Alcohol Monitoring Bracelet: What It Is and How It Works

You may have seen ankle monitors for individuals who are under house arrest. But did you know that some ankle monitors — known as SCRAM bracelets — can also detect alcohol consumption? Unlike other alcohol tests we may be familiar with such as a breath test or urine test, alcohol monitoring bracelets have a unique mechanism that makes them highly used 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. What is a SCRAM device, and how does it work? How are wrist SCRAM bracelets different from SCRAM ankle bracelets? And can you drink the night before getting a SCRAM bracelet?

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.

What Is an Alcohol Monitoring Bracelet?

What is a SCRAM monitor? An alcohol monitoring bracelet — an ankle bracelet for alcohol detection — 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 our ankle and can't be self-removed — distinguishing them from other hand-held alcohol monitoring devices such as breathalyzers. Other names for the devices include the following:

• Alcohol ankle monitor
• Alcohol monitor bracelet
• SCRAM bracelet 
• SCRAM continuous alcohol monitoring (CAM)

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 Development of the SCRAM Bracelet

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 preventing drinking 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 strategically placed on the ankle, but how are they able to detect alcohol consumption?

How Do SCRAM Alcohol Monitoring Bracelets Work?

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. It’s an effective way to ensure continuous monitoring that is also non-invasive 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 take a closer look at what exactly they're used for. 

What Are Alcohol Ankle Monitors Used For?

Alcohol ankle monitors are most commonly used in the criminal justice system. They may also be used after alcohol use disorder or substance use disorder treatment, most of the time in connection to a crime that was committed. Specific cases that commonly require the use of alcohol ankle monitors include the following:

• Driving under the influence (DUI). DUIs are the most frequent situations in which alcohol ankle monitors are used. It's a serious crime and is one of the leading causes of traffic crashes and fatalities. Continuous alcohol monitoring is effective in preventing re-offense, as it alerts law enforcement if alcohol consumption is detected.
• Probation. Alcohol ankle monitors are also commonly used during probation, especially for crimes that are alcohol-related. Offenders on probation or parole often wear ankle monitors to track their location. SCRAM bracelets are able to monitor location and alcohol consumption — killing two birds with one stone.
• Alternative sentencing program. In some cases, alcohol monitoring bracelets can be used as an alternative sentencing program. Instead of serving jail time, an offender will be released on the condition of wearing an alcohol monitoring bracelet. If this option is available, the time length it should be worn varies depending on the crime and severity and are often used in conjunction with court-ordered substance use treatment.

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?

Is an Ankle Monitor for Alcohol Detection Reliable?

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 over 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 is reported differently than alcohol consumed. According to the company, SCRAM systems are able to detect even minimal amounts of alcohol under .02% BAC — speaking to the sensitivity of the device.

Can you drink the night before getting a SCRAM bracelet? It’s probably not a good idea. It's best not to drink the night before getting a SCRAM ankle bracelet, as the bracelet detects even small amounts of alcohol and could immediately register a violation, as alcohol can stay in your system for up to 24 hours.

Research looking 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 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. Alcohol ankle monitors may work, but are they actually beneficial?

Benefits of Alcohol Ankle Monitors

• Automated sampling. The device samples our perspiration every 30 minutes automatically. This reduces human error during sampling and is much more efficient than having the wearer collect a sample or requiring staff to collect a sample every 30 minutes around the clock. 
• Continuous monitoring. Automated sampling of the device occurs every 30 minutes 24/7. The continuous monitoring mechanism prevents drinking around testing schedules and makes them suitable for the crime-related applications they’re used in.
• Non-invasive testing. Blood tests to detect alcohol consumption requires a blood draw and is much more invasive than a sweat sample. Other detection methods such as urine tests or breathalyzers are also less-invasive but require intentional sampling. 
• Dual application. Many alcohol ankle monitors are also equipped with GPS trackers. This dual mechanism makes them highly useful in situations such as parole in an alcohol-related crime.

SCRAM systems were developed with an intention to monitor alcohol consumption continuously in relation to crime. They are still used 20 years after their introduction to the criminal justice market. The alcohol monitoring bracelets continue to have benefits that have made many courts largely dependent on them in the case of alcohol-related crimes.

You might be wondering, can SCRAM devices be worn on other parts of the body, such as the wrist? What’s a SCRAM wrist device like, and does it have any benefits? Compared to the SCRAM ankle bracelet, the wrist SCRAM bracelet is smaller and may feel less restrictive for daily activities, but it serves the same purpose of monitoring alcohol consumption through sweat. However, the SCRAM ankle bracelet is more commonly used and considered more secure, as wrist devices can sometimes be less reliable due to movement or moisture interference.

We’ve acknowledged the device’s many benefits, but how does it make a positive impact?

Impact of Alcohol Monitoring Bracelets

Alcohol monitoring bracelets are beneficial in reducing alcohol consumption and preventing re-offense of an alcohol-related crime.

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 that 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 may also 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 at 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 to develop a healthy relationship with alcohol.

Preventing the Need for Alcohol Monitoring Bracelets

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 the following mindful drinking practices:

• Intervene early. If we’re concerned about our drinking habits, early intervention is the best way to prevent further harm. Even identifying that we have concerns is a great first step in developing a healthier relationship with alcohol. 
• Set limits. Excessive drinking can have short-term and long-term harms on our well-being. Setting limits for ourselves helps us minimize potential consequences. Designate an accountability partner or start tracking alcohol consumption to practice more mindful drinking.
• Avoid DUI. Driving under the influence is one of the leading alcohol-related crimes. It’s also one of the main crimes that commonly require continuous monitoring through alcohol ankle bracelets. Have a designated driver or schedule a ride home using a rideshare app to avoid driving under the influence on a night out.
• Seek support. An unhealthy relationship with alcohol can be difficult to work through, but we don’t have to do it alone. We can seek support through a number of different ways including opening up to close friends and family, exploring alcohol reduction apps, and traditional treatment programs.
• Quit or cut back. Quitting or cutting back on alcohol doesn’t just have to be for those of us that may be required to wear an alcohol ankle monitor. It can be beneficial for anyone and prevent us from getting to the point of needing an alcohol monitoring bracelet.

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 other more obtainable options such as a breathalyzer or urine test.

Key Takeaways

Alcohol monitoring bracelets are useful detection devices, especially for use 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. It shows 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. Quit or cut back and avoid needing an alcohol monitoring bracelet!