Main description:

From the President ofthe Research Society onAlcoholism - On behalf of the Research Society on Alcoholism I welcome the important contri bution that Volume 15 of this excellent series on Recent Developments in Alcoh- ism brings to our field. It is not enough for our scientists to develop effective and efficient methods to identify and treat alcohol abuse and alcohol dependence; the availability of these services is often limited and it is certainly nonexistent for the early problem drinker. In nineteen outstanding chapters, Volume 15 deals with organizational issues concerning access to and delivery of substance abuse treatment and the role of managed care. Several chapters deal with economic issues, cost-benefits, and - nancing of these services. Lastly, five address recent treatment outcome studies. Thus, this volume will be of great value to both scientists and practitioners. The Editor and Associate Editors are congratulated for this conceptual and organi- tional accomplishment. Yedy Israel, Ph.D.

Contents:

I: The Organization of Service Delivery; T. D'Aunno. Overview; T. D'Aunno. 1. Organization of Substance Abuse Managed Care; M.R. Sosin, et al. 2. Effects of Managed Care on Programs and Practices for the Treatment of Alcohol and Drug Dependence; S. Steenrod, et al. 3. Linking Clients to Clinical and Social Services; M. Calloway, et al. II: Access to Care; C. Weisner. Overview; C. Weisner. 1. Rethinking Access to Alcohol Treatment: A Conceptual Model; C. Weisner, L. Schmidt. 2. Access to Services in the Substance Abuse Treatment System: Variations by Facility Characteristics; M.T. Lee, et al. 3. Patient Placement Criteria and Their Relation to Access to Appropriate Level of Care and Engagement in Alcoholism Treatment; A. Rubin, D. Gastfriend. 4. Access to Substance Abuse Services in Rural Areas; J. Fortney, B.M. Booth. III: Economic Analysis of Alcohol Addiction; M.T. French. Overview; M.T. French. 1. Economic Evaluation of Alcohol Treatment Services; M.T. French. 2. Financing of Alcohol Treatment Services; C.M. Horgan, E.L. Merrick. 3. Using Cost and Financing Instruments for Economic Evaluation of Substance Abuse Treatment Services; H.J. Salome, M.T. French. 4. Alcoholism Treatment in Managed Private Sector Plans: How Are Carve-Out Arrangements Affecting Costs and Utilization? R. Sturm, et al. 5. Problem Drinking, Health Services Utilization, and the Cost of Medical Care; P.K. Alexandre, et al. IV: The Outcome of Alcohol Treatment; R.K. Fuller,R.B. Huebner. Overview; R.K. Fuller, R.B. Huebner. 1. Outcomes of Alcohol Treatment for Adolescents; S.A. Brown, E.J. D'Amico. 2. Family-Involved Alcoholism Treatment: An Update; T. O'Farrell, W. Fals-Stewart. 3. The Role of Continuing Care in Outpatient Alcohol Treatment Programs; J.R. McKay. 4. A Comparative, Process-Effectiveness Evaluation of VA Substance Abuse; J.W. Finney, et al. 5. Screening and Brief Interventions for Alcohol Use Disorders in Managed Care Settings; M.F. Fleming, A.W. Graham. V: The Impact of Managed Care on Substance Abuse Treatment: A Problem In Need Of Solution; M. Galanter, et al.