern Region of Victoria, 2005-
2018 .................................................................................................................................................................................. 67

Figure 71 Number of POFTs delivered relating to number of members trained in the Western Region of Victoria, 2005-
2018 .................................................................................................................................................................................. 68

Figure 72 Scatter plot of Cumulative Drug Testing Qualifications by POFTs delivered in Victoria at a Police Division,
Month based level, 2005-2018 .......................................................................................................................................... 68

Figure 73 Scatter plot of Cumulative Drug Testing Qualifications by PBTs delivered in Victoria at a Police Region, Year
based level, 2006-2016 ..................................................................................................................................................... 69

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | ix


Figure 74 Scatter plot of RDTs (POFTs) delivered by RBTs (PBTs) delivered in Victoria at a Police Region, Year based
level, 2006-2016................................................................................................................................................................ 70

Figure 75 Planned total allocation of POFTs and actual numbers achieved, 2004/05 to 2018/19 (* part) ........................ 71

Figure 76 Roadside drug tests conducted by operation type, location and year, Victoria 2004/05 to 2018/19 ................. 72

Figure 77 Positive roadside drug tests (detection rates) by operation type, location and year, Victoria 2004/05 to 2018/19
.......................................................................................................................................................................................... 72

Figure 78 Detection rates of THC and Methamphetamine from roadside drug tests, Victoria 2010-2017......................... 73

Figure 79 Rate (%) of THC and Methamphetamine presence detected in seriously injured vehicle controllers, Victoria
2006-16 ............................................................................................................................................................................. 74

Figure 80 Rate (%) of THC and Methamphetamine presence detected in fatally injured vehicle controllers in Victoria,
2006-2016 ......................................................................................................................................................................... 74

Figure 81 Relative odds of a seriously injured vehicle controller having THC in their system by annual number of POFTs
delivered, per Police Region ............................................................................................................................................. 76

Figure 82 Relative odds of a seriously injured vehicle controller having Methamphetamine in their system by detection
rate of positive POFTs....................................................................................................................................................... 76

Figure 83 Relative odds of fatally injured vehicle controllers having an illegal BAC level by annual PBTs, per Police
Region ............................................................................................................................................................................... 88

Figure 84 High alcohol hours (shaded grey) for Victoria- Northern Metro region, based on data 2006-2016 ................. 133

Figure 85 High alcohol hours (shaded grey) for Victoria- Southern Metro region, based on data 2006-2016 ................. 133

Figure 86 High alcohol hours (shaded grey) for Victoria- Eastern region, based on data 2006-2016 ............................. 134

Figure 87 High alcohol hours (shaded grey) for Victoria- Western region, based on data 2006-2016 ............................ 134

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | x
TABLES
Table 1 Ten most commonly detected drugs associated with crashes ............................................................................... 5

Table 2 Presence of THC and Methamphetamines in seriously injured vehicle controllers, Victoria 2006-2016 .............. 11

Table 3 Presence of THC and Methamphetamines in fatally injured vehicle controllers, Victoria 2006-16 ....................... 13

Table 4 Presence of ‘any drug’ and prOscribed drugs in fatally injured vehicle controllers, Victoria 2006-16 ................... 14

Table 5 Polydrug/alcohol detection in fatally injured vehicle controllers, Victoria 2006-16 ................................................ 15

Table 6 Polydrug/alcohol detection in fatally injured vehicle controllers, Victoria 2006-16 ................................................ 15

Table 7 Summary results of the models used to assess the relationship between drug enforcement and THC presence in
serious injury crashed vehicle controllers .......................................................................................................................... 17

Table 8 Summary results of the models used to assess the relationship between drug enforcement and
Methamphetamine presence in serious injury crashed vehicle controllers ........................................................................ 19

Table 9 Summary results of the models used to assess the relationship between drug enforcement and THC drug
presence in fatally injured crashed vehicle controllers ...................................................................................................... 21

Table 10 Summary results of the models used to assess the relationship between drug enforcement and
Methamphetamine drug presence in fatally injured crashed vehicle controllers................................................................ 25

Table 11 Annual number of BTs per Police Region from car-based operations, Victoria 2006-16 .................................... 32

Table 12 Annual number of PBTs per Police Region from bus-based operations, Victoria 2006-16................................. 33

Table 13 Annual and average number of positive EBTs per 1000 tests per Police Region from car-based operations,
Victoria 2006-16 ................................................................................................................................................................ 33

Table 14 Annual and average number of positive PBTs per 1000 tests per Police Region from bus-based operations,
Victoria 2006-16 ................................................................................................................................................................ 34

Table 15 Presence of alcohol by level of concentration (BAC) in seriously injured vehicle controllers, Victoria 2006-2016
.......................................................................................................................................................................................... 35

Table 16 Presence of alcohol by level of concentration (BAC) in fatally injured vehicle controllers, Victoria 2006-2016 .. 36

Table 17 Summary results of the two models used to assess the relationship between alcohol enforcement and the
presence of all illegal alcohol levels (BAC≥0.05%), in seriously injured crash vehicle controllers ................................... 38

Table 18 Summary results of the models used to assess the relationship between alcohol enforcement and the presence
of high-range alcohol levels (BAC≥0.15), in seriously injured crash vehicle controllers .................................................. 43

Table 19 Summary results of the two models used to assess the relationship between alcohol enforcement and the
presence of illegal alcohol levels (BAC≥0.05), in fatally injured crash vehicle controllers ............................................... 48

Table 20 Summary results of the models used to assess the relationship between alcohol enforcement and the presence
of high- range alcohol levels (BAC≥0.15), in fatally injured crash vehicle controllers ...................................................... 52

Table 21 Crosstabulation of day of week by time of day with cells populated by mean value of alcohol classification ..... 60

Table 22 Comparison of previously defined high alcohol hours (1988-1989) with currently identified hours (2006-2016),
all Victoria.......................................................................................................................................................................... 61

Table 23 outputs of linear regression model of POFTs conducted by cumulative testing qualifications ............................ 69

Table 24 outputs of linear regression model of Cumulative Drug Testing Qualifications by PBTs delivered ..................... 70

Table 25 outputs of linear regression model of POFTs delivered by PBTs delivered ........................................................ 70

Table 26 Relative odds of THC and Meth involvement in vehicle controller casualties related to POFTs and detection
rates (statistically significant & near significant) ................................................................................................................ 75

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Table 27 Growth in POFTs and positive OFTs between base FYs (2012-2014) and increase FYs (2015-2018) ............. 78

Table 28 Crash saving per year, cost savings, BCR and marginal BCR from POFT increases associated with TAC
funding .............................................................................................................................................................................. 79

Table 29 Crash savings per year, cost savings, BCR and marginal BCR from planned POFT increases in 2018-19....... 81

Table 30 Crash savings per year, cost savings, BCR and marginal BCR from actual POFT increases in 2018-19 to 14
May 2019 .......................................................................................................................................................................... 83

Table 31 Crash saving per year, Human Capital cost savings, BCR and marginal BCR from maximum POFT increases85

Table 32 Crash savings per year, WTP cost savings, BCR and marginal BCR from maximum POFT increases ............. 86

Table 33 Relative odds of illegal alcohol involvement in vehicle controller casualties related to PBTs and detection rates
(statistically significant & not significant) ........................................................................................................................... 87

Table 34 Crash and social cost savings, BCR and marginal BCR from 30% increase in bus PBTs and 60% increase in
car PBTs ........................................................................................................................................................................... 90

Table 35 Crash savings per year, Human Capital cost savings, BCR and marginal BCR from maximum PBT increases 92

Table 36 Crash savings per year, WTP cost savings, BCR and marginal BCR from maximum PBT increases ............... 93

Table 37 Crash and HC cost savings, BCRs & marginal BCRs from maximum increased levels of PBTs and POFTs (all
Victoria) ............................................................................................................................................................................. 95

Table 38 Summary of relationships identified between drug and alcohol testing measures and the presence of
prOscribed illicit drugs and illegal or high range alcohol in fatally (F) and seriously injured (SI) vehicle controllers. ....... 100

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | xii
EXECUTIVE SUMMARY
INTRODUCTION
Drink and drug driving behaviours continue to be overrepresented in both serious and fatal injury crashes, in Victoria.
There are well documented high risks associated with drink driving which led to the introduction of roadside Random
Breath Testing (RBT) over 40 years ago, tests that are delivered through both car and bus enforcement operations.
Based on a similar model to the Random Breath Testing (RBT) model, Roadside Drug testing (RDT) was introduced in
2004, as an enforcement countermeasure to address the increasing rate of drug driving.
In 2015 the Transport Accident Commission (TAC) funded the Roadside Drug Testing Expansion Program, a program
aimed at increasing the capacity of Victoria Police in the detection of drug drivers. The aims of the expansion were two-
fold, the first being to train additional Victoria Police members to undertake RDT, the second to increase the annual
number of Preliminary Oral Fluid Tests (POFTs) conducted to test for presence of drugs in drivers to 100,000 per annum
by 2017 (TAC, 2018).
MUARC was contracted by the TAC to conduct and outcome evaluation of the Roadside Drug Testing Expansion
Program. Following the initial Project Steering Committee meeting, it was decided to expand the scope the research
project to incorporate a review of the RBT enforcement program as well. The last time that RBT enforcement had been
evaluated in Victoria was by MUARC in 2008, however this was only based on one inner city Melbourne Police Region.
The Traffic Enforcement Resource Allocation Model (TERAM) was developed to estimate the crash reduction benefits of
increases in each type of enforcement applied to an appropriate road environment. However, the current RDT
enforcement data used in the TERAM is over a decade old and so it was decided that the outcomes from both the RDT
and RBT evaluation components of this research would be used to update the TERAM. This report details the conduct
and findings from this evaluation research.
The overall objectives of the project were:
1. Documentation of the key historical statistics and practices in drug and alcohol enforcement in Victoria over a
period for which reliable data is available, including the mode of enforcement (e.g. HP, bus-based, random,
targeted etc.) over time and by geographic area (e.g. Victoria Police Region).
2. Document the prevalence of illicit drugs and alcohol in road crashes. From this, develop new measures of high
alcohol and high drug hours, including analysis of whether these hours differ by Victoria Police Region.
3. Undertake a limited process evaluation of the 2015 expansion of roadside drug enforcement including:
a. Assessment of the impact on the number and proportion of Victoria Police members trained in
roadside drug testing and the distribution in deployment of these members across the state.
b. Relate the change in delivery of roadside drug testing over time, by region, to changes in available
police members for testing resulting from additional training.
4. Undertake an outcome evaluation of the impact of changes in both roadside drug and alcohol enforcement on
observed road trauma, specifically deaths and serious injuries where drugs and / or alcohol were detected in the
injured vehicle controller, with a specific focus on measuring the road safety benefits associated with the 2015
expansion of roadside drug testing.
5. Synthesize the outcomes from objectives 1-4 to provide a summary of strategic learnings for future drug and
alcohol enforcement in Victoria as well as providing updated drug and alcohol driving enforcement data for
inclusion in the Traffic Enforcement Resource Allocation Model (TERAM) analysis.

DATA
Following investigations by the research team in consultation with various sections within Road Policing Command at
Victoria Police, the most suitable data sources to support the conduct of the evaluation were identified and requested.
RDT shift data was received from Victoria Police covering the years 2004 to 2018, this data was collected at RDT
operations and records shifts conducted by car and bus operations. Traffic Incident Systems (TIS) data on police
reported crashes covering the years 2006 to 2016 including information on drug and alcohol presence in vehicle
controllers (including drivers, motorcyclists and bicyclists) who were seriously injured. The fatality data was subsequently
matched with the Victorian Coronial Data system containing toxicology results that identified the presence of drugs and
alcohol in fatally injured crash involved vehicle controllers. Both the serious injury and fatality data was matched to the
Victorian Road Crash Information System (RCIS) data, to support the final analysis design. Data relating to Preliminary
Oral Fluid Tests (POFTs) and Oral Fluid Tests (OFTs), used for evidentiary purposes and designed to detect the
presence of illicit drugs was analysed for the RDT phase of the evaluation. Preliminary Breath test (PBT) and Evidentiary
Breath Test (EBT) data, from 2006 to 2016, was used in the drink driving enforcement analysis. Data regarding police
member Training to undertake POFTs and/or OFTs was provided through Victoria Police.
The analysis of the relationship between levels of drug and alcohol enforcement and road safety outcomes focused on
vehicle controllers killed or seriously injured with drugs or alcohol detected in their system. Consideration was given to an

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | xiii


analysis of crashes involving drug presence in any involved driver but considered the identification of drug and alcohol
involvement in drivers not killed or seriously injured might be incomplete if the other drivers were not rigorously tested.
Consequently, estimates of the impact of enforcement on drug and alcohol on road trauma outcomes derived from the
study are likely to be slightly conservative
KEY FINDINGS
Increase in Drug Testing and its Relationship to Drug Testing Training
 TAC funding allowed the annual number of POFTs for three proscribed drugs to increase from 42,000 during
2012/13 and 2013/14 to 82,383 in 2014/15 and then to 100,000 per year during 2015/16 and 2017/18.
 Increasing the annual rate of drug testing was facilitated through the additional training of Victoria Police
members, in particular officers from Highway Patrol, to conduct roadside drug testing. During 2015 the number
of RDT qualified Police members increased from approximately 110 to around 510 members, followed by a
steady increase to approximately 700 members by the end of 2017.
 There was a strong correlation between the increase in the number of RDT qualified Police members and the
increase in drug test delivery achieved. There was no identified correlation between the increase in drug testing
and the level of delivery of roadside alcohol testing.

The relationship between drug and alcohol testing and drug and alcohol presence in crash involved vehicle
controllers
A range of relationships between drug and alcohol enforcement, including roadside tests delivered and the test hit rate
(offence detection rate per test), and the likelihood of drug and alcohol presence in fatally and seriously injured vehicle
controllers were identified. A summary of the associations found is given in the following table. Outcomes considered
were THC, Methamphetamine, alcohol at or above 0.05 g/100mL, and alcohol at or above 0.15 g/100mL presence in
fatally and seriously injured vehicle controllers. Enforcement measures considered were annual number of POFTs or
PBTs delivered per Region per year and the hit rate both in total and from car and bus operations separately. A tick in
the table represents a statistically significant association whilst a question mark represents a marginally statistically
significant association where the value of the odds ratio indicated an important relationship might exist and should be
further explored.

Number of Tests Delivered Testing Hit Rate


Outcome Car and Car Bus Car and Bus Car Bus
Bus Combined
Combined
Drug Presence in Crash Involved Vehicle Controllers
Meth SI ☑
Meth Fatal ? ? ☑ ☑
THC SI ☑
THC Fatal ☑ ☑ ? ☑
Alcohol Presence in Crash Involved Vehicle Controllers
>= 0.05 SI ☑ ☑ ☑ ☑ ☑
>= 0.05 Fatal ? ☑ ☑ ☑
>= 0.15 SI ☑ ☑ ☑ ☑ ?
>= 0.15 Fatal ? ? ?

For each of the significant associations identified in the analysis, the study has estimated the specific relationship
between an increase in the enforcement measure and the expected change in odds of the related outcomes. These
relationships were then integrated into the updated TERAM to estimate the impact of changes in enforcement delivery on
fatal and serious injuries from road crashes and their associated economic worth.
Estimation of drug and alcohol hours
Analysis was able to estimate days of the week and times of the day where alcohol and drugs was more prevalent in
crash involved vehicle controllers. High Alcohol Hours have been defined as “any hour of the day/day of week in which
20% or more of seriously injured vehicle controllers have a BAC of 0.05 or greater”. High THC Hours (HTH) and High
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | xiv
Methamphetamine Hours (HMA) are “any hour of the day/day of week in which 20% or more of seriously injured vehicle
controllers have THC or Methamphetamine (respectively) presence in their blood.
High alcohol times were identified similar to previously defined as:
 Sunday 6PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 5AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

High THC hours were identified as:


 Sunday 3PM -Monday 9AM
 Monday 3PM -Tuesday 6AM
 Tuesday 11AM -Wednesday 5AM
 Wednesday 11AM -Thursday 5AM
 Thursday 7PM -Friday 4AM
 Friday 11AM -Saturday 5AM
 Saturday 2PM -Sunday 7AM

Methamphetamine presence in crash involved vehicle controllers was relatively uniform across the week.
Impacts of increased drug and alcohol testing on road trauma
Specifically related to the increase in drug testing achieved through the TAC funding, application of updated TERAM
estimated the following benefits:
 The TAC funded increase in roadside drug tests from 42,000 to 100,000 per year was effective and highly cost-
beneficial. It was estimated to have saved more than 33 fatal crashes and nearly 80 serious injury crashes per
year1.
 The estimated Benefit Cost Ratio (BCR) for the expansion valuing estimated road trauma savings using the
Human Capital method was 9.17.
 Although not funded under the program being evaluated, a further increase in roadside drug tests to 150,000
during 2018/19 should have saved a further 23 fatal crashes and nearly 56 serious injury crashes. However,
available data from the first 45 weeks of 2018/19 indicates that total roadside drug tests in 2018/19 were not
increased as planned and not delivered in a way that would have achieved maximum road safety benefits.
Actual increase in tests, when annualised, were estimated to have saved at least 3 fatal crashes and 16.5
serious injury crashes during 2018/19.

Further application of updated TERAM estimated the potential benefits of further expansion to drug and alcohol
enforcement in Victoria including estimating the point of diminishing returns for each element of the program (the level of
enforcement after which additional enforcement will cost more than the community cost savings achieved). Key findings
were:
 Further increases in roadside drug tests are justified on economic criteria as well as the additional savings in
fatal and serious injury crashes.
 Valuing the crash savings by Human Capital costs, roadside drug tests could increase up to 390,100 POFTs
annually and are estimated to save 46 fatal crashes and 134.5 serious injury crashes per year.
 A 50% increase in roadside alcohol tests (composed of 30% and 60% increases in bus- and car-based tests,
respectively) from 2014-2016 levels is estimated to save more than 8 fatal crashes and over 77 serious injury
crashes per year.
 As with roadside drug tests, further increases in roadside alcohol tests are justified on economic criteria as well
the additional savings in fatal and serious injury crashes.
 Valuing the crash savings by Human Capital costs, roadside alcohol tests could increase to 14.1 million PBTs
annually in total and are estimated to save 32 fatal crashes and 268 serious injury crashes per year.

1
Note that the savings estimated are relative to the (unobserved) trauma that would have been observed had the drug testing increase
not occurred and not relative to observed trauma in the year prior to the testing increase.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | xv


 Investment in further roadside drug testing would achieve greater reduction in the social costs of crashes than
roadside alcohol testing, relative to the operational costs of each program.

Estimates of potential road trauma savings related to further expansion of the drug and alcohol enforcement programs
have assumed that the additional enforcement is delivered in an optimal way based on the relationships between
enforcement modes and crash outcomes identified in this study (for example, prioritising targeted car-based testing for
methamphetamine). If any future expansion of drug and alcohol testing is not deployed according to the optimal
principles identified and summarised in the next section, the road safety benefits estimated in this study will not be
realised.
Implications for future drug and alcohol enforcement
Results of the evaluation defined some principles for future drug and alcohol enforcement in Victoria to maximise road
safety and associated economic benefits.

 Alcohol enforcement should:


o Deliver a large number of tests from both car and bus operations
o Be targeted to increase the testing hit rate. This could be achieved through the use of bus operations
(which deliver large numbers of tests), with targeted placement in areas where alcohol prevalence in
crash involved vehicle controllers is high or detected alcohol use amongst vehicle controllers is high.
o Be largely conducted in high the identified high alcohol times, including from midnight to 6am.
 THC enforcement should:
o Delivery of a large number of tests, primarily from car operations, with some weighting towards
targeting to areas of high THC fatal crash involvement or detected use, is the key to reducing THC
involved crashes.
o Largely be delivered in high THC hours which are predominantly night-time hours but extend further
into daytime hours than alcohol enforcement.
 Methamphetamine enforcement should
o Focus on achieving high hit rates so should be targeted primarily at areas of high Methamphetamine
involvement in crashes or established areas of high prevalence in vehicle controllers. Achieving the
highest hit rate through detecting Methamphetamine affected vehicle controllers should be the primary
aim.
o Primarily be conducted from cars.
o Be conducted throughout the day reflecting that there were no particular hours of the day where
Methamphetamine was more prevalent in crash involved vehicle controllers.

From these principles a range of Key Performance Indicators (KPIs) and interim outcome measures can be defined.
Further research on the drug and alcohol enforcement program in Victoria is recommended including: ongoing
monitoring of the delivery of the program to determine whether best practice delivery is being achieved and; periodic
evaluation for the program, particularly to assess the road safety benefits of any planned future expansion of the program
or changes in delivery practice.

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IN VICTORIA | xvi
GLOSSARY OF TERMS
BAC Blood Alcohol content

BCR Benefit Cost Ratio

EBT Evidentiary Breath Test (alcohol)

HAH High Alcohol Hours

HTH High THC Hours

HMH High Methamphetamine Hours

HP Highway Patrol

HVU Heavy Vehicle Unit

KPI Key Performance Indicators

LGA Local Government Area

MA Methamphetamine

MDMA 3,4-methylenedioxymethamphetamine (ecstasy)

MUARC Monash University Accident Research Centre

OFT Oral Fluid Test (used for confirmation of POFT result)

PBT Preliminary Breath Test (alcohol)

POFT Preliminary Oral Fluid Test

RBT Random Breath Test (alcohol)

RCIS Road Crash Information System

RDT Roadside Drug Test

RPDAS Road Policing Drug and Alcohol Section

SHP State Highway Patrol

TAS Traffic Alcohol Section

TAC Transport Accident Commission

TERAM Traffic Enforcement Resource Allocation Model

THC Tetrahydrocannabinol

TIS Traffic Information System

VIFM Victorian Institute of Forensic Medicine

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | xvii


1 INTRODUCTION
One of the most significant causes of deaths and serious injuries on Australasian roads is drink driving. Data show that
up to 30 percent of drivers and motorcyclists killed on Australasian roads were driving with a Blood Alcohol Content
(BAC) over the legal limit. Similarly, drug driving is a serious road safety issue with 41% of drivers / riders killed in
Victoria identified as having drugs (legal and illegal) in their system (TAC, 2018). Victoria was the first state to introduce
Random Breath Testing for drink driving in 1976. It was also one of the first locations in the world to introduce roadside
drug testing (RDT), initially trialled from December 2004.
The extent and location of roadside enforcement, for both drugs and alcohol, plays a key role in detecting impaired
drivers (specific deterrence) as well as deterring passing drivers from future impaired driving (general deterrence).
Following its official adoption in 2006, the annual number of roadside tests to detect drivers under the influence of drugs,
known as Preliminary Oral Fluid Tests (POFTs; preliminary roadside drug tests) and Oral Fluid Tests (OFTs; which serve
as a confirmatory test for the POFT when the POFT is positive), have steadily climbed with over 40,000 tests were
conducted. From 2015, the Transport Accident Commission (TAC) funded an expansion of the roadside drug testing
program run by Victoria Police. The aims of the expansion were two-fold, the first being to train additional Victoria Police
members to be qualified for undertaking roadside drug testing, the second to increase the annual number of roadside
tests conducted for drug driving to 100,000 by 2017 (TAC, 2018). Victoria Police met this increased annual target in both
2015 and 2016. While training to administer RDTs is now part of new recruit training at the Victoria Police Academy,
training existing Police members was required to facilitate a more geographically widespread roadside testing program
for drug use, especially covering rural locations. Roadside blood alcohol testing in Victoria has fluctuated between 3.5M
and 4M preliminary breath tests (PBT) per year from 2005 to 2014. In 2015 and 2016 this reduced to closer to 3M test
per year.
In addition to detection and sanctions for detected drivers, change in both the extent and implementation of drug and
alcohol enforcement by Victoria Police has the potential to affect the impact these activities have on road trauma
outcomes. Understanding the impacts of these changes have on road trauma outcomes is important for optimizing the
benefits of drug and alcohol testing, as well as for setting appropriate strategic targets aimed at meeting road trauma
savings goals. Comprehensive evaluation of changes in drug and alcohol enforcement in Victoria is critical to providing
this understanding.
Previous research provides an indication of the benefits of evaluation of drug and alcohol enforcement and the
approaches taken. Research conducted in New Zealand identified an increase in drink driving on local streets (Keall &
Frith, 1997). This increase was attributed to drivers attempting to avoid detection through booze bus operations on
arterial roads. In 2008, MUARC (Clark, Diamantopoulou, & Cameron, 2009) conducted a research project to investigate
if this phenomenon was occurring in Melbourne. It also assessed whether Victoria Police roadside alcohol testing was
being delivered in a manner that would detect this occurrence. The research was conducted in Victoria Police Region 1
and involved analysis of existing booze bus and patrol RBT data, including PBT data. It also included roadside surveys
that were conducted at a representative sample of both mini-bus and booze bus RBT site operations over a 3-month
period (June–August 2008). It provided an overview of the allocation and scheduling of RBT operations across Region 1
and identified gaps in scheduling timeframes and locations. While this research provided valuable operations feedback to
Victoria Police, it was limited to Region 1 (metro only) and occurred ten years ago. Evaluation of the roadside program of
drug testing was explored at the time but was not considered feasible due to the limited experience with the program.
Recommendations for future evaluation of drug testing were made, as well as an update of the previous RBT research
expanded to include all Victoria Police regions. It was noted that this would provide valuable information to inform
Victoria Police Roadside drug and alcohol testing resource allocation and scheduling, and identify gaps in the current
testing programs.
To investigate the impacts of alcohol enforcement, Victorian road safety research has relied on a surrogate measure of
the involvement of alcohol in crashes which divides the week into times associated with alcohol-related crashes (i.e. high
alcohol hours) and other times (i.e. low alcohol hours). This method was first developed by David South (cited in Haque
& Cameron, 1987). High alcohol times of the week were determined by examining the crashes in which driver blood
alcohol concentrations (BACs) were known and finding those periods that had a relatively high proportion of drivers with
a blood alcohol concentration greater than 0.05g/100ml. Harrison (1990) revised the alcohol times using more recent
crash data and an analysis that was person-based rather than crash based. Harrison’s definition of the high and low
alcohol times of the week have been used as a surrogate measure for actual BAC data extensively in many research
studies concerned with drink-driving in Victoria since the early 1990’s. In 1995 Gantzer reviewed the high and low alcohol
data for differences between Melbourne (metro) and the rest of Victoria (rural). As part of the MUARC Baseline Research
Program, in 2008 the Victoria Police requested that MUARC re-examine the high alcohol times of the week to enable
police to provide strategic deployment of booze buses to detect drink-drivers. This research was, however abandoned
due to limitations at the time in the available forensic data on blood alcohol concentrations of fatally injured drivers.
Improvements in the availability of such data in recent years may now mean this re-analysis is feasible.
The road safety risk posed by drink and drug drivers is well documented. Resources and funding, such as the Roadside
Drug Testing Expansion Program, continue to be allocated in efforts to enhance and maximise countermeasures to
address drug driving. Evaluation of these countermeasures plays a key role in ensuring program targets are met,

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 1


resource allocation is maximised, and that desired outcome targets such as reductions in drink and drug driving and
related road trauma are achieved.
While maximising the resource allocation associated with both RDT and RBT enforcement may be a desirable aim,
Victoria Police are faced with numerous competing enforcement priorities, therefore it is important to ensure that
resources are strategically allocated in the most beneficial way. The Monash University Accident Research Centre
(MUARC) conducted a review of strategic approaches for choosing packages of road safety initiatives, this review
included police enforcement programs (Diamantopoulou, Clark & Cameron, 2009). The greatest economic value was
found to be associated with packages from which the components had marginal benefits (reductions in road trauma) that
were greater than their marginal costs. This research highlighted the importance of analysing the variable levels of
intensity within traffic enforcement initiatives to decide on the most appropriate types and levels of operation to be
resourced in the final overall program (Cameron, Newstead & Diamantopoulou, 2016). In response to this finding, the
Traffic Enforcement Resource Allocation Model (TERAM) was developed to estimate the crash reduction benefits of
increases in each type of enforcement applied to an appropriate road environment.
The TERAM is based on numerous studies linking enforcement levels with road crashes and/or injury severity in the
Australian States and internationally. Economic analysis of the crash savings and costs from investment in each type of
traffic enforcement, identified that mobile speed cameras and random drug tests provided the highest benefit-cost ratios
(Cameron, Newstead & Diamantopoulou, 2016). Figure 1 shows the relationship between the percentage of driver
fatalities with a detected proscribed drug(s) or any impairing drug and the number of POFTs (RDTs conducted). The
specific data used in this figure currently informs the RDT enforcement component of the TERAM and is based on the
RDT enforcement and crash data from 2005-09 (Boorman, 2010).

Figure 1 Relationship between percentage of driver fatalities with proscribed drugs, or any impairing drug, versus number
of drivers screened by RDT (POFTs) in Victoria per year

Source: Cameron, Newstead & Diamantopoulou (2016)

Following the TAC funded RDT expansion program and taking into account that the RDT data used in the current
TERAM is between 10 and 15 years old, it was considered timely to undertake an evaluation of the RDT enforcement
program. An evaluation was considered critical for providing valuable information regarding the effectiveness of RDT
enforcement from a road safety and associated cost-benefit perspective, from a general and specific deterrence
perspective, and to ensure the TERAM modelling is based on the most current RDT and drug involved crash data
available.

1.1 Project aims and objectives

The Transport Accident Commission and Victoria Police engaged MUARC to design and conduct an evaluation of the
Roadside Drug Testing Expansion Program implemented in Victoria during 2015. In response MUARC have developed a
multi-component Evaluation framework. This framework includes a process evaluation component to ascertain the
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 2
relationship between training of Victoria Police members to undertake roadside drug testing and the number and
geographical spread of tests subsequently delivered. It also includes an outcome evaluation to establish the relationship
between the level of roadside drug testing and drug related road trauma outcomes. In response to recent changes in the
roadside alcohol testing program regime and acknowledging that there has been no evaluation of the road safety benefits
of alcohol testing for some years, it was requested that the evaluation framework also include an assessment of roadside
alcohol testing.
An initial meeting of the Project Steering Committee identified the following objectives for the evaluation.
1. Documentation of the key historical statistics and practices in drug and alcohol enforcement in Victoria over a
period for which reliable data is available, including the mode of enforcement (e.g. Highway Patrol, bus-based,
random, targeted etc.) over time and by geographic area (e.g. Victoria Police Region).
2. Document the prevalence of illicit drugs and alcohol in road crashes. From this, develop new measures of high
alcohol and high drug hours, including analysis of whether these hours differ by Victoria Police Region.
3. Undertake a limited process evaluation of the 2015 expansion of roadside drug enforcement including:
a. Assessment of the impact on the number and proportion of Victoria Police members trained in
roadside drug testing and the distribution in deployment of these members across the state.
b. In reference to part a. above, relate the change in delivery of roadside drug testing over time, by
region, to changes in available police members for testing resulting from additional training
4. Undertake an outcome evaluation of the impact of changes in both roadside drug and alcohol enforcement on
observed road trauma, specifically deaths and serious injuries. The outcome evaluation should have a specific
focus on measuring the road safety benefits associated with the 2015 expansion of roadside drug testing.
5. Synthesize the outcomes from objectives 1-4 to provide a summary of strategic learnings for future drug and
alcohol enforcement in Victoria as well as providing updated drug and alcohol driving enforcement data for
inclusion in the Traffic Enforcement Resource Allocation Model (TERAM) analysis.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 3


2 DATA
2.1 RDT data

2.1.1 Data access


The MUARC research team liaised with Victoria Police representatives to explore the suitability and accessibility options
of data for this research project. The research project and data access were approved through the Monash University
Human Research Ethics Committee (MUHREC) and the Victoria Police Research Coordinating Committee (RCC).
Victoria Police data pertaining to RDT shifts, for the years 2004 to 2018, was accessed for the following variables: RDT
shift date and time, number of drug driving RDTs (POFTs & OFTs) conducted, Police Division and Region in which the
testing occurred. Traffic Incident System (TIS) data was used to identify drug affected vehicle controllers (including
drivers, motorcyclists and bicyclists) who were seriously injured in a crash. TIS fatality related data was matched with the
Victorian Coronial data system to identify drug affected vehicle controllers who were fatally injured in a crash. Victorian
Road Crash Information System (RCIS) data was accessed and matched with both the serious injury and fatality data for
the analysis.
2.1.2 Roadside drug enforcement data
RDT shift data was received from Victoria Police covering the years 2004 to 2018. This data corresponds directly with
the ‘Random Drug Testing’ section on the RPDAS Site Summary Sheet Form and records shifts conducted by car and
bus operations. Each row (record) of data corresponds to an individual shift operation.
Date and time of shift are presented alongside variables pertaining to the drug testing. The number of POFTs and OFTs
are broken down by light/heavy vehicle, male/female, and metro/rural. RDT refusal offences are also recorded, although
they are few in number.
Each shift is linked to the Police Work Unit, Police Region and Division where it was undertaken. As not all Police Work
Units are contained within a set geographical boundary, the Region and Division variables were crucial for identifying
where a shift took place. For shifts recorded before the end of the 2009/10 financial year the Regions and Divisions were
numbered according to the ‘old’ Victoria Police five Region partitions. This earlier Regional and Division data was then
transposed to align with the current four Police Regions. However, this re-assignment did not reflect a perfect correlation
of old Region/Division to new so some assumptions were made when assigning these records (that aligned close to
boundaries) into the current geographic Regions.
Shifts conducted by the Heavy Vehicle Unit (HVU) before July 2010 did not have a Police Division recorded, only broad
geographical region. As such, it could not be established where the shifts took place, so data prior to 2010 was omitted
from the analysis.

2.2 RBT data

2.2.1 Data access


Similar to the process of accessing random drug testing data, the MUARC research team liaised with Victoria Police
representatives to identify the relevant data and the data access was approved through the Monash University Human
Research Ethics Committee (MUHREC) and the Victoria Police Research Coordinating Committee (RCC).
2.2.2 Roadside alcohol enforcement data
2.2.2.1 Preliminary Breath Test Data
Preliminary Breath Test (PBT) device data from RBTs was obtained through Victoria Police for the years 2006 to 2016
(and partial data from early 2017). PBT data from these years spanned the changeover to a new PBT device. Phasing
out of the earlier model, the ‘SD400’, began in 2010 and by the start of 2014 only the new model, the ‘Touch 400’, was in
use.
The two devices record information in slightly different formats. Both devices record a unique device serial number, date
and time, gender of tested person and BAC result but differ in how the capture geographic information. The SD400
devices records have numerically coded variables for Region, Division, District, Unit and Response Zone adhering to the
old (pre-2009) Police partitioning of Victoria. A correspondence table of these values was provided although it was found
that the coding was only accurate to a divisional level. Accordingly, there was a small concession in accuracy in
converting test records to the new police format.
For the Touch 400 devices, the sole location variable is a free text field which typically describes the test location at a
suburb level. While this eradicates any issues in regards to the conversion of regions, different problems present
themselves in regard to the nature of a free text variable. Inconsistencies in capital lettering, spelling mistakes, additional
suffixes and not all records being at a suburb level meant that all needed to be taken into consideration. With these
issues overcome, allocation into region was a simple process with the aid of suburb postcodes.

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IN VICTORIA | 4
The unique serial number of the testing device was used to match tests to bus site shifts. A data file was provided by
Police listing, amongst other variables, each unique testing device used on each roadside bus site. This meant that for
PBTs conducted from buses, the above Methods of identifying the Police Region of the test did not have to be employed
as the geographic information could be taken directly from the bus site data file.
Any test not conducted at a bus site was assumed to be a car-based test. The only issue to arise from this was related to
State Highway Patrols for the later (Touch 400) years of data. For these tests, instead of a suburb, the State Highway
Patrol unit is recorded: SHP West, SHP North, SHP Solo etc. As State Highway Patrols do not operate within a fixed
area, it is not reasonable to make assumptions as to where these tests were conducted.
Accordingly, all state highway patrol shifts using Touch 400 devices were excluded from analysis. These shifts account
for 2% of the annual total number of tests at most, so the analysis results are unlikely to be significantly affected by their
omission.
2.2.2.2 Evidentiary Breath Test Data
Data on Evidentiary Breath Tests (EBTs) was received covering the complete years of 2000 to 2017. Each record
corresponds to an individual incident and contains variables recorded by means of the ‘RPDAS data sheet’.
Demographic variables of the offender are presented along with EBT result, details of the member undertaking the test
and geographic variables. The EBT result in conjunction with the offender’s license type was used to determine whether
the result would be treated as positive or negative for analysis. The location of the incident was recorded by a street
name, suburb and postcode. The postcode enabled records to allocated in Police regions without any issue.

2.3 TIS and RCIS data

Data records from the Victoria Police Traffic Incident System (TIS) related to drug and alcohol involved crashes were
extracted for the years 2006 to 2018.
In this data, one case corresponds to one drug test result for one person involved in a crash. Vehicle controllers detected
with multiple drugs (including alcohol) in their system result in multiple data entries. For example, for one driver there
were eight separate records, with each case corresponding to a different drug detected in that driver’s system. Cases
that did not contain any drug or alcohol information were discarded from analysis.
Where a drug test has been conducted and a positive result recorded, a variable is present describing the drug(s)
detected. This variable field is a free text descriptor. Any type of Methamphetamine identified in this field was included in
the analysis under the label ‘Methamphetamine’. All forms of Tetrahydrocannabinol were classified as ‘THC’ (cannabis).
The ten most frequently detected drug types identified in crash data are presented in Table 1.

TABLE 1 TEN MOST COMMONLY DETECTED DRUGS ASSOCIATED WITH CRASHES


Drug Name Count
Methamphetamine 2961
Delta-9-tetrahydrocannabinol 2924
Morphine 397
MDMA 245
Metoclopramide 232
Diazepam 200
Amphetamines 179
Nordiazepam 157
Midazolam 132
Temazepam 95
Source TIS data (2006-2018)

The Road Crash Information System (RCIS) is an online database containing information from Victorian road accidents
involving injury to at least one person. The information contained is derived from that collected by Victoria Police and
entered into TIS which, for crashes resulting in at least one person being injured, are subsequently transferred to
VicRoads where it is enhanced to become RCIS, the official database of road crash information in Victoria. For a crash to
be recorded in the RCIS, Police must have attended the scene and at least one person involved in the crash must have

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 5


sustained an injury. The Transport Accident Commission (TAC) validates the severity of all injuries sustained, and
particularly admission to hospital, by matching back information from insurance claims lodged with the TAC following the
incident.
MUARC receives this enhanced RCIS data directly from the TAC, with the injury severity variables included. Currently,
MUARC has data complete to the end of 2016. In this RCIS data, one case corresponds to one person involved in a
crash.

2.4 Victorian Coronial data

Victorian Coronial data pertaining to vehicle controllers fatally injured in a crash where toxicology identified the presence
of drugs in their system. This data was requested by Victoria and extracted by staff at the Victorian Institute of Forensic
Medicine (VIFM). MUARC received the de-identified data relating to fatal crashes that occurred in Victoria during 2006-
2019.

2.5 Police member testing qualifications data

Records of Police members’ training for conducting drug and alcohol tests were provided.
Data was separated by type of qualification (drug or alcohol) but in both files one case corresponds to one instance of
training for one police member. Drug qualification records date back to the beginning of 2005 while alcohol qualification
records began mid-1993. For all qualifications, member ID and demographics are presented as well as date of training.
A variable indicating the member’s Police Service Area (PSA) shows clearly which region and division they are based in.
Hence, assigning training records into police region and division was a straight forward task across the full range of data.
The main concern in using the training information is the lack of knowledge as to the movements of members in the
years following their training. It is very possible that over the course of time members may move location, receive
promotions (to a non-ground-based position) or retire. All of which would nullify their capacity to perform tests in the
region/division of initial training.
For the analysis conducted in this project, to make any use of the member training data, the assumption had to be made
that members stayed in the same geographic and organizational position throughout the analysis period.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 6
3 CRASH IMPACTS OF ROADSIDE DRUG AND ALCOHOL
ENFORCEMENT
3.1 Crash impacts of roadside drug testing

3.1.1 Annual RDT enforcement (POFTs & OFTs)

Figure 2 shows the annual number of Roadside Drug Tests (RDTs), as indicated by the number of Preliminary Oral Fluid
Tests (POFTs), conducted in Victoria from 2005 to 2018. It was introduced in December 2004. As shown, the annual
testing rates in the initial years were relatively low which is likely a reflection of the limited number of Police members
formally trained to conduct RDT at that time and also funding issues associated with the higher costs of conducting RDTs
(testing equipment costs) compared to roadside alcohol testing. The effects of the target of the TAC funded RDT
expansion in 2015 are apparent, with annual roadside POFT rates increasing to around 100,000 per year or greater from
2015.

120,000

100,000
Number of POFTs

80,000

60,000

40,000

20,000

-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Year

Figure 2 Annual number of Preliminary Oral Fluid Tests (POFTs) conducted, Victoria 2005-2018

From this data it was also evident that there was significant variation in the number of POFTs delivered annually between
the four Victoria Police Regions (North West Metro, Southern Metro, Eastern, and Western), as well as different trends
over time between Regions. Regional differences in the conduct of RDT (2010-2016) are illustrated in Figure 3 with these
identified differences between Regions providing the rationale and motivation behind the roadside drug expansion in
Victoria, namely to increase RDT across the entire state, especially addressing the low testing rates in rural regional
areas.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 7


35000

30000

25000
Number or POFTs

20000

15000

10000

5000

0
2010 2011 2012 2013 2014 2015 2016
North West Metro Southern Metro Eastern Western

Figure 3 Annual number of Preliminary Oral Fluid Tests (POFTs) by Police Region, Victoria 2010-2016

Along with increases in the number of drug driving POFTs conducted over time, there appears to have been a change in
the way police have targeted the delivery of roadside drug testing. In the initial years of the drug testing enforcement
program, it was reported that the tests were delivered randomly, aiming for a ‘general deterrence’ effect on drug driving,
similar to that achieved by bus-based Random Breath Testing (RBT) for alcohol. This is apparent in Figure 4 as indicated
by the low rate of Oral Fluid Tests per 100 POFTs conducted from 2005 to 2010. OFTs are conducted when there is
confirmed drug presence in the POFT.
Possibly due to the high costs associated with drug testing, the time implications associated with this more
time-consuming testing protocol for police members, the lack of members formally trained to administer POFTs and
OFTs, and a possible change in drug testing enforcement philosophy, the roadside drug testing practice appears to have
become more targeted over time. More recent targeted testing has been reported to typically focus on high risk events,
such as known ‘rave’ party locations and on high risk driver demographics e.g. young male, probationary drivers. From
around 2010, the rate of confirmed OFTs per POFT rose sharply and continues to climb. Whilst this could indicate a
sharp increase in drug use by vehicle controllers, it more likely indicative of the adoption of more targeted
intelligence-based testing protocols (i.e. a more ‘specific deterrence’ based approach to testing) and increases in the
number of Police members trained to conduct roadside drug testing.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 8
12

10
OFTs per 100 POFTs

0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Year

Figure 4 Rate of Oral Fluid Tests (OFTs) per 100 POFTs conducted, Victoria 2005-2018

Mirroring the analysis for annual POFTs delivered (see Figure 4), the variation in drug detection rate by year and Victoria
Police Region (2010-2016) is shown in Figure 5. A significant difference in the detection rate from roadside drug testing
between Regions in each year is apparent with trends also differing over time.

14

12

10
OFTs per 100 POFTs

0
2010 2011 2012 2013 2014 2015 2016

North West Metro Southern Metro Eastern Western

Figure 5 Rate of Oral Fluid Tests (OFTs) per 100 POFTs conducted by Police Region, Victoria 2005-2018

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 9


3.1.2 Illicit drug presence in crashes

Four data sets were used for the analysis of the relationship between roadside drug testing and drug involvement in
crashes:
 Victoria Police sourced RDT operations (2004-2018)
 TIS crash data (2006-2018)
 RCIS crash data (with TAC validated injury severity level; 2006-2016)
 Coronial data (de-identified toxicology data in reference to illicit drugs and alcohol among deceased motorists
for the period of 2006 – 2019).

Allowing for differences in years of data available in each specific dataset, the final analysis dataset created comprised
both the drug and alcohol data provided by Victoria Police and the validated crash injury data provided by the TAC
covered the years January 2006 until December 2016.
3.1.2.1 Serious injury crashes
Using the TAC validated RCIS data, all seriously injured vehicle controllers (those admitted to hospital with hospital
admission validated using TAC hospital admissions claims data) were selected. A person was defined as a vehicle
controller if they were in control of a car, truck or bus or they were the rider of a motorcycle or bicycle; train and tram driver
records were excluded as were any passengers. Information pertaining to drug and alcohol involvement from the Victoria
Police TIS data was merged on using the Incident ID number, vehicle controller age and gender.
Only about one-third of the vehicle controllers admitted to hospital had a blood screening sample taken and tested for
drugs during 2010 to 2016. DiRago et al (2019) and Drummer et al (2020) give the impression that, by legislation since
mid-2009, every vehicle controller admitted to hospital (includes attendance at hospital emergency units) had a blood
sample taken to establish the presence of alcohol and the three proscribed drugs. However, it is not legislatively mandated
that a sample of a crashed driver’s blood must be taken. It is not known whether there was bias in the decisions to take a
sample, such as the apparent impairment of the vehicle controller due to alcohol or drugs or other factors.
For crashes, the Local Government Area (LGA) variable was used to assign the crash to the corresponding Police Region
and Division (see Appendix A). Although a division level was desirable for analysis, counts of incidence were deemed to
be too low therefore limiting statistical power. Accordingly, analysis was undertaken at the Region level only.
Counts of all vehicle controller serious injuries, seriously injured vehicle controllers tested and found positive for THC, and
seriously injured vehicle controllers tested and found positive for Methamphetamine were aggregated to a year level for
each of the four Regions (there were insufficient vehicle controllers detected for MDMA and so this drug vehicle controller
group was excluded from the analysis).
Annual counts across all Victoria are shown in Table 2. It can be seen that there is a large increase in the number of tested
and drug positive vehicle controllers from 2008 to 2010. During this timeframe, responsibility for drug driving pharmacology
analysis was re-assigned to VIFM. To address this, the analysis period for the assessment of the relationship between
tests delivered and road trauma outcomes was based on data from 2010 onwards. Also evident in the data in Table 2 is
the change in the mix of drug types detected. In the earlier years, THC was the predominant drug detected however, from
2013 on, Methamphetamine became the most common drug detected. Rates of drug detection in seriously injured vehicle
controllers in Victoria over the years 2006-2016 are plotted in Figure 6 by drug type.

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IN VICTORIA | 10
TABLE 2 PRESENCE OF THC AND METHAMPHETAMINES IN SERIOUSLY INJURED VEHICLE
CONTROLLERS, VICTORIA 2006-2016
Seriously injured vehicle controllers
Year
Positive THC* Positive Methamphetamine* Total serious injury

2006 8 3 4388
2007 9 10 4820
2008 3 12 4546
2009 80 27 4504
2010 139 62 3967
2011 162 77 4208
2012 139 122 3894
2013 91 135 3955
2014 90 150 4238
2015 93 195 4243
2016 109 190 4460
*Note: Counts of THC and Methamphetamines are not necessary mutually exclusive (poly-drug detection can result in multiple counts).

The rates of THC and Methamphetamine presence in seriously injured vehicle controllers shown in Figure 6 are
substantially lower than those presented by Liu and Fitzharris (2019) based on presentations at 118 hospitals during
2010-2018 and those presented by diRago et al (2019) based a sample of 5000 presentations during 2013/14 to
2017/18. This could be because the denominators of the rates in Figure 6 include seriously injured vehicle controllers
who were not tested for drugs in hospital (about two-thirds of the seriously injured), or the less likely possibility that the
non-admitted presentations had much higher levels of drug presence than the admitted.
Nevertheless, the rates shown in Figure 6 are likely to be conservative indicators of the prevalence of THC and
Methamphetamine in the blood of all vehicle controllers admitted to hospital in Victoria during 2010-2016. The true levels
of prevalence of these drugs in these seriously injured vehicle controllers admitted to hospital are likely to be higher, but
not as high as those presented by Liu and Fizharris (2019) and diRago et al (2019) because of the possible bias in the
selection of vehicle controller presentations for the taking of blood samples for drug testing.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 11


5.00%

4.50%

4.00%
Rate of drug presence %

3.50%

3.00%

2.50%

2.00%

1.50%

1.00%

0.50%

0.00%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate THC Rate Meth

Figure 6 Rate (%) of THC and Methamphetamine (Meth) detected in seriously injured vehicle controllers, Victoria 2006-
2016

3.1.2.2 Fatal injury crashes


Using the TAC validated RCIS data, all fatally injured vehicle controllers were selected. A person was defined as a
vehicle controller in the same way as for the serious injury data. Information pertaining to drug and alcohol involvement
from the Coroners data had previously been matched (de-identified data supplied to MUARC) to all fatally injured vehicle
controllers in Victoria during these years using the Incident ID number, vehicle controller age and gender. It was
assumed that all fatally injured vehicle controllers had a blood sample extracted and tested for the presence of alcohol
and drugs.
For crashes, the Local Government Area (LGA) variable was used to assign the crash to the corresponding Police
Region and Division (see Appendix A). Although a division level was desirable for analysis, counts of incidence were
deemed to be too low limiting statistical power. Accordingly, analysis was undertaken at the Region level only.
Counts of all vehicle controller fatalities, fatally injured vehicle controllers testing positive for THC and fatally injured
vehicle controllers testing positive for Methamphetamine were aggregated to a year level for each of the four Regions
(similar to the serious injury analysis, there were insufficient vehicle controllers detected for MDMA and so this drug
vehicle controller group was excluded from the analysis).
Annual counts of THC and Methamphetamine involvement in fatally injured vehicle controllers across all Victoria are
shown in Table 7. It can be seen that there is a spike in the number of THC positive vehicle controllers during 2010. As
previously noted, during this timeframe responsibility for drug driving pharmacology analysis was re-assigned to VIFM.
To address this, the analysis period was again based on data from 2010 onwards. Also evident in the data in Table 7 is
the change in the mix of drug types detected. Similar to the findings of the seriously injured vehicle controller analysis, in
the earlier years THC was the predominant drug detected, however there has been a steady increase in
Methamphetamine detection since 2009, with Methamphetamine detection passing THC in 2016 following a rapid spike
in detection rates in fatalities. Rates of drug detection in fatally injured vehicle controllers in Victoria over the years
2006-2016 are plotted in Figure 7 by drug type.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 12
TABLE 3 PRESENCE OF THC AND METHAMPHETAMINES IN FATALLY INJURED VEHICLE
CONTROLLERS, VICTORIA 2006-16
Year Fatally injured vehicle controllers
Positive THC* Positive Methamphetamine* Total vehicle
controller fatalities
2006 25 11 212
2007 30 14 220
2008 28 10 192
2009 21 9 184
2010 34 12 184
2011 28 16 176
2012 25 18 190
2013 25 19 167
2014 21 14 154
2015 26 17 162
2016 33 39 212
*Note: Counts of THC and Methamphetamines are not necessary mutually exclusive (poly-drug detection can result in multiple counts).

20

18

16

14
Percentage %

12

10

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Meth THC

Figure 7 Rate (%) of THC and Methamphetamine detected in fatally injured vehicle controllers, Victoria 2006-2016

Annual counts of fatally injured vehicle controllers with involvement of ‘any drug’ and tested ‘proscribed drugs’ (THC &
Meth only) across all Victoria are shown in Table 4. It can be seen that there has been a steady increase in the rate of
drug (any drug) involvement in fatally injured vehicle controllers since 2006, with the spike in 2016 in the proscribed

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 13


drugs, reflecting the increase in Methamphetamine involvement. Rates of drug detection (any drug & proscribed drugs) in
fatally injured vehicle controllers in Victoria over the years 2006-2016 are plotted in Figure 8.

TABLE 4 PRESENCE OF ‘ANY DRUG’ AND PROSCRIBED DRUGS IN FATALLY INJURED VEHICLE
CONTROLLERS, VICTORIA 2006-16
Year Fatally injured vehicle controllers
Any drug detected† Proscribed drug detected* Total vehicle
controller fatalities
2006 62 32 212
2007 69 34 220
2008 55 34 192
2009 59 24 184
2010 70 40 184
2011 69 37 176
2012 81 36 190
2013 71 33 167
2014 60 28 154
2015 72 36 162
2016 94 57 212
†Any drug not administered post incident
*THC, Methamphetamines or both, but not including MDMA

50%
45%
40%
35%
Percentage %

30%
25%
20%
15%
10%
5%
0%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Any Drug Proscribed Drug

Figure 8 Rate (%) of any drug and proscribed drug presence detected in fatal injury crashes, Victoria 2006-2016

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 14
3.1.2.3 Poly drug/alcohol in fatally injured vehicle controllers
Total counts of polydrug detection for fatally injured vehicle controllers across all Victoria from 2006-2016 are shown in
Table 5. It can be seen that of the 179 fatally injured vehicle controllers detected with Methamphetamines, almost 50%
were also found to have cannabis in their system. Of the 296 fatally injured vehicle controllers detected with cannabis,
almost 40% were also found to have alcohol in their system above the illegal 0.05% BAC level. Of these, 40% had illegal
BACs between ≥0.05 and <0.15% and 60% had BACs ≥0.15.

TABLE 5 POLYDRUG/ALCOHOL DETECTION IN FATALLY INJURED VEHICLE CONTROLLERS,


VICTORIA 2006-16
Additional substances detected
Substance Meth-amphetamine Cannabis Alcohol

n % n % n % n % n %
Methamphetamine 179 100.0 84 46.9 40 22.3 19 10.6 21 11.7
Cannabis 84 28.4 296 100. 110 37.2 44 14.9 66 22.3
0
Alcohol Total ≥0.05% 40 10.2 110 28.1 391 100.0 - - - -

BAC≥0.05-<0.15 19 13.1 44 30.3 - - 145 100.0 - -


BAC≥0.15 21 8.5 66 26.8 - - - - 246 100.0
Data: VIFM all fatal vehicle controller test records, 2006-2016

Substance Substance detected in conjunction with


Methamphetamines THC Alcohol
n % n % n %
Methamphetamines 179 100.0% 84 46.9% 40 22.3%
THC 84 28.4% 296 100.0% 110 37.2%

Alcohol 40 10.2% 110 28.1% 391 100.0%

As shown in Table 6 of the 391 fatally injured vehicle controllers detected with an illegal BAC (≥0.05%), 22 (5.6%) also
had both cannabis and Methamphetamines detected as well.

TABLE 6 POLYDRUG/ALCOHOL DETECTION IN FATALLY INJURED VEHICLE CONTROLLERS,


VICTORIA 2006-16
Methamphetamines Total
BAC≥0.05 Absent Present
Cannabis Absent 263 18 281
Present 88 22 110
Total 351 40 391

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 15


3.1.3 Analysis approach

The analysis of the relationship between levels of drug and alcohol enforcement and road safety outcomes focused on
vehicle controllers killed or seriously injured with drugs or alcohol detected in their system. Consideration was given to an
analysis of crashes involving drug presence in any involved driver but considered the identification of drug and alcohol
involvement in drivers not killed or seriously injured might be incomplete if the other drivers were not rigorously tested.
Consequently, estimates of the impact of enforcement on drug and alcohol on road trauma outcomes derived from the
study are likely to be slightly conservative
Design of the evaluation analysis investigating the relationship between roadside drug testing and drug presence in
seriously or fatally injured crash-involved vehicle controllers used a cross-sectional comparison between Police Regions
controlled by year of crash. The cross-sectional element of the evaluation design compares the level of drug enforcement
with rates of drug presence in crash-involved and tested vehicle controllers (serious injuries or fatal) across Regions,
capitalising on the variation in drug prevalence levels between Police Regions. It was necessary to control for year of
crash in the analysis design due to the exposure of drug use in the driving population changing over time, which could
confound the estimates of association.
The following four outcome measures were considered in the analysis, with separate analysis models estimated for
each:
 the proportion of seriously injured vehicle controllers tested and found positive for THC
 the proportion of seriously injured vehicle controllers tested and found positive for Methamphetamines
 the proportion of fatally injured vehicle controllers detected positive for THC
 the proportion of fatally injured vehicle controllers detected positive for Methamphetamines

Counts of total POFTs and OFTs for each Region obtained from RDT shift information were merged with the aggregated
vehicle controller casualty datasets (serious injury and fatal injury data). The two measures of drug enforcement defined
as independent (predictor) variables in the analysis model were:
 total number of POFTs
 total number of OFTs per 100 POFTs.

The total number of POFTs delivered per year and Region was used as a measure of input related to general deterrence
associated with roadside drug testing. This parallels research on the general deterrence found for roadside alcohol
testing, where the number of preliminary breath tests delivered has been found to correlate most strongly with rates of
alcohol involvement detected in crash involved vehicle controllers.
Total OFTs per 100 POFTs, the ‘hit rate’ (enforcement detection rate), was used as a measure of input associated with
specific deterrence from the drug testing program as it provides a measure of the proportion of vehicle controllers
detected for drug use, subsequently prosecuted, and likely to be specifically deterred from re-offending. The proportion of
OFTs per POFT conducted was used in preference to the number of OFTs as it and POFTs represent two relatively
independent measures of enforcement effort; this allowed simpler interpretation of the analysis results.
Logistic regression analysis was used to model the association between the proportion of injured vehicle controllers
(serious or fatal) detected with drugs in their system and (a) the number of POFTs and (b) the rate of OFTs per POFT.
‘Year of crash’ was also included in the model to control for possible changes in vehicle controller drug use prevalence
(unrelated to enforcement) over time.
The form of the model is as follows:
𝑂𝐹𝑇
𝑙𝑜𝑔𝑖𝑡(𝑝𝑦𝑟 ) = 𝛼 + 𝛽𝑦 + 𝛾 𝑃𝑂𝐹𝑇𝑦𝑟 + 𝛿 (𝑃𝑂𝐹𝑇)𝑦𝑟 … (Equation 1)
In the model:
pyr is the proportion of injured (serious or fatal) vehicle controllers detected with the drug in year y and
region r
𝑃𝑂𝐹𝑇𝑦𝑟 is the number of POFTs delivered in year y and region r
𝑂𝐹𝑇
( ) is the rate of drug detection per POFT year y and region r
𝑃𝑂𝐹𝑇 𝑦𝑟

𝛽𝑦 is the year effect parameter for year y

α, ϒ and δ are model parameters

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 16
Association between the rate of drug detection in injured (serious or fatal) vehicle controllers and annual POFTs
delivered per region is measured by parameter ϒ in the model, with exp(ϒ) being the estimated change in odds of drug
use in an injured (serious or fatal) crash involved vehicle controller per POFT delivered. Statistical significance of the
association and confidence limit on the estimated odds can be calculated from the standard error of the parameter
estimated in the model. Similarly, δ measures the association between injured (serious or fatal) vehicle controllers and
annual average drug detection rate per region, with exp(δ) representing the change in odds of drug involvement in the
injured (serious or fatal) vehicle controller per percentage increase in detection rate.

3.1.4 Analysis results

3.1.4.1 Seriously injured vehicle controllers

3.1.4.1.1 THC (Cannabis)


Estimates of the association, between the proportions of seriously injured crash involved vehicle controllers and (a) the
annual number of POFTs and (b) the rate of drug detection per POFT, were derived through the application of Equation
1 for the rate of THC detection in crash-involved vehicle controllers. A summary of the estimated odds ratios from the
analysis for the enforcement measure and the associated statistical significance probabilities are given in Table 7.

TABLE 7 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
DRUG ENFORCEMENT AND THC PRESENCE IN SERIOUS INJURY CRASHED VEHICLE CONTROLLERS

THC involvement

Relative Odds per unit input


Significance
Input variable change

Number of POFTs (1000s) <0.0001 0.962 (0.944, 0.980)

OFTs per 100 POFTs ('Hit rate') 0.818 1.008 (0.939, 1.083)

Based on a statistical significance threshold of 0.05, a highly statistically significant relationship was found between ‘total
number of POFTs’ (input of general deterrence) and THC use (see Table 7). However, the relationship between ‘hit rate’
and THC was not statistically significant. For every 1000 additional POFTs delivered, the estimated odds of THC being
detected in a seriously injured vehicle controller reduced by 3.8% (odds ratio 0.962). Complete outputs for each model
are shown in Appendix B (B1 & B2).
The model for THC presence in seriously injured vehicle controllers explained 52% of the variation in in the annual
counts by Region of seriously injured vehicle controllers detected with THC. Charts of fitted versus observed counts of
drug affected seriously injured vehicle controllers by region and year for THC are shown in Figure 9.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 17


50
y = 0.6077x + 11.532
R² = 0.5225
45

40

35

30
Fitted

25

20

15

10

0
0 10 20 30 40 50 60
Observed

Figure 9 Model fit assessments – THC affected seriously injured vehicle controller counts

Figure 10 shows the relative odds of the presence of THC in seriously injured vehicle controllers given the annual
number of POFTs conducted per region. The range of 10,000 to 25,000 POFTs per region, per year shown, corresponds
to an increase from 40,000 to 100,000 POFTs delivered annually across the state as a result of the TAC funded drug
testing expansion. The figure shows that increasing from 40,000 to 100,000 POFTs per annum was associated with a
44% reduction in the odds of detecting THC in seriously injured vehicle controllers.

1.20

1.00

0.80
Relative odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000

Annual POFTs per Region

Figure 10 Relative odds of a seriously injured vehicle controller having THC in their system by number of POFTs, per
Police Region

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 18
3.1.4.1.2 Methamphetamine
In contrast to the THC models (as shown in Table 7), analysis of Methamphetamine detection in seriously injured vehicle
controllers showed no statistically significant relationship between Methamphetamine presence in seriously injured
vehicle controllers and the total number of POFTs delivered annually (Table 8). But a statistically significant relationship
was found with ‘hit rate’ (input of specific deterrence). Odds of Methamphetamine involvement in a seriously injured
vehicle controller were found to decrease by 6.6% with every percentage point increase in the detection rate per
roadside drug test administered (relative odds 0.934). Complete outputs for each model are shown in Appendix B (B3 &
B4).

TABLE 8 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
DRUG ENFORCEMENT AND METHAMPHETAMINE PRESENCE IN SERIOUS INJURY CRASHED
VEHICLE CONTROLLERS

Methamphetamine involvement

Relative Odds per unit input


Significance
Input variable change

Number of POFTs (1000s) 0.102 1.007 (0.989, 1.025)

OFTs per 100 POFTs ('Hit rate') 0.021 0.934 (0.882, 0.990)

The model for Methamphetamine presence in seriously injured vehicle controllers explained 72% of the variation in the
annual counts of seriously injured vehicle controllers detected with Methamphetamine. Charts of fitted versus observed
counts of drug affected seriously injured vehicle controllers by region and year for Methamphetamine are shown in
Figure 11.

70
y = 0.7894x + 7.0034
60 R² = 0.7189

50

40
Fitted

30

20

10

0
0 10 20 30 40 50 60 70 80

Observed

Figure 11 Model fit assessments – Methamphetamine affected seriously injured vehicle controller counts

The relationship between the relative odds of Methamphetamine detection in seriously injured vehicle controllers and the
percentage positive drug test rate (hit rate) is illustrated in Figure 12. Over the period 2010 to 2016, the drug testing hit
rate has increased from around 2% to around 10% which corresponds to a 37% reduction in the odds of
Methamphetamine presence in seriously injured vehicle controllers.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 19


1.2

0.8
Relative Odds

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Percentage Hit Rate

Figure 12 Relative odds of a seriously injured vehicle controller having Methamphetamine in their system by percentage
detection rate of drug tests

3.1.4.2 Fatal crashes

3.1.4.2.1 THC (Cannabis)


Estimates of the association, between the proportions of fatally injured crash-involved vehicle controllers and (a) the
annual number of POFTs and (b) the rate of THC detection per POFT, were derived through the application of Equation
1 for the rate of THC detection in crash-involved vehicle controllers. A summary of the estimated odds ratios from the
analysis for the THC enforcement measures and the associated statistical significance probabilities are given in Table 9.
Analysis was not only carried out using the total number of POFTs and the overall hit rate, but also with these two
measures broken down by car and bus-based delivery. A similar analysis was attempted for the analysis of THC
involvement in serious injury crashes but did not produce statistically robust results. In comparison, the fatal crash
analysis was able to support this extension.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 20
TABLE 9 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
DRUG ENFORCEMENT AND THC DRUG PRESENCE IN FATALLY INJURED CRASHED VEHICLE
CONTROLLERS

THC involvement

Relative Odds per unit input


Input variable Significance
change
Car and Bus Operations Combined

Number of POFTs (1000s) 0.047 0.958 (0.919, 0.999)

OFTs per 100 POFTs


('Hit rate') 0.099 0.877 (0.751, 1.025)

Car and Bus Operations Separately

Number of car-based POFTs (1000s) 0.008 0.899 (0.831, 0.972)

Number of bus-based POFTs (1000s) 0.664 0.991 (0.950, 1.033)

Number of car-based OFTs (‘Hit rate’) 0.044 0.897 (0.807, 0.997)

Number of bus-based OFTs (‘Hit rate’) 0.401 1.121 (0.858, 0.997)

Based on a statistical significance threshold of 0.05, a statistically significant relationship (p=0.047) was found between
the ‘total number of POFTs’ (input of general deterrence) and THC presence. The relationship between ‘hit rate’ and
THC presence was marginally statistically significant when based on hit rate in tests overall. Consequently, interpretation
of this results has also been provided from this analysis but should be treated with some caution. For every 1000
additional POFTs delivered, the estimated odds of THC being detected in a fatally injured vehicle controller reduced by
4.2% (odds ratio 0.958). Complete outputs for each model are shown in Appendix C (C1 & C2). Similarly, for every
percentage increase in hit rate, the odds of a fatality involving THC reduced by 12.3%.
The model for THC presence in fatally injured vehicle controllers based on overall POFTs and hit rate explained 66% of
the variation in the annual counts of fatally injured vehicle controllers detected with THC. Charts of ‘fitted’ versus
‘observed’ counts of THC affected fatally injured vehicle controllers by region and year, for the model are shown in Figure
13.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 21


16

14
y = 0.707x + 2.0092
R² = 0.6581
12

10
Fitted

0
0 2 4 6 8 10 12 14 16
Observed

Figure 13 Model fit assessments – THC affected fatally injured vehicle controller counts by Region

Figure 14 shows the relative odds of the presence of THC in fatally injured vehicle controllers given the annual number of
POFTs conducted per region. The range of 10,000 to 25,000 POFTs per region, per year shown, corresponds to an
increase from 40,000 to 100,000 POFTs delivered annually across the state as a result of the TAC funded drug testing
expansion. The figure shows that increasing from 40,000 to 100,000 POFTs per annum was associated with a 47%
reduction in the odds of detecting THC in fatally injured vehicle controllers.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Annual POFTs per Region

Figure 14 Relative odds of a fatally injured vehicle controller having THC in their system by annual number of POFTs,
per Region

The relationship between the relative odds of THC detection in fatally injured vehicle controllers and the percentage
positive drug test rate (hit rate) is illustrated in Figure 15. Over the period 2010 to 2016, the drug testing hit rate has
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 22
increased from around 2% to around 10% which corresponds to a 49% reduction in the odds of THC presence in fatally
injured vehicle controllers.

1.2

0.8
Relative Odds

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Percentage Hit Rate

Figure 15 Relative odds of a fatally injured vehicle controller having THC in their system by percentage detection rate
(‘Hit rate’), by Region

Analysis by car and bus-based testing separately in Table 9 shows the overall association between enforcement delivery
and the odds of THC presence in a fatality appears to stem from car-based testing. Car based POFTs and the hit rate
from car-based tests were both statistically significantly associated with the odds of THC presence in a fatality. In
contrast, neither of the bus-based measures were statistically significantly associated with the outcome and the
estimated odds were both close to 1. The model for THC presence in fatally injured vehicle controllers by car and
bus-based operations explained 77% of the variation in the annual fatal injury counts, much greater than for the overall
tests model. Charts of ‘fitted’ versus ‘observed’ counts of THC affected fatally injured vehicle controllers by region and
year for the model, for car and bus-based operations are shown in Figure 16.

14
y = 0.702x + 2.0434
12 R² = 0.7684

10

8
Fitted

0
0 2 4 6 8 10 12 14 16
Observed

Figure 16 Model fit assessments – THC affected fatally injured vehicle controller counts by Region, car and bus-based
operations

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 23


Figure 17 shows the relative odds of the presence of THC in fatally injured vehicle controllers against the annual number
of POFTs conducted per region, through car-based operations. The figure shows that increasing from 40,000 to 100,000
car delivered POFTs per annum would be associated with a 47% reduction in the odds of detecting THC in fatally injured
vehicle controllers. It should be noted that this is not the increase in car-based tests that was actually achieved given the
increase was spread over both car and bus-based testing.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Annual POFTs per Region

Figure 17 Relative odds of a fatally injured vehicle controller having THC in their system by annual number of POFTs,
per Region, car-based operations

The relationship between the relative odds of THC car-based detection in fatally injured vehicle controllers and the
percentage positive drug test rate (hit rate) is illustrated in Figure 18.

1.2

1
Relative Odds

0.8

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Percentage Hit Rate

Figure 18 Relative odds of a fatally injured vehicle controller having THC in their system by percentage detection rate
(‘Hit rate’) by Region, car-based operations

3.1.4.2.2 Methamphetamine
Estimates of the association between the proportions of fatally injured crash-involved vehicle controllers detected with
Methamphetamine and both the annual number of POFTs and the rate of Methamphetamine detection per POFT in each
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 24
Region were derived through the application of Equation 1. The initial analysis considered the total tests and hit rates
from all models of delivery whilst a second analysis considered each of these broken down by car and bus-based
delivery. A summary of the estimated odds ratios from the analysis for the Methamphetamine enforcement measures
and the associated statistical significance probabilities are given in Table 10.

TABLE 10 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
DRUG ENFORCEMENT AND METHAMPHETAMINE DRUG PRESENCE IN FATALLY INJURED CRASHED
VEHICLE CONTROLLERS

Methamphetamine involvement

Relative Odds per unit input


Input variable Significance
change

Car and Bus Operations Combined


Number of POFTs (1000s) 0.088 0.957 (0.910, 1.007)

OFTs per 100 POFTs ('Hit rate') 0.007 0.790 (0.666, 0.938)

Car and Bus Operations Separately


Number of car-based POFTs (1000s) 0.054 0.909 (0.825, 1.002)

Number of bus-based POFTs (1000s) 0.588 1.014 (0.965, 1.065)

Number of car-based OFTs (‘Hit rate’) 0.006 0.853 (0.761, 0.956)

Number of bus-based POFTs (‘Hit rate’) 0.217 1.223 (0.888, 1.684)

Based on a statistical significance threshold of 0.05, analysis of Methamphetamine detection in fatally injured vehicle
controllers showed a marginally statistically significant relationship (0.05<p<0.1) between Methamphetamine presence in
fatally injured vehicle controllers and the total number of POFTs delivered annually per Region. A highly statistically
significant relationship found between drug testing positive ‘hit rate’ (input of specific deterrence) and the odds of
Methamphetamine presence in a fatally injured driver. Odds of Methamphetamine involvement in a fatally injured vehicle
controller were found to decrease by 21% with every percentage point increase in detection rate per roadside drug test
administered (relative odds 0.790). The comparable decrease in odds per 1000 tests delivered annually per region was
less at 4.3%. Complete outputs for each model are shown in Appendix C (C3 & C4)
The model for Methamphetamine presence in fatally injured vehicle controllers based on total tests and overall hit rate
across both cars and buses explained 67% of the variation in the annual counts of fatally injured vehicle controllers
detected with Methamphetamine. Charts of ‘fitted’ versus ‘observed’ counts of Methamphetamine affected fatally injured
vehicle controllers by region and year for the model are shown in Figure 19.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 25


16

14

y = 0.7994x + 1.0418
12
R² = 0.6704

10
Fitted

0
0 2 4 6 8 10 12 14 16
Observed

Figure 19 Model fit assessments – Methamphetamine affected fatally injured vehicle controller counts by Region

Figure 20 shows the relative odds of the presence of Methamphetamine in fatally injured vehicle controllers given the
annual number of POFTs conducted per Region. The range of 10,000 to 25,000 POFTs per region, per year shown,
corresponds to an increase from 40,000 to 100,000 POFTs delivered annually across the state as a result of the TAC
funded drug testing expansion. The figure shows that increasing from 40,000 to 100,000 POFTs per annum was
associated with a 38% reduction in the odds of detecting Methamphetamine in fatally injured vehicle controllers.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Annual POFTs Per Region

Figure 20 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by annual number
of POFTs, per Region

The relationship between the relative odds of Methamphetamine detection in fatally injured vehicle controllers and the
percentage positive drug test rate (hit rate) is illustrated in Figure 21. Over the period 2010 to 2016, the drug testing hit
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 26
rate has increased from around 2% to around 10% which corresponds to a 53% reduction in the odds of
Methamphetamine presence in fatally injured vehicle controllers.

1.2

0.8
Relative Odds

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Positive Tests Per 100 POFTs

Figure 21 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by percentage
detection rate (‘Hit rate’), by Region

The model for Methamphetamine presence in fatally injured vehicle controllers as a function of annual POFTs and hit
rate per region separated by cars and bus delivery explained 82% of the variation in the annual fatal injury counts. This is
substantially greater than when using measures combined across car and bus-based modes suggesting a difference in
the crash effects associated with car and bus-based testing. Charts of ‘fitted’ versus ‘observed’ counts of
Methamphetamine affected fatally injured vehicle controllers by region and year for the model are shown in Figure 22, for
car & bus-based operations.

16

14
y = 0.8603x + 0.7256
R² = 0.8185
12

10

8
Fitted

0
0 2 4 6 8 10 12 14 16
Observed

Figure 22 Model fit assessments – Annual Methamphetamine affected fatally injured vehicle controller counts by Region,
car- and bus-based operations

Results presented in Table 10 show that the overall association between POFTs and drug testing hit rate overall and
presence of Methamphetamine in fatalities stem largely from the association between this outcome and car-based

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 27


testing. There was an almost statistically significant relationship between annual POFTs delivered per region and the
outcome, with a 9.1% drop in the odds of Methamphetamine presence in a fatality per 1000 increase in car-based tests
per region per annum. The association with testing ‘hit rate’ was highly statistically significant with a reduction in odds of
14.7% per percentage point increase in test hit rate from car-based tests.
Figure 23 shows the relative odds of the presence of Methamphetamine in fatally injured vehicle controllers given the
annual number of POFTs conducted per region, through car-based operations.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Annual Car POFTs Per Region

Figure 23 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by annual number
of POFTs, per Region, car-based operations

The relationship between the relative odds of Methamphetamine car-based detection in fatally injured vehicle controllers
and the percentage positive drug test rate (hit rate) is illustrated in Figure 24.

1.2

0.8
Relative Odds

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Positive Tests Per 100 Car POFTs

Figure 24 Relative odds of a fatally injured vehicle controller having Methamphetamine in their system by percentage
detection rate (‘Hit rate’) by Region, car-based operations

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 28
3.2 Crash impacts of roadside alcohol testing

3.2.1 Annual RBT enforcement (PBTs & EBTs)

The annual number of random breath tests conducted in Victoria, identified through PBT data, from 2006 to 2016 is
shown in Figure 25. Since 2006 the annual number of PBTs conducted in Victoria has ranged between approximately
three to four-million tests. During 2015 and 2016 the number of tests decreased to operational levels similar to those
reported back in 2007.
4,500,000

4,000,000

3,500,000
Number of PBTs

3,000,000

2,500,000

2,000,000

1,500,000

1,000,000

500,000

-
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Year

Figure 25 Annual number of Preliminary Breath Tests (PBTs) delivered, Victoria 2006-2016

From 2011 to 2014 there was a change in the preliminary breath testing equipment used by Victoria Police, transitioning
from the SD400 to the Touch 400. As shown in Figure 26 the SD400 was no longer used after 2014, with all preliminary
testing undertaken using the Touch 400.

4,500,000
4,000,000
3,500,000
Number of PBTs

3,000,000
2,500,000
2,000,000
1,500,000
1,000,000
500,000
-
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Touch 400 SD400

Figure 26 Annual number of PBTs delivered by testing device used, Victoria 2006-2016

The annual number of PBTs delivered in Victoria by Police Region is shown in Figure 27. Not all tests were able to be
matched to the region in which they were conducted. Hence, Figure 27 does not represent the full set of tests. However,

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 29


the proportion of tests not able to be matched was identified as approximately equal across regions, therefore the
distribution of tests shown below is a fairly accurate reflection of the true distribution. As shown, the least number of
RBTs have been conducted in the Southern Metro Region across all years, with the majority of testing occurring in the
Eastern Region. The reductions in testing numbers during 2015 and 2016, mentioned above (see Figure 25) are mostly
due to reductions occurring within the Eastern and Western Regions.

1,200,000

1,000,000
Number of PBTs

800,000

600,000

400,000

200,000

-
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
North West Metro Southern Metro East West

Figure 27 Annual number of PBTs delivered by Police Region, Victoria 2006-2016

The annual numbers of PBTs undertaken through car and bus-based operations are shown in Figure 28. There was a
negligible number of tests excluded due to an inability to identify the operation type. It is likely that the declines in the
number of PBTs conducted during 2015 and 2016 are attributable to declines in car-based testing rather than the bus-
based possibly related to the move to the 2-up policy where all vehicles are required to have 2 officers on board when
undertaking traffic duties to ensure safety.

3,000,000

2,500,000

2,000,000
Number of PBTs

1,500,000

1,000,000

500,000

-
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Car Bus

Figure 28 Annual number of PBTs delivered by car or bus operations, Victoria 2006-2016

Figure 29 shows the number of positive Evidentiary Breath Tests (EBTs) per 1000 PBTs, hereafter referred to as the ‘hit
rate’, conducted in Victoria from 2006 to 2016. A gradual but constant decline can be observed from 2007 onwards for
vehicle controllers returning illegal BAC level roadside PBTs and requiring EBTs to be taken from each driver.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 30
7

6
Positive EBTs per 1000 PBTs

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Year

Figure 29 Annual number of positive EBTs per 1000 PBTs, Victoria 2006-2016

Figure 30 shows the hit rate for PBTs in each Police Region. It can be seen that the Metropolitan regions (North West
Metro and Southern Metro) have a higher hit rate for alcohol testing than the primarily rural regions (East and West).
Declines in hit rate over time have been observed in each region.

12

10
Positive EBTs per 1000 PBTs

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

North West Metro Southern Metro East West

Figure 30 Annual number of positive EBTs per 1000 PBTs by Police Region, Victoria 2006-2016

Figure 31 shows the difference in alcohol testing hit rate associated with car and bus type operations. The hit rate is
consistently much higher for cars than it is for buses. This is consistent with anecdotal reports that car-based operations
are much less random (typically more targeted) than the bus-based operations which are designed to maximize general
deterrence through principally random operations.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 31


9

8
Positive EBTs per 1000 PBTs

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Car Bus

Figure 31 Annual number of positive EBTs per 1000 PBTs by mode of operation, Victoria 2006-2016

The annual number of PBTs within each Police Region from car-based operations are outlined in Table 11 and from
bus-based operations in Table 12. As shown in these Tables, the Metro Regions utilise more bus-based RBT operations
than car-based, with the Regions (East & West) that incorporate rural Divisions relying more on the car-based
operations.
The annual number of positive EBTs per 1000 PBTs per Police Region resulting from car-based operations is outlined in
Table 13 and those from bus-based operations are shown in Table 14, with both tables showing the intra and
inter-regional average (mean hit rate) drink vehicle controller detection from each mode of operation. As shown the
average drink vehicle controller detection rate has steadily decreased for both the car and bus-based operations over the
decade. The tables also highlight the higher detection rate from car-based operations with a greater than 4:1 average
detection rate compared to the bus in 2016. This higher detection rate is indicative of the more general deterrence profile
of the buses compared to the target specific deterrence strategies associated with car-based drink driving operations.

TABLE 11 ANNUAL NUMBER OF BTS PER POLICE REGION FROM CAR-BASED OPERATIONS,
VICTORIA 2006-16
Year North West Southern Metro East West Total
Metro
2006 367,248 221,956 727,312 811,969 2,128,485
2007 350,020 212,715 666,296 722,983 1,952,014
2008 328,265 306,786 754,981 794,603 2,184,635
2009 367,605 362,136 851,403 857,084 2,438,228
2010 410,883 424,082 881,624 837,729 2,554,318
2011 384,572 382,364 769,701 743,972 2,280,609
2012 393,705 450,504 935,247 845,621 2,625,077
2013 298,796 352,175 742,160 748,898 2,142,029
2014 343,979 376,804 803,512 886,417 2,410,712
2015 297,443 357,348 617,588 573,198 1,845,577
2016 322,150 315,433 615,123 474,934 1,727,640

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IN VICTORIA | 32
TABLE 12 ANNUAL NUMBER OF PBTS PER POLICE REGION FROM BUS-BASED OPERATIONS,
VICTORIA 2006-16
Year North West Southern Metro East West Total
Metro
2006 369,377 239,142 138,927 76,520 823,966
2007 404,627 247,309 150,562 81,052 883,550
2008 510,984 310,241 198,098 91,195 1,110,518
2009 463,577 281,633 160,180 79,776 985,166
2010 451,461 298,516 163,545 95,279 1,008,801
2011 264,085 208,798 107,075 68,108 648,066
2012 388,679 288,897 155,565 120,616 953,757
2013 384,491 302,161 151,663 96,101 934,416
2014 433,527 322,915 185,548 139,032 1,081,022
2015 371,053 288,985 146,862 118,106 925,006
2016 380,401 301,851 206,415 157,604 1,046,271

TABLE 13 ANNUAL AND AVERAGE NUMBER OF POSITIVE EBTS PER 1000 TESTS PER POLICE
REGION FROM CAR-BASED OPERATIONS, VICTORIA 2006-16
Year North West Southern Metro East West Mean Hit rate
Metro
2006 9.78 16.07 4.60 3.98 8.6

2007 10.81 17.68 6.35 4.52 9.8

2008 13.52 14.72 6.18 4.11 9.6

2009 11.19 11.40 5.29 3.87 7.9

2010 8.99 9.02 4.13 3.52 6.4

2011 8.37 8.61 4.25 3.46 6.2

2012 6.70 6.15 3.39 2.77 4.8

2013 8.37 6.70 3.77 2.87 5.4

2014 7.38 7.35 3.51 2.21 5.1

2015 6.60 6.21 3.73 2.80 4.8

2016 5.53 5.80 3.45 3.10 4.5

Regional Mean 8.8 10.0 4.4 3.4 6.7

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 33


TABLE 14 ANNUAL AND AVERAGE NUMBER OF POSITIVE PBTS PER 1000 TESTS PER POLICE
REGION FROM BUS-BASED OPERATIONS, VICTORIA 2006-16
Year North West Southern Metro East West Mean Hit rate
Metro
2006 3.74 5.34 2.89 3.36 3.8

2007 3.05 4.58 3.95 1.95 3.4

2008 1.74 2.80 2.13 1.35 2.0

2009 1.82 2.71 2.33 1.18 2.0

2010 1.74 2.59 2.38 1.62 2.1

2011 2.20 2.91 2.29 1.32 2.2

2012 1.97 2.83 2.04 1.38 2.1

2013 1.49 1.86 1.50 1.21 1.5

2014 1.54 2.06 1.90 1.11 1.7

2015 1.40 1.49 1.32 0.88 1.3

2016 1.16 1.43 1.13 0.82 1.1

Regional Mean 2.0 2.8 2.2 1.5 2.1

3.2.2 Alcohol presence in crashes


The analysis undertaken to establish the effect of alcohol enforcement on the involvement of alcohol in crash-involved
vehicle controllers was analogous to that used in the drug component of this project. The datasets employed were:
 Victoria Police sourced PBT data (2006-2016)
 Victoria Police sourced EBT data (2007-2017)
 TIS crash data (2006-2018)
 RCIS crash data (with TAC validated injury severity level; 2006-2016)

Once combined/matched the datasets presented a complete picture of the input and output measures of interest for
period of January 2006 to December 2016 inclusive.

3.2.2.1 Serious injury crashes


The trends for the presence of illegal BAC levels in seriously injured vehicle controllers is shown in Figure 32 with the
counts of vehicle controllers presented in Table 15. Overall, the rate of alcohol involvement has been consistently
declining throughout the data period. Of note is that the gradient of this decline does not differ for high BAC level
offences. Alarmingly, high level readings continue to remain as prominent as low-mid range ones.
Only about 30% of seriously injured vehicle controllers admitted to hospital had a blood sample taken and tested for
alcohol during 2006-2016. Thus, the percentage of seriously injured vehicle controllers tested and found to have BAC in
an illegal BAC range is likely to be a conservative estimate of the true prevalence of alcohol in all seriously injured
vehicle controllers in Victoria.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 34
TABLE 15 PRESENCE OF ALCOHOL BY LEVEL OF CONCENTRATION (BAC) IN SERIOUSLY INJURED
VEHICLE CONTROLLERS, VICTORIA 2006-2016
Year Seriously injured vehicle controllers
Low – mid range High range Total
(BAC ≥0.05 - <0.15) (BAC≥0.15)
2006 172 199 4388
2007 186 217 4820
2008 204 191 4546
2009 208 205 4504
2010 154 158 3967
2011 199 139 4208
2012 149 129 3894
2013 114 126 3955
2014 118 111 4238
2015 106 111 4243
2016 104 106 4460

5%
Percentage of Seriously Injury Drivers

4%

3%

2%

1%

0%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Low - mid range BAC High range BAC

Figure 32 Percentage of seriously injured vehicle controllers by illegal BAC range

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 35


3.2.2.2 Fatal crashes
The trends for the presence of illegal BAC levels in fatal injury crashes is shown in Figure 33 with the counts of vehicle
controllers (%) presented in Table 16. Overall, the rate of alcohol involvement has been consistently declining throughout
the data period. Of note is that the gradient of this decline is less for high BAC level offences, with high level readings
continuing to be overrepresented in fatal crashes across all data years.

TABLE 16 PRESENCE OF ALCOHOL BY LEVEL OF CONCENTRATION (BAC) IN FATALLY INJURED


VEHICLE CONTROLLERS, VICTORIA 2006-2016
Fatally injured vehicle controllers

Year
Low-mid range (0.05≤BAC<0.15) High range (BAC≥0.15) Total

2006 13 21 212
2007 23 33 220
2008 14 32 192
2009 20 19 184
2010 11 22 184
2011 13 18 176
2012 13 25 190
2013 10 19 167
2014 10 14 154
2015 8 18 162
2016 10 25 212

18%

16%

14%

12%
Percentage%

10%

8%

6%

4%

2%

0%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Impairing High Range

Figure 33 Percentage of fatally injured vehicle controllers by illegal BAC range

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 36
3.2.3 Analysis approach
As mentioned, the design of the analysis to establish the effect of roadside alcohol testing on alcohol crash involvement
was comparable to that described for the roadside drug testing component of this project (see Section 3.1.2). The same
cross-sectional design was used to identify the effects of roadside alcohol enforcement on crash outcomes at a Police
Region level. Again, the analysis of the relationship between levels of alcohol enforcement and road safety outcomes
focused on vehicle controllers killed or seriously injured with drugs or alcohol detected in their system rather than
crashes where any driver was alcohol affected.
Two outcome measures were nominated to be investigated in analysis:
 The presence of a BAC reading at or above 0.05mg/L and
 The presence of a BAC reading at or above 0.15mg/L (high range)

The input variables included in the model were:


 Total number of PBTs
 Total number of positive EBTs per 1000 PBTs

Two types of models were considered for the predictor variables. The first included the two measures in total across both
car and bus-based operations. The second considered the 2 measures split by car and bus-based operations.
The form of the model is as follows:
𝐸𝐵𝑇
𝑙𝑜𝑔𝑖𝑡(𝑝𝑦𝑟 ) = 𝛼 + 𝛽𝑦 + 𝛾 𝑃𝐵𝑇𝑦𝑟 + 𝛿 (𝑃𝐵𝑇)𝑦𝑟 … (Equation 1)
In the model:
pyr is the proportion of seriously injured vehicle controllers tested and found with given alcohol levels in
year y and region r
𝑃𝐵𝑇𝑦𝑟 is the number of PBTs delivered in year y and region r
𝐸𝐵𝑇
( ) is the rate of illegal BAC detection per PBT in year y and region r
𝑃𝐵𝑇 𝑦𝑟

𝛽𝑦 is the year effect parameter for year y

α, ϒ and δ are model parameters

3.2.4 Analysis results

3.2.4.1 Serious injury crashes

3.2.4.1.1 Seriously injured vehicle controllers with BAC at or above 0.05mg/L


Estimates of the association, between the proportions of seriously injured crash-involved vehicle controllers and (a) the
annual number of PBTs and (b) the hit rate of illegal BAC detection (EBTs), were derived through the application of
Equation 1 for the rate of illegal BAC detection (BAC ≥0.05%) in crash-involved vehicle controllers. A summary of the
estimated odds ratios from the analysis for the roadside alcohol enforcement measures and the associated statistical
significance probability are given in Table 17. The first model considered car and bus operations combined in the
predictor variables whilst the second model considered the predictor variables separately for car and bus operations.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 37


TABLE 17 SUMMARY RESULTS OF THE TWO MODELS USED TO ASSESS THE RELATIONSHIP
BETWEEN ALCOHOL ENFORCEMENT AND THE PRESENCE OF ALL ILLEGAL ALCOHOL LEVELS
(BAC≥0.05%), IN SERIOUSLY INJURED CRASH VEHICLE CONTROLLERS
OUTCOME
INPUT VARIABLES SIGNIFICANCE Relative Odds Per Unit Input Change
VARIABLE
Car and Bus Operations Combined
Number of PBTs
<0.001 0.998 (0.998, 0.999)
(1000s)
All illegal alcohol
involvement ≥0.05 EBTs per 1000 PBTs
<0.001 0.882 (0.841, 0.925)
(‘Hit rate’)

Car and Bus Operations Separately


Number of Car-based PBTs
0.001 0.999 (0.998, 1.000)
(1000s)
Number of Bus-based PBTs
<0.001 0.998 (0.997, 0.999)
All illegal alcohol (1000s)
involvement ≥0.05 Car-based EBTs per 1000 PBTs
0.895 1.002 (0.968, 1.037)
(‘Car Hit rate’)
Bus-based EBTs per 1000 PBTs
0.005 0.861 (0.775, 0.956)
(‘Bus Hit rate’)

A statistically significant relationship at the 5% level was found between ‘all illegal alcohol involvement (BAC ≥0.05)’ in
seriously injured vehicle controllers and ‘total number of PBTs’ (input for general deterrence) for both car and bus-based
operations separately and combined. For every 1000 additional PBTs delivered per Region, the estimated odds of an
illegal BAC (≥0.05%) being detected in a seriously injured vehicle controller reduced by 0.2% (odds ratio 0.998) for car
and bus operations combined. When considered by car and bus tests separately, the relationship between car-based
testing and illegal alcohol involvement in seriously injured vehicle controllers (0.1% reduction per 1000 test increase per
Region) was half that for the bus-based tests delivered (0.2% reduction per 1000 test increase per Region).
The relationship between all illegal alcohol involvement (BAC ≥0.05)’ in seriously injured vehicle controllers and ‘Hit rate’
(EBTs per 1000 PBTs) was statistically significant for car and bus tests combined. Odds of all illegal alcohol involvement
(BAC ≥0.05) in a seriously injured vehicle controller detected were found to decrease by 11.8% with every 0.1
percentage point increase in the detection rate per PBT administered. This relationship appeared to stem largely from
the statistically significant relationship identified for hit-rate in bus-based testing. Odds of all illegal alcohol involvement
(BAC ≥0.05) in a seriously injured vehicle controller detected in a bus-based operation were found to decrease by 13.9%
with every 0.1 percentage point increase in the detection rate per roadside drug test administered. The relationship with
car-based test hit rate was not statistically significant. Complete outputs for each model are shown in Appendix D (D1 &
D2).
The model for illegal alcohol levels (BAC ≥0.05) in seriously injured vehicle controllers for car and bus-based predictor
measures combined explained 83% of the variation in the annual counts of seriously injured vehicle controllers detected
with illegal alcohol levels. Charts of fitted versus observed counts of impairing alcohol affected (BAC ≥0.05) seriously
injured vehicle controllers by Region and year for the model are shown in Figure 34.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 38
140

120 y = 0.9462x + 4.0736


R² = 0.8286

100
Predicted

80

60

40

20

0
0 20 40 60 80 100 120

Observed

Figure 34 Model fit assessments – Illegal alcohol level (BAC≥0.05) seriously injured vehicle controller counts by year and
Region

The relationship between the relative odds of illegal alcohol levels (BAC ≥0.05) detection in seriously injured vehicle
controllers given the annual number of PBTs conducted per Police Region in both car and bus operations is illustrated in
Figure 35.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
- 500,000 1,000,000 1,500,000 2,000,000

Annual PBTs Per Region

Figure 35 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Police Region

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 39


Figure 36 shows the relationship between PBT hit rate and the relative odds of any illegal alcohol presence in seriously
injured vehicle controllers.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3
Positive test per 1000 PBTs

Figure 36 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by the Hit rate, per 1000 alcohol tests

The model for illegal alcohol levels (BAC ≥0.05) by car and bus-based operations in seriously injured vehicle controllers
explained 88% of the variation in the annual counts of seriously injured vehicle controllers detected with illegal alcohol
levels. This is slightly greater than the model for car and bus operations combined suggesting differential associations
between car and bus operations and illegal alcohol involvement in seriously injured vehicle controllers. Charts of fitted
versus observed counts of illegal alcohol affected (BAC ≥0.05) seriously injured vehicle controllers by Region and year
for the model, for car and bus-based operations are shown in Figure 37.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 40
140

120 y = 0.9453x + 4.1466


R² = 0.8808

100

80
Predicted

60

40

20

0
0 20 40 60 80 100 120
Observed

Figure 37 Model fit assessments – Illegal alcohol level (BAC≥0.05) seriously injured vehicle controller counts by year and
Region, car and bus-based operations

The relationship between the relative odds of illegal level alcohol (BAC ≥0.05) detection in seriously injured vehicle
controllers and RBTs delivered per year per Police Region by car-based operations and bus-based operations are
illustrated below in Figure 38 and Figure 39 respectively. The stronger effects associated with bus-based operations can
be seen through comparing the 2 figures.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 500,000 1,000,000 1,500,000 2,000,000
Annual Car PBTs Per Region

Figure 38 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Region, car-based operations

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 41


1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 500,000 1,000,000 1,500,000 2,000,000
Annual Bus PBTs Per Region

Figure 39 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by annual number of PBTs delivered, per Region, bus-based operations

Figure 40 shows the relationship between hit rate per 1000 RBTs delivered from bus operations and relative odds of
illegal alcohol presence in seriously injured vehicle controllers.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3 3.5 4
Positive test per 1000 Bus PBTs

Figure 40 Relative odds of a seriously injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system
by the hit rate, per 1000 alcohol tests, bus-based operations

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 42
3.2.4.1.2 Seriously injured vehicle controllers with BAC at or above 0.15mg/L (high-range)
Estimates of the association, between the proportions of seriously injured crash-involved vehicle controllers with a BAC
of 0.15 or greater (≥0.15 – high range) and (a) the annual number of PBTs delivered per region and (b) the hit rate (EBTs
per 1000 PBTs), were derived through the application of Equation 1. As before, separate models were fitted for bus and
car-based operations combined and for bus and car-based operations separately. A summary of the estimated odds
ratios from the analysis for the alcohol enforcement measures and the associated statistical significance probability are
given in Table 18.

TABLE 18 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
ALCOHOL ENFORCEMENT AND THE PRESENCE OF HIGH-RANGE ALCOHOL LEVELS (BAC≥0.15), IN
SERIOUSLY INJURED CRASH VEHICLE CONTROLLERS
OUTCOME Relative Odds Per Unit Input
INPUT VARIABLES SIGNIFICANCE
VARIABLE Change

Car and Bus Operations Combined


Number of PBTs
<0.001 0.998 (0.997, 0.999)
(1000s)
Alcohol Involvement
≥0.15 (High range) EBTs per 1000 PBTs
<0.001 0.896 (0.838, 0.957)
(‘Hit rate’)

Car and Bus Operations Separate


Number of Car-based PBTs
<0.001 0.999 (0.998, 0.999)
(1000s)
Number of Bus-based PBTs
<0.001 0.998 (0.997, 0.999)
Alcohol Involvement (1000s)
≥0.15 (High range)
Car-based EBTs per 1000 PBTs
0.817 0.994 (0.949, 1.042)
(‘Car hit rate’)
Bus-based EBTs per 1000 PBTs
0.086 0.881 (0.763, 1.018)
(‘Bus hit rate’)

A statistically significant relationship at the 5% level was found between ‘high-range alcohol level (BAC ≥0.15)’ in
seriously injured vehicle controllers and number of PBTs delivered annually per region for car and bus-based tests
combined as well as for car and bus-based tests separately (input for general deterrence). For every 1000 additional
PBTs delivered per Region per annum, the estimated odds of a high-range illegal BAC being detected in a seriously
injured vehicle controller reduced by 0.2% for combined car & bus operations, by 0.1% for car-based operations and
0.2% for bus-based operations.
A statistically significant relationship was found between high-range alcohol level (BAC ≥0.15) in serious injury vehicle
controllers and ‘Hit rate” (specific deterrence) from car and bus tests combined. Odds of high-range alcohol involvement
(BAC ≥0.15) in a seriously injured vehicle controller detected were found to decrease by 10.4% with every 0.1
percentage point increase in the detection rate per roadside drug test administered. In the models that separated the car
and bus-based operations, these relationships were not found to be significant. However, the estimated effect in this
model was much higher for bus-based hit rate (which was marginally statistically significant) compared to car-based hit
rate suggesting the overall result is mostly driven by the bus-based hit rate as was found for the all illegal alcohol
analysis. Complete outputs for each model are presented in Appendix D (D3 & D4).
The model for high-range alcohol levels (BAC ≥0.15) in seriously injured vehicle controllers based on combined car and
bus measures explained 81% of the variation in the annual counts per Region of seriously injured vehicle controllers
detected with high-range alcohol levels. Charts of fitted versus observed counts of high-range alcohol level (BAC ≥0.15)
affected seriously injured vehicle controllers by Police Region and year, for the model are shown in Figure 41.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 43


70

60
y = 0.8789x + 4.6564
R² = 0.8108
50

40
Predicted

30

20

10

0
0 10 20 30 40 50 60 70
Observed

Figure 41 Model fit assessments – High-range alcohol level (BAC ≥0.15) seriously injured vehicle controller counts by
year and Region: car and bus combined

The relationship between the relative odds of high-range alcohol level (BAC ≥0.15) detection in seriously injured vehicle
controllers and the annual number of PBTs conducted per Police Region for car and busses combined is illustrated in
Figure 42.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
- 500,000 1,000,000 1,500,000 2,000,000
Annual PBTs Per Region

Figure 42 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of PBTs delivered, per Region

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 44
Figure 43 shows the relationship between the positive tests per 1000 PBTs from car and bus testing combined and the
relative odds of high range alcohol in a seriously injured driver.

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3
Positive test per 1000 PBTs

Figure 43 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their
system by the hit rate, per 1000 alcohol tests

The model for high-range alcohol levels (BAC ≥0.15) in seriously injured vehicle controllers based on car and bus
measures separately explained 80% of the variation in the annual counts per Region of seriously injured vehicle
controllers detected with high-range alcohol levels. This is about the same as the model with car and bus operations
combined suggestions there is not significant difference between car and bus-based operations in their impact on high
range alcohol involved serious crashes. Charts of fitted versus observed counts of high-range alcohol level (BAC ≥0.15)
affected seriously injured vehicle controllers by Police Region and year, for the model with car and bus operations
considered separately are shown in Figure 44.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 45


70

y = 0.8686x + 5.0531
60
R² = 0.8027

50

40
Predicted

30

20

10

0
0 10 20 30 40 50 60 70
Observed

Figure 44 Model fit assessments – High-range alcohol level (BAC ≥0.15) seriously injured vehicle controller counts by
year and Region: car and bus operations separate

The relationship between the odds of a seriously injured vehicle controller having a high range BAC and both car and
bus based RBTs per region per year are shown in Figures 45 and 46 respectively. As evident, the relationships are very
similar reinforcing the comparison of the goodness of fit assessments.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 46
1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 500,000 1,000,000 1,500,000 2,000,000
Car PBTs per reion per annum

Figure 45 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of car PBTs delivered, per Region

Relative Odds of Alcohol Involvement (BAC≥0.15) in a Seriously Injured


Driver by Annual Bus PBTs per Region
1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 500,000 1,000,000 1,500,000 2,000,000
Bus PBTs

Figure 46 Relative odds of a seriously injured vehicle controller having high-range alcohol levels (BAC≥ 0.15) in their
system by annual number of bus PBTs delivered, per Region

There was some marginally statistically significant evidence in Table 18 that the relationship between PBT hit rate and
high range alcohol in seriously injured vehicle controllers was driven by the hit rate from bus testing. Since the result did

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 47


not reach statistical significance, the relationship between bus test hit rate and odds of high range alcohol in seriously
injured vehicle controllers has not been presented.

3.2.4.2 Fatal crashes

3.2.4.2.1 Fatally injured vehicle controllers with BAC at or above 0.05mg/L


Estimates of the association, between the proportions of fatally injured crash-involved vehicle controllers with illegal BAC
(≥0.05) and (a) the annual number of PBTs and (b) the Hit rate (EBTs per 1000 PBTs), were derived through the
application of Equation 1 to the rate of illegal BACs detected in crash-involved fatally injured vehicle controllers. A
summary of the estimated odds ratios from the analysis for the alcohol enforcement measures and the associated
statistical significance probability are given in Table 19. As before, 2 models were fitted, one considering car and bus
delivered tests combine and the other considering each separately.

TABLE 19 SUMMARY RESULTS OF THE TWO MODELS USED TO ASSESS THE RELATIONSHIP
BETWEEN ALCOHOL ENFORCEMENT AND THE PRESENCE OF ILLEGAL ALCOHOL LEVELS
(BAC≥0.05), IN FATALLY INJURED CRASH VEHICLE CONTROLLERS
OUTCOME
INPUT VARIABLES SIGNIFICANCE Relative Odds Per Unit Input Change
VARIABLE
Car and Bus Operations Combined
Number of PBTs
0.196 0.999 (0.998, 0.997)
(1000s)
All illegal alcohol
involvement ≥0.05 EBTs per 1000 PBTs
0.016 0.845 (0.737, 0.970)
(‘Hit rate’)
Car and Bus Operations Separate
Number of Car-based PBTs
0.764 1.000 (0.998, 1.002)
(1000s)
Number of Bus-based PBTs
0.002 0.997 (0.995, 0.999)
All illegal alcohol (1000s)
involvement ≥0.05 Car-based EBTs per 1000 PBTs
0.281 1.064 (0.951, 1.191)
(‘Car hit rate’)
Bus-based EBTs per 1000 PBTs
0.046 0.750 (0.565, 0.995)
(‘Bus hit rate’)

No statistically significant relationship was found between illegal alcohol involvement (BAC ≥0.05) in fatally injured
vehicle controllers and total number of PBTs from both car and bus-based operations combined. However, when
analysed separately by car and bus delivery, a statistically significant relationship was found for the bus-based PBTs
delivered. For every 1000 additional PBTs delivered through bus-based operations, the estimated odds of an illegal BAC
(≥0.05%) being detected in a fatally injured vehicle controller reduced by 0.3%.
A statistically significant relationship was found between ‘hit rate’ (EBTs per 1000 PBTs) and all illegal alcohol
involvement (BAC ≥0.05) involvement. Odds of all illegal alcohol involvement (BAC≥0.05) in a fatally injured vehicle
controller detected in a roadside alcohol testing operation were found to decrease by 15.5% with every 0.1 percentage
point increase in the detection rate per roadside alcohol test administered. This statistically significant relationship
appears to stem from a very strong association between hit rate from the bus-based testing with a statistically significant
25% reduction in odds of alcohol presence in a fatality for each 0.1 percentage point increase in bus based hot rate.
Complete outputs for each model are presented in Appendix E (E1 & E2).
Overall fit of the model of illegal alcohol level in fatally injured vehicle controllers using bus and car-based operation
outputs combined is given in Figure 47. It shows the model fitted the data well explaining 84% of the variation in the
observed data.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 48
25

20

15 y = 0.7895x + 1.8704
R² = 0.8363
Fitted

10

0
0 5 10 15 20 25
Observed

Figure 47 Model fit assessments – Illegal alcohol level (BAC ≥0.05) fatally injured vehicle controller counts by year and
Region: car and bus operations combined

Figure 48 shows the relationship between testing hit rate from combined car and bus operations and the odds of illegal
alcohol involvement in vehicle controller fatalities.

1.20

1.00

0.80
Axis Title

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3
Positive Tests Per PBT

Figure 48 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
the hit rate, per 1000 alcohol tests: car and bus tests combined

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 49


Overall fit of the model of illegal alcohol level in fatally injured vehicle controllers using bus and car-based operation
outputs separately is given in Figure 49. It shows the model fitted the data better than for the model using combined car
and bus operations, explaining 90% of the variation in the observed data. This result suggests a significant difference in
the relationship between car and based testing and fatally injured vehicle controller alcohol involvement.

25

20

y = 0.9012x + 0.8776
15 R² = 0.901
Fitted

10

0
0 5 10 15 20 25
Observed

Figure 49 Model fit assessments – Illegal alcohol level (BAC ≥0.05) fatally injured vehicle controller counts by year and
Region: car and bus operations combined: car and bus operation separate

The relationship between the relative odds of illegal level alcohol (BAC ≥0.05) detection in fatally injured vehicle
controllers and bit number of tests and hit rate from bus-based operations is illustrated in Figure 50 and Figure 51
respectively.

Change in Relative Odds of Alcohol Involvement (BAC≥0.05) in a


Fatality by Annual Bus Based PBTs per Region
1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
- 500,000 1,000,000 1,500,000 2,000,000
Total Bus PBTs Per Region

Figure 50 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
annual number of PBTs delivered, per Region, bus-based operations
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 50
1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3
Positive Tests per Bus PBT

Figure 51 Relative odds of a fatally injured vehicle controller having illegal alcohol levels (BAC≥0.05) in their system by
the hit rate, per 1000 alcohol tests, bus-based

3.2.4.2.2 Fatally injured vehicle controllers with BAC at or above 0.15mg/L (high-range)
Estimates of the association, between the proportions of fatally injured crash-involved vehicle controllers with high range
BAC (≥0.15) and (a) the annual number of PBTs and (b) the Hit rate (EBTs per 1000 PBTs), were derived through the
application of Equation 1 to the rate of high-range BACs detected in crash-involved fatally injured vehicle controllers. A
summary of the estimated odds ratios from the analysis for the alcohol enforcement measures and the associated
statistical significance probability are given in Table 19 for the 2 models fitted (car and bus delivered tests combined and
each separately).

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 51


TABLE 20 SUMMARY RESULTS OF THE MODELS USED TO ASSESS THE RELATIONSHIP BETWEEN
ALCOHOL ENFORCEMENT AND THE PRESENCE OF HIGH- RANGE ALCOHOL LEVELS (BAC≥0.15), IN
FATALLY INJURED CRASH VEHICLE CONTROLLERS
OUTCOME Relative Odds Per Unit Input
INPUT VARIABLES SIGNIFICANCE
VARIABLE Change
Car and Bus Operations Combined
Number of PBTs
0.981 1.000 (0.998, 1.002)
(1000s)
Alcohol Involvement
≥0.15 (High Level) EBTs per 1000 PBTs
0.056 0.851 (0.720,1.004)
(‘Hit rate’)

Car and Bus Operations Separate


Number of Car-based PBTs
0.479 1.001 (0.999, 1.003)
(1000s)
Number of Bus-based PBTs
0.201 0.998 (0.996, 1.001)
Alcohol Involvement (1000s)
≥0.15 (High Level)
Car-based EBTs per 1000 PBTs
0.436 1.058 (0.918, 1.218)
(‘Car hit rate’)
Bus-based EBTs per 1000 PBTs
0.134 0.769 (0.545, 1.085)
(‘Bus hit rate’)

Whilst none of the estimates in Table 20 reached statistical significance, the pattern of estimated odds ratios is highly
consistent with the analysis of fatally injured vehicle controllers of all illegal blood alcohol levels analysed in the previous
section. When considering car and bus tests combined, the testing hit rate is most strongly associated with high range
blood alcohol levels in killed vehicle controllers with the estimate being marginally statistically significant. In addition, the
separate analysis of car and bus operations shows the strongest effects associated with the outcome are with bus tests
and hit rate, as with the all illegal alcohol analysis. There is also a high degree of consistency in the estimated odds
ratios between the two outcomes.
For completeness, the following charts give the model fits for the analysis with car and bus outcomes combined (Figure
52) and for car and bus measures separately (Figure 54). The relationship between PBT hit rate and the odds of high
range alcohol in a fatally injured vehicle controller is presented in Figure 53 whilst the relationship between this outcome
and bus tests delivered per region each year and the hit rate from bus tests are given in Figures 55 and 56.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 52
14

12

10

8 y = 0.8114x + 1.0543
Fitted

R² = 0.8484

0
0 2 4 6 8 10 12 14
Observed

Figure 52 Model fit assessments – High-range alcohol level (BAC≥0.15) fatally injured vehicle controller counts by year
and Region: car and bus combined

1.20

1.00

0.80

0.60
Relative Odds

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3
Positive Tests Per PBT

Figure 53 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their system
by the hit rate, per 1000 alcohol tests: car and bus combined

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 53


14

12

10

8 y = 0.8809x + 0.6661
R² = 0.8815
Fitted

0
0 2 4 6 8 10 12 14
Observed

Figure 54 Model fit assessments – High-range alcohol level (BAC≥0.15) fatally injured vehicle controller counts by year
and Region: car and bus-separate

1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
- 500,000 1,000,000 1,500,000 2,000,000

Total Bus PBTs per Region

Figure 55 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their system
by annual number of PBTs delivered, per Region, bus-based

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 54
1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
0 0.5 1 1.5 2 2.5 3

Positive Tests per Bus PBT

Figure 56 Relative odds of a fatally injured vehicle controller having high-range alcohol levels (BAC≥0.15) in their system
by the hit rate, per 1000 alcohol tests, bus-based

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 55


4 HIGH AND LOW DRUG AND ALCOHOL HOURS
Victorian drink driving related road safety measures, many research studies and enforcement resourcing, have relied on
the calculation of high and low alcohol hours, based on times of the day and days of the week associated with alcohol
involved crashes. Originally developed by South (cited in Haque & Cameron, 1987) and later refined by Harrison (1990),
high alcohol times of the week were determined by examining the crashes in which vehicle controller Blood Alcohol
Concentrations (BACs) were known and finding those periods that had a relatively high proportion of vehicle controllers
with a BAC greater than 0.05g/100ml. The only revision of these original hours occurred back in 1995 in Gantzer’s
analysis that explored high and low alcohol hours from a metro - rural comparison. MUARC did attempt to review these
hours in 2008 but limitations in the availability of crash data with accurate BAC reporting preventing this from occurring.
The following section outlines the analysis undertaken to identify current high and low alcohol hours in Victoria.

4.1 Data preparation

The same data used in the previous chapters to evaluate drug and alcohol enforcement effects was used for this
analysis into high and low alcohol times for Victoria. Namely, TIS drug and alcohol affected crash information merged
with TAC validated RCIS crash data. The original high and low alcohol calculations were based on all casualty crashes.
However, this analysis has been based on crashes with seriously injured vehicle controllers for the years 2006 to 2016.
Focus on serious injury crashes is justified by these crashes being a focus of the road safety strategy in Victoria. In
addition, for the analysis presented here there were sufficient numbers of seriously injured vehicle controllers with and
without drug and alcohol involvement to produce meaningful analysis results.
For analysis presented in this section, the data was structured differently. Records were retained at a unit level where
one case corresponds to one seriously injured driver. Each record held information on the location of the crash, the time
of day, day of the week, and any test result recorded for drugs and alcohol.
Figures 57, 58 and 59 show the percentage of seriously injured vehicle controllers with positive levels of alcohol, THC
and Methamphetamine respectively by time of day and day of week for the full 11 years of data available. On inspection,
across all times of the day alcohol involvement is seen to be most prevalent in the early hours of the morning (1am to
5am), with particularly high prevalence on weekend days (Saturday and Sunday), peaking at over 50% (see Figure 57).
Drug prevalence times do not appear to be as clearly demarcated as alcohol times. Weekend peaks are still apparent but
overall the figures are much more sporadic, although similarly to alcohol, peaks are noted in the early hours of the
morning most notably on Wednesday morning (see Figures 58 & 59).

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60%

50%
Presence of alcohol %

40%

30%

20%

10%

0%
0 6 12 18 24
Time of Day (24hr)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Figure 57 Presence of alcohol (BAC≥0.05) in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016

20%

18%

16%

14%
Presence of THC %

12%

10%

8%

6%

4%

2%

0%
0 6 12 18 24
Time of Day (24hr)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Figure 58 Presence of THC in seriously injured vehicle controllers by time of day and day of week, Victoria 2006-2016

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 57


20%

18%
Presence of Methamphetamine %

16%

14%

12%

10%

8%

6%

4%

2%

0%
0 6 12 18 24
Time of Day (24hr)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Figure 59 Presence of Methamphetamines in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016

4.2 Analysis approach

The Methodology employed in previous evaluations of high and low alcohol times established proportions of vehicle
controllers with an illicit BAC (as displayed in Figure 60) and applied a chosen threshold proportion above which times of
day/ day of week are defined as high alcohol times/days.
Figure 60 illustrates the principle of this Methodology by applying it with a nominal threshold of 20% to the data available
for this current evaluation. With this approach, any hour of day/day of week in which 20% or more of seriously injured
vehicle controllers have a BAC of 0.05 or greater is considered a High Alcohol Hour (HAH).

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60%

50%
Presence of alcohol %

40%

30%

HIGH ALCOHOL HOURS


20%

10%
LOW ALCOHOL HOURS

0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Time of Day (24hr)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Figure 60 Presence of alcohol (BAC≥0.05) in seriously injured vehicle controllers by time of day and day of week,
Victoria 2006-2016, illustrating previous Method for defining high and low alcohol hours

A limitation of this previous Methodology is its inability to justify the choice of partitioning threshold. In Harrison’s (1990)
original work this threshold was chosen purely to ensure the data was split into two evenly numbered groups.
To overcome this limitation a new, more robust Methodology has been developed. The new Methodology uses a logistic
regression model of the form:

𝑙𝑜𝑔𝑖𝑡(𝑝) = 𝛼 + 𝛽𝑦 + 𝛾 𝐷𝐴𝑌 + 𝛿 𝑇𝐼𝑀𝐸 + 𝜀 𝐷𝐴𝑌 ∗ 𝑇𝐼𝑀𝐸… (Equation 1)


Where:
p is the probability of a seriously injured vehicle controller having a BAC≥0.05
𝐷𝐴𝑌 is the day of the week, holding 7 unique values for each day of the week
𝑇𝐼𝑀𝐸 is the time of day, holding 24 unique values for each hour of the day
𝛽𝑦 is the year effect parameter for year y

α, ϒ, δ and ε are model parameters

The model is used to produce a probability of alcohol involvement for each case (a seriously injured driver) in the context
of the whole ten year set of data and the chosen input variables. Values of model sensitivity (rate of true positives being
identified) and specificity (rate of true negatives being identified) for each classification probability cut-off level (i.e. the
predicted probability above which the case is classified as likely to be alcohol involved) can be plotted to give a receiver
operating characteristic (ROC) curve, as shown in Figure 61. The inflection point of this curve (point at which the curve
direction changes and is furthest away from the 45-degree straight line) represents the probability classification cut-off
point with optimal compromise between sensitivity and specificity, i.e. the most accurate in diagnosing the outcome
variable; alcohol involvement.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 59


Inflection point

Figure 61 ROC curve produced from logistic regression model for alcohol presence, in seriously injured vehicle
controllers

Using the defined cut-off from the ROC analysis, each case is classified as likely alcohol involved by the optimal
sensitivity/specificity thresholds. Cases are then cross tabulated by day and time and the mean value of their alcohol
classification (1- prone, 0- not prone) is calculated. If the mean predicted probability from the model is greater than 0.5 it
means that more often than not, the given day/week combination is predicted to be prone to alcohol involvement.
Accordingly, all day/week combinations with a mean value greater than 0.5 are classified as High Alcohol Hours (HAH).
Table 21 presents the crosstabulation described and shows how high and low alcohol times are established.

TABLE 21 CROSSTABULATION OF DAY OF WEEK BY TIME OF DAY WITH CELLS POPULATED BY


MEAN VALUE OF ALCOHOL CLASSIFICATION
Hour of day (24hr)
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Mean
SUN 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 0.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.6 1.0 1.0 1.0 1.0 1.0 1.0
MON 1.0 1.0 1.0 1.0 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7 1.0 1.0 1.0 1.0
TUES 1.0 1.0 1.0 1.0 1.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7 1.0 1.0 1.0 1.0
WED 1.0 1.0 1.0 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.6 1.0 1.0 1.0
THUR 1.0 1.0 1.0 1.0 1.0 0.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.6 0.8 1.0 1.0 1.0
FRI 1.0 1.0 1.0 1.0 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 1.0 1.0 1.0 1.0 1.0
SAT 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.4 1.0 1.0 1.0 1.0 1.0 1.0

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4.3 Analysis results

The Methodology described above was used to establish current high alcohol, THC and Methamphetamine hours for
Victoria. High Alcohol Hours were also established specifically for metropolitan Victoria (Melbourne), rural Victoria, and
each of the individual four Victoria Police Regions. There was insufficient data available to calculate drug hours to this
same level.
4.3.1 High and low alcohol hours: Victoria
As shown in Figure 62, there are 81 hours of the week defined to be High Alcohol Hours for Victoria.
These hours are:
 Sunday 6PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 5AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 62 High alcohol hours (shaded grey) for Victoria, based on data from 2006-2016

As shown in grey shading in Table 22, the previously defined HAH for all Victoria spanned 98 hours of a week, whereas
the newly analysed data (2006-2016) identifies them spanning 81 hours of the week. The differences in hours are
negligible during the week days, typically an hour difference in start and finish times however, the most notable updates
occur on Friday and Saturday with HAH now commencing several hours later.

TABLE 22 COMPARISON OF PREVIOUSLY DEFINED HIGH ALCOHOL HOURS (1988-1989) WITH


CURRENTLY IDENTIFIED HOURS (2006-2016), ALL VICTORIA
Previous High and low alcohol hours (Harrison, 1988- Current high and low alcohol calculations (2006 –
1989) 2016)
Sunday 4 PM – 6 AM Monday Sunday 6PM -Monday 9AM
Monday 6 PM – 6 AM Tuesday Monday 7PM -Tuesday 6AM
Tuesday 6 PM – 6 AM Wednesday Tuesday 7PM -Wednesday 5AM
Wednesday 6 PM – 6 AM Thursday Wednesday 7PM -Thursday 5AM
Thursday 6 PM – 6 AM Friday Thursday 7PM -Friday 5AM
Friday 4 PM – 8 AM Saturday Friday 7PM -Saturday 6AM
Saturday 2 PM – 10 AM Sunday Saturday 6PM -Sunday 8AM
Total high alcohol hours – 98 hours Total high alcohol hours – 81 hours

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 61


4.3.2 High and low THC hours: Victoria
As shown in Figure 63, there are 100 hours of the week defined to be high THC hours (HTH) for Victoria.
These hours are:
 Sunday 3PM -Monday 9AM
 Monday 3PM -Tuesday 6AM
 Tuesday 11AM -Wednesday 5AM
 Wednesday 11AM -Thursday 5AM
 Thursday 7PM -Friday 4AM
 Friday 11AM -Saturday 5AM
 Saturday 2PM -Sunday 7AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT
Figure 63 High THC hours (shaded grey) for Victoria, based on data from 2006-2016

Similar to the HAH, estimated HTH shows a pattern evident in the evening hours after 7pm through to the early hours of
the morning. Differing from the HAH, there are also periods apparent during the day especially mid to late afternoon. This
is the first-time HTH have been calculated so there are no previously defined HTH to compare these latest results with.
4.3.3 High and low Methamphetamine hours: Victoria
As shown in Figure 64, there are 120 hours of the week defined as High Methamphetamine Hours (HMH) for Victoria.
These hours are:
 Sunday 3PM -Monday 12PM
 Monday 3PM -Tuesday 12PM
 Tuesday 1PM -Wednesday 12PM
 Wednesday 1PM -Thursday 12PM
 Thursday 1PM -Friday 10AM
 Friday 6PM -Saturday 7AM
 Saturday 5PM -Sunday 11AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 64 High Methamphetamine hours (shaded grey) for Victoria, based on data 2006-2016

Similar to the high alcohol and high THC hours, there is a pattern of Methamphetamine involved driving evident in the
evening hours after 7pm through to the early hours of the morning (Monday evening is less evident). Differing from the
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 62
high alcohol and THC hours, the High Methamphetamine Hours are consistent across the early mornings to 6am on all
days of the week. Of notable difference is that the HMH are evident across the majority of the hours in a day and days of
the week, with just a scattering of hours on particular days where this is not the case. This is the first-time HMH have
been calculated so there are no previously defined HMH to compare these latest results with.
4.3.4 High and low alcohol hours: Metropolitan Melbourne
As shown in Figure 65, there are 80 hours of the week defined as high alcohol hours for metropolitan Victoria.
These hours are:
 Sunday 6PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 5AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 65 High alcohol hours (shaded grey) for metropolitan Victoria, based on data 2006-2016

4.3.5 High and low alcohol hours: Rest of Victoria


As shown in Figure 66 there are 76 hours of the week defined as high alcohol hours for rural Victoria.
These hours are:
 Sunday 5PM -Monday 8AM
 Monday 8PM -Tuesday 5AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 4AM
 Friday 7PM -Saturday 5AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 66 High alcohol hours (shaded grey) for rural Victoria based on data 2006-2016

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Break down of the total Victorian HAH (see Figure 62) into Melbourne and rest of Victoria indicates that the overall HAH
remain comparable. There are only a couple of slight differences such as: on weekdays the rural HAH tend to cease at
4am (3am Thurs.) compared to 5am (6am Mon. & Fri.); and, on Monday evening the rural HAH commence an hour later
at 8pm. Appendix F shows the HAH by Victoria Police Region which are again similar to those estimated for the Victoria
as a whole.

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IN VICTORIA | 64
5 IMPACT OF POLICE MEMBER TRAINING ON TEST DELIVERY
5.1 Data preparation

To establish the effect of an increase in police member drug test training on drug enforcement, member training records
were utilized in conjunction with RDT shift information. Data available on these two elements was provided by Victoria
Police that covered the period of 2005 to 2018. Records of member drug testing training were allocated into the region
and division in which the member was shown to be based in. Records of members from special operational units like the
Heavy Vehicle Unit could not be assigned a divisional location and were not included in analysis.
For most of the data period, counts of members trained at a region/division and month of training level were very low (if
not zero). To maintain statistical power and avoid aggregating into higher levels, a cumulative count of the number of
members trained was adopted as a measure of capacity for drug testing. As mentioned in the Data Description section of
this report (see Section 2.5), there was no way of identifying the movements of a trainee past the time of their training.
The assumption that a member maintains their ability for conducting tests in the region/division in which they were
trained many years past the date of training is undoubtedly limited. Despite this, the cumulative count is the best
approach possible with the information at hand.
Counts of the number of POFTs conducted at a region/division, month-based level was merged on to the training
information described. These records had already been prepared in this format for use in the evaluation of roadside drug
enforcement on drug involvement in crashes.

5.2 Analysis approach

Only training records relating to drug testing were considered in this analysis. Police members have been receiving
training for roadside alcohol testing many years prior to the program RDT expansion in 2015. As such, the effect of
alcohol related training on test delivery was not a priority for investigation.
Focusing on drug related training, the analysis employed sought to establish whether there was a relationship between
an increase in the number of members trained with an increase in drug test delivery. If so, the aim was then to quantify
this relationship.
To undertake this, a simple linear regression model was employed. In this model, number of POFTs delivered was
treated as the response variable and cumulative number of police members qualified in RDT was the predictor variable.
Another aspect of interest relating to drug training, was whether an increase in conducting RDT capacity would in turn
result in an associated decrease in alcohol testing (RBT), due to the potential prioritising of drug testing over alcohol
testing. To test this hypothesis, another linear model was used with cumulative number of members trained as the input
variable and number of PBTs delivered as the outcome. For this model, it was only possible to use data aggregated to a
region, year level.

5.3 Analysis results

Figure 67 shows that in line with the funding objectives, around the time the expansion was implemented in 2014 there
was a sharp rise in the number of police members trained for drug testing.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 65


800

700
Number of Members Trained

600

500

400

300

200

100

0
May-05 Oct-06 Feb-08 Jul-09 Nov-10 Apr-12 Aug-13 Dec-14 May-16 Sep-17

Figure 67 Cumulative number of police members trained for drug testing across all of Victoria, 2005-2018

This increased training (RDT) capacity was reflected in a greater number of RDTs being delivered. Figures 68-71 show
the relationship between member training and RDT delivery at a regional level. Note that the data provided had a gap in
records for the months of July, August and September 2011. For all regions, there was a spike in the number of POFTs
conducted at the time the expansion was implemented and more members were trained. For the metro regions, 2014
reported the peak of drug testing to date. Since then, RDT delivery has remained relatively high. For rural regions, testing
has continued to increase, with clear spikes in test delivery around Christmas holiday periods.

North West Metro Region


200 4500
180 4000
Number of Members Trained

160 3500
140
3000
Number of Tests

120
2500
100
2000
80
1500
60
40 1000

20 500

0 0
Jul-08

Jun-11

Jul-15
May-07

Apr-10
Nov-10

May-14

Apr-17

Jun-18
Nov-17
Jan-05

Mar-06

Jan-12

Mar-13
Aug-05

Dec-07

Feb-09
Sep-09

Aug-12

Dec-14

Feb-16
Sep-16
Oct-06

Oct-13

Monthly Tests Conducted Members Trained

Figure 68 Number of POFTs delivered relating to number of members trained in the North West Metro Region of Victoria,
2005-2018
EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 66
Southern Metro Region
180 4000

160 3500
Number of Members Trained

140
3000

Number of Tests
120
2500
100
2000
80
1500
60
1000
40

20 500

0 0
Jul-08

Jul-15
Jun-11

Jun-18
May-07

Feb-09

Apr-10
Nov-10

Jan-12

May-14

Apr-17
Nov-17
Jan-05

Mar-06

Mar-13
Aug-05

Dec-07

Sep-09

Aug-12

Dec-14

Feb-16
Sep-16
Oct-06

Oct-13
Monthly Tests Conducted Qualifications

Figure 69 Number of POFTs delivered relating to number of members trained in the Southern Metro Region of Victoria,
2005-2018

Eastern Region
4500
200 4000
Number of Members Trained

3500
150 3000
Number of Tests

2500

100 2000

1500

50 1000

500

0 0
Jul-08

Nov-10

Jul-15
Jun-11

Jun-18
May-07

Apr-10

May-14

Apr-17
Nov-17
Jan-05
Aug-05
Mar-06

Aug-12
Dec-07

Feb-09
Sep-09

Jan-12

Mar-13

Dec-14

Feb-16
Sep-16
Oct-06

Oct-13

Monthly Tests Conducted Qualifications

Figure 70 Number of POFTs delivered relating to number of members trained in the Eastern Region of Victoria, 2005-
2018

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 67


Western Region
160 4000

140 3500
Number of Members Trained

120 3000

Number of Tests
100 2500

80 2000

60 1500

40 1000

20 500

0 0
Jul-08

Jul-15
Apr-10

Jun-11

Jun-18
May-07

Nov-10

May-14

Apr-17
Nov-17
Jan-05

Mar-06
Aug-05

Dec-07

Feb-09
Sep-09

Jan-12

Mar-13
Aug-12

Dec-14

Feb-16
Sep-16
Oct-06

Oct-13

Monthly Tests Conducted Qualifications

Figure 71 Number of POFTs delivered relating to number of members trained in the Western Region of Victoria, 2005-
2018

Figure 72 shows a simple scatter plot of the relationship between number of members qualified and tests delivered with a
trend line fitted. The plot clearly confirms the positive trend that more members qualified to conduct RDT is associated
with more testing being conducted.

1800

1600

1400 y = 14.706x

1200
POFTs conducted

1000

800

600

400

200

0
0 5 10 15 20 25 30 35 40 45 50

Cumulative Drug Testing Qualifications

Figure 72 Scatter plot of Cumulative Drug Testing Qualifications by POFTs delivered in Victoria at a Police Division,
Month based level, 2005-2018
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IN VICTORIA | 68
Table 23 presents outputs of key model values. The slope of the trend line is approximately 15, implying that for an
additional member trained, it can be expected that 15 extra tests per month will be delivered. The model is statistically
significant and the R-Squared indicated that 54% of the observed variation in the response is explained by the model
input.

TABLE 23 OUTPUTS OF LINEAR REGRESSION MODEL OF POFTS CONDUCTED BY CUMULATIVE


TESTING QUALIFICATIONS
Predictor Variable Response Model Coefficient Model R-squared Value
Variable Significance
Cumulative Number Number of POFTs 14.706 <0.001 0.539
of Qualifications Delivered

Figure 73 shows a simple scatter plot of the relationship between number of members qualified and roadside alcohol
tests delivered. A slight negative trend can be observed but a low number of data points restricts interpretation and
model fitting.

1,200,000

1,000,000

800,000
PBTs Conducted

600,000

400,000

200,000

-
0 5 10 15 20 25 30 35 40 45 50
Cumulative Drug Testing Qualifications

Figure 73 Scatter plot of Cumulative Drug Testing Qualifications by PBTs delivered in Victoria at a Police Region, Year
based level, 2006-2016

Table 24 presents outputs of key model values. The slope of the trend line is approximately negative, implying that an
increase in drug testing qualifications results in a decrease in roadside alcohol test delivery. However, this relationship is
far from statistically significant and the R-squared value of the model is very poor leading to the conclusion of no
association between member training for drug testing and the number of PBTs delivered.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 69


TABLE 24 OUTPUTS OF LINEAR REGRESSION MODEL OF CUMULATIVE DRUG TESTING
QUALIFICATIONS BY PBTS DELIVERED
Predictor Variable Response Model Coefficient Model R-squared Value
Variable Significance
Cumulative Number Number of PBTs -1205.116 0.452 0.014
of Qualifications Delivered

To further investigate the impact of the drug program expansion on alcohol testing, the direct relationship between
alcohol test delivery and drug test delivery was investigated. Figure 74 shows a simple scatter plot of the relationship
between number of POFTs conducted and number of PBTs conducted. As with the model of cumulative drug testing
qualifications by POFTs conducted, there is a slight negative correlation between these two variables. Once again
however, this result is not significant and the R-squared value is low (see Table 25). Consequently, the analysis does not
support the conclusion that additional drug testing led to lower levels of alcohol testing.

1,200,000

1,000,000

800,000
PBTs Conducted

600,000

400,000

200,000

-
- 5,000 10,000 15,000 20,000 25,000 30,000 35,000

POFTs Conducted

Figure 74 Scatter plot of RDTs (POFTs) delivered by RBTs (PBTs) delivered in Victoria at a Police Region, Year based
level, 2006-2016

TABLE 25 OUTPUTS OF LINEAR REGRESSION MODEL OF POFTS DELIVERED BY PBTS DELIVERED


Predictor Variable Response Model Coefficient Model R-squared Value
Variable Significance
Number of POFTs Number of PBTs -2.251 0.417 0.016
Delivered Delivered

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6 IMPACT OF TAC-FUNDED ROADSIDE DRUG TESTING
INCREASES ON ROAD TRAUMA
6.1 Planned increases in roadside drug testing

Preliminary Oral Fluid Tests (POFTs) to detect drug driving were introduced in Victoria in December 2004 and 8,000
tests were allocated for the 2004/05 financial year, principally for operations in Melbourne. The planned growth in test
allocation for each financial year is shown in Figure 75, together with the actual number of POFTs conducted each year.
The actual number of tests closely followed that planned from 2004/05 up until 2012/13. Similar to 2012/13, there had
been 42,000 tests allocated for each of the following two years (2013/14 and 2014/15). However, in November 2014 the
Transport Accident Commission funded the Expansion of the Roadside Drug Testing Program, which aimed to increase
drug testing in Victoria to 100,000 per year. As shown in Figure 75, in 2014/15 the number of POFTs rose to 82,383,
nearly doubling the tests undertaken during the previous two years. The planned 100,000 tests per annum (or greater)
were achieved during each of the following three financial years (2015/16 to 2017/18).
In 2018/19, the number of planned tests was further increased to a target of 150,000 per year. At the time of analysis,
data on the actual number of POFTs achieved was only available up until the 14 May 2019, reporting 122,140 tests
during these first 45 weeks of 2018/19. On a pro rata basis, this suggests around 141,140 tests for the year,
approximately 9,000 less than the 150,000 planned tests target.

160,000

140,000

120,000

100,000
Number of POFTs

80,000

60,000

40,000

20,000

Actual Planned

Figure 75 Planned total allocation of POFTs and actual numbers achieved, 2004/05 to 2018/19 (* part)

6.2 Trends in preliminary oral fluid tests (POFTs) and detection rates

Initially POFTs were carried out by the Road Policing Drug and Alcohol Section (RPDAS), mainly at bus-based testing
stations in conjunction with random breath testing. From 2006/07, an increasing number of POFTs were carried out by
Highway Patrols (HP) and the Heavy Vehicle Unit (HVU). These tests were more targeted at locations and times where
they were more likely to detect vehicle controllers for one or more of the proscribed drugs (THC, Methamphetamine or
MDMA).
Figure 76 shows the number of POFTs conducted per year during 2004/05 to 2018/19 by operation unit in the Melbourne
metropolitan (Metro) and rural police divisions, with the positive POFT detection rates shown in Figure 77. From 2010/11,
the detection rate from the HP/HVU targeted operations increased more rapidly than from RPDAS operations which were
mainly random drug tests (RDTs) at bus-based stations. The increases in detection rates during 2010/11 to 2014/15
have been attributed to apparent increases in the prevalence of THC and Methamphetamine use by vehicle controllers
(see Figure 78). These figures give further validation of the impact of officer training on drug test delivery considered in
the previous section. Training focused on increasing drug testing capacity outside of RPDA and particularly in rural

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 71


areas. The greater proportion of drug tests delivered by HP/HVU and outside of Melbourne highlights the effectiveness of
the training in meeting the objectives of program expansion.

140,000

120,000

100,000
Number of POFTs

80,000

60,000

40,000

20,000

Metro RPDAS Rural RPDAS Metro HP/HVU Rural HP/HVU

Figure 76 Roadside drug tests conducted by operation type, location and year, Victoria 2004/05 to 2018/19

20.00%

18.00%

16.00%
Detection Rate of Positive POFTs %

14.00%

12.00%

10.00%

8.00%

6.00%

4.00%

2.00%

0.00%

Metro RPDAS Rural RPDAS Metro HP/HVU Rural HP/HVU

Figure 77 Positive roadside drug tests (detection rates) by operation type, location and year, Victoria 2004/05 to 2018/19
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7.0%

6.0%
Detection Rate of Positive POFTs %

5.0%

4.0%

3.0%

2.0%

1.0%

0.0%
2010 2011 2012 2013 2014 2015 2016 2017 2018

THC Meth

Figure 78 Detection rates of THC and Methamphetamine from roadside drug tests, Victoria 2010-2017
Data sourced from: Liu and Fitzharris (2019)

6.3 Trends in vehicle controller serious injuries and fatalities involving drugs

As noted in Section 3.1.2.1, the rates of THC and Methamphetamine associated with seriously injured vehicle controllers
are likely to be conservative indicators of the prevalence of these drugs in all vehicle controllers admitted to hospital in
Victoria during 2010-2016 because only about one-third of those vehicle controllers were tested via a blood sample.
However, confirmation of the increased role of Methamphetamine in drug driving is shown in Figure 79 and Figure 80.
The presence of Methamphetamine in seriously injured vehicle controllers has increased consistently whereas after an
initial increase (2008-11), the presence of THC has decreased. The presence of Methamphetamine in fatally injured
vehicle controllers has also increased during 2006-2016 to a rate of over 18% in 2016, while the presence of THC has
varied between 12% and 18% with little trend (see Figure 80).

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 73


5.00%
4.50%
4.00%
3.50%
Rate of drug presence %

3.00%
2.50%
2.00%
1.50%
1.00%
0.50%
0.00%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate THC Rate Meth

Figure 79 Rate (%) of THC and Methamphetamine presence detected in seriously injured vehicle controllers, Victoria
2006-16

20%
18%
16%
Rate of drug presence %

14%
12%
10%
8%
6%
4%
2%
0%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Meth THC

Figure 80 Rate (%) of THC and Methamphetamine presence detected in fatally injured vehicle controllers in Victoria,
2006-2016

6.4 Relationships between roadside drug testing and drug involvement in seriously and fatally
injured vehicle controllers 2006-2016

Section 3.1.4 presented research modelling the relationships between drug presence in seriously injured and fatally
injured vehicle controllers, separately, and (a) increased POFTs during 2006-2016 and (b) the positive detection rates
from these tests. The analysis made use of the information in Figures 76 to 80 within each Police Region, allowing
greater sensitivity to establish the relationships. The analysis found that:
 Relative odds of THC involvement in seriously injured and fatally injured vehicle controllers decreases with
increased total POFTs (random and targeted)
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 Relative odds of Methamphetamine involvement in seriously injured and fatally injured vehicle controllers
decreases with the increase in the positive detection rate of any of the proscribed drugs (THC, Meth and
MDMA) from the combined random and targeted POFTs.

The statistical significance, estimated relative odds, and the implied reduction in drug involvement per unit increase in
enforcement level (POFTs and detection rate) are shown in Table 26for each drug and vehicle controller injury severity.
The relative odds of THC involvement in seriously injured vehicle controllers decreased by 3.81% per 1000 annual
POFTs in each Police Region. The relative odds of Methamphetamine involvement in seriously injured vehicle controllers
decreased by 6.55% per 1%-point increase in the percentage detection rate.

TABLE 26 RELATIVE ODDS OF THC AND METH INVOLVEMENT IN VEHICLE CONTROLLER


CASUALTIES RELATED TO POFTS AND DETECTION RATES (STATISTICALLY SIGNIFICANT & NEAR
SIGNIFICANT)
DRUG Input Significance in Relative Reduction Significance Relative Reduction
involved in variable seriously Odds Per per Unit in fatally Odds Per per Unit
vehicle Injured vehicle Unit Input Input (%) injured Unit Input Input (%)
controller controllers (p) Change vehicle Change
casualties controllers (p)
Number of <0.0005 0.962 -3.81% 0.047 0.958 -4.18%
THC POFTs
(1000s)
Detection 0.818 1.008 NA 0.099 0.877 -12.26%
THC rate (percent
points)
Number of 0.474 1.007 NA 0.088 0.957 -4.29%
Meth POFTs
(1000s)
Detection 0.021 0.934 -6.55% 0.007 0.790 -20.99%
Meth rate (percent
points)

For seriously injured vehicle controllers, the relative odds (essentially the risk) of THC involvement related to the annual
POFTs is shown in Figure 81. The relative odds of Methamphetamine involvement related to the detection rate is shown
in Figure 82. Both relationships are of the diminishing-returns type, suggesting that the reduction in risk continues but
becomes smaller for each increase in the POFTs or detection rate. Similar types of relationships were found for drug
involvement in fatally injured vehicle controllers, as indicated by their relative odds in Table 26. This implies that future
increases in the roadside drug testing program and its detection rates may reach a point where the savings in fatally and
seriously injured vehicle controllers and their crashes no longer justify further increase in the program.

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1.20

1.00

0.80
Relative Odds

0.60

0.40

0.20

0.00
10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Annual POFTs per Police Region

Figure 81 Relative odds of a seriously injured vehicle controller having THC in their system by annual number of POFTs
delivered, per Police Region

1.2

0.8
Relative Odds

0.6

0.4

0.2

0
0 2 4 6 8 10 12 14 16 18 20
Percentage Detection Rate

Figure 82 Relative odds of a seriously injured vehicle controller having Methamphetamine in their system by detection
rate of positive POFTs

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6.5 Traffic Enforcement Resource Allocation Model (TERAM)

TERAM was originally developed for Victoria Police to assist them in planning levels of enforcement of speeding, drink
and drug driving, and unlicensed driving (Cameron, Newstead & Diamantopoulou, 2016; Cameron & Newstead, 2018).
When first developed, TERAM was used to estimate the fatal crash savings from increases in random POFTs. No
relationship with targeted POFTs was available for use in the model. Savings in non-fatal serious injury crashes due to
increased POFTs were estimated, based on analogy with RBT and the comparative effects of annual breath tests on
fatal and non-fatal crashes.
The new relationships outlined in Section 3.1.4 have now been included in TERAM. The roles of both random and
targeted POFTs have been included, as well as their effect on overall detection rates because of the much higher
detection rate of the targeted (HP/HVU) operations compared with the mainly random (RPDAS) operations since about
2013 (see Figure 77). From this section onward the term TERAM will be referring to the updated TERAM based on data
from this research project.

6.6 Effects of TAC-funded increased roadside drug testing

In late 2014, TAC funded an increase in roadside drug testing from the planned (and achieved) level of 42,000 POFTs
per year in 2012/13 and 2013/14 to 100,000 POFTs per year. This new level was only partially achieved in 2014/15, but
was fully achieved in each financial year 2015/16 to 2017/18. For these reasons, the assessment of the effects of the
TAC funding was based on the estimated fatal and serious injury crash savings due to the increased POFTs and
changed detection rates, between the two base financial years (2012/13 and 2013/14), and the three financial years
(2015/16 to 2017/18) when more than 100,000 POFTs per year were achieved.
Table 27 shows the growth in POFTs and positive oral fluid tests (OFTs) between the base financial years (hereafter
called 2012-2014) average per year and the full increase financial years (hereafter called 2015-2018) average, together
with the changes in detection rates. It can be seen that RPDAS operations were increased substantially in rural Victoria
and the targeted HP/HVU operations were increased substantially in the Melbourne metro area, much greater than the
increase from 42,000 POFTs to 100,000 POFTs required (138% increase).
Detection rates from the mainly random RPDAS operations fell, as could be expected, and increased for the targeted
operations. There was an increase in overall detection rates from the random and targeted operations combined, in part
due to the greater growth in targeted operations compared with random.
Table 28 shows the results from the TERAM analysis based on the new relationships outlined in Section 6.4. The
increase in the total number of POFTs (random or targeted) drives the savings in fatal and hospitalisation crashes due to
reductions in THC presence in fatally injured and seriously injured vehicle controllers. The increase in the detection rate
from all testing operations (random or targeted) drives the savings in crashes due to reductions in Methamphetamine
(Meth) presence in the vehicle controller casualties.
TERAM estimated that more than 33 fatal crashes and nearly 80 hospitalisation crashes per year were saved due to the
increase in roadside drug testing between 2012-2014 and 2015-2018, from the TAC funding.
The social cost savings resulting from the savings in fatal and hospitalisation crashes were valued based on the unit
costs of crashes, at each injury severity level, using the Human Capital Method (TIC 2015). Each fatal crash was valued
at $2.653 million and each serious injury crash was valued at $677,859. The cost of the additional POFTs and, where
applicable, the secondary OFTs and laboratory processing, took into account the increases in detected offences due to
increases in targeted POFTs.
The benefit-cost ratio (BCR) is the ratio between the social cost savings and costs associated with the increase in RDT
from the annual base level in 2012-2014 to the increased annual level in 2015-2018. Note that it is not the BCR of the full
roadside drug testing program at the level in 2015-2018; it is the BCR of the program expansion associated with the TAC
funding.
The marginal BCR is the ratio of the benefits to costs, estimated for the next small (1%) additional increase, in each of
the base levels of random and targeted RDTs (POFTs), shown in Table 28. The estimates indicate that there would be
additional social cost savings, well in excess of the additional costs, if the roadside drug testing program was increased
beyond the annual level operated during 2015-2018.

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TABLE 27 GROWTH IN POFTS AND POSITIVE OFTS BETWEEN BASE FYS (2012-2014) AND INCREASE FYS (2015-2018)
FY group POFTs Positive oral fluid tests (OFTs) Detection rates (%)
Metro Rural TOTAL Metro Rural TOTAL Metro Rural TOTAL
RPDAS 2012-2014 37906 7397 45303 1763 313 2076 4.65% 4.23% 4.58%
operations
(mainly Annual average 18953.0 3698.5 22651.5 881.5 156.5 1038.0
random) 2015-2018 99718 53717 154226 2386 1071 3495 2.39% 1.99% 2.27%
Annual average 33239.3 17905.7 51408.7 795.3 357.0 1165.0
Growth (%) 75.4% 384.1% 127.0% -9.8% 128.1% 12.2%
HP/HVU 2012-2014 10474 29416 39890 997 2174 3171 9.52% 7.39% 7.95%
operations
(targeted) Annual average 5237.0 14708.0 19945.0 498.5 1087.0 1585.5
2015-2018 84188 63866 148054 13123 11100 24223 15.59% 17.38% 16.36%
Annual average 28062.7 21288.7 49351.3 4374.3 3700.0 8074.3
Growth (%) 435.9% 44.7% 147.4% 777.5% 240.4% 409.3%
All operations 2012-2014 48380 36813 85193 2760 2487 5247 5.70% 6.76% 6.16%
Annual average 24190.0 18406.5 42596.5 1380.0 1243.5 2623.5
2015-2018 183906 117583 302280 15509 12171 27718 8.43% 10.35% 9.17%
Annual average 61302.0 39194.3 100760.0 5169.7 4057.0 9239.3
Growth (%) 153.4% 112.9% 136.5% 274.6% 226.3% 252.2%

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TABLE 28 CRASH SAVING PER YEAR, COST SAVINGS, BCR AND MARGINAL BCR FROM POFT INCREASES ASSOCIATED WITH TAC FUNDING

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2012-14 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests pa) increased saved per year ($m) increase
year ($m pa)
POFTs year costs)
RURAL
Random POFT 3,699 384.1% 14,207 1.41% 3.80 6.91
Targeted POFT 14,708 44.7% 6,581 39.71% 12.89 14.25
Random + Targeted 18,407 112.9% 20,788 13.53% 16.69 21.16 58.609 5.926 9.89 10.60
Increased total POFT 39,194 10.35%

METRO

Random POFT 18,953 75.4% 14,286 NA 6.12 29.62


Targeted POFT 5,237 435.9% 22,826 16.98% 10.50 28.82
Random + Targeted 24,190 153.4% 37,112 10.21% 16.62 58.45 83.702 9.194 9.10 13.33
Increased total POFT 61,302 8.43%

ALL VICTORIA

Random POFT 22,652 125.8% 28,494 0.4% 9.92 36.53


Targeted POFT 19,945 147.4% 29,406 22.1% 23.39 43.07
Random + Targeted 42,597 135.9% 57,900 11.4% 33.31 79.60 142.311 15.120 9.41 12.25
Increased total POFT 100,496 9.18%

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6.7 Effects of increased POFTs and detection rates during 2018/19

6.7.1 Planned increases in random and targeted POFTs

During the 2018-19 financial year, Victoria Police planned to increase the annual RDTs to 150,000 (POFTs)
from the 100,000 tests per year goal of the three previous years. TERAM was used to estimate the savings in
fatal and serious injury crashes during 2018-19 (150,000 POFTs) from a base level in the 2015-2018 financial
years (average 100,496 POFTs per year).
The number of POFTs allocated to RPDAS operations (mainly random testing) was scheduled to increase by
14.15% compared with 2015-2018. Targeted POFTs were scheduled to increase by 83.52% at rural HP/HVU
operations and by 86.82% at metro operations, during 2018-19. Apparently, Victoria Police had planned to
substantially increase targeted POFTs to more than the approximate 50% of total POFTs that was achieved in
2015-2018. This increase in targeted POFTs should have increased the overall detection rate of positive OFTs
from the POFTs. Together the increases in all POFTs and the detection rates should have reduced the
number of fatally injured and seriously injured vehicle controllers with drugs during 2018-19, based on the
relationships outlined in Section 6.4.
The estimated savings in fatal and serious injury crashes during 2018-19 are shown Table 29 together with
their economic value and benefit-cost ratio (BCR).
As shown, the increase in planned POFTs during 2019 could be expected to have saved just over 23 fatal
crashes and nearly 56 serious injury crashes. It also shows that the increased POFTs would return social cost
benefits of nearly 7 times the increased program cost, even using the conservative Human Capital cost of
crashes.
The marginal benefit-cost ratio (BCR) is the ratio of benefits to costs of the next increases in POFTs above the
level planned for 2018-19 (150,000 tests). Marginal BCRs in Table 29 indicate that there is further economic
value (and fatal and serious injury savings) if the annual POFTs were increased further, particularly in rural
Victoria.

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TABLE 29 CRASH SAVINGS PER YEAR, COST SAVINGS, BCR AND MARGINAL BCR FROM PLANNED POFT INCREASES IN 2018-19

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2015-18 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests pa) increased saved per year ($m) increase
year ($m pa)
POFTs year costs)
RURAL
Random POFT 17,906 14.15% 2,534 1.99% 3.72 6.76
Targeted POFT 21,289 83.52% 17,780 17.38% 7.60 7.35
Random + Targeted 39,194 51.8% 20,314 15.46% 11.32 14.11 39.603 6.231 6.36 4.22
Increased total POFT 59,508 12.10%
METRO
Random POFT 33,239 14.15% 4,703 2.39% 4.99 24.08
Targeted POFT 28,063 86.82% 24,364 15.59% 7.00 17.70
Random + Targeted 61,302 47.4% 29,067 13.45% 12.00 41.77 60.139 8.260 7.28 5.17
Increased total POFT 90,369 10.05%
ALL VICTORIA
Random POFT 51,145 14.2% 7,237 2.3% 8.71 30.84
Targeted POFT 49,351 85.4% 42,144 16.3% 14.61 25.04
Random + Targeted 100,496 49.1% 49,381 14.3% 23.32 55.88 99.741 14.490 6.88 4.76
Increased total POFT 149,878 10.86%

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6.7.2 Actual increase in POFTs during 2018/19 to 14 May 2019

POFT data was available to 14 May 2019 to examine the actual increase in roadside drug testing in 2018/19
compared with the previous three financial years. During the first 45 weeks of 2018/19 there were 122,140
POFTs conducted which, when annualised to 141,140 estimated POFTs, represents 40% increase compared
with 2015-2018 (average 100,496 POFTs per year).
Based on the annualised POFTs, it appears that random RDTs in rural Victoria decreased by nearly 3% while
targeted RDTs increased by 71.5% (see Table 30). Offence detection rates from the targeted RDTs
decreased compared with 2015-2018, resulting in the overall detection rate in rural Victoria rising only from
10.35% to 10.65%. This in turn was estimated to result in relatively small savings in fatal and serious injury
crashes associated with Methamphetamine presence in the vehicle controller casualties.
In metro Melbourne, it appears that annualised random RDTs increased by 27.8% but apparently these
additional POFTs did not detect any additional offences. The targeted metro RDTs increased by 59.5% but
similar to rural Victoria, their offence detection rates also fell. Together these changes resulted in the overall
detection rate in metro Melbourne falling from 8.43% to 7.46%. It was estimated that this decrease in detection
rate was counter-productive and resulted in additional fatal and serious injury crashes due to increased
prevalence of drugs in the vehicle controller casualties (see Table 30).
Notwithstanding the counter-productive effects of reduced detection rates, it appears that the overall effects of
the 40% increase in RDTs during 2018/19 should have produced savings of at least 3 fatal crashes and 16.5
serious injury crashes. These crash cost savings were more than twice the cost associated with the increased
POFTs, as indicated by the estimated BCR of 2.23 for the increase in the drug testing program.
It should be noted that the reductions in the detection rates during 2018/19 (or at least its first 45 weeks) may
have been an outcome of the deterrent effect of the roadside drug testing program during 2018/19 and the
substantially increased program during the previous three years. However, there was no evidence that
detection rates decreased each year during 2015/16 to 2017/18 in either region of Victoria and for either
random or targeted operations (see Figure 77). A short-term effect of the 40% increase in RDTs during
2018/19, which resulted in reduced on-road prevalence of THC and Methamphetamine and hence reduced
detection rates, seems unlikely.

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TABLE 30 CRASH SAVINGS PER YEAR, COST SAVINGS, BCR AND MARGINAL BCR FROM ACTUAL POFT INCREASES IN 2018-19 TO 14 MAY 2019
Base
offence Offence Serious Total BCR
Fatal Crash
Base level detected Increase in Increase in detected rate injury additional (Increase
crashes cost
Enforcement type 2015-18 rate annualised annual level with crashes cost benefits/
saved per saving per
(Tests pa) level (%) (Tests pa) increased saved per increase
(% of year year ($m) ($m pa)
POFTs year costs)
POFTs)
RURAL
Random POFT 17,906 1.99% -2.89% -517 NA 2.77 5.03
Targeted POFT 21,289 17.38% 71.53% 15,228 11.06% 1.55 1.34
Random + Targeted 39,194 10.35% 37.5% 14,711 11.46% 4.33 6.37 15.796 3.851 4.10
Increased total POFT 53,906 10.65%
METRO
Random POFT 33,239 2.39% 27.78% 9,233 NK 4.53 21.79
Targeted POFT 28,063 15.59% 59.51% 16,699 8.43% -5.69 -11.62
Random + Targeted 61,302 8.43% 42.3% 25,932 5.17% -1.17 10.18 3.805 4.955 0.77
Increased total POFT 87,234 7.46%
ALL VICTORIA
Random POFT 51,145 2.25% 17.0% 8,716 NK 7.30 26.82
Targeted POFT 49,351 16.36% 64.7% 31,927 9.68% -4.14 -10.28
Random + Targeted 100,496 9.18% 40.4% 40,643 7.44% 3.16 16.54 19.601 8.806 2.23
Increased total POFT 141,140 8.68%

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6.8 Effects of further increases in roadside drug testing

The roadside drug testing program in Victoria has achieved substantial reductions in fatal and serious injury
crashes, but could be expanded further. Further expansion is justified not only by its potential savings in
serious road trauma, but also because it would be a good economic investment up to a level where the social
cost savings still exceed the costs at the margin. The extent of the additional investment depends on the
method used to value the social cost savings from the reductions in fatal and serious injury crashes.

6.8.1 Social costs of crash savings valued by Human Capital Method

From the annual average base levels of RDTs in 2015-2018 (Table 27), a range of percentage increases in
the random and targeted RDTs were considered until increases were found that produced a marginal BCR
just below one (see Table 31). This maximum level was indicated if the random RDTs were increased by
190% and 175% in rural and metro Victoria, respectively, and the targeted RDTs were increased by 400%
throughout the State. The total POFTs per year would increase by nearly 290% to 390,090. In the short term,
the positive detection rate would increase from 9.2% to 11.2%, reflecting the greater percentage increase in
the targeted operations.
For the given percentage increases in random and targeted RDTs, TERAM estimated that 46 fatal crashes
and 134.5 serious injury crashes would be saved per year (see Table 31).

6.8.2 Social costs of crash savings valued by Willingness-to-Pay Method

An analysis also considered the maximum level, if the crashes were valued using the Willingness-to-Pay
(WTP) method ($9.166 million per fatal crash and $611,718 per serious injury crash; TIC 2015).
Table 32 shows the percentage increases in RDTs of each type in each region that would produce a marginal
BCR just below one. In this case, the random RDTs could be increased by 265% and the targeted RDTs
increased by 643%, to a total of 553,460 POFTs per year, an increase of 450% on the 2015-2018 level.
TERAM estimated that this would save 53 fatal crashes and 157 serious injury crashes per year (see Table
32).

6.8.3 Impacts on other traffic enforcement programs

Estimates of road safety benefits calculated in this analysis assume that the expansion of the roadside drug
testing program has no negative impacts on the delivery of other police enforcement programs, such as
roadside alcohol testing, due to constraints on overall human resources. This assumption is particularly
pertinent given the requirement for high levels of targeted enforcement which have historically been delivered
by the Highway Patrols or the Heavy Vehicle Unit.

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TABLE 31 CRASH SAVING PER YEAR, HUMAN CAPITAL COST SAVINGS, BCR AND MARGINAL BCR FROM MAXIMUM POFT INCREASES

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2015-18 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests) increased saved per year ($m) increase
year ($m pa)
POFTs year costs)
RURAL
Random POFT 17,906 190.0% 34,021 1.99% 13.74 25.91
Targeted POFT 21,289 400.0% 85,155 17.38% 8.43 8.29
Random + Targeted 39,194 304.1% 119,175 12.99% 22.16 34.20 81.976 33.242 2.47 0.99
Increased total POFT 158,370 12.34%
METRO
Random POFT 33,239 175.0% 58,169 2.39% 15.69 79.21
Targeted POFT 28,063 400.0% 112,251 15.59% 8.15 21.13
Random + Targeted 61,302 278.0% 170,420 11.08% 23.84 100.34 131.260 43.891 2.99 0.99
Increased total POFT 231,722 10.38%
ALL VICTORIA
Random POFT 51,145 180.3% 92,190 2.25% 29.43 105.12
Targeted POFT 49,351 400.0% 197,405 16.36% 16.58 29.42
Random + Targeted 100,496 288.2% 289,595 11.87% 46.00 134.54 213.236 77.133 2.76 0.99
Increased total POFT 390,091 11.18%

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TABLE 32 CRASH SAVINGS PER YEAR, WTP COST SAVINGS, BCR AND MARGINAL BCR FROM MAXIMUM POFT INCREASES

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2015-18 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests) increased saved per year ($m) increase
year ($m pa)
POFTs year costs)
RURAL
Random POFT 17,906 345.0% 61,775 1.99% 17.08 32.91
Targeted POFT 21,289 700.0% 149,021 17.38% 8.89 8.84
Random + Targeted 39,194 537.8% 210,795 12.87% 25.96 41.75 263.521 58.522 4.50 0.99
Increased total POFT 249,990 12.48%
METRO
Random POFT 33,239 222.0% 73,791 2.39% 17.32 88.61
Targeted POFT 28,063 600.0% 168,376 15.59% 9.86 26.62
Random + Targeted 61,302 395.0% 242,167 11.57% 27.17 115.23 319.519 63.684 5.02 0.99
Increased total POFT 303,469 10.93%
ALL VICTORIA
Random POFT 51,145 265.1% 135,566 2.21% 34.39 121.52
Targeted POFT 49,351 643.1% 317,397 16.43% 18.74 35.46
Random + Targeted 100,496 450.7% 452,963 12.17% 53.14 156.98 583.040 122.206 4.77 0.99
Increased total POFT 553,459 11.63%

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7 INTEGRATION OF ESTIMATED RELATIONSHIPS BETWEEN
DRUG AND ALCOHOL TESTING INTO TERAM
Section 6.5 detailed the modelling of the relationships between roadside drug testing and the presence of drugs
in fatally injured and seriously injured vehicle controllers and their integration into the Traffic Enforcement
Resource Allocation Model (TERAM), developed for Victoria Police. The effects of roadside alcohol testing on
vehicle controller casualties were included in the original TERAM (Cameron, Newstead & Diamantopoulou, 2016)
and its 2018 update. The relationship between random breath tests (RBTs) and casualty crashes were based on
numerous studies in Victoria, NSW and Western Australia. Bus-based RBT was considered to be random, but
car-based PBTs were considered to be a mixture of random and targeted operation. Boorman (2014; Section
8.1.2) considered that the non-random PBTs were likely to achieve general and specific deterrence effects
because of the volume of non-random tests in Victoria.

7.1 Relationships with roadside alcohol testing

The new relationships between roadside alcohol testing and alcohol involvement in crashes have now been
added to TERAM. The proportions of fatally injured or seriously injured, crash-involved vehicle controllers were
found to be related to (a) the annual number of PBTs (bus- and car-based) and (b) the hit rate of illegal BAC
detection (EBTs per 1000 PBTs) from those operations (see Section 3.2.4).
Table 33 shows the results from Table 17 and Table 19 for the relationships connecting the prevalence of BAC
levels at or above 0.05 g/100mL in vehicle controller casualties with PBTs and hit rates, except that the relative
odds per change in PBTs relate to 100,000 PBTs input so that the magnitude of effect can be more clearly seen.
The reduction in odds for fatally injured vehicle controllers per 100,000 PBTs (10.3%), while not statistically
significant, is similar in magnitude to that for seriously injured vehicle controllers (14.0%). The absence of
statistical significance may have been due to the relatively small number of fatally injured vehicle controllers in
the analysis compared with the seriously injured. For these two reasons, the relationship with PBTs for fatally
injured vehicle controllers was included in TERAM together with the hit rate.

TABLE 33 RELATIVE ODDS OF ILLEGAL ALCOHOL INVOLVEMENT IN VEHICLE CONTROLLER


CASUALTIES RELATED TO PBTS AND DETECTION RATES (STATISTICALLY SIGNIFICANT & NOT
SIGNIFICANT)
Alcohol INPUT VARIABLE Significance level Relative Lower Upper Reduction
involved in (p) Odds Per confidence limit confidence limit per Unit Input
Unit Input on Relative on Relative (%)
vehicle Change Odds Odds
controller
casualties
Seriously Number of PBTs <0.0005 0.8598 0.8118 0.9106 -14.02%
injured vehicle (100,000s)
controllers
with illegal Detection rate (EBTs <0.0005 0.8820 0.841 0.925 -11.80%
BAC per 1000 PBTs)

Fatally injured Number of PBTs 0.196 0.8969 0.7605 1.0579 -10.31%


vehicle (100,000s)
controllers
Detection rate (EBTs 0.016 0.8454 0.737 0.970 -15.46%
with illegal
per 1000 PBTs)
BAC

The relative odds of a seriously injured vehicle controller having an illegal BAC, related to the annual PBTs per
Police Region ranging from 500,000 to 2 million, are shown in Figure 35. The same relative odds related to the hit
rate (EBTs per 1000 PBTs), ranging from zero to 2.8 per 1000, are shown in Figure 36. The relative odds for
fatally injured vehicle controllers related to the hit rate are shown in Figure 48. No graph of the relative odds for
fatally injured vehicle controllers related to annual PBTs was presented in section 3.2.4; however, the relationship
was included in TERAM as explained above (see Figure 83).

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1.20

1.00
Relative Odds

0.80

0.60

0.40

0.20

0.00
400,000 500,000 600,000 700,000 800,000 900,000 1,000,000
Total Annual PBTs

Figure 83 Relative odds of fatally injured vehicle controllers having an illegal BAC level by annual PBTs, per
Police Region

7.2 Roadside alcohol testing inputs to TERAM

7.2.1 Annual PBTs and detection rates 2006-2016

Figure 25 in Section 3.2.1 showed that the trend in PBTs fluctuated annually during 2006 to 2016 and averaged
about 3 million tests per year near the end of the period. Figure 27 showed some variation in annual PBTs by
Police Region, and Figure 28 showed about twice the number of car-based PBTs compared with bus-based each
year.
The number of positive evidentiary breath tests (EBTs) per 1000 PBTs has declined slowly over the period (see
Figure 29) with similar trends in each Police Region (see Figure 30). The detection rate (hit rate per 1000 PBTs)
has generally been higher for car-based PBTs compared with bus-based PBTs, probably reflecting the mix of
random and targeted operations normally conducted by car-based alcohol testing operations.
Annual PBTs and detection rates during 2014-2016 (averaged) were used as the base level of roadside alcohol
testing operations in TERAM. This corresponded with the base level of crashes in Victoria also used in the
current TERAM. On average, 3,321,411 PBTs per year were conducted. Of these, 3,010,792 PBTs (90.6%) were
in known Region-Divisions for TERAM analysis in rural and metro regions of Victoria. The detection rate with
positive EBTs was 0.142% at buses and 0.424% from cars, with an overall detection rate of 0.329%. The
relationships in Table 33 indicate that increasing the overall detection rate has a significant role in reducing illegal
BAC levels in vehicle controller casualties. This can be achieved by further increasing the proportion of PBTs
from cars while increasing the total PBTs from car- and bus-based operations.

7.2.2 Illegal alcohol presence in vehicle controller casualties

Figure 32 in Section 3.2.2.1 shows the trends in percentages of seriously injured vehicle controllers in the BAC
range from 0.05 to 0.149 g/100mL and the range at and above 0.15 g/100mL. The trends are similar and
decrease to about 2.5% each in 2016. The relative odds of a seriously injured vehicle controller with any illegal
BAC (at or above 0.05 g/100mL) is the subject of the relationship in TERAM with parameters in Table 33.
Seriously injured vehicle controllers with illegal BACs averaged 5.07% during 2014-2016.
Section 3.2.2.1 noted that only about 30% of vehicle controllers admitted to hospital had a blood sample taken
and tested for alcohol during 2006-2016. Thus, the percentage of seriously injured vehicle controllers tested and
found to have BAC in an illegal BAC range is likely to be a conservative estimate of the true prevalence of alcohol
in all seriously injured vehicle controllers in Victoria.

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Figure 33 shows the trends in fatally injured vehicle controllers with BAC levels in the same two ranges. The
percentage of fatally injured vehicle controllers with a BAC at or above 0.15 g/100mL was substantially higher
than the percentage fatally injured with a BAC in the lower illegal BAC range. Again, the relative odds of a fatally
injured vehicle controller having any illegal BAC is the subject of the TERAM modelling. Fatally injured vehicle
controllers with illegal BACs averaged 16.1% during 2014-2016.

7.3 Estimated crash savings from increases in PBTs and detection rates

TERAM can be used to estimate the savings in fatal and serious injury crashes from any given percentage
increases in bus- and car-based PBTs in rural Victoria and metropolitan Melbourne. Rural PBTs were those
conducted in the West and East Police Regions, excluding those conducted in Divisions ED1 and ED2 which
were included with those in the two Metro Police Regions to represent metro Melbourne (see Table 34).
To illustrate the effects on crashes, bus PBTs were increased by 30% in each region of Victoria. Car PBTs were
increased by 60% to produce an increase in the overall detection rate (expressed as a percentage of PBTs in
Table 34 rather than hit rate per 1000 PBTs). The increase in the overall detection rate illustrates the impact of
the reduction in relative odds, due to this factor, as well as the impact due to increased PBTs in total. Under this
scenario, the overall detection rate in rural Victoria was calculated to rise from 0.248% to 0.252%, and in metro
Melbourne to rise from 0.388% to 0.412%. While these increases in detection rate seem small, Table 33
indicates that they produce significant reductions in the relative odds of illegal BAC presence in vehicle controller
casualties per 0.1% increase in detection rate.
Across Victoria, there would be nearly a 50% increase in all PBTs with the annual total rising to over 4.5 million
and a detection rate of 0.341% (see Table 34). TERAM estimated that more than 8 fatal crashes and over 77
serious injury crashes would be saved per year.
Social cost savings valued by the Human Capital method were estimated to be $73.8 million per annum and the
benefit-cost ratio (BCR) of the increased roadside testing was estimated to be 3.1. The marginal BCR was
slightly higher indicating that further increases in PBTs (with greater increases in car PBTs compared with bus
PBTs) would be economically justified as well as saving additional serious casualty crashes.

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TABLE 34 CRASH AND SOCIAL COST SAVINGS, BCR AND MARGINAL BCR FROM 30% INCREASE IN BUS PBTS AND 60% INCREASE IN CAR PBTS

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2014-16 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests pa) increased saved per year ($m) increase
year ($m pa)
PBTs (%) year costs)
RURAL
Bus PBT 174,054 30% 52,216 0.098%
Car PBT 1,101,834 60% 661,100 0.272%
Bus + Car PBT 1,275,888 55.9% 713,317 0.259% 3.61 18.90 22.391 11.954 1.87 2.00
Increased total PBT 1,989,205 0.252%
METRO
Bus PBT 842,049 30% 252,615 0.151%
Car PBT 892,855 60% 535,713 0.612%
Bus + Car PBT 1,734,904 45.4% 788,328 0.464% 4.49 58.27 51.419 11.837 4.34 4.24
Increased total PBT 2,523,232 0.412%
ALL VICTORIA
Bus PBT 1,016,103 30% 304,831 0.142%
Car PBT 1,994,689 60% 1,196,813 0.424%
Bus + Car PBT 3,010,792 49.9% 1,501,644 0.367% 8.11 77.17 73.810 23.791 3.10 3.14
Increased total PBT 4,512,436 0.341%

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7.4 Effects of further increases in roadside alcohol testing

Further expansion in roadside alcohol testing is justified not only by its potential savings in serious road trauma,
but also because it would be a good economic investment, up to a level where the social cost savings still exceed
the costs at the margin. The extent of the additional investment depends on the method used to value the social
cost savings from the reductions in fatal and serious injury crashes.

7.4.1 Social costs of crash savings valued by Human Capital method

From the annual average base levels of PBTs in 2014-2016, a range of percentage increases in the bus- and
car-based PBTs were considered until increases were found that produced a marginal BCR just below one
(Table 35). This maximum level was indicated if the bus PBTs were increased by 190% and 250% in rural
Victoria and metro Melbourne, respectively. Aiming to produce a significant increase in overall detection rates,
car PBTs were increased by 380% and 500% in the rural and metro regions, respectively (double the bus PBT
increases).
The total PBTs per year would increase by 368% to 14.1 million. In the short term, the positive detection rate
would increase from 0.329% to 0.355%, reflecting the greater percentage increase in the car-based operations.
For the given percentage increases in the bus and car PBTs, TERAM estimated that more than 32 fatal crashes
and 266 serious injury crashes would be saved per year (Table 35).

7.4.2 Social costs of crash savings valued by Willingness-to-Pay method

An analysis also considered the maximum level if the crashes were valued using the Willingness-to-Pay (WTP)
method ($9.166 million per fatal crash and $611,718 per serious injury crash; TIC 2015).
Table 36 shows the percentage increases in PBTs of each type in each region that would produce a marginal
BCR just below one. Coincidentally, the bus PBTs could be increased by 335% and the car PBTs increased by
670%, the same in each region, to a total of 19.8 million PBTs per year, an increase of 557% on the 2014-2016
level. TERAM estimated that this would save more than 37 fatal crashes and 289 serious injury crashes per year
(Table 36).
Under this scenario, the greater increase in rural PBTs is justified because of the larger proportion of serious
casualty crashes that are fatal on rural roads compared with metro roads, magnified by the higher unit value
associated with a fatal crash using the WTP method compared with the Human Capital cost.

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TABLE 35 CRASH SAVINGS PER YEAR, HUMAN CAPITAL COST SAVINGS, BCR AND MARGINAL BCR FROM MAXIMUM PBT INCREASES

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2014-16 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests pa) increased saved per year ($m) increase
year ($m pa)
PBTs (%) year costs)
RURAL
Bus PBT 174,054 190% 330,703 0.098%
Car PBT 1,101,834 380% 4,186,969 0.272%
Bus + Car PBT 1,275,888 354.1% 4,517,672 0.259% 14.25 65.00 81.857 49.369 1.66 0.99
Increased total PBT 5,793,560 0.257%
METRO
Bus PBT 842,049 250% 2,105,123 0.151%
Car PBT 892,855 500% 4,464,275 0.612%
Bus + Car PBT 1,734,904 378.7% 6,569,398 0.464% 17.99 200.92 183.904 63.532 2.89 1.00
Increased total PBT 8,304,302 0.448%
ALL VICTORIA
Bus PBT 1,016,103 240% 2,435,825 0.142%
Car PBT 1,994,689 434% 8,651,244 0.424%
Bus + Car PBT 3,010,792 368.2% 11,087,069 0.362% 32.23 265.92 265.761 112.901 2.35 0.99
Increased total PBT 14,097,861 0.355%

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TABLE 36 CRASH SAVINGS PER YEAR, WTP COST SAVINGS, BCR AND MARGINAL BCR FROM MAXIMUM PBT INCREASES

Offence Serious Total BCR


Fatal
Base level detected injury Crash cost additional (Increase
Increase in Increase crashes Marginal
Enforcement type 2014-16 rate with crashes saving per cost benefits/
level (%) (Tests pa) saved per BCR
(Tests pa) increased saved per year ($m) increase
year ($m pa)
PBTs (%) year costs)
RURAL
Bus PBT 174,054 335% 583,081 0.098%
Car PBT 1,101,834 670% 7,382,288 0.272%
Bus + Car PBT 1,275,888 624.3% 7,965,369 0.259% 17.79 75.46 209.254 74.359 2.81 0.98
Increased total PBT 9,241,257 0.258%
METRO
Bus PBT 842,049 335% 2,820,864 0.151%
Car PBT 892,855 670% 5,982,129 0.612%
Bus + Car PBT 1,734,904 507.4% 8,802,993 0.464% 19.56 211.40 308.611 78.725 3.92 1.01
Increased total PBT 10,537,897 0.451%
ALL VICTORIA
Bus PBT 1,016,103 335% 3,403,945 0.142%
Car PBT 1,994,689 670% 13,364,416 0.424%
Bus + Car PBT 3,010,792 556.9% 16,768,361 0.367% 37.36 286.86 517.865 153.084 3.38 0.996
Increased total PBT 19,779,153 0.361%

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7.5 Comparison of maximum savings and costs of roadside alcohol and drug testing

It is of interest to compare the crash savings and operational costs of the two roadside testing programs in
Victoria. This is done in Table 37 in which the all Victoria results from Table 31 and Table 35 have been brought
together, with the social costs of the crash savings valued using the Human Capital method in each case. In
these tables, the increases in annual testing levels were chosen so that their marginal BCR is just below one, i.e.
any further increases above the maximum level of PBTs and POFTs would not be justified by their increased
operational costs.
Substantial increases in both roadside testing programs are justified, with alcohol tests increasing up to 368%
and drug tests up to 288% above their annual average levels in the base years used (noting that some increases
have already occurred). At these levels of increase, it is estimated that the increased POFTs would save 46 fatal
crashes and the increased PBTs would save 32 fatal crashes per year. However, it is estimated they would save
135 and 266 serious injury crashes, respectively, nearly double the saving from the PBTs compared with the
POFTs.
These crash savings would result in a greater saving in social costs from the increase in the roadside alcohol
testing compared with the drug testing ($265.8 million compared with $213.2 million per year), however its
operational costs would be greater ($112.9 million compared with $77.1 million per year). The increase in
roadside drug testing up to the maximum (economically-justifiable) level would also be a better investment, with
an estimated BCR of 2.76 compared with 2.35 for the alcohol testing. Whether this differential in the BCRs is
maintained at lower levels of increase for each program requires further TERAM analysis, but a comparison of
Table 29 and Table 34 (in which base levels of POFTs and PBTs were increased Victoria-wide by 50%) suggests
that the roadside drug testing would maintain its advantage as a better investment.

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TABLE 37 CRASH AND HC COST SAVINGS, BCRS & MARGINAL BCRS FROM MAXIMUM INCREASED LEVELS OF PBTS AND POFTS (ALL VICTORIA)

Offence Serious Crash Total BCR


Fatal
detected injury cost additional (Increase
Base level Increase in Increase crashes Marginal
Enforcement type rate with crashes saving cost benefits/
(Tests pa) level (%) (Tests pa) saved per BCR
increased saved per per year increase
year ($m pa)
tests (%) year ($m) costs)
ALCOHOL TESTING
Bus PBT 1,016,103 240% 2,435,825 0.142%
Car PBT 1,994,689 434% 8,651,244 0.424%
Bus + Car PBT 3,010,792 368% 11,087,069 0.362% 32.23 265.92 265.761 112.901 2.35 0.99
Increased total PBT 14,097,861 0.355%
DRUG TESTING
Random POFT 51,145 180% 92,190 2.25%
Targeted POFT 49,351 400% 197,405 16.36%
Random + Targeted 100,496 288% 289,595 11.87% 46.00 134.54 213.236 77.133 2.76 0.99
Increased total POFT 390,091 11.18%

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8 DISCUSSION
Crash statistics in Victoria show that drug involvement in crashes remains a major road safety problem. Most recent data
available for this study showed 18% of fatally injured vehicle controllers in Victorian road crashes tested positive for
Methamphetamine whilst 16% tested positive for THC. Combined, proscribed illicit drugs were present in over 25% of
fatally injured vehicle controllers. In comparison, alcohol was present in around 17% of fatally injured vehicle controllers
in the most recent year of data although disturbingly over two thirds of these had high range readings (above 0.15%).
When considering seriously injured vehicle controllers, Methamphetamine was present in around 4.3% in the most recent
data compared to 2.5% recording THC. Over the past decade, Methamphetamine has rapidly become the most common
proscribed drug in killed and seriously injured vehicle controllers, overtaking THC which was more predominant in earlier
years. In comparison, illegal alcohol was present in around 5% of seriously injured vehicle controllers with around half of
these being high range BAC.
Clearly, illicit proscribed drugs and alcohol, both known risk factors for crashes, remain commonly present in fatally
injured and seriously injured vehicle controllers in Victorian road crashes with Methamphetamine use becoming a
particular problem. Consequently, enforcement of drug and alcohol use has significant potential to reduce exposure of
these risk factors amongst vehicle controllers and hence reduce the incidence of crashes where use of these substances
is a contributing factor. Prior to 2015 significant efforts to enforce maximum blood alcohol limits amongst Victorian
vehicle controllers has been undertaken by Victoria Police with between 3 and 4 million roadside preliminary breath tests
undertaken each year. Although roadside drug testing for Methamphetamine and THC presence in vehicle controllers
has been carried out in Victoria since 2004, in comparison to alcohol testing, the level of drug testing, although
increasing, has been far more modest with around 55,000 preliminary oral fluid tests conducted in 2014. The reasons for
lower levels of drug testing were two-fold being a consequence not only of the significantly higher cost of the testing
regime but also the limited training of Victoria Police members to undertake roadside drug tests. Prior to 2015, roadside
drug testing capability was limited largely to members in RPDAS.
Acknowledging this, commencing in late 2014, the TAC invested in a program to increase roadside testing of proscribed
illicit drugs in Victorian vehicle controllers. Investment covered 2 aspects being the training of additional Victoria Police
members to conduct roadside drug testing as well as funding an increase in the number of tests to be delivered to
100,000 per annum. The primary aim of the study documented in this report was to conduct a limited process and
comprehensive outcome evaluation of the TAC’s investment in enhanced roadside drug enforcement in Victoria. The
study had a number of specific objectives being to:
1. Document the key historical statistics and practices in drug and alcohol enforcement in Victoria and the
prevalence of illicit drugs and alcohol in road crashes.
2. Undertake a limited process evaluation of the 2015 expansion of roadside drug enforcement including
assessment of the impact on the number and proportion of Victoria Police members trained in roadside
drug testing and the distribution in deployment of these members across the state and relate this to
changes in delivery of roadside drug testing over time.
3. Develop new measures of high alcohol and high drug hours.
4. Undertake an outcome evaluation of the impact of changes in both roadside drug and alcohol enforcement
on road deaths and serious injuries including establishing the relationship between enforcement delivery
and the presence of drugs and alcohol in seriously injured and fatally injured vehicle controllers.
5. Using the outcomes from objectives 1-4, update the TERAM model to both estimate the impact of the TAC
funded drug expansion program as well as the potential trauma benefits from further expansion of the drug
and alcohol enforcement programs. From this, provide strategic learnings for future drug and alcohol
enforcement in Victoria.

The success of the evaluation in meeting each of these key objectives will be explored in the following sections along
with the key learnings from the study.

8.1 Evaluation data

Detail in and quality of data available for an evaluation determines the success of the evaluation in being able to identify
the outcomes associated with a road safety program and to identify the specific mechanisms responsible for achieving
the outcome. The range and quality of data that this evaluation was able to access undoubtable led to its success in
being able to measure the road safety benefits of the TAC funded roadside drug testing enhancements.
Compared to past research on drug and alcohol enforcement, this evaluation was able to assemble a wider range of data
for analysis. Previous research has found access to drug and alcohol testing data from buses has been readily
accessible and this proved to be the case again for this study. Bus testing sessions were well documented and it was
possible to link infringements stemming from these sessions reasonable accurately since the devices allocated to the
busses were accurately recorded. One difficulty in using this data was that when a bus was used in multiple locations
during a shift, of which up to 4 could be used but usually at least 2, it was sometimes difficult to associate an
infringement with a particular location within a shift without complex comparison of timings. Since locations within a shift
were generally within the same police Region, locating infringements within a Region was reasonably straight forward.
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Enhancing the drug and alcohol testing data from busses would be made more accurate if a simple means of relating
tests to locations within shift was considered in the data. Another smaller problem with the bus data was the recording of
postcode of operation location in the data. For many rural towns, the postcode for the post office boxes was used rather
than the postcode of the town centre itself which created some difficulty in locating operations from standardised
postcode tables. Ideally, GPS location data would be recorded for all bus operation locations and carried over to the
infringement data resulting from those shifts.
For the first time, this evaluation was able to access drug and alcohol test data for car operations. Previous evaluations
have been able to consider this data for a single police region but not on a state-wide basis. Access to this data was
critical for being able to undertake this evaluation. Location data from car alcohol test operations was recorded as a
suburb name which could be readily converted to a police Region although with a small level of inaccuracy when a
suburb overlapped police Regions. Car based drug test data was more often associated with a highway patrol area with
no specific location recorded. Whilst these generally allowed accurate allocation of a test to a Region, there was a small
percentage of the test data that could not be allocated. This meant that analysis of drug testing at a level lower than the
Region, such as the police Division or LGA, was generally not possible. Enhancing the drug testing data to include a
specific location of the drug test would significantly enhance the ability to undertake specific location-based analysis.
Furthermore, Heavy Vehicle Unit shifts generally lacked any sort of location information meaning these operations could
not be included in the analysis. Recording location information for HVU operations would also enhance analysis
capability.
For crash data recorded in TIS, it was unclear how complete the matching of drug and alcohol testing outcomes for crash
involved vehicle controllers would be, since this matching was not undertaken by MUARC. Labelling of specific drugs
detected in the TIS data is important for understanding the prevalence of different drug types in crashes but lacked some
consistency in the data. Whilst this could be overcome through re-coding, allocation of consistent naming conventions to
drugs detected would enhance the quality and accuracy of the data. One limitation in the seriously injury data was the
apparent limited testing of killed and seriously injured vehicle controllers for drug presence in particular as indicated by
the low prevalence recorded and the step increase in 2010. To overcome this, the decision to only use data from 2010
and after in the analysis was taken. Notwithstanding this, only about one-third of seriously injured vehicle controllers
admitted to hospital had a blood sample taken and tested for drugs during 2010-2016.
Lack of drug and alcohol test results for fatalities in the TIS data was an initial major limitation identified in the data
resulting from the Victorian Coroner being the custodian of toxicology results for fatalities. Cooperation from the Victorian
Coroner and VIFM staff overcame this problem and was greatly appreciated by the authors to enable analysis of fatally
injured vehicle controllers to be undertaken in the evaluation. It was reported that coding and matching of this data to the
information in TIS and subsequently RCIS took considerable effort. In order for future drug and alcohol analysis to be
readily able to consider both fatally injured and seriously injured vehicle controllers in crashes, a process of automatically
coding and matching of fatally injured vehicle controller toxicology results to police reported crash data should be
instituted. Appending of toxicology results for non-fatally injured vehicle controllers to the crash data is also important for
fully understanding the role of drugs and alcohol in serious road crashes. A potential enhancement to this process would
be to include an indicator of when an injured vehicle controller presented to hospital and did not have a blood sample
taken and, if possible, the reason why.
A final limitation of the study data related to the recording of data on police member training to undertake roadside drug
testing. It was possible in this evaluation to know where each member was located when initially trained but not where
they were subsequently posted. Consequently, analysis has focused only on the correlation between location of original
member posting when trained and drug test delivery. This is not considered a major limitation since analysis only
correlated the data over a relatively short time period and ultimately at an aggregate level. Being able to match
subsequent member locations to training status would allow the ongoing analysis of testing capacity versus output.
However, this will not be of ongoing interest since it is understood all new police members are now trained to deliver
roadside drug testing.

8.2 Relationship between enforcement effort and drug and alcohol presence in crash involved
vehicle controllers

Access to the detailed data for this evaluation outlined in the previous section allowed the important first step in the
evaluation of being able to relate enforcement delivery to drug and alcohol presence in crash involved vehicle controllers.
More specifically, it capitalised on the variation in enforcement effort between police Regions over years and the
corresponding variation in drug and alcohol presence in fatally and seriously injured vehicle controllers to be able to
establish the association between these two measures. Establishing this relationship was critical in being able to assess
the impact of the drug enforcement increase on crash outcomes which was subsequently used to estimate the crash
reduction benefits of increased drug testing in the enhanced TERAM.
Analysis has focused on the prevalence of drugs and alcohol in fatally and seriously injured divers as the primary
analysis outcome and has measured the change in this outcome in response to various drug and alcohol enforcement
levels. To infer crash savings benefits from such an analysis, it is assumed that drug and alcohol presence in crash
involved vehicle controllers is the primary risk factor causing the crash. Presence of drugs or alcohol in the crash
becomes a proxy for crash risk associated with drug and alcohol presence, risks which have been clearly demonstrated
in a number of prior studies. By reducing the prevalence of drugs and alcohol involvement in serious casualty crashes
through enforcement, it is assumed through the established risks associated with substance presence that reducing the

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 97


presence will reduce the number of resulting crashes proportionately. It is on this basis that the associations between
enforcement and drug and alcohol presence in serious crashes have been applied to estimate crash savings using
TERAM.
Analysis presented in this study has identified a number of clear associations between both enforcement levels and the
rate of identifying infringing vehicle controllers per enforcement effort (the ‘hit rate’). Established associations for both
drug and alcohol presence in fatally and seriously injured vehicle controllers are discussed in the following sections.

8.2.1 Drug enforcement and crashes

Analysis undertaken during this phase of the research indicates clear associations between roadside drug testing and
the rate of THC and Methamphetamine presence in vehicle controllers injured, both seriously and fatally, in road
crashes, in Victoria. An important finding has been that the presence of different drug types in crash involved vehicle
controllers has corresponded to different aspects of the RDT enforcement program. In relation to serious injury crashes,
analysis showed that increases in the number of roadside preliminary drug tests (POFTs) administered was associated
with reductions in THC detection. As such, similar to that known about roadside alcohol testing, it appears that in relation
to RDT a general deterrence model applies to deterring THC use by vehicle controllers. The absence of any association
between Methamphetamine detection in serious or fatally injured vehicle controllers and the number of POFTs
administered suggests that the general deterrence model does not apply to Methamphetamine, whilst THC users are
more deterred by the perceived threat of detection (general deterrence) based on the number of roadside POFTs
conducted.
In relation to fatal crashes, some additional observations on the relationships between enforcement and drug presence in
serious crashes were made. As for the serious injury analysis, THC presence in fatal crashes had a strong negative
association with the number of POFTs conducted. Further analysis shows the relationship stemmed primarily from the
POFTs conducted from cars and not with those conducted from busses. In addition, there was a significant association
between hit rate and THC presence in fatal crashes with the suggestion that this relationship also stemmed largely from
car-based testing. These findings suggested that while the general deterrence theory around drug testing is effective with
some user populations, there appears to be a more “chronic” cannabis user population, ant particularly those likely to be
involved in fatal crashes, that is additionally deterred following actual detection. The drug testing hit rate had a strong
association with Methamphetamine presence in both serious and fatally injured vehicle controllers suggesting RDT
enforcement based on a specific deterrence model is more appropriate for reducing Methamphetamine use by vehicle
controllers and subsequent crash involvement. Deterring Methamphetamine use appears to be associated with actually
‘catching’ affected vehicle controllers (specific deterrence) although analysis also identified a weak association between
the number of POFTs delivered from cars and Methamphetamine presence in fatal crashes. Furthermore, analysis
indicated that, like for THC, car-based testing resulting in detection is the primary mechanism of deterrence.
These results suggest a two-pronged approach to drug enforcement is optimal. An element of extensive testing, likely
random, is required to deter THC use amongst vehicle controllers, the more tests delivered the greater the deterrence.
To deter Methamphetamine, and some cannabis use associated with fatal crashes, a component of the RDT
enforcement program aimed at specifically targeting the interception of drug affected vehicle controllers is required, with
these increases in detection rates then leading to reductions in crash involvement. These increased detection rates could
be achieved through incorporation of intelligence based RDT enforcement strategies targeting the time, locations and
demographics most likely associated with Methamphetamine use. For deterrence of drug use, car-based delivery of
testing seems to be optimal.
Interpreting the relationship between drug testing and THC involvement in serious crashes shows that the TAC funded
drug testing expansion program has been associated with a 44% reduction in the presence of THC in vehicle controller
serious injuries and a 47% reduction of THC presence in fatally injured vehicle controllers. This reduction can be directly
attributed to the expansion program which led to the increase in drug testing from 42,000 to 100,000 per annum. In
contrast, the increase in testing hit rate from 2% to 11% during 2010 to 2016 has reduced the odds of Methamphetamine
detection in seriously injured vehicle controllers by 37%. Whether this increased detection rate can be directly attributed
to the drug testing program expansion is less clear and will require further research. A greater emphasis on targeted
testing by police is apparently the key factor behind this improvement. It is likely that the expansion of the program, and
in particular the training of additional Highway Patrol Officers to undertake drug testing, has increased the capacity for
more targeted testing from cars in particular.
Identification of the relationship between test hit rate and Methamphetamine involvement in crashes is a new finding that
was not identified in previous relationships used to inform previous iterations of TERAM. Assessment of the drug
prevalence data in fatally and seriously injured vehicle controllers over time shows why this was the case. Previous
calibration of the relationship between drug enforcement and the presence of drugs in crash involved vehicle controllers
was calibrated from data prior to 2010. In this period, THC was the predominantly detected drug, explaining why the
relationship with enforcement was identified as with the number of tests delivered, as also identified in this study. With
the prevalence of Methamphetamine being low during this time, the association between test hit rate and
Methamphetamine presence in crashes would not have been identified. This highlights the importance of the current
evaluation in identifying effective enforcement strategies for proscribed illicit drugs as the drug landscape changes. It
also identifies the need to modify enforcement strategies according to the mix of proscribed illicit drugs present in the
community at any point in time.

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8.2.2 Alcohol enforcement and crashes

This research explored roadside alcohol breath testing operations in Victoria from 2006 to 2016, which included the
transition from the previous PBT equipment (SD400) to the adoption of the Touch 400. During these years there was an
average of 3 to 4 million roadside alcohol breath tests were conducted annually. However, declines in testing numbers
were identified during the later years (2015 & 2016). These declines are predominantly linked with declines in car based-
testing operations and particularly in the Eastern and Western Regions. These two regions had reported the highest
number of testing (car and bus-based combined) across all data years and the noted declines during 2015 and 2016
reflected a decrease that brought them in line with testing numbers of the North West Metro and Southern Metro
Regions, so it is unknown whether this decrease was intentional or warrants further investigation. However, it is also
possible that the declines in the number of car-based PBTs conducted during 2015 and 2016 are related to the move to
the 2-up policy where all vehicles are required to have 2 officers on board when undertaking traffic duties to ensure
safety.
Data on alcohol enforcement analysed also showed that the rate of positive tests per test administered (the ‘hit rate’) has
been steadily dropping over time. There are a number of possible reasons for this. First, alcohol testing might be
becoming more random over time, particularly from car administered tests. Alternatively, the rate of alcohol use by
vehicle controllers might be declining. Declining hit rates from bus-based testing, which is likely to be more random,
suggest the latter possibility is more likely. Despite the general drop in alcohol detection, a more concerning trend is the
proportion of crash involved vehicle controllers that fall in the high range BAC level with 50% of seriously injured vehicle
controllers with alcohol in their system falling in to the high range and an even higher proportion of fatally injured vehicle
controllers. These figures support the continued need for alcohol enforcement.
In relation to alcohol enforcement operations, there was an approximate 1:2 ratio of bus to car testing operations. The
detection of drink vehicle controllers (‘hit rate’) is higher for car-based operations, at least double. There are several
possible explanations for the greater detection rates from car-based operations. Firstly, car-based operations are
possibly targeted to known locations and times, in comparison to bus-based operations that represent random testing of
a broad range of vehicle controllers. As noted in earlier research, both types of operation play important roles in the drink
driving enforcement regime, with bus-based operations playing a key role in general deterrence, while the more covert
car-based operations can detect vehicle controllers attempting to avoid detection through travel in local streets (Clark et
al., 2009; Keall & Frith, 1997).
Reflecting the previously established model of general deterrence for vehicle controller alcohol use, a strong association
was found in this study between the number of PBTs conducted and the proportion of seriously injured vehicle controllers
detected with both illegal and high range alcohol levels. There was strong association with both car and bus-based tests
delivered. For fatally injured vehicle controllers, the number of bus-based tests delivered had the strongest association
with alcohol presence. In contrast to previous studies, this study also identified a strong association between the alcohol
testing hit rate and the presence of both high and low range alcohol in both fatally and seriously injured vehicle
controllers. This result stemmed largely from the strong correlation with testing hit rate from bus-based testing.
Identification of a relationship with testing hit rate suggests both general and specific deterrence models now have
application to alcohol enforcement in Victoria. The addition of a role for specific deterrence not observed previously may
reflect the change in sanctions for alcohol detection in Victoria having become more severe including large fines, longer
license suspension periods and, importantly, the introduction of alcohol interlocks firstly for high range and then also low
range alcohol detected vehicle controllers. Each of these sanctions is likely to have had a significant impact in reducing
the exposure of drink driving on the road, reflecting the increased value of specific deterrence that leads to application of
thee sanctions. In combination, these results suggest the use of a mixed random and targeted enforcement model in
Victoria with busses providing the key tool for its delivery.

8.2.3 Summary of relationships between enforcement and drug and alcohol presence in crashes

A range of relationships between drug and alcohol enforcement, including tests delivered and the test hit rate, and the
likelihood of drug and alcohol presence in fatally and seriously injured vehicle controllers were identified. A summary of
the associations found is given in Table 38 for each of the outcomes and enforcement measures considered. A tick
represents a statistically significant association whilst a question mark represents a marginally statistically significant
association where the value of the odds ratio indicated an important relationship might exist and should be further
explored.

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TABLE 38 SUMMARY OF RELATIONSHIPS IDENTIFIED BETWEEN DRUG AND ALCOHOL TESTING
MEASURES AND THE PRESENCE OF PROSCRIBED ILLICIT DRUGS AND ILLEGAL OR HIGH RANGE
ALCOHOL IN FATALLY (F) AND SERIOUSLY INJURED (SI) VEHICLE CONTROLLERS.
Number of Tests Delivered Testing Hit Rate
Outcome Car and Car Bus Car and Bus Car Bus
Bus Combined
Combined
Drug Presence in Crash Involved Vehicle Controllers
Meth SI ☑
Meth Fatal ? ? ☑ ☑
THC SI ☑
THC Fatal ☑ ☑ ? ☑
Alcohol Presence in Crash Involved Vehicle Controllers
>= 0.05 SI ☑ ☑ ☑ ☑ ☑
>= 0.05 Fatal ? ☑ ☑ ☑
>= 0.15 SI ☑ ☑ ☑ ☑ ?
>= 0.15 Fatal ? ? ?

The summary presented in Table 38 highlights the strong relationships identified between car-based testing and drug
presence in fatally or seriously injured vehicle controllers. Drug test numbers were most strongly associated with THC
presence and testing hit rate was most strongly associated with Methamphetamine presence in crash involved vehicle
controllers. In contrast, for alcohol presence in crash involved vehicle controllers, the table highlights the strong
association with alcohol tests delivered, particularly from busses but also the newly identified relationship with test hit
rate, particularly stemming from bus delivered tests.

8.3 Times of alcohol and drug prevalence in crashes

Analysis discussed in the previous section established a clear relationship between enforcement effort and drug and
alcohol presence in crashes, and in particular has established a number of strong relationships between detection of
drug and alcohol affected vehicle controllers and presence of drugs and alcohol in serious casualty crashes. Reflecting
the importance of specific deterrence suggested by these relationships, it was important to establish times of high drug
and alcohol presence in crashes so that future enforcement can be effectively targeted at times when the outcome of
interest is most prevalent. Understanding times at which drug and alcohol use is most likely to be identified as a
prominent contributing factor to crashes also assists in macro level strategic analysis and research focused on these
problems to inform the crash sub populations on which drug and alcohol enforcement and other countermeasures are
most likely to be effective.
The concept of High and Low Alcohol Hours (HAH & LAH), through the identification of the days of the week and hours
of the day with increased drink driving associated crash rates, was introduced in Victoria in 1987 (South), and further
refined in 1990 (Harrison) and 1995 (Gantzer). Since their development, High and Low Alcohol Hours have played an
important role in informing Police drink driving enforcement strategies and RBT resource allocation and scheduling. In
recognition of the changes in alcohol consumptions patterns associated with changes in population demographics;
increases in shift work; and, the permitting of late-night entertainment venues, the need to review High and Low Alcohol
Hours across Victoria has been on the agenda of road safety agencies. However, data limitations have prevented this
from occurring, as was the case when MUARC attempted to review the hours in 2008. The data used within this research
provided the opportunity to review the High and Low Alcohol Hours in Victoria based on drink driving serious injury crash
data for the years 2006 to 2016. In addition, the analysis was adapted to explore drug driving patterns and resulted in the
calculation of High and Low THC Hours, as well as High and Low Methamphetamine hours. While the calculation of high
and low drug driving hours in this report is based on Victorian data, it is the first time (globally) that this type of analysis
has been undertaken in relation to drug driving.
A full description of the analysis design and outcomes have been provided in Chapter 4, including comparison with any
variation from the previous HAH and LAH hours. Enhancements to the analysis methodology including the employment
of logistic regression to estimate the probability of alcohol involvement in crashes by time of day and day of week, along
with setting of cut-off values for classification of alcohol or drug presence in the crash, represents a much more
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sophisticated and robust methodology to what has been used previously. From this methodology, High Alcohol Hours
have been defined as “any hour of the day/day of week in which 20% or more of seriously injured vehicle controllers
have a BAC of 0.05 or greater”. High THC Hours (HTH) and High Methamphetamine Hours (HMH) are “any hour of the
day/day of week in which 20% or more of seriously injured vehicle controllers have THC or Methamphetamine
(respectively) presence in their blood.
Overall, the High Alcohol Hours predominantly span the evening to early morning hours across all nights of the week.
The current High Alcohol Hours were found to be very similar to the previously identified HAH, with only a few minor
changes. Some of these changes may be attributable to the updated calculation process, namely the use of serious
injury crash data compared to the previous reliance on fatal injury data. However, this current analysis is considered to
be more robust. There are now 81 HAHs identified compared to the previous 98 hours. Apart from a few single hours
either side of the previous start and finish times, the majority of the reduction in hours was attributable to the later
commencement of HAH on the weekend commencing Friday night (previously 4pm, now 7pm), Saturday (previously
2pm, now 6pm) and Sunday (previously 4pm, now 6pm). Similar HAHs were identified across the four Victoria Police
Regions and in Rural verses Metro comparisons, with the only notable difference being on weekdays when rural HAHs
cease around an hour earlier in the morning and commence an hour later on a Monday evening compared to Metro HAH
patterns. Comparison with licensed alcohol venues in the rural area compared to the Metro area may provide further
insight into these slight variations. It may also reflect early morning crash risk in rural areas compared to higher traffic
conditions in metro areas.
Not surprisingly, as both drink and drug driving patterns typically reflect common socializing patterns, similar to the
HAHs, both High THC and Methamphetamine Hours also spanned the evening and early morning hours. Of concern was
the greater number of hours associated with high drug driving hours over and above the HAHs, as well as including
hours during the day. HTHs spanned 100 hours of the week and included several hour blocks across the afternoon
period, HMHs spanned a total of 120 hours of the week including the mornings. In fact, there were only intermittent hours
across the week that were not defined as HMHs. The disparity between HAH, HTH and HMHs further highlights the
importance of, not merely replicating alcohol enforcement strategies for drug driving enforcement but, to target
enforcement to the specific impairing substance and the demographics of the user populations.

8.4 Impacts of increased drug testing training

A major component of the TAC drug testing expansion project was the training of additional police members to increase
the number of police members formally qualified to deliver roadside drug testing. Most commonly these were members
working within the highway patrol units, with the aim of expanding and increasing the number of RDTs conducted in
regional and rural areas of Victoria. This phase of the research focussed on assessing the effectiveness of the increased
member training on: the number of RDTs delivered; the increasing of RDTs in rural/regional locations; and, the effects on
drug driving associated crashes (serious and fatal injury). To achieve these research aims, data regarding the number of
additional police members trained to undertake RDT during the TAC funded expansion project was analysed against the
number of RDTs undertaken across Victoria and at a Police Region level.
The findings showed that following the TAC expansion funding there was a corresponding sharp increase in the number
of Police members trained to undertake RDTs. During 2015 the number of RDT qualified Police members increased from
approximately 110 to around 510 members, followed by a steady increase to approximately 700 members by the end of
2017. This sharp increase in RDT trained members was reflected in corresponding spikes in the number of RDTs
delivered within all four Police Regions. While overall RDT delivery typically fluctuates over the year, with more notable
spikes during the festive season, and other significant calendar events, the increase that resulted from the TAC funding
associated with additional member training has been maintained. On average the Police Regions (Eastern and Western)
that contain regional and rural areas have continued to maintain these higher RDT levels.
Analysis confirmed the statistically significant, positive relationship, between increased member training and increased
delivery of RDTs (number of POFTs), finding that each additional police member trained in RDT resulted in an additional
15 RDTs (POFTs) per month. Another important finding was the lack of identified relationship between Police member
RDT training and Random Breath Testing operations (RBT) for alcohol. Although a slight negative trend was observed,
this relationship was not statistically significant indicating no reliable evidence that increased member training for drug
testing has had a measurable impact on RBT delivery. Instead, recent drops in RBT delivery, particularly from cars, more
likely reflects the change to the 2-up policy for members in highway patrol cars.

8.5 Overall impact of the TAC funded increase in roadside drug testing

8.5.1 TAC funding from 2014/15 to 2017/18

TAC funding allowed the annual number of Preliminary Oral Fluid Tests (POFTs) for three proscribed drugs to increase
from 42,000 during 2012/13 and 2013/14 to 100,000 per year during 2015/16 to 2017/18. The increased rate started
during 2014/15 when 82,383 POFTs were conducted.
Relationships had been found connecting the presence of THC and Methamphetamine (MA) in vehicle controller
casualties (separately for fatally and seriously injured vehicle controllers) with the increased POFTs during 2006-2016
and the positive detection rates for proscribed drugs from those tests.

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TERAM analysis of the actual increases in POFTs and detection rates from random and targeted roadside drug testing
operations in urban Melbourne and rural Victoria found that the TAC-funded increase was estimated to have saved more
than 33 fatal crashes and nearly 80 serious injury crashes per year. Economic analysis of these savings compared with
the increased Police operational costs indicated that further increases in POFTs would be economically justified.

8.5.2 Increased POFTs during 2018/19

It was planned that annual POFTs would be increased to 150,000 during 2018/19, with much larger percentage increase
in targeted operations compared with random drug tests. TERAM estimated that this plan would have saved just over 23
fatal crashes and nearly 56 serious injury crashes.
During the first 45 weeks of 2018/19, available data suggested that actual POFTs did not increase as planned, especially
in Melbourne where positive detection rates fell. The reduction in the detection rates may have been an outcome of the
deterrent effect of the roadside drug testing program during 2018/19 and the substantially increased program during the
previous three years. However, there was no evidence that detection rates decreased each year during 2015/16 to
2017/18 and a short-term effect of the increase in POFTs during 2018/19 seems unlikely. TERAM estimated that the
actual increase in POFTs, when annualised, would have saved at least 3 fatal crashes and 16.5 serious injury crashes.

8.5.3 Further increases in POFTs to economically-justified maximum levels

Further increases in the roadside drug testing program in Victoria are justified up to the point where the crash savings
still exceed the costs at the margin. If the savings in fatal and serious injury crashes are valued using the Human Capital
method, TERAM estimated that the annual POFTs (with appropriate random/targeted mix in urban and rural regions)
could be increased by 288% or to 390,100 in total. Operations at this maximum level were estimated to save 46 fatal
crashes and 134.5 serious injury crashes per year. If the crash savings are valued using the Willingness-to-Pay method,
TERAM estimated that annual POFTs could be increased by 450% or to 553,500 in total and save an additional 7 fatal
crashes and 22.5 serious injury crashes per year.
The estimation of these crash savings relies on the relationships like those in Figure 59 (with key parameters given in
Table 19) being still applicable for increases in POFTs per Police Region of up to 70,000-110,000 per year from a base
of 25,000-35,000 in recent years.

8.6 The enhanced TERAM

8.6.1 Inclusion of roadside alcohol testing with drug testing in TERAM

TERAM was enhanced in this project by the inclusion of new relationships connecting the presence of drugs, and
separately illegal BAC, in vehicle controller casualties with the numbers of roadside tests of each type and the positive
detection rates from those tests. For roadside drug testing, the original TERAM and its 2018 update included
relationships only for fatally injured vehicle controllers and random POFTs (and an estimated relationship for seriously
injured vehicle controllers based on an analogy with random breath testing). The original TERAM also included
relationships for both fatally and seriously injured vehicle controllers with random PBTs and assumed that they were
equally applicable to non-random PBTs, based on advice from Victoria Police.
Roadside alcohol tests at bus-based operations are considered to be random (i.e., randomly selected from the traffic
stream, but locations and times of operation are not necessarily random). Car-based tests are considered to be a mixture
of random breath tests and targeted tests conducted for various reasons such as investigations of crashed vehicle
controllers or interception of vehicle controllers suspected of illegal BAC. The much higher detection rate from car-based
PBTs compared with bus-based PBTs supports the fact that car-based operations conduct a mix of random and targeted
PBTs. If car-based PBTs had been separated into these two operations types, it could be expected that the random
PBTs would have detection rates much closer to the bus-based PBTs. In addition, it may have been possible to develop
superior models connecting illegal BAC in vehicle controller casualties with the three types of PBTs: bus-based, random
car-based, and non-random car-based PBTs.
It should be noted that estimates of the potential benefits of increased drug and alcohol testing derived from TERAM are
generated from the recent crash cohort and hence estimated crash savings are relative to that cohort. They do not
account for future increased population levels (if relevant) or any potential underlying changes in the population rate of
drug usage and driving. If the drug and alcohol using driver population increases in the future, the associated benefits in
terms of total trauma savings of additional enforcement estimated from TERAM will be greater (i.e. the current estimates
will be conservative)

8.6.2 Increases in PBTs to economically-justified maximum levels

The relationships connecting the prevalence of illegal BAC in fatally and seriously injured vehicle controllers (separately)
with each of the bus- and car-based PBT levels during 2006-2016 were used by TERAM to estimate the crash savings if
the PBTs were increased from their average levels during 2014-2016.

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A preliminary analysis of 30% and 60% increases in bus-based and car-based PBTs, respectively, indicated that more
than 8 fatal crashes and over 77 serious injury crashes would be saved per year. Total annual PBTs would rise by nearly
50% to more than 4.5 million per year, but the analysis indicated that further increases would be economically justified as
well as saving additional serious casualty crashes.
If the savings in casualty crashes were valued by the Human Capital method, TERAM indicated that the total PBTs could
be increased by 368% to 14.1 million per year before marginal costs exceed marginal benefits. Operations at this level,
with appropriate mix of bus- and car-based PBTs, could be expected to save 32 fatal crashes and 268 serious injury
crashes per year. If the crash savings were valued using the Willingness-to-Pay method, TERAM estimated that annual
PBTs could be increased by 557% to 19.8 million and save an additional 5 fatal crashes and 23 serious injury crashes
per year.

8.6.3 Comparison of savings from roadside alcohol and drug testing

The integration of the two Victorian roadside impaired vehicle controller testing programs in TERAM has allowed their
respective savings in crashes and their social costs, and the operational costs, to be compared. Similar relationships
connecting the presence of impairment in vehicle controller casualties with the corresponding levels of roadside testing
are used by TERAM to estimate the crash savings in each case. The crash savings have also been valued in the same
way in each case, most commonly using the Human Capital cost of crashes. The comparison does differ regarding the
unit cost of each roadside test, with the PBT unit cost reflecting economies-of-scale (Cameron et al 2016) and the POFT
unit cost including the additional costs of a secondary OFT and the laboratory test, related to the positive detection rate.
The cost of further processing an apprehended offending vehicle controller is not included in TERAM for either program,
due to the absence of reliable data on these costs.
A comparison was made in which the benefits and costs of each program were calculated by TERAM on the basis of the
maximum roadside tests per year before the marginal costs exceeded the marginal benefits. These levels were 390,100
POFTs and 14.1 million PBTs (with appropriate operational mixes to increase offence detection rates in each case),
substantially greater than the base levels used in the analysis. For increases to these levels, it is estimated that the
increased POFTs would save 46 fatal crashes and the increased PBTs would save 32 fatal crashes per year. However, it
is estimated they would save 135 and 266 serious injury crashes, respectively, nearly double the saving from the PBTs
compared with the POFTs.
The increase in roadside drug testing up to the maximum level would be a better investment, with estimated BCR of 2.76
compared with 2.35 for the alcohol testing. A comparison of TERAM analyses of smaller increases (base levels of
POFTs and PBTs increased Victoria-wide by 50%) suggests that the roadside drug testing would maintain its advantage
as a better investment across the full range of increases.

8.7 Implications for future drug and alcohol enforcement practice

Results from this evaluation have provided some clear directions for future drug and alcohol enforcement in Victoria.
In terms of optimum operational practice, Table 38 along with the analysis of high alcohol and drug hours gives clear
indications on how drug and alcohol enforcement should be conducted.
 Alcohol enforcement: delivery of a large number of tests from both car and bus operations is a primary key to
reducing alcohol involvement in crashes. In addition, new evidence suggests alcohol enforcement should be
targeted to increase the testing hit rate. This should be achieved, primarily through the targeted placement of
bus operations to deliver large numbers of tests with a weighting to placing operations in areas where alcohol
prevalence in crash involved vehicle controllers is high or detected alcohol use amongst vehicle controllers is
high. Alcohol enforcement should be largely conducted in the identified high alcohol times, including from
midnight to 6am.
 THC enforcement: delivery of a large number of tests, primarily from car operations, with some weighting
towards targeting to areas of high THC fatal crash involvement or detected use is the key to reducing THC
involved crashes. Tests should largely be delivered in high THC hours which are predominantly night-time hours
but extend further into daytime hours than alcohol enforcement.
 Methamphetamine enforcement: should focus on achieving high hit rates and so should be targeted primarily at
areas of high Methamphetamine involvement in crashes or established areas of high driver prevalence.
Achieving the highest hit rate through detecting Methamphetamine affected vehicle controllers should be the
primary aim. Testing should primarily be conducted from cars. Methamphetamine testing should be conducted
throughout the day reflecting that there were no particular hours of the day where Methamphetamine was more
prevalent in crash involved vehicle controllers.

Application of the TERAM showed that, using the above principles, there is significant potential for road trauma
reductions through further expansion of both the drug and alcohol testing programs. Expansions of both programs up to
4 or more times the current level of enforcement produce marginal benefit-cost ratio estimates that are still greater than 1
(higher economic return to the community than invested in the program). Application of TERAM also showed that
expansion of the drug program is economically more beneficial than expanding the alcohol enforcement program.

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Based on the results of the evaluation, there are also some key program delivery KPIs that are relevant for the program
including:
 Total number of PBTs delivered in high alcohol hours in total
 Percentage of PBTs delivered from buses in high alcohol hours
 PBT hit rate from bus operations in high alcohol hours
 Total number of POFTs delivered from cars across the whole day
 POFT hit rate from car delivery across the whole day

Increasing each of these KPI measures should be the goal, although specific target values for each KPI could be set
after application of TERAM to set strategic targets for drug and alcohol related road trauma reduction.

8.8 Future research

Research undertaken as part of this study has provided a large range of new information to both measure the success of
the TAC’s investment in expanding roadside drug testing as well as to inform future drug and alcohol enforcement in
Victoria. It has also identified a range of future priorities for drug and alcohol research in Victoria. Possible future
research areas include:
 Development of a data framework for the collection of road safety drug and alcohol related data including:
o enhancement of information collected to drug and alcohol enforcement to accurately measure where,
when and how drug and alcohol enforcement is conducted (e.g. GPS location, car or bus delivery
mode, random or targeted operation, device used, linking information etc.)
o enhancement of road crash information to include comprehensive and consistent information on drug
and alcohol involvement in all crash involved vehicle controllers for all severity of injury including
fatalities.
 Development and collection of a range of KPIs, intermediate and final outcome measures on drug and alcohol
enforcement to provide ongoing measures on the success of program delivery.
 Undertake further application of TERAM to set specific goals for further expansion of the drug and alcohol
testing program to Victorian road safety goals.
 Undertake further investigation into the relationship between drug and alcohol enforcement and drug and
alcohol presence in fatally injured vehicle controllers based on extended linking of coronial toxicology data with
fatal crash records. This should include understanding of the collection of injured vehicle controller blood
samples at hospitals, their submission to VIFM for analysis, and their linking to injured vehicle controller crash
records, including reasons for non-linking in the case of seriously injured vehicle controllers.
 Undertake regular review of the relationship between drug and alcohol enforcement and drug and alcohol
presence in all vehicle controllers in order to provide the most up to date and accurate information for strategic
modelling as well as to provide ongoing evaluation of the impact of the enforcement program.
 Undertake specific research to ascertain the requirements for the balance of drug and alcohol enforcement
between the various police Regions and Divisions in Victoria to maximise road safety benefits for a given
investment.
 Implement an ongoing evaluation process for the Victorian roadside drug and alcohol enforcement program that
would both monitor delivery of the program against best practice guideline and set strategic objectives as well
as estimate the road safety benefits achieved by any future expansion of or operational changes to the
program. Periodic re-evaluation of the program is recommended, particularly following major changes to
operation practices in program delivery or significant expansion of the level of operation of the program.

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9 CONCLUSIONS
This project aimed to evaluate the road safety impacts of the TAC funded expansion in roadside drug testing in Victoria
in 2015. To achieve this, research has focused on: measuring the increase in drug tests delivered, establishing the link
between Victoria Police member training to deliver drug testing, establishing the association between measures of drug
testing delivery and the presence of drugs and alcohol in fatally and seriously injured vehicle controllers, and integrating
these results into the TERAM strategic enforcement model to estimate the road trauma and economic impacts of
measured increases in drug testing resulting from the TAC funded program. In addition, further application of TERAM
was able to estimate the benefits of further expansion of the drug testing program subsequent to the initial TAC funded
increase as well as estimating the point of diminishing returns for both the drug and alcohol enforcement programs.
Finally, to assist with future enforcement and research, days and hours of the week where drugs and alcohol are more
likely to be detected in crash involved vehicle controllers were estimated.
Specific conclusions from the project are as follows:

9.1 Increase in drug testing and its relationship to drug testing training

 TAC funding allowed the annual number of Preliminary Oral Fluid Tests (POFTs) for three proscribed drugs to
increase from 42,000 during 2012/13 and 2013/14 to 100,000 per year during 2015/16 to 2017/18. The
increased rate started during 2014/15 when 82,383 POFTs were conducted.
 Increasing the annual rate of drug testing was facilitated through the additional training of Victoria Police
members, in particular offices from Highway Patrol, to conduct roadside drug testing. During 2015 the number
of RDT qualified Police members increased from approximately 110 to around 510 members, followed by a
steady increase to approximately 700 members by the end of 2017.
 There was a strong correlation between the increase in the number of RDT qualified Police members and the
increase in drug test delivery achieved. There was no identified correlation between the increase in drug testing
and the level of delivery of roadside alcohol testing.

9.2 The relationship between drug and alcohol testing and drug and alcohol presence in crash
involved vehicle controllers

A range of relationships between drug and alcohol enforcement, including tests delivered and the test hit rate, and the
likelihood of drug and alcohol presence in fatally and seriously injured vehicle controllers were identified. A summary of
the associations found is given in the following table. Outcomes considered were THC, Methamphetamine, alcohol at or
above 0.05 g/100mL, and alcohol at or above 0.15 g/100mL presence in fatally and seriously injured vehicle controllers.
Enforcement measures considered were annual number of POFTs or PBTs delivered per Region per year and the hit
rate (rate of positive tests per test delivered) both in total and from car and bus operations separately. A tick in the table
represents a statistically significant association whilst a question mark represents a marginally statistically significant
association where the value of the odds ratio indicated an important relationship might exist and should be further
explored.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 105


Number of Tests Delivered Testing Hit Rate
Outcome Car and Car Bus Car and Bus Car Bus
Bus Combined
Combined
Drug Presence in Crash Involved Vehicle Controllers
Meth SI ☑
Meth Fatal ? ? ☑ ☑
THC SI ☑
THC Fatal ☑ ☑ ? ☑
Alcohol Presence in Crash Involved Vehicle Controllers
>= 0.05 SI ☑ ☑ ☑ ☑ ☑
>= 0.05 Fatal ? ☑ ☑ ☑
>= 0.15 SI ☑ ☑ ☑ ☑ ?
>= 0.15 Fatal ? ? ?

9.3 Estimation of drug and alcohol hours

Analysis was able to estimate days of the week and times of the day where alcohol and drugs was more prevalent in
crash involved vehicle controllers. High Alcohol Hours have been defined as “any hour of the day/day of week in which
20% or more of seriously injured vehicle controllers have a BAC of 0.05 or greater”. High THC Hours (HTH) and High
Methamphetamine Hours (HMH) are “any hour of the day/day of week in which 20% or more of seriously injured vehicle
controllers have THC or Methamphetamine (respectively) presence in their blood.
High alcohol times were identified similar to previously defined as:
 Sunday 6PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 5AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

High THC hours were identified as:


 Sunday 3PM -Monday 9AM
 Monday 3PM -Tuesday 6AM
 Tuesday 11AM -Wednesday 5AM
 Wednesday 11AM -Thursday 5AM
 Thursday 7PM -Friday 4AM
 Friday 11AM -Saturday 5AM
 Saturday 2PM -Sunday 7AM

Methamphetamine presence in crash involved vehicle controllers was relatively uniform across the week.

9.4 Impacts of increased drug and alcohol road trauma

Specifically related to the increase in drug testing achieved through the TAC funding, application of TERAM estimated
the following benefits:

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 The TAC funded increase in roadside drug tests from 42,000 to 100,000 per year was effective and highly cost-
beneficial. It was estimated to have saved more than 33 fatal crashes and nearly 80 serious injury crashes per
year.2
 The estimated BCR for the expansion valuing estimated road trauma savings using the Human Capital method
was 9.17.
 Although not funded under the program being evaluated, planned further increase in roadside drug tests to
150,000 during 2018/19 should have saved a further 23 fatal crashes and nearly 56 serious injury crashes.
However, available data from the first 45 weeks of 2018/19 indicates that roadside drug tests were not
increased as planned. Actual increases, when annualised to the full year, were estimated to have saved at least
3 fatal crashes and 16.5 serious injury crashes during 2018/19.

Further application of TERAM estimated the potential benefits of further expansion to drug and alcohol enforcement in
Victoria including estimating the point of diminishing returns for each element of the program (the level of enforcement
after which additional enforcement will cost more than the community cost savings achieved). Key findings were:
 Further increases in roadside drug tests are justified on economic criteria as well as the additional savings in
fatal and serious injury crashes.
 Valuing the crash savings by Human Capital costs, roadside drug tests could increase up to 390,100 POFTs
annually and are estimated to save 46 fatal crashes and 134.5 serious injury crashes per year.
 A 50% increase in roadside alcohol tests (composed of 30% and 60% increases in bus- and car-based tests,
respectively) from 2014-2016 levels is estimated to save more than 8 fatal crashes and over 77 serious injury
crashes per year.
 As with roadside drug tests, further increases in roadside alcohol tests are justified on economic criteria as well
the additional savings in fatal and serious injury crashes.
 Valuing the crash savings by Human Capital costs, roadside alcohol tests could increase to 14.1 million PBTs
annually in total and are estimated to save 32 fatal crashes and 268 serious injury crashes per year.
 Investment in further roadside drug testing would achieve greater reduction in the social costs of crashes than
roadside alcohol testing, relative to the operational costs of each program.
 At the maximum levels of each program indicated by Human Capital crash valuation, the roadside drug testing
program is estimated to save an additional 14 fatal crashes per year compared with the roadside alcohol
testing. However, it would save only about half the number of serious injury crashes.

Estimates of potential road trauma savings related to further expansion of the drug and alcohol enforcement programs
have assumed that the additional enforcement is delivered in an optimal way based on the relationships between
enforcement modes and crash outcomes identified in this study (for example, prioritising targeted car-based testing for
methamphetamine). If any future expansion of drug and alcohol testing is not deployed according to the optimal
principles identified and summarised in the next section, the road safety benefits estimated in this study will not be
realised.

9.5 Implications for future drug and alcohol enforcement

Results of the evaluation defined some principles for future drug and alcohol enforcement in Victoria to maximise road
safety and associated economic benefits.
 Alcohol enforcement should:
o Deliver a large number of tests from both car and bus operations
o Be targeted to increase the testing hit rate. This could be achieved through the use of bus operations
(which deliver large numbers of tests), with targeted placement in areas where alcohol prevalence in
crash involved vehicle controllers is high or detected alcohol use amongst vehicle controllers is high.
o Be largely conducted in high the identified high alcohol times, including from midnight to 6am.
 THC enforcement should:
o Delivery of a large number of tests, primarily from car operations, with some weighting towards
targeting to areas of high THC fatal crash involvement or detected use is the key to reducing THC
involved crashes.
o Should largely be delivered in high THC hours which are predominantly night-time hours but extend
further into daytime hours than alcohol enforcement.
 Methamphetamine enforcement should:
o Focus on achieving high hit rates so should be targeted primarily at areas of high Methamphetamine
involvement in crashes or established areas of high prevalence in vehicle controllers. Achieving the

2
Note that the savings estimated are relative to the (unobserved) trauma that would have been observed had the drug testing increase
not occurred and not relative to observed trauma in the year prior to the testing increase.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 107


highest hit rate through detecting Methamphetamine affected vehicle controllers should be the primary
aim.
o Should primarily be conducted from cars.
o Should also be conducted throughout the day reflecting that there were no particular hours of the day
where Methamphetamine was more prevalent in crash involved vehicle controllers.

From these principles a range of KPIs and interim outcome measures can be defined.

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10 REFERENCES
Boorman, M. (2010). Victorian Impaired Driving Legislation (2000) and Random Roadside Oral Fluid Legislation (2004):
Theory and results of 2 different enforcement strategies. Presentation at International Conference on Alcohol,
Drugs and Traffic Safety, Oslo, Norway.
Boorman, M. (2014). Victoria Police Drink and Drug Driving Enforcement: Achieving Best Practice. Road Policing
Command, Victoria Police.
Cameron, M.H. (2013). Random drug testing in Australia, analogies with RBT, and likely effects with increased intensity
levels. Proceedings, International Conference on Alcohol, Drugs and Traffic Safety, Brisbane.
Cameron, M., Newstead, S. & Diamantopoulou, K. (2016). A resource allocation model for traffic enforcement. Journal of
the Australasian College of Road Safety 27(2): 23-36.
Cameron, M. & Newstead, S. (2018). Traffic Enforcement Resource Allocation Model (TERAM) update 2018. Monash
University Accident Research Centre, Confidential Report to the Victorian Department of Justice and
Community Safety.
Clark, B., Diamantopoulou, K., & Cameron, M. (2009). Roadside alcohol survey program in Melbourne. Melbourne:
Monash University Accident Research Centre.
DiRago, M., Gerostamoulos, D., Morris, C., Fredericksen, T., Woodford, N. W., & Drummer, O. (2019). Prevalence of
drugs in injured drivers in Victoria, Australia. Australian Journal of Forensic Sciences, 51, Article 1687753.

Drummer, O. H., Gerostamoulos, D., DiRago, M., Woodford, N. W., Morris, C., Frederiksen, T., Jachno, K., & Wolfe, R.
(2020). Odds of culpability associated with use of impairing drugs in injured drivers in Victoria, Australia.
Accident Analysis and Prevention, 135, Article 105389.

Harrison, W. (1990). Update of alcohol times as a surrogate measure of alcohol involvement in accidents. Monash
University Accident Research Centre.
Keall, M.D., & Frith, W.J. (1997). Drink driving behaviour and its strategic implication in New Zealand. Proceedings 14th
International Conference on Alcohol, Drugs and Traffic Safety. Annecy, France: Land Transport Safety
Authority, Wellington.
Liu, S. & Fitzharris, M. (2019). Findings from analyses of hospitalised data and offence data in Victoria, Australia.
Confidential Report, Monash University Accident Research Centre.
TAC – Transport Accident Commission (2018). More drug tests, more places, more often. Online at
http://www.tac.vic.gov.au/road-safety/tac-campaigns/drug-driving/more-drug-tests-more-places, cited 18th July
2018.
TIC - Transport and Infrastructure Council (2015). 2015 National Guidelines for Transport System Management in
Australia: Road Parameter Values [PV2]. Commonwealth Department of Infrastructure and Regional
Development, Canberra.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 109


APPENDIX A VICTORIA POLICE REGION AND DIVISION CORRESPONDING
TO LOCAL GOVERNMENT AREA (LGA)
Region Division Local Government Area
North West Division 1 MELBOURNE
Metro
YARRA
Division 2 HOBSONS BAY
MARIBYRNONG
WYNDHAM
Division 3 BRIMBANK
MELTON
Division 4 HUME
MOONEE VALLEY
MORELAND
Division 5 BANYULE
DAREBIN
NILLUMBIK
WHITTLESEA
Southern Division 1 PORT PHILLIP
Metro
STONNINGTON
Division 2 BAYSIDE
GLEN EIRA
KINGSTON
Division 3 CARDINIA
CASEY
GREATER DANDENONG
Division 4 FRANKSTON
MORNINGTON PENINSULA
Eastern Division 1 BOROONDARA
MANNINGHAM
MONASH
WHITEHORSE
Division 2 KNOX
MAROONDAH
YARRA RANGES
Division 3 BENALLA
GREATER SHEPPARTON
MANSFIELD

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Region Division Local Government Area
MITCHELL
MURRINDINDI
STRATHBOGIE
MURRINDINI
SHEPPARTON

Division 4 ALPINE
INDIGO
MOIRA
TOWONG
WANGARATTA
WODONGA
Division 5 BASS COAST
BAW
LATROBE
SOUTH GIPPSLAND
LA TROBE
Division 6 EAST GIPPSLAND
WELLINGTON
Western Division 1 COLAC-OTWAY
GREATER GEELONG
QUEENSCLIFFE
SURF COAST
Division 2 CORANGAMITE
GLENELG
MOYNE
SOUTHERN GRAMPIANS
WARRNAMBOOL
Division 3 BALLARAT
GOLDEN PLAINS
HEPBURN
MOORABOOL
PYRENEES
Division 4 ARARAT
HINDMARSH
HORSHAM
NORTHERN GRAMPIANS

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Region Division Local Government Area
WEST WIMMERA
YARRIAMBIACK
Division 5 CAMPASPE
CENTRAL GOLDFIELDS
GREATER BENDIGO
LODDON
MACEDON RANGES
MOUNT ALEXANDER
Division 6 BULOKE
GANNAWARRA
MILDURA
SWAN HILL

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APPENDIX B MODEL OUTPUT – RDT SERIOUS INJURY
B.1 Model output for effect of total number of POFTs on presence of THC in seriously injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence


Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper

(Intercept) -2.778 0.2303 -3.229 -2.327 145.573 1 0.000 0.062154 0.039580 0.097603

[acc_year=2010] -0.132 0.1765 -0.478 0.214 0.562 1 0.453 0.876040 0.619811 1.238192

[acc_year=2011] -0.177 0.1956 -0.560 0.207 0.818 1 0.366 0.837876 0.571043 1.229392

[acc_year=2012] -0.038 0.1639 -0.359 0.284 0.053 1 0.819 0.963135 0.698515 1.328000

[acc_year=2013] -0.574 0.1862 -0.939 -0.209 9.505 1 0.002 0.563273 0.391062 0.811319

[acc_year=2014] -0.510 0.1666 -0.836 -0.183 9.368 1 0.002 0.600610 0.433325 0.832476

[acc_year=2015] 0.011 0.1457 -0.275 0.296 0.005 1 0.941 1.010855 0.759759 1.344936

[acc_year=2016] 0a 1
Number of POFTs
conducted -3.936E-05 9.2016E-06 -5.739E-05 -2.132E-05 18.295 1 0.000 0.999961 0.999943 0.999979

(Scale) 1b
Events: Number of Seriously Injured Drivers with positive drug result (THC)
Trials: Number of Seriously Injured Drivers
Model: (Intercept), Number of POFTs conducted (1000), acc_year
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.


B.2 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of THC in seriously injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence Interval


Interval Hypothesis Test for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper

(Intercept) -2.876 0.4839 -3.824 -1.927 35.318 1 0.000 0.056 0.022 0.146

[acc_year=2010] -0.054 0.3838 -0.806 0.698 0.020 1 0.888 0.947 0.446 2.010

[acc_year=2011] -0.107 0.3612 -0.815 0.601 0.088 1 0.767 0.898 0.443 1.823

[acc_year=2012] 0.015 0.2817 -0.537 0.567 0.003 1 0.957 1.015 0.584 1.763

[acc_year=2013] -0.536 0.2504 -1.026 -0.045 4.576 1 0.032 0.585 0.358 0.956

[acc_year=2014] -0.474 0.2288 -0.922 -0.025 4.287 1 0.038 0.623 0.398 0.975

[acc_year=2015] 0.030 0.1690 -0.301 0.362 0.032 1 0.857 1.031 0.740 1.436

[acc_year=2016] 0a 1

Number of POFTs conducted -3.882E-05 9.4906E-06 -5.742E-05 -2.022E-05 16.732 1 0.000 1.000 1.000 1.000

HIT_RATE 0.008 0.0365 -0.063 0.080 0.053 1 0.818 1.008 0.939 1.083

(Scale) 1b
Events: Number of Seriously Injured Drivers with positive drug result (THC)
Trials: Number of Seriously Injured Drivers
Model: (Intercept), acc_year, Number of POFTs conducted (1000), HIT_RATE
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

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B.3 Model output for effect of total number of POFTs on presence of Methamphetamine in seriously injured drivers

Parameter Estimates

95% Wald Confidence Interval


95% Wald Confidence Interval Hypothesis Test for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -3.437 0.2139 -3.857 -3.018 258.143 1 0.000 0.0321460 0.0211356 0.0488922

[acc_year=2010] -0.852 0.1824 -1.210 -0.495 21.826 1 0.000 0.4264493 0.2982539 0.6097458

[acc_year=2011] -0.629 0.1992 -1.019 -0.238 9.965 1 0.002 0.5332833 0.3609387 0.7879207

[acc_year=2012] -0.166 0.1503 -0.461 0.129 1.221 1 0.269 0.8469464 0.6308087 1.1371406

[acc_year=2013] -0.042 0.1619 -0.359 0.275 0.067 1 0.796 0.9589589 0.6982583 1.3169942

[acc_year=2014] -0.065 0.1373 -0.334 0.204 0.224 1 0.636 0.9371034 0.7159467 1.2265757

[acc_year=2015] 0.034 0.1078 -0.178 0.245 0.097 1 0.756 1.0341227 0.8371822 1.2773919

[acc_year=2016] 0a 1

Number of POFTs conducted 1.388E-05 8.4881E-06 -2.757E-06 3.052E-05 2.674 1 0.102 1.0000139 0.9999972 1.0000305

(Scale) 1b

Events: Number of Seriously Injured Drivers with positive drug result (Methamphetamine)
Trials: Number of Seriously Injured Drivers
Model: (Intercept), Number of POFTs conducted (1000), acc_year

a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

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B.4 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of Methamphetamine in seriously injured drivers

Parameter Estimates

95% Wald Confidence


95% Wald Confidence Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -2.585 0.4268 -3.422 -1.749 36.686 1 0.000 0.075 0.033 0.174

[acc_year=2010] -1.508 0.3381 -2.171 -0.846 19.903 1 0.000 0.221 0.114 0.429

[acc_year=2011] -1.232 0.3288 -1.877 -0.588 14.048 1 0.000 0.292 0.153 0.556

[acc_year=2012] -0.618 0.2464 -1.101 -0.135 6.291 1 0.012 0.539 0.333 0.874

[acc_year=2013] -0.386 0.2197 -0.817 0.044 3.090 1 0.079 0.680 0.442 1.045

[acc_year=2014] -0.373 0.1928 -0.751 0.005 3.744 1 0.053 0.689 0.472 1.005

[acc_year=2015] -0.124 0.1274 -0.374 0.125 0.954 1 0.329 0.883 0.688 1.133

[acc_year=2016] 0a 1

Number of POFTs 6.525E-06 9.1089E-06 -1.133E-05 2.438E-05 0.513 1 0.474 1.000 1.000 1.000
conducted

HIT_RATE -0.068 0.0294 -0.125 -0.010 5.319 1 0.021 0.934 0.882 0.990

(Scale) 1b

Events: Number of Seriously Injured Drivers with positive drug result (Methamphetamine)
Trials: Number of Seriously Injured Drivers
Model: (Intercept), acc_year, Number of POFTs conducted (1000), HIT_RATE
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

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APPENDIX C MODEL OUTPUT – RDT FATAL INJURY
C.1 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of THC in fatally injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence


Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) 0.643 1.0657 -1.446 2.732 0.364 1 0.546 1.902 0.235 15.357

[Year of Crash=2010] -1.532 0.8516 -3.201 0.137 3.237 1 0.072 0.216 0.041 1.147

[Year of Crash=2011] -1.648 0.7989 -3.213 -0.082 4.254 1 0.039 0.192 0.040 0.921

[Year of Crash=2012] -1.389 0.6069 -2.579 -0.200 5.241 1 0.022 0.249 0.076 0.819

[Year of Crash=2013] -1.085 0.5297 -2.123 -0.046 4.193 1 0.041 0.338 0.120 0.955

[Year of Crash=2014] -0.968 0.4704 -1.889 -0.046 4.231 1 0.040 0.380 0.151 0.955

[Year of Crash=2015] -0.159 0.3204 -0.787 0.469 0.247 1 0.619 0.853 0.455 1.598

[Year of Crash=2016] 0a 1

TOTAL_POFTs_1000 -0.043 0.0214 -0.085 -0.001 3.958 1 0.047 0.958 0.919 0.999

DRUG_HIT -0.131 0.0794 -0.286 0.025 2.715 1 0.099 0.877 0.751 1.025

(Scale) 1b

Events: Number of Fatally Injured Drivers with positive drug result (THC)
Trials: Number of Fatally Injured drivers
Model: (Intercept), Year of Crash, Number of POFTs conducted (1000), HIT_RATE
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed


value.

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C.2 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of THC in fatally injured drivers, by car and bus operations

Parameter Estimates

95% Wald Confidence 95% Wald Confidence


Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) 1.294 1.2489 -1.154 3.742 1.073 1 0.300 3.646 0.315 42.161

[Year of Crash=2010] -2.395 1.0081 -4.371 -0.419 5.642 1 0.018 0.091 0.013 0.658

[Year of Crash=2011] -2.463 0.9185 -4.263 -0.662 7.189 1 0.007 0.085 0.014 0.516

[Year of Crash=2012] -2.136 0.7143 -3.536 -0.736 8.941 1 0.003 0.118 0.029 0.479

[Year of Crash=2013] -2.198 0.7637 -3.695 -0.701 8.282 1 0.004 0.111 0.025 0.496

[Year of Crash=2014] -1.308 0.4750 -2.239 -0.377 7.586 1 0.006 0.270 0.107 0.686

[Year of Crash=2015] -0.187 0.3128 -0.800 0.426 0.359 1 0.549 0.829 0.449 1.531
a
[Year of Crash=2016] 0 1

CAR_POFTs_1000 -0.107 0.0402 -0.186 -0.028 7.046 1 0.008 0.899 0.831 0.972

BUS_POFTs_1000 -0.009 0.0213 -0.051 0.032 0.189 1 0.664 0.991 0.950 1.033

Car_Hit -0.109 0.0538 -0.214 -0.003 4.066 1 0.044 0.897 0.807 0.997

Bus_Hit 0.115 0.1364 -0.153 0.382 0.706 1 0.401 1.121 0.858 1.465

(Scale) 1b

Events: Number of Fatally Injured Drivers with positive drug result (THC)
Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, CAR_POFTs_1000, BUS_POFTs_1000, Car_Hit, Bus_Hit

a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

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C.3 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of Methamphetamine in fatally injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence Interval


Interval Hypothesis Test for Exp(B)

Wald Chi- Exp(B)


Parameter B Std. Error Lower Upper Square df Sig. Lower Upper
(Intercept) 1.907 1.2149 -0.474 4.288 2.465 1 0.116 6.734 0.623 72.843

[Year of Crash=2010] -3.795 0.9898 -5.735 -1.855 14.702 1 0.000 0.022 0.003 0.156

[Year of Crash=2011] -3.089 0.9060 -4.864 -1.313 11.622 1 0.001 0.046 0.008 0.269

[Year of Crash=2012] -2.510 0.6835 -3.850 -1.171 13.492 1 0.000 0.081 0.021 0.310

[Year of Crash=2013] -1.810 0.5898 -2.966 -0.654 9.422 1 0.002 0.164 0.051 0.520

[Year of Crash=2014] -1.973 0.5391 -3.030 -0.917 13.398 1 0.000 0.139 0.048 0.400

[Year of Crash=2015] -1.048 0.3502 -1.735 -0.362 8.961 1 0.003 0.350 0.176 0.696

[Year of Crash=2016] 0a 1

TOTAL_POFTs_1000 -0.044 0.0257 -0.094 0.007 2.911 1 0.088 0.957 0.910 1.007

DRUG_HIT -0.236 0.0873 -0.407 -0.065 7.285 1 0.007 0.790 0.666 0.938

(Scale) 1b

Events: Number of Fatally Injured Drivers with positive drug result (Methamphetamine)
Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, TOTAL_POFTs_1000, DRUG_HIT
a. Set to zero because this parameter is redundant.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 119


b. Fixed at the displayed
value.

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C.4 Model output for effect of total number of POFTs and OFTs per POFT (Hit Rate) on presence of Methamphetamine in fatally injured drivers, by car and bus
operations

Parameter Estimates

95% Wald Confidence 95% Wald Confidence Interval


Interval Hypothesis Test for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) 1.702 1.4219 -1.085 4.489 1.433 1 0.231 5.487 0.338 89.052

[Year of Crash=2010] -4.208 1.1296 -6.422 -1.994 13.875 1 0.000 0.015 0.002 0.136

[Year of Crash=2011] -3.498 1.0053 -5.469 -1.528 12.111 1 0.001 0.030 0.004 0.217

[Year of Crash=2012] -3.114 0.7610 -4.605 -1.622 16.745 1 0.000 0.044 0.010 0.197

[Year of Crash=2013] -3.097 0.8353 -4.734 -1.460 13.745 1 0.000 0.045 0.009 0.232

[Year of Crash=2014] -2.074 0.5240 -3.101 -1.047 15.669 1 0.000 0.126 0.045 0.351

[Year of Crash=2015] -0.958 0.3507 -1.645 -0.270 7.456 1 0.006 0.384 0.193 0.763

[Year of Crash=2016] 0a 1

CAR_POFTs_1000 -0.095 0.0495 -0.192 0.002 3.702 1 0.054 0.909 0.825 1.002

BUS_POFTs_1000 0.014 0.0252 -0.036 0.063 0.294 1 0.588 1.014 0.965 1.065

Car_Hit -0.159 0.0583 -0.274 -0.045 7.451 1 0.006 0.853 0.761 0.956

Bus_Hit 0.201 0.1631 -0.118 0.521 1.525 1 0.217 1.223 0.888 1.684

(Scale) 1b

Events: Number of Fatally Injured Drivers with positive drug result (Methamphetamine)
Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, CAR_POFTs_1000, BUS_POFTs_1000, Car_Hit, Bus_Hit
a. Set to zero because this parameter is redundant.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 121


b. Fixed at the displayed
value.

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APPENDIX D MODEL OUTPUT – RBT SERIOUS INJURY
D.1 Model output for effect of total number of PBTs and EBTs per PBT (Hit Rate) on presence of all illegal alcohol (≥0.05 BAC) in seriously injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence Interval


Interval Hypothesis Test for Exp(B)
Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -1.458 0.2684 -1.985 -0.932 29.520 1 0.000 0.233 0.137 0.394

[Year of Crash=2006] 1.266 0.1368 0.998 1.534 85.749 1 0.000 3.548 2.714 4.638

[Year of Crash=2007] 1.262 0.1393 0.989 1.535 82.046 1 0.000 3.531 2.687 4.639

[Year of Crash=2008] 1.370 0.1482 1.079 1.660 85.367 1 0.000 3.934 2.942 5.260

[Year of Crash=2009] 1.395 0.1427 1.115 1.674 95.534 1 0.000 4.034 3.050 5.336

[Year of Crash=2010] 1.165 0.1365 0.897 1.432 72.796 1 0.000 3.205 2.452 4.187

[Year of Crash=2011] 0.932 0.1095 0.718 1.147 72.583 1 0.000 2.541 2.050 3.149

[Year of Crash=2012] 0.911 0.1206 0.675 1.148 57.077 1 0.000 2.487 1.964 3.151

[Year of Crash=2013] 0.504 0.1062 0.296 0.713 22.560 1 0.000 1.656 1.345 2.039

[Year of Crash=2014] 0.520 0.1194 0.286 0.754 18.961 1 0.000 1.682 1.331 2.126

[Year of Crash=2015] 0.148 0.1008 -0.050 0.345 2.142 1 0.143 1.159 0.951 1.412

[Year of Crash=2016] 0a 1

PBTs_1000 -0.002 0.0003 -0.002 -0.001 26.573 1 0.000 0.998 0.998 0.999

Hit_Rate -0.126 0.0244 -0.173 -0.078 26.446 1 0.000 0.882 0.841 0.925

(Scale) 1b

Events: Number of Seriously Injured Drivers with BAC≥0.05


Trials: Number of Seriously Injured Drivers
Model: (Intercept), Year of Crash, PBTs_1000, Hit Rate
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 123


D.2 Model output for effect of number of PBTs and EBTs per PBT (Hit Rate) on presence of all illegal alcohol (≥0.05 BAC) in seriously injured drivers, by car and bus
operations
Parameter Estimates
95% Wald Confidence 95% Wald Confidence
Interval Hypothesis Test Interval for Exp(B)
Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -1.776 0.2364 -2.239 -1.313 56.463 1 0.000 0.169 0.107 0.269
[Year of Crash=2006] 1.026 0.1244 0.783 1.270 68.074 1 0.000 2.791 2.187 3.561
[Year of Crash=2007] 0.941 0.1247 0.697 1.185 56.960 1 0.000 2.563 2.007 3.272
[Year of Crash=2008] 0.951 0.1481 0.661 1.241 41.255 1 0.000 2.589 1.937 3.461
[Year of Crash=2009] 0.989 0.1312 0.732 1.246 56.772 1 0.000 2.688 2.078 3.476
[Year of Crash=2010] 0.903 0.1238 0.660 1.146 53.240 1 0.000 2.467 1.936 3.144
[Year of Crash=2011] 0.643 0.1042 0.439 0.847 38.039 1 0.000 1.902 1.550 2.333
[Year of Crash=2012] 0.778 0.1156 0.552 1.005 45.301 1 0.000 2.178 1.736 2.731
[Year of Crash=2013] 0.336 0.1067 0.127 0.545 9.933 1 0.002 1.400 1.136 1.725
[Year of Crash=2014] 0.422 0.1163 0.194 0.650 13.185 1 0.000 1.525 1.214 1.916
[Year of Crash=2015] 0.065 0.1018 -0.135 0.264 0.403 1 0.525 1.067 0.874 1.303
[Year of Crash=2016] 0a 1
CAR_PBTs_1000 -0.001 0.0003 -0.002 0.000 11.638 1 0.001 0.999 0.998 0.999
BUS_PBTs_1000 -0.002 0.0003 -0.003 -0.001 40.343 1 0.000 0.998 0.997 0.999
CAR_HIT_RATE 0.002 0.0175 -0.032 0.037 0.018 1 0.895 1.002 0.968 1.037
BUS_HIT_RATE -0.187 0.0535 -0.254 -0.045 7.816 1 0.005 0.861 0.775 0.956
(Scale) 1b
Events: Number of Seriously Injured Drivers with BAC≥0.05
Trials: Number of Seriously Injured Drivers
Model: (Intercept), Year of Crash, CAR_PBTs_1000, BUS_PBTs_1000, CAR_HIT_RATE, BUS_HIT_RATE
a. Set to zero because this parameter is redundant.
b. Fixed at the displayed value.

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D.3 Model output for effect of total number of PBTs and EBTs per PBT (Hit Rate) on presence of high range (≥0.15 BAC) alcohol in seriously injured drivers

Parameter Estimates
95% Wald Confidence 95% Wald Confidence
Interval Hypothesis Test Interval for Exp(B)
Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -2.162 0.3747 -2.896 -1.427 33.291 1 0.000 0.115 0.055 0.240

[Year of Crash=2006] 1.245 0.1893 0.874 1.616 43.276 1 0.000 3.474 2.397 5.034

[Year of Crash=2007] 1.229 0.1929 0.851 1.607 40.628 1 0.000 3.419 2.343 4.989

[Year of Crash=2008] 1.259 0.2062 0.855 1.663 37.315 1 0.000 3.523 2.352 5.278

[Year of Crash=2009] 1.317 0.1976 0.929 1.704 44.398 1 0.000 3.731 2.533 5.496

[Year of Crash=2010] 1.121 0.1889 0.751 1.492 35.224 1 0.000 3.069 2.119 4.445

[Year of Crash=2011] 0.652 0.1553 0.347 0.956 17.610 1 0.000 1.919 1.415 2.601

[Year of Crash=2012] 0.796 0.1685 0.466 1.126 22.330 1 0.000 2.217 1.593 3.084

[Year of Crash=2013] 0.536 0.1448 0.252 0.820 13.684 1 0.000 1.709 1.286 2.270

[Year of Crash=2014] 0.499 0.1655 0.174 0.823 9.075 1 0.003 1.646 1.190 2.277

[Year of Crash=2015] 0.147 0.1383 -0.124 0.419 1.138 1 0.286 1.159 0.884 1.520

[Year of Crash=2016] 0a 1

PBTs_1000 -0.002 0.0004 -0.002 -0.001 20.057 1 0.000 0.998 0.998 0.999

Hit_Rate -0.110 0.0337 -0.176 -0.044 10.684 1 0.001 0.896 0.838 0.957

(Scale) 1b

Events: Number of Seriously Injured Drivers with BAC≥0.15


Trials: Number of Seriously Injured Drivers
Model: (Intercept), Year of Crash, PBTs_1000, Hit Rate
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 125


D.4 Model output for effect of number of PBTs and EBTs per PBT (Hit Rate) on presence of high range (≥0.15 BAC) alcohol in seriously injured drivers by car and bus
operations
Parameter Estimates
95% Wald Confidence 95% Wald Confidence
Interval Hypothesis Test Interval for Exp(B)
Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -2.438 0.3307 -3.086 -1.790 54.335 1 0.000 0.087 0.046 0.167
[Year of Crash=2006] 1.067 0.1719 0.730 1.404 38.491 1 0.000 2.906 2.074 4.070
[Year of Crash=2007] 0.999 0.1720 0.662 1.336 33.723 1 0.000 2.715 1.938 3.804
[Year of Crash=2008] 0.936 0.2053 0.534 1.338 20.787 1 0.000 2.550 1.705 3.813
[Year of Crash=2009] 1.007 0.1806 0.653 1.361 31.079 1 0.000 2.737 1.921 3.899
[Year of Crash=2010] 0.922 0.1708 0.587 1.257 29.156 1 0.000 2.515 1.799 3.514
[Year of Crash=2011] 0.462 0.1477 0.173 0.752 9.802 1 0.002 1.588 1.189 2.121
[Year of Crash=2012] 0.698 0.1610 0.383 1.014 18.828 1 0.000 2.010 1.467 2.756
[Year of Crash=2013] 0.410 0.1451 0.126 0.694 7.988 1 0.005 1.507 1.134 2.002

[Year of Crash=2014] 0.416 0.1606 0.101 0.731 6.717 1 0.010 1.516 1.107 2.077
[Year of Crash=2015] 0.090 0.1396 -0.184 0.363 0.412 1 0.521 1.094 0.832 1.438
[Year of Crash=2016] 0a 1
CAR_PBTs_1000 -0.001 0.0004 -0.002 -0.001 12.382 1 0.000 0.999 0.998 0.999
BUS_PBTs_1000 -0.002 0.0004 -0.002 -0.001 18.249 1 0.000 0.998 0.998 0.999
CAR_HIT_RATE -0.006 0.0239 -0.052 0.041 0.053 1 0.817 0.994 0.949 1.042
BUS_HIT_RATE -0.126 0.0736 -0.271 0.018 2.954 1 0.086 0.881 0.763 1.018
b
(Scale) 1
Events: Number of Seriously Injured Drivers with BAC≥0.15
Trials: Number of Seriously Injured Drivers
Model: (Intercept), Year of Crash, CAR_PBTs_1000, BUS_PBTs_1000, CAR_HIT_RATE, BUS_HIT_RATE
a. Set to zero because this parameter is redundant.
b. Fixed at the displayed value.

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APPENDIX E MODEL OUTPUT – RBT FATAL INJURY
E.1 Model output for effect of total number of PBTs and EBTs per PBT (Hit Rate) on presence of all illegal alcohol (≥0.05 BAC) in fatally injured drivers

Parameter Estimates

95% Wald Confidence 95% Wald Confidence


Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -0.354 0.7907 -1.904 1.196 0.201 1 0.654 0.702 0.149 3.305

[Year of Crash=2006] 0.464 0.3520 -0.226 1.154 1.738 1 0.187 1.591 0.798 3.171

[Year of Crash=2007] 1.148 0.3540 0.454 1.842 10.520 1 0.001 3.152 1.575 6.309

[Year of Crash=2008] 1.086 0.3869 0.328 1.844 7.879 1 0.005 2.962 1.388 6.324

[Year of Crash=2009] 0.883 0.3992 0.101 1.666 4.897 1 0.027 2.419 1.106 5.290

[Year of Crash=2010] 0.563 0.3774 -0.177 1.303 2.223 1 0.136 1.756 0.838 3.679

[Year of Crash=2011] 0.399 0.3128 -0.214 1.012 1.630 1 0.202 1.491 0.808 2.752

[Year of Crash=2012] 0.575 0.3501 -0.111 1.261 2.699 1 0.100 1.778 0.895 3.530

[Year of Crash=2013] 0.253 0.3003 -0.336 0.841 0.708 1 0.400 1.287 0.715 2.319

[Year of Crash=2014] 0.208 0.3503 -0.478 0.895 0.354 1 0.552 1.232 0.620 2.447

[Year of Crash=2015] 0.006 0.2836 -0.550 0.562 0.000 1 0.983 1.006 0.577 1.754

[Year of Crash=2016] 0a 1

PBTs_1000 -0.001 0.0008 -0.003 0.001 1.669 1 0.196 0.999 0.997 1.001

HIT_RATE1 -0.168 0.0700 -0.305 -0.031 5.756 1 0.016 0.845 0.737 0.970
b
(Scale) 1

Events: Number of Fatally Injured Drivers with BAC≥0.05


Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, PBTs_1000, HIT_RATE1
a. Set to zero because this parameter is redundant.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 127


b. Fixed at the displayed value.

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E.2 Model output for effect of number of PBTs and EBTs per PBT (Hit Rate) on presence of all illegal alcohol (≥0.05 BAC) in fatally injured drivers by car and bus
operations

Parameter Estimates

95% Wald Confidence Interval


95% Wald Confidence Interval Hypothesis Test for Exp(B)

Parameter B Std. Error Lower Upper Wald Chi-Square df Sig. Exp(B) Lower Upper

(Intercept) -0.652 0.7593 -2.140 0.836 0.737 1 0.391 0.521 0.118 2.308
[Year of Crash=2006] 0.312 0.4070 -0.485 1.110 0.589 1 0.443 1.367 0.615 3.035
[Year of Crash=2007] 0.778 0.3763 0.041 1.516 4.277 1 0.039 2.178 1.042 4.553
[Year of Crash=2008] 0.507 0.3988 -0.274 1.289 1.618 1 0.203 1.661 0.760 3.629
[Year of Crash=2009] 0.349 0.3966 -0.428 1.127 0.776 1 0.378 1.418 0.652 3.085
[Year of Crash=2010] 0.259 0.3749 -0.475 0.994 0.479 1 0.489 1.296 0.622 2.703
[Year of Crash=2011] -0.014 0.3257 -0.652 0.625 0.002 1 0.966 0.986 0.521 1.868
[Year of Crash=2012] 0.401 0.3606 -0.305 1.108 1.239 1 0.266 1.494 0.737 3.029
[Year of Crash=2013] -0.009 0.3110 -0.619 0.601 0.001 1 0.977 0.991 0.539 1.823
[Year of Crash=2014] 0.101 0.3585 -0.601 0.804 0.080 1 0.778 1.106 0.548 2.234
[Year of Crash=2015] -0.139 0.2874 -0.702 0.424 0.233 1 0.629 0.870 0.496 1.529
a
[Year of Crash=2016] 0 1
CAR_PBTs_1000 0.000 0.0009 -0.002 0.002 0.090 1 0.764 1.000 0.998 1.002
BUS_PBTs_1000 -0.003 0.0011 -0.005 -0.001 9.306 1 0.002 0.997 0.995 0.999
CAR_HIT_RATE 0.062 0.0576 -0.051 0.175 1.163 1 0.281 1.064 0.951 1.191
BUS_HIT_RATE -0.288 0.1443 -0.571 -0.005 3.974 1 0.046 0.750 0.565 0.995
(Scale) 1b
Events: Number of Fatally Injured Drivers with BAC≥05
Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, CAR_PBTs_1000, BUS_PBTs_1000, CAR_HIT_RATE, BUS_HIT_RATE
a. Set to zero because this parameter is redundant.
b. Fixed at the displayed value.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 129


E.3 Model output for effect of total number of PBTs and EBTs per PBT (Hit Rate) on presence of high range (≥0.15 BAC) alcohol in fatally injured drivers

Parameter Estimates

95% Wald Confidence Interval


95% Wald Confidence Interval Hypothesis Test for Exp(B)

Parameter B Std. Error Lower Upper Wald Chi-Square df Sig. Exp(B) Lower Upper

(Intercept) -1.519 0.9445 -3.370 0.332 2.586 1 0.108 0.219 0.034 1.394

[Year of Crash=2006] 0.166 0.4131 -0.644 0.976 0.161 1 0.688 1.181 0.525 2.653

[Year of Crash=2007] 0.799 0.4133 -0.011 1.609 3.738 1 0.053 2.223 0.989 4.998

[Year of Crash=2008] 0.853 0.4489 -0.027 1.733 3.609 1 0.057 2.346 0.973 5.656

[Year of Crash=2009] 0.185 0.4831 -0.762 1.132 0.147 1 0.701 1.204 0.467 3.103

[Year of Crash=2010] 0.229 0.4436 -0.640 1.099 0.268 1 0.605 1.258 0.527 3.001

[Year of Crash=2011] 0.066 0.3749 -0.669 0.801 0.031 1 0.860 1.068 0.512 2.227

[Year of Crash=2012] 0.191 0.4148 -0.622 1.004 0.213 1 0.645 1.211 0.537 2.730

[Year of Crash=2013] 0.030 0.3526 -0.661 0.721 0.007 1 0.932 1.031 0.516 2.057

[Year of Crash=2014] -0.251 0.4249 -1.083 0.582 0.348 1 0.555 0.778 0.338 1.790

[Year of Crash=2015] -0.025 0.3290 -0.670 0.620 0.006 1 0.939 0.975 0.512 1.858
a
[Year of Crash=2016] 0 1

PBTs_1000 -2341E-05 0.0010 -0.002 0.002 0.001 1 0.981 1.000 0.998 1.002

HIT_RATE1 -0.162 0.0847 -0.328 0.004 3.646 1 0.056 0.851 0.720 1.004
b
(Scale) 1

Events: Number of Fatally Injured Drivers with BAC≥0.15


Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, PBTs_1000, HIT_RATE1
a. Set to zero because this parameter is redundant.

b. Fixed at the displayed value.

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E. 4 Model output for effect of number of PBTs and EBTs per PBT (Hit Rate) on presence of high range (≥0.15 BAC) alcohol in fatally injured drivers by car and bus
operations
Parameter Estimates

95% Wald Confidence 95% Wald Confidence


Interval Hypothesis Test Interval for Exp(B)

Wald Chi-
Parameter B Std. Error Lower Upper Square df Sig. Exp(B) Lower Upper
(Intercept) -1.950 0.9226 -3.758 -0.141 4.465 1 0.035 0.142 0.023 0.868

[Year of Crash=2006] 0.030 0.4851 -0.921 0.981 0.004 1 0.950 1.031 0.398 2.667

[Year of Crash=2007] 0.461 0.4468 -0.415 1.337 1.065 1 0.302 1.586 0.661 3.807
[Year of Crash=2008] 0.297 0.4725 -0.629 1.223 0.396 1 0.529 1.346 0.533 3.399
[Year of Crash=2009] -0.332 0.4899 -1.293 0.628 0.461 1 0.497 0.717 0.275 1.873

[Year of Crash=2010] -0.073 0.4471 -0.950 0.803 0.027 1 0.870 0.929 0.387 2.233

[Year of Crash=2011] -0.307 0.3972 -1.085 0.472 0.596 1 0.440 0.736 0.338 1.603
[Year of Crash=2012] -0.002 0.4331 -0.851 0.847 0.000 1 0.996 0.998 0.427 2.332
[Year of Crash=2013] -0.217 0.3689 -0.940 0.506 0.346 1 0.556 0.805 0.391 1.659

[Year of Crash=2014] -0.383 0.4377 -1.241 0.475 0.767 1 0.381 0.682 0.289 1.607
[Year of Crash=2015] -0.149 0.3339 -0.804 0.505 0.200 1 0.654 0.861 0.448 1.657
a
[Year of Crash=2016] 0 1
CAR_PBTs_1000 0.001 0.0012 -0.001 0.003 0.501 1 0.479 1.001 0.999 1.003

BUS_PBTs_1000 -0.002 0.0013 -0.004 0.001 1.633 1 0.201 0.998 0.996 1.001

CAR_HIT_RATE 0.056 0.0721 -0.085 0.197 0.607 1 0.436 1.058 0.918 1.218

BUS_HIT_RATE -0.263 0.1755 -0.607 0.081 2.240 1 0.134 0.769 0.545 1.085

(Scale) 1b
Events: Number of Fatally Injured Drivers with BAC ≥0.15
Trials: Number of Fatally Injured Drivers
Model: (Intercept), Year of Crash, CAR_PBTs_1000, BUS_PBTs_1000, CAR_HIT_RATE, BUS_HIT_RATE
a. Set to zero because this parameter is redundant.

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 131


b. Fixed at the displayed value.

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 132
APPENDIX F HIGH AND LOW ALCOHOL HOURS BY POLICE REGION
F.1 High and low alcohol hours: North West Metro Region

As shown in Figure 84 there are 77 hours of the week defined as high alcohol hours for the North West Metro region of
Victoria.
These hours are:
 Sunday 7PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 8PM -Wednesday 6AM
 Wednesday 9PM -Thursday 5AM
 Thursday 8PM -Friday 5AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 84 High alcohol hours (shaded grey) for Victoria- Northern Metro region, based on data 2006-2016

F.2 High and low alcohol hours: Southern Metro Region

As shown in Figure 85 there are 84 hours of the week defined as high alcohol hours for the Southern Metro region of
Victoria.
These hours are:
 Sunday 6PM -Monday 9AM
 Monday 7PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 7PM -Thursday 6AM
 Thursday 7PM -Friday 5AM
 Friday 6PM -Saturday 6AM
 Saturday 5PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT

Figure 85 High alcohol hours (shaded grey) for Victoria- Southern Metro region, based on data 2006-2016

MONASH UNIVERSITY ACCIDENT RESEARCH CENTRE | 133


F.3 High and low alcohol hours: Eastern Region

As shown in Figure 86 there are 80 hours of the week as defined to be high alcohol hours for the Eastern region of
Victoria.
These hours are:
 Sunday 6PM -Monday 7AM
 Monday 8PM -Tuesday 5AM
 Tuesday 6PM -Wednesday 6AM
 Wednesday 7PM -Thursday 5AM
 Thursday 7PM -Friday 6AM
 Friday 7PM -Saturday 7AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT
Figure 86 High alcohol hours (shaded grey) for Victoria- Eastern region, based on data 2006-2016

F.4 High and low alcohol hours: Western Region

As shown in Figure 87 there are 80 hours of the week defined as high alcohol hours for the Western region of Victoria.
These hours are:
 Sunday 5PM -Monday 9AM
 Monday 8PM -Tuesday 6AM
 Tuesday 7PM -Wednesday 5AM
 Wednesday 9PM -Thursday 6AM
 Thursday 8PM -Friday 6AM
 Friday 7PM -Saturday 6AM
 Saturday 6PM -Sunday 8AM

DAY OF TIME OF DAY


WEEK 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM
SUN
MON
TUES
WED
THUR
FRI
SAT
Figure 87 High alcohol hours (shaded grey) for Victoria- Western region, based on data 2006-2016

EVALUATION OF THE ROADSIDE DRUG TESTING EXPANSION AND ROADSIDE ALCOHOL TESTING ENFORCEMENT PROGRAMS
IN VICTORIA | 134
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