Alcohol Monitoring Bracelet: What It Is and How It Works
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You may have seen ankle monitors for individuals who are under house arrest. But did you know that some ankle monitors can also detect alcohol consumption? Unlike other alcohol tests we may be familiar with such as breath or urine tests, alcohol monitoring bracelets have a unique mechanism that makes them highly useful within the criminal justice system.
While many of us may never need an alcohol monitoring bracelet, learning how the device works sheds light on how alcohol is metabolized in our body. To encourage us to make more intentional drinking decisions, let’s get a better understanding of how alcohol monitoring bracelets work and what they’re used for.
An alcohol monitoring bracelet is an electronic device that is used to monitor the alcohol content in our body. The bracelets are commonly worn around the ankle to avoid inhibiting daily activities. Alcohol monitoring bracelets are attached to the ankle and can't be self-removed, distinguishing them from other handheld alcohol monitoring devices such as breathalyzers. The devices are also known by other names:
SCRAM systems are the most popular alcohol monitoring bracelets used today. Let’s learn more about how SCRAM bracelets work and how they came to be.
The first SCRAM bracelet was developed in the 1990s by an electrical engineer named Jeff Hawthorne. He was inspired to create a continuous monitoring system after his college friend tragically died in a car accident caused by a drunk driver with multiple DUIs.
SCRAM, short for Secure Continuous Remote Alcohol Monitoring bracelets, were the first transdermal alcohol monitoring devices that were designed to be a solution for 24/7 monitoring and drinking prevention around testing schedules. In 2003, SCRAM bracelets were introduced to the criminal justice market. Today SCRAM bracelets are critical devices used by courts to monitor alcohol consumption. The monitors are placed strategically placedon the ankle, but how are they able to detect alcohol consumption?
SCRAM bracelets detect alcohol transdermally, meaning through the skin. This is possible due to the way alcohol is metabolized. Our liver breaks down over 90% of alcohol and the rest is metabolized and eliminated through our breath, urine, and sweat. SCRAM bracelets monitor alcohol consumption through our sweat, but what if we’re not sweating?
The monitoring system samples insensible perspiration, which is present on our skin even though we may not feel it. The bracelet provides an effective way to ensure continuous monitoring that is also noninvasive and automatic.
Every 30 minutes, the SCRAM bracelet samples perspiration to detect alcohol consumption and sends a report to the monitoring agency. SCRAM CAM bracelets are also equipped with a GPS tracker. If alcohol consumption is detected, the information is sent to the court or supervising officer. Let's look more closely at what exactly they're used for and how.
Alcohol ankle monitors are most commonly used in the criminal justice system. They may also be used in connection with alcohol use disorder or substance use disorder treatment, most of the time when a crime has been committed. Certain specific cases commonly require the use of alcohol ankle monitors:
Other methods of detecting alcohol consumption include breathalyzers, hair tests, blood tests, and urine tests. These can be used to determine specific BAC levels, consumption habits, and prove short-term sobriety for other forensic applications or employment screening. Alcohol monitoring bracelets are most applicable in the criminal justice realm due to their continuous monitoring mechanism. As the devices are used for such important purposes, how can we be sure that they're accurate?
Alcohol ankle monitors, specifically SCRAM systems, are used due to their effectiveness and accuracy. According to the official website, SCRAM bracelets are available in 48 states and used by thousands of courts and agencies throughout the country.
SCRAM systems are designed to detect transdermal alcohol content (TAD) and can distinguish between alcohol consumed and alcohol vapor that may be present in the vicinity. Ethanol vapor may be recorded as a spike, but it’s reported differently — according to the alcohol consumed. SCRAM systems, the parent company attests, are able to detect even minimal amounts of alcohol under .02% BAC, which speaks to the sensitivity of the device.
Research that looks at transdermal alcohol monitoring devices more generally found that the devices may not be able to correctly identify the exact BAC in comparison to a breathalyzer, but they were able to detect alcohol consistently. Since the main purpose of an alcohol monitoring bracelet is to detect alcohol consumption, they work as intended. A study evaluating the SCRAM system's ability to detect different levels of alcohol consumption found that the device has reliable detection and found low false-positive rates. But are alcohol ankle monitors actually beneficial?
SCRAM systems were developed with the intention of monitoring alcohol consumption continuously in relation to crime. Twenty years after they were first introduced to the criminal justice market they are still in use. The alcohol monitoring bracelets continue to have benefits that have made many courts largely dependent on them in the case of alcohol-related crimes.
We’ve acknowledged the device’s many benefits, but how does it make a positive impact?
Alcohol monitoring bracelets are beneficial in reducing alcohol consumption and preventing repeat alcohol-related crimes.
Experiences with the SCRAM bracelet were tracked in a study consisting of 100 alcohol treatment outpatients. After wearing the monitors for 12 weeks, the users' experiences were documented. The study found that 81% of participants indicated that wearing the SCRAM bracelet helped them reduce their drinking, and 75% of participants reported they would continue wearing it. An alcohol monitoring bracelet is a physical reminder to prevent alcohol consumption, but may also suggest that increased awareness may be a helpful tool for those who are looking to quit or cut back on alcohol. Not only do alcohol monitoring bracelets help reduce alcohol consumption, but they also may be helpful in preventing crimes that are alcohol-related.
A study looking at DUI recidivism rates found an average reoffense rate of 24.3% per 1000 first offenders. This compares to another study that examined DUI recidivism with the use of SCRAM bracelets. The study found a much lower reoffense rate of 3.5% — suggesting that the device is a useful monitoring tool. Despite the positive impact of the device, users have reported some drawbacks, including discomfort.
To help us prevent the need to be monitored using a SCRAM system, let’s explore some strategies for developing a healthy relationship with alcohol.
Alcohol monitoring bracelets are often used as a last resort as wearing a clunky device on our ankle isn't exactly pleasant. While they’re useful within the criminal justice system, we may be able to prevent the need for an alcohol ankle monitor by implementing mindful drinking practices:
For those of us who aren’t required to wear an alcohol monitoring device, these strategies can help us practice more mindful consumption. If we’re looking for alternatives to detect alcohol in our system, we can utilize more obtainable options such as a breathalyzer or urine test.
Alcohol monitoring bracelets have proven to be useful detection devices, especially within the criminal justice system. They can detect alcohol consumption through our sweat 24/7 — making them practical for continuous monitoring needs. Although they may be effective in decreasing alcohol consumption and recidivism, alcohol monitoring bracelets aren’t the most comfortable or cost-efficient option for those of us who don’t require one. But they show us that increased mindfulness may be beneficial and can encourage us to address any concerns we have with our alcohol consumption before it becomes a bigger issue. Quitting or cutting back on alcohol can help us avoid the need to wear an alcohol monitoring bracelet.
1. What is a SCRAM bracelet?
A SCRAM bracelet — short for Secure Continuous Remote Alcohol Monitoring bracelet — tracks our BAC every 30 minutes continuously while the device is worn.
2. How do ankle monitors work in detecting BAC?
Ankle monitors detect BAC through our sweat. Sweat is one way that alcohol is metabolized — making it a reliable marker for alcohol consumption.
3. What are alcohol ankle monitors used for?
Alcohol ankle monitors are most commonly used for AUD treatment and within the criminal justice system.
4. Is an ankle monitor for alcohol detection accurate?
Alcohol ankle monitors are regarded as highly accurate. However, false positives may still occur (at a low rate).
5. What are alternatives to ankle monitors to test my BAC?
Breathalyzers are another way to test BAC, although they are not continuous.
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