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A thorough examination of nearly everything known about the prevention and treatment of alcohol problems, this volume is directed particularly at people interested in conducting research and at agencies supporting research into the phenomenon of drinking. The book essentially is two volumes in one. The first covers progress and potential in the prevention of alcohol problems, ranging from the predispositions of the individual to the temptations posed by the environment. The second contains a history and appraisal of treatment methods and their costs, including the health consequences of alcohol abuse. A concluding section describes the funding and research policy emphases believed to be necessary for various aspects of research into prevention and treatment.
Contents
- Committee to Identify Research Opportunities in the Prevention and Treatment of Alcohol-Related Problems
- Panel on Opportunities for Research on Prevention of Alcohol Problems
- Panel on Opportunities for Research on Treatment of Alcohol Problems
- PREFACE
- SUMMARY
- I. RESEARCH OPPORTUNITIES IN THE PREVENTION OF ALCOHOL-RELATED PROBLEMS
- Introduction
- 1. A Public Health Perspective on the Prevention of Alcohol Problems
- 2. Epidemiology of Alcohol-Related Problems
- 3. Individual-Environment Interactions: Focus on the Individual
- 4. Individual Environment Interactions: Focus on the Environment
- 5. Community Approaches and Perspectives from Other Health Fields
- 6. Methodological Issues in Alcohol Prevention Research: Conclusions and Recommendations
- II. RESEARCH OPPORTUNITIES IN THE TREATMENT OF ALCOHOL-RELATED PROBLEMS
- Introduction
- 7. The Social and Historical Context of Alcohol Treatment Research
- 8. Issues of Assessment, Methodology, and Research Design
- 9. Treatment Modalities: Process and Outcome
- 10. Early Identification and Treatment
- 11. Patient-Treatment Matching and Outcome Improvement in Alcohol Rehabilitation
- 12. Advances in the Treatment of Other Psychoactive Substance-Use Disorders: Implications for Research on Treatment of Alcohol Problems
- 13. Health Consequences of Alcohol Abuse: Opportunities for Treatment Research
- 14. Treatment Costs, Benefits, and Cost Offsets: Public Policy Considerations
- Treatment Effectiveness, Benefits, and Efficiency
- Methodological Approaches to Policy Analysis
- The Cost Offset Effect
- Managed Care and Preferred Provider Research Issues
- Other Insurance Issues
- Other Cost-Related Research Areas
- Cost, Insurance, and Public Policy Research Needs Specific to Adolescents
- Other Public Policy Research Needs
- References
- III. SUPPORT FOR SCIENTIFIC PROGRESS IN THE PREVENTION AND TREATMENT OF ALCOHOL-RELATED PROBLEMS
- ACKNOWLEDGMENTS
The work on which this publication is based was performed pursuant to Contract No. ADM 281-87-0003 with the National Institute on Alcohol Abuse and Alcoholism of the Department of Health and Human Services. Additional support for this study was provided by The Pew Charitable Trusts and by the National Research Council Fund.
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance.
This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education.
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