Abstract
This chapter reviews the literature on the social ecology of alcohol-related treatment in the United States. It begins with an examination of differences in the population characteristics of alcoholics and problem drinkers within and without alcohol treatment institutions. Recent trends in treatment populations are described. Also considered are a variety of factors that influence both entry into treatment and the distribution of clients across the treatment system, including gender, ethnicity, problem severity, social networks, client wants, gatekeeping practices among treatment providers, and referral patterns. The general applicability of the “health belief model” to treatment entry is assessed as well as the place of a number of well-known barriers to alcohol-related treatment in accounting for nonentry. The distribution of the society’s alcohol-related caseload—both across alcohol-specific and other health and social service institutions—is considered. Also examined are recent trends in the social handling of alcohol-related problems, with special reference to the growing reliance on coercion in case recruitment. Finally, the review offers a number of suggestions regarding implications for further research and broad directions the evolution of American alcohol-related treatment institutions may take.
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References
Edwards G: A community as case study: Alcoholism treatment in antiquity and Utopia, in Chafetz M (ed): Proceedings of the Second Annual Alcoholism Conference of the NIAAA, Rockville, MD, NIAAA, 1973, pp 116–139.
Roizen R, Weisner C: Fragmentation in alcoholism treatment services: An exploratory analysis. Contract No. ADM 281-77-0025 with National Institute of Alcohol Abuse and Alcoholism, Rockville, MD, Berkeley, Social Research Group, 1979.
Cameron T: Trends in alcohol problems in California, 1950–1979, in: Giesbrecht N, Cahannes M, Moskalewicz J, et al: (eds): Consequences of Drinking: Trends in Alcohol Problem Statistics in Seven Countries. Toronto, Addiction Research Foundation, 1982. pp 125–145.
Knupfer G: Female drinking patterns, in: Selected Papers Presented at the Fifteenth Annual Meeting of the North American Association of Alcoholism Programs in Washington, D.C. Washington, NAAAP, 1964, pp 140–160.
Knupfer G: The epidemiology of problem drinking. Am J Public Health 57:973–986, 1967.
Clark W: Operational definitions of drinking problems and associated prevalence rates. Q J Stud Alcohol 27:648–668, 1966.
Room R: Amount of drinking and alcoholism. San Francisco 1962 and 1964, pilot intake study and 1880s Brooklyn Inebriates Home data, in: Proceedings of the 28th International Congress on Alcohol and Alcoholism (vol. 1). Washington, ICAA, 1968, abstr. V9.
Edwards G, Hawker A, Hensman C, et al: Alcoholics known or unknown to agencies, experimental studies in a London suburb. Br J Psychiatry 123:169–83, 1973.
Shaw S, Cartwright A, Sprately T, et al: Responding to Drinking Problems. Baltimore, University Park Press, 1978.
Armor DJ, Polich HB, Stambul HB: Alcoholism and Treatment. New York, John Wiley & Sons, 1978.
Robinson D: From Drinking to Alcoholism: A Sociological Commentary. London, John Wiley & Sons, 1976.
Cahalan D: Problem Drinkers: A National Survey. San Francisco, Jossey-Bass, 1970.
Cahalan D, Room R: Problem Drinking among American Men. New Brunswick, NJ, Rutgers Center for Alcohol Studies, 1974.
Cahalan D, Cisin I, Crossley H: American Drinking Practices. New Brunswick, NJ, Rutgers Center for Alcohol Studies, 1969.
Clark W, Cahalan D: Changes in problem drinking over a four year span. Addict Behav 1:251–259, 1976.
Clark W, Midanik L: Alcohol use and alcohol problems among U.S. adults: Results of the 1979 national survey, in: Alcohol Consumption and Related Problems (Alcohol and Health Monograph I. DHHS Publication No. (ADM)82-1190). Washington, US Government Printing Office, 1982, pp 3-52.
Clark W, Midanik L, Knupfer G: Report on the 1979 National Survey. Berkeley, Alcohol Research Group, 1981.
Hingson R, Scotch N, Day N, et al: Recognizing and seeking help for drinking problems. J Stud Alcohol 41:1102–1117, 1980.
Roizen R, Cahalan D, Shanks P: Spontaneous remission among untreated problem drinkers, in Kandel D (ed): Longitudinal Research in Drug Use: Empirical Findings and Methodological Issues. Washington, Hemisphere Press-John Wiley, 1978, pp 195–221.
Room R: Treatment-seeking populations and larger realities, in Edwards G, Grant M (eds): Alcoholism Treatment in Transition. London, Croom Helm, 1980, pp 205–224.
Ogborne A, Glaser F: Characteristics of affiliates of Alcoholics Anonymous. J Stud Alcohol 42:661–675, 1981.
Furst C, Beckman L, Nakamura C, et al: Utilization of Alcohol Treatment Services in California. Los Angeles, University of California, Alcohol Research Center, Neuropsychiatric Institute, 1981.
Weisner C: The changing alcohol treatment system: A profile of clients. Presented at Meeting of International Group for Comparative Alcohol Studies in Stockholm, Sweden on October 23–27, 1984.
University of Pittsburgh, School of Education: Alcoholism Treatment Networks and Ideologies. Pittsburgh, Division of Specialized Professional Development, Rehabilitation Counselling Program, 1974.
Boscarino J: A national survey of alcoholism treatment centers in the United States: A preliminary report. Am J Drug Alcohol Abuse 7:403–413, 1980.
Ogurzsoff S, Pennock M, Sykes S, et al: Problem drinkers and treatment agencies in an urban community: A systems approach. Can J Public Health 67:232–361, 1976.
Hore B, Smith E: Who goes to alcoholic units? Br J Addict 70:263–270, 1975.
Butynski W: State Resources and Services Related to Alcohol and Drug Abuse Problems: An Analysis of State Alcoholism and Drug Abuse Profile Data. Rockville, MD, National Institute of Alcohol Abuse and Alcoholism, 1984.
Room R: Measurement and distribution of drinking patterns and problems in general populations, in Edwards G, Gross N, Keller N, et al: (eds): Alcohol Related Disabilities. Geneva, World Health Organization, 1977 pp. 61–88.
Bedi, AR: Demographic correlates of admissions to an alcoholism screening program. J Stud Alcohol 33:956–963, 1982.
Hoffman H: County characteristics and admission to a state hospital for treatment of alcoholism and psychiatric disorders. Psychol Rep 35:1275–1277, 1974.
Lemert EM: The occurrence and sequence of events in the adjustment of families to alcoholism. Q J Stud Alcohol 21:679–697, 1968.
Jackson JK, Kogan KL: The search for solutions: Help-seeking patterns of families of active and inactive alcoholics. Q J Stud Alcohol 24:449–472, 1963.
Pattison EM, Coe R, Doeer H: Population variation among alcoholism treatment facilities. Int J Addict 8:199–229, 1973.
Holland R, Evenson RC, Izadi B: Characteristics of detoxication patients referred to alcoholism treatment programs. J Stud Alcohol 40:914–917, 1979.
Morton D: Agencies and Services for Alcoholics in Chicago: A Partial Inventory and Analysis (Working Paper No. 1, Community Dynamics, Social Competence and Alcoholism in Illinois Study. Project No. 839). Springfield, Illinois Department of Mental Health and Human Disabilities, 1978.
Polich JM, Armor DJ, Braiker HB: The Course of Alcoholism: Four Years After Treatment. New York, John Wiley & Sons, 1981.
Selzer M, Vinokur A, Wilson TD: A psycho-social comparison of drunken drivers and alcoholics. J Stud Alcohol 38:1294–1312, 1977.
California Department of Alcohol and Drug Programs: California Alcohol Program: Report to the Legislature: 1984. Sacramento, Health and Welfare Agency (Publication ADP-84-1), 1984.
Bell R, Warheit G, Bell R, et al: An analytic comparison of persons arrested for driving while intoxicated and alcohol detoxification patients. Alcoholism Clin Exp Res 11(3):241–249, 1978.
Filkins LD, Clark C, Rosenblatt C, et al: Alcohol Abuse and Traffic Safety: A Study of Fatalities, DWI Offenders, Alcoholics and Court Related Treatment Approaches. Final Report. Washington, US Department of Transportation, National Highway Safety Bureau (No. FH-11-6555 and FH-11-7129), 1970.
Waller J: Identification of problem drinking among drunken drivers. JAMA 200(2):124–130, 1967.
Brown R: Measurments of baseline drinking behavior in problem-drinking probationers, drinking drivers, and normal drinkers. Addict Behav 6(1):15–23, 1981.
Zeihart PF, Schurr B, Brown P: The drinker driver: Identification of high-risk alcoholics, in Israelstam S, Lambert S (eds): Alcohol, Drugs and Traffic Safety, Proceedings of the Sixth International Conference on Alcohol, Drugs and Traffic Safety. Toronto, Addiction Research Foundation, 1975, pp 181–198.
Rodwin V: Health Insurance and Alcohol Treatment Services: A Strategy for Change or a Buttress for he Status Quo? (Working paper). Berkeley, Alcohol Research Group, 1982.
Morgan P: The state as mediator: Alcohol problem management in the postwar period. Contemp Drug Problems 9:107–140, 1980.
Weisner C: The alcohol treatment system and social control: A study in institutional change. J Drug Issues 13:117–133, 1983.
Wiener C: The Politics of Alcoholism. New Brunswick, NJ, Transaction Books, 1981.
Speiglman R: Alcohol treatment and social control: Contradictions in strategies for California’s skid rows. Presented at a meeting of the International Group for Comparative Alcohol Studies, Stockholm, Sweden, 1984.
McKinlay JB: Some approaches and problems in the study of the use of services—an overview. J Health Soc Behav 13:115–152,1972.
McKinlay JB, Dutton DB: Social psychological factors affecting health service utilization, in Mushkin SJ (ed): Consumer Incentives for Health Care. New York, Prodist, 1974, pp 251–303.
Mechanic D: Correlates of physician utilization: Why do major multivariate studies of physician utilization find trivia psychosocial and organizational effects? J Health Soc Behav 20:387–397, 1979.
Aday L, Anderson RA: A framework for the study of access to medical care. Health Serv Res 9:208–220, 1974.
Bice T, Rabin DL, Starfield BH, et al: Economic class and use of physician services. Med Care 11:287–296, 1973.
Bice TW, Eichhorn RL: Socio-economic status and use of physicians’ services: A reconsideration. Med Care 12:261–271, 1972.
Suchman E: Social patterns of illness and medical care. J Health Hum Behav 6:2–16, 1965.
Anderson JS, Barkus DE: Choice of medical care: A behavioral model of health and illness behavior. J Health Soc Behav 14:348–362, 1978.
Horowitz A: The pathways into psychiatric treatment: Some differences between men and women. J Health Soc Behav 18:169–178, 1977.
Horowitz A: Social networks and pathways to psychiatric treatment. Soc Forces 56:86–105, 1977.
Greenley JR, Mechanic D: Social selection in seeking help for psychological problems. J Health Soc Behav 17:249–262, 1976.
Beckman L: Women alcoholics: A review of social and psychological studies. J Stud Alcohol 36:797–825, 1975.
Beckman L, Kocel K: The treatment delivery system and alcohol abuse in women: Social policy implications. J Soc Issues 38:139–151, 1982.
Sandmaier M: Women helping women: Opening the door to treatment. Alcohol Health Res World 2:23, 1977.
Cahill MH, Volicer BJ, Neuburger E: Female referral to employers assistance programs: The impact of specialized intervention. Drug Alcohol Depend 10:223–233, 1982.
Jackson JK: The adjustment of the family to the crisis of alcoholism. Q J Stud Alcohol 15:562–585, 1954.
Bander K, Stilwell N, Fein E, et al: Relationship of patient characteristics to program attendance by women alcoholics. J Stud Alcohol 44:318–327, 1983.
Curlee J: A comparison of male and female patients at an alcoholism treatment center. J Psychol 74:239–247, 1970.
Ames G: Maternal Alcoholism and Family Life: A Cultural Model of Research and Intervention. Ph.D. dissertation, Medical Anthropology, University of California, San Francisco, 1982.
Lindbeck VL: The woman alcoholic: A review of the literature. Int J Addict 7:567–580, 1972.
Dahlgren L, Myrhed M: Female alcoholics: Ways of admissions of the alcoholic patient. A study with special reference to the alcoholic female. Acta Psychiatr Scand 56:39–49, 1977.
Gomberg E: Alcoholism in women, in Kissin B, Begleiter H (eds): The Biology of Alcoholism (vol 4): Social Aspects of Alcoholism. New York, Plenum Press, 1976, pp 117–166.
Robinson SD: Women and alcohol abuse-factors involved in successful interventions. Int J Addict 19:601–611, 1984.
Badiet P: Women and legal drugs: A review, in McLennan A, Pinder L (eds): Women: Their Use of Alcohol and Other Legal Drugs. A Provincial Consultation. Toronto, Addiction Research Foundation, 1976, pp. 57–81.
Stokes EJ: Alcoholic Women in Treatment: Factors Associated with Patterns of Help-Seeking. Wal-tham, MA, Brandeis University, The Florence Heller Graduate School for Advanced Studies in Social Welfare (Order No. 7811010), 1977.
Wanberg KW, Knapp J: Differences in drinking symptoms and behavior of men and women alcoholics. Br J Addict 64:347–355, 1970.
Sclare AB: The female alcoholic. Br J Addict 65:99–107, 1970.
Redick RW: Utilization of Psychiatric Facilities by Persons Diagnosed with Alcohol Disorders. Bethesda, US Department of Health, Education and Welfare Analytical and Special Study Reports, Biometry Branch, Office of Program Planning and Evaluation, NIMH (MH Statistics, Series B No. 4), 1970.
Lisansky ES: The woman alcoholic. Ann Am Acad Polit Soc Sci 315:73–81,1958.
Midanik L: Alcohol problems and depressive symptoms in a national survey. Adv Alcohol Subst Abuse 2(4):9–28, 1983.
Portal House of the Chicago Committee on Alcoholism: Survey on Alcoholism. Chicago, Chicago Committee on Alcoholics, 1955.
Westermeyer J: Research on treatment of drinking problems: Importance of cultural factors. J Stud Alcohol [Suppl] 9:44–59, 1981.
Westermeyer J, Lang G: Ethnic difference in use of alcoholism facilities. Int J Addict 10:513–520, 1975.
Nathan PF, Lipson AG, Vettraino AP, et al: The social ecology of an urban clinic for alcoholism: Racial differences in treatment entry and outcome. Int J Addict 3:55–64, 1968.
Paine H: Attitudes and patterns of alcohol use among Mexican Americans: Implications for service delivery. J Stud Alcohol 38:544–553, 1977.
Rimier J, Pitts T, Winokur G: Alcoholism. II. Sex, socioeconomic status and race in two hospitalized samples. Q J Stud Alcohol 32:942–952, 1971.
Brisbane FL, Womble M: Introduction, in Brisbane FL, Womble M (eds): Treatment of Black Alcoholics. New York, Hawthorne Press, 1985 pp 1–10.
Herd D: A Review of Drinking Patterns and Alcohol Problems among U.S. Blacks. Berkeley, Alcohol Research Group, 1984.
Herd D: The epidemiology of drinking patterns and alcohol-related problems among U.S. blacks, in: NIAAA Monograph: The Epidemiology of Alcohol Use and Abuse among U.S. Minorities. Rockville, Maryland, NIAAA, 1986.
Towle LH: Alcoholism treatment outcomes in different populations, in Chafetz ME (ed): Research Treatment and Prevention: Proceedings of the Fourth Annual Alcoholism Conference of the National Institute on Alcohol Abuse and Alcoholism. Washington, NIAAA, 1974, pp 112–133.
Argeriou M: Reaching problem-drinking blacks: The unheralded potential of the drinking driver programs. Int J Addict 13:442–459, 1978.
Caetano R: Drinking patterns and alcohol problems in a national sample of U.S. Hispanics, in: NIAAA Monograph: The Epidemiology of Alcohol Use and Abuse among U.S. Minorities. Rockville, Maryland, NIAAA, 1986.
US National Institute on Alcohol Abuse and Alcoholism: State Alcohol Profile Indformation System (SAPIS) National Status Report. Rockville, Maryland, NIAAA, May 1981, pp 83–84.
US National Institute on Alcohol Abuse and Alcoholism: National Drug and Alcoholism Treatment Utilization Survey (1982) Comprehensive Report. Rockville, Maryland, NIAAA, 1983.
Castro L: Program planning for Hispanic women: One ideal model, in Arevalo R, Minor M (eds): Chicanas and Alcoholism: A Socio-Cultural Perspective of Women. San Jose, CA, School of Social Work, San Jose State University, 1982, pp 17–23.
Levy JE, Kunitz SJ: Indian Drinking: Navajo Practices and Anglo-American Theories. New York John Wiley & Sons, 1974.
Weisner T, Weibel-Orlando J, Long J: ’serious drinking,’ ‘white man’s drinking’ and ‘tee-totaling:’ Drinking levels and styles in an urban American Indian population. J Stud Alcohol 45:237–250, 1984.
Levy JE, Kunitz SJ: Economic and political factors inhibiting the use of basic research findings in Indian alcoholism programs. J Stud Alcohol [Suppl] 9:60–73, 1981.
Weibel-Orlando, J: Indian alcoholism treatment programs as flawed rites of passage. Med Anthropol Q 15:62–67, 1984.
Stratton R, Zeiner A, Paredes A: Tribal affiliation and prevalence of alcohol problems. Q J Stud Alcohol 39:1166–1177, 1980.
Topper MC: Navajo ‘alcoholism’ drinking, alcohol abuse and treatment in a changing cultural environment, in Bennett L, Ames G (eds): The American Experience with Alcohol: Contrasting Cultural Perspectives. New York, Plenum Press, 1984, pp 227–254.
Fillmore K, Kelso D: Alaskan Natives in Anglo Inpatient Alcoholism Treatment: A Clash of Cultures. Anchorage, Altam Associates (prepared for Alaska State Office of Alcoholism and Drug Abuse), 1984.
Blake N: Family Health. Minneapolis, Fairview Deaconess Hospital, 1970.
Kline JA, Roberts AC: A residential alcoholism treatment program for American Indians. Q J Stud Alcohol 34:860–868, 1973.
Shore J: Three alcohol programs for American Indians. Am J Psychiatry 128:1450–1454, 1972.
Ferguson FN: A treatment program for Navaho alcoholics; results after four years. Q J Stud Alcohol 31:898–920, 1970.
Cahalan D: Some background considerations in estimating needs for states’ services dealing with alcohol-related problems. Presented at a conference on ‘need’ methodology for formula grants, Rockville, MD, 1976.
Wiseman J: The ‘home treatment:’ The first step in trying to cope with an alcoholic husband. Family Relations 29:541–549, 1980.
US Department of Health and Human Services: Alcohol and Health, Fourth Special Report to the U.S. Congress, Washington, DHHS, 1981.
McKinlay J: Social networks, lay consultation and help-seeking behavior. Soc Forces 51:275–292, 1973.
Birkel RC, Reppucci ND: Social networks, information-seeking and the utilization of services. Am J Commun Psychol 11:185–205, 1983.
Colman M: Social networks and patterns of help-seeking behavior. Soc Sci Med 17:25–28, 1983.
Gottlieb BH, Hall A: Social network and the utilization of preventive mental health services, in Price RH, Polister PE (eds): Prevention in Mental Health. Beverly Hills, Sage Publications, 1980.
Hammer M: Influence of social networks as factors on mental health hospital admission. Hum Organization 22:243–251, 1964.
Gourash N: Help-seeking: A review of the literature. Am J Commun Psychol 6:413–423, 1978.
Talsdoff C: Social networks, support and coping: an exploratory study. Fam Proc 15:407–417, 1976.
Finlay DG: Effect of role network pressure on an alcoholic’s approach to treatment. Soc Work 11(4):71–77, 1966.
Logan DG: Getting alcoholics to treatment by social network intervention. Hosp Commun Psychiatry 34:360–361, 1983.
Favazza AR, Thompson JJ: Social networks of alcoholism: Some early findings. Alcoholism Clin Exp Res 18:9–15, 1984.
Straus R, Bacon S: Drinking in College. New Haven, Yale University Press, 1953.
Tischler GL, Henisz JE, Myers JK, et al: Utilization of mental health services: Patienthood and the prevalence of symptomatology in the community. Arch Gen Psychiatry 32:411–415, 1975.
Müller J, Brunner-Orne M: Social alienation as a factor in the acceptance of outpatient psychiatric treatment by the alcoholic. J Clin Psychol 23:517–518, 1967.
Bailey MB, Leach B: Alcoholics Anonymous, pathways to recovery. A study of 1,058 members of the AA fellowship New York City. New York, National Council on Alcoholism, 1965.
Hingson R, Mangione T, Meyers A, et al: Seeking help for drinking problems—a study in the Boston metropolitan area. J Stud Alcohol 43:273–288, 1982.
Gossop M: Drug dependence: A study of the relationship between motivational, cognitive, social and historical factors, and treatment variables. J Nerv Ment Dis 166(1):44–50, 1978.
Lang CL: Good cases—bad cases: Client selection and professional prerogative in a county mental health center. Urban Life 10:289–309, 1981.
Weisner C, Room R: Financing and ideology in human services: The alcohol treatment system as a case study. Soc Problems 32:167–184, 1984.
Miles B: Alcohol Treatment at Kaiser, Walnut Creek: An Overview. Berkeley, Alcohol Research Group, 1985.
O’Leary MR, Donovan D, Chaney E, et al: Interpersonal attractiveness and clinical decisions in alcohol treatment. Am Psychiatry 136:618–622, 1979.
Peyrot M: Caseload management: Choosing suitable clients in a county health clinic agency. Soc Problems 30:157–167, 1982.
Voegler R: The referral problem in the field of alcohol abuse. Commun Psychol 4:357–361, 1976.
Corrigan EM: Problem Drinkers Seeking Treatment. New Brunswick, NJ, Rutgers Center of Alcohol studies, 1974.
Brissonette R: The bartender as a mental health gatekeeper: A role analysis. Commun Ment Health J 13:92–99, 1977.
Mosher J: Server intervention: A new approach for preventing drinking-driving. J Accident Anal Prev 15(6):483–497, 1983.
Roizen R: Barriers to Alcoholism Treatment. Berkeley, Alcohol Research Group, 1977.
Mulford H, Miller DE: An index of alcoholic drinking behavior related to the meanings of alcohol. J Health Hum Behav 1:26–31, 1961.
Becker MH, Haefner DP, Kasl SV, et al: Selected psychosocial models and correlates of individual health-related behaviors. Med Care 15:27–46, 1977.
Babignan HM: The impact of community mental health centers on the utilization of services. Arch Gen Psychiatry 34:385–394, 1977.
Anderson R, Anderson OW: A Decade of Health Services. Chicago, University of Chicago Press, 1967.
Anderson R, Benham L: Factors affecting the relationship between family income and medical care consumption, in Klarman HE (ed): Empirical Studies in Health Economics. Baltimore, The John Hopkins Press, 1970, pp 73–95.
Greenlick MR, et al: Comparing the use of medical care services by a medically indigent and a general membership population in a comprehensive prepaid group practice program. Presented at the Annual Meeting of the American Public Health Association, October, 1970.
Anderson O, Anderson R: Patterns of use of health services, in Freeman H, Levine S, Reeder LG, et al (eds): Handbook of Medical Sociology (ed 2). Englewood Cliffs, Prentice-Hall, 1972, pp 386–106.
Bice TW, White KL: Cross-national comparative research on the utilization of medical services. Med Care 9:253–271, 1971.
Anderson OW: The utilization of health services, in Freeman H, Levine S, Reeder LG, et al (eds): Handbook of Medical Sociology. Englewood Cliffs, Prentice-Hall, 1963.
Pringle GH: Impact of the criminal justice system on the substance abusers seeking professional help. J Drug Issues 12:275–283, 1982.
Baekeland FL, Lundwall LK: Engaging the alcoholic in treatment and keeping him there, in Kissin B, Begleiter H (eds): The Biology of Alcoholism Treatment and Rehabilitation of the Chronic Alcoholic (vol 5). New York, Plenum Press, 1977, pp 161–195.
Murphy HBM: Hidden barriers to the diagnosis and treatment of alcoholism and other alcohol misuse. J Stud Alcohol 41:417–428, 1980.
Demone HW: Experiments in referral to alcoholism clinics. Q J Stud Alcohol 24:495–502, 1963.
Jones RW, Helrich AR: Treatment of alcoholism by physicians in private practice. A national survey. Q J Stud Alcohol 33:117–131, 1972.
Krause MS, Ransohoff DJ, Cohen P: Promoting possible alcoholism referrals. Commun Ment Health 4:13–16, 1968.
Gomberg E: Alcoholism and women: State of the knowledge today. Paper presented at the National Alcoholism Forum in Milwaukee, WI, 1975.
Fraser W: The alcoholic woman: Attitudes and perspectives, in McLennan A, Pinder L (eds): Women: Their Use of Alcohol and Other Legal Drugs. A Provincial Consulation. Toronto, Addiction Research Foundation, 1976, pp 45–56.
Fitzgerald JL, Mulford HA: Social attributes, problem drinking and alcoholism treatment contacts. J Stud Alcohol 42:403–413, 1981.
Morgan P: The role of alcohol in domestic violence. Presented at a Joint Session of the Society for the Study of Social Problems and Sociologists for Women in Society in New York, NY in August, 1980.
Aarens M, Cameron T, Roizen R, et al: Alcohol, Casualties and Crime. Berkeley, Social Research Group, 1977.
US National Institute on Alcohol Abuse and Alcoholism: Comprehensive Report, Data from the September 30, 1982 National Drug and Alcoholism Treatment Utilization Survey (NDATUS). Rockville, MD, NIAAA, 1983.
Plaut T: The state alcoholism program movement: A critical analysis, in: Selected Papers Presented at the Fifteenth Annual Meeting, North American Association of Alcoholism Programs. Washington, NAAAP, 1964, pp 74–93.
Luks A: Compulsory treatment for alcoholics. America June 19, 1982.
Bewley T: Treatment of compulsorily detained alcoholics. Br J Addict 62:241–247, 1967.
Fagan R, Fagan N: The impact of legal coercion in the treatment of alcoholism. J Drug Issues 12:103–114, 1982.
Finlay DG: Helping alcoholic clients. Alcohol Health Res World, Summer:20–23, 1975.
Heyman MM: Referral to alcoholism programs in industry: Coercion, confrontation and choice. J Stud Alcohol 37:900–907, 1976.
Lemere F, O’Hollaren P, Maxwell MA: Motivation and treatment of alcoholism. Q J Stud Alcohol 19:428–431, 1958.
Brill L: Some comments on the paper’ social control in therapeutic communities’ by Dan Waldorf. Int J Addict 6:45–50, 1971.
Talagrand RC: Diversion of substance abuse offenders: An alternative approach for the criminal justice system. J Alcohol Drug Educ 23:1–11, 1978.
Speiglman R, Weisner C: Accommodation to coercion: Changes in alcoholism treatment paradigms. Presented at the Annual Meeting of the Society for the Study of Social problems in San Francisco, CA in September, 1982.
Conrad P, Schneider J: Deviance and Medicalization: From Badness to Sickness. St Louis, CV Mosby, 1980.
Lidz CW, Walker AL: Theraputic control of heroin. Differentiating legal and psychiatric controls. Social Inquiry 47:294–321, 1977.
Gould L, Namenwirth Z: Contrary objectives: Crime control and the rehabilitation of criminals, in Douglas J (ed): Crime and Justice in American Society. Indianapolis, Bobbs-Merrill, 1972, pp 237–267.
Matza D: Delinquency and Drift. New York, John Wiley & Sons, 1964.
Kittrie N: The right to be Different: Deviance and Enforced Therapy. Baltimore, Johns Hopkins Press, 1971.
Horowitz A: The Social Control of Mental Illness. New York, Academic Press, 1968.
Ingleby D: Understanding ‘mental illness,’ in Ingleby D (ed): Critical Psychiatry: The Politics of Mental Health. New York, Pantheon books, 1980, pp 23–71.
Starr P: The Social Transformation of American Medicine. New York, Basic Books, 1982.
Conrad P: On the medicalization of deviance and social control, in Ingleby D (ed): Critical Psychiatry: The Politics of Mental Health. New York, Pantheon Books, 1980, pp 102–119.
Monahan J: The psychiatrization of criminal behavior, in Monahan J (ed): Community Mental Health and the Criminal Justice System. New York, Peramon Press, 1976, pp 305–312.
Scull A: A new trade in lunacy. Am Behav Sci 24:741–751, 1981.
Kassis RL: Drug rehabiliation: Is a separate drug court the answer? Pacific Law J 3:595, 1972.
Kleeman JN, Posner AK: The comprehensive drug rehabilitation and treatment act: Treatment in lieu of prosecution. Mass Law Q 56:171, 1971.
Rafalsky T: The addicted client: Rehabilitation as a defense strategy and the role of the attorney in the rehabilitation process. Contemp Drug Problems 1:399, 1972.
Aiken RF, Weiner S: The interface of mental health and judicial systems: Early impressions of an ASAP-related treatment effort, in Chafetz ME (ed): Proceedings of the Third Annual Alcoholism Conference of the National Institute on Alcohol Abuse and Alcoholism. Washington, DHEW, 1974, pp 292–301.
Van Dusen KT: Net widening and relabeling. Am Behav Sci 24:801–810, 1981.
Mayer J: Initial alcoholism clinic attendance of patients with legal referrals. Q J Stud Alcohol 33:814–816, 1972.
Dunham R: The role of legal stigmatization in the enhancement of treatment goals for problem drinkers. Deviant Behav 4:257–266, 1983.
Hedin C: A Statistical Report on Albuquerque Area Alcoholism Treatment Program Activities and an Overview of the Problems Related to Indian Substance Abuse. Albuquerque, Indian Health Service, Area Alcoholism Programs, Albuquerque Area, 1983.
Mecca A: A state of the art assessment of the treatment alternatives to street crime programs. Dr. PH dissertation, School of Public Health, Berkeley, 1975.
Roman PM, Trice HM: Alcoholism and problem drinking as social roles: The effects of constructive coercion. Presented at the Meeting of the Society for the Study of Social Problems in San Francisco in August, 1967.
Trice HM: Alcoholism in America, New York, McGraw-Hill, 1966.
Hurwitz JI, Lelos D; A multilevel interpersonal profile of employed alcoholics. Q J Stud Alcohol 29:64–76, 1968.
Trice H, Beyer J: The Design Implementation of Job-Based Alcoholism Programs: Constructive Confrontation. Buffalo, State University of New York, 1980.
Trice HM, Beyer J: Social control in worksettings: Using the constructive confrontation strategy with problem-drinking employees. J Drug Issues 12:21–49, 1982.
Peyrot M: Coerced voluntarism—the micropolitics of drug treatment. Urban Life 13:343–365, 1985.
Chopra KS, Preston DA, Gerson LW: The effect of constructive coercion on the rehabilitative process. J Occup Med 21:749–761, 1979.
Liepman MR, Wolper B, Vazquez J: An Ecological Approach for Motivating Women to Accept Treatment for Drug Dependency. Treatment Research Monograph Series: Treatment Services for Drug Dependent Women. Washington, NIDA (ADM 82-219), 1982, pp 1–61.
Walker K, Shain M: Employee assistance programming: In search of effective interventions for the problem-drinking employee. Br J Addict 78:291–303, 1983.
Smart RG: Employed alcoholics treated voluntarily and under constructive coercion. Q J Stud Alcohol 35:196–209, 1974.
Johnson VE: I’ll Quit Tomorrow. New York, Harper & Row, 1973.
Margolis M, Krystal H, Siegal S: Psychotherapy with alcoholic offenders. Q J Stud Alcohol 25:85–99, 1964.
Jackson JK, Fagan RJ, Burr RC: The Seattle Police Department rehabilitation project for chronic offenders. Fed Probation XXII:36–41, 1958.
Maier RA, Fox V: Forced therapy of probated alcoholics. Med Times 86:1051–1054, 1958.
Gallant D, Faulkner M, Stoy D, et al: Enforced clinic treatment of paroled criminal alcoholics. Q J Stud Alcohol 25:77–83, 1968.
Schuerman A, Pearman E, Glass L: A study of 54 compulsory referrals to a county alcoholism rehabilitation clinic. Calif Alcoholism Rev Treat Dig 4:13–15, 1961.
Flores PJ: The efficacy of the use of coercion in getting DWI offenders into treatment. J Alcohol Drug Educ 28:18–27, 1982.
Ditman KS, Crawford GG: The use of court probation in the management of the alcoholic addict. Am J Psychiatry 122:757–762, 1966.
Stern MW, Pittman DJ: Concept of motivation: Sources of institutional and professional blockage in the treatment of alcoholics. Q J Stud Alcohol 26:41–57, 1965.
Moore RA, Buchanan TK: State hospitals and alcoholism and nationwide survey treatment techniques and results. Q J Stud Alcohol 27:459–468, 1966.
Krimmel HE: Alcoholism: Challenge for Social Work Education. New York, Council on Social Work Education, 1971, p 215.
Freedberg EJ, Johnston WE: Effects of various sources of coercion on outcome of treatment of alcoholism. Psychol Rep 43:1271–1278, 1978.
Room R: Alcohol as a cause: Empirical links and social definitions, in von Wartburg JB, Magnenat P, Müller R, et al (eds): Currents in Alcohol Research and the Prevention of Alcohol Problems. Berne, Stuttgart, Toronto, Hans Huber, 1985, pp 11–19.
Straus R: Community surveys: Their aims and techniques; with special reference to problems of alcoholism. QJ Stud Alcohol 13:254–270, 1952.
Keller M: Reviews of community survey studies. Q J Stud Alcohol 16:379–384, 1954.
Community Studies, Inc: Alcoholism Survey, State of Kansas. Kansas City, MO, Community Studies, 1954.
Gibbins RJ: Alcoholism in Ontario: A survey of an Ontario county. Q J Stud Alcohol 15:47–60, 1954.
Newman AF: Frontenac County Survey: The Alcoholic Population (ARF Substudy 2-N-64). Toronto, Addiction Research Foundation, 1964.
Pittman DJ, Sterne MW: A Survey of Existing Community Attitudes and Resources in the Area of Alcoholism in Metropolitan St. Louis. Preliminary Report. St. Louis, Division of Alcoholic Rehabilitation, 1962.
Mulford H: Alcohol and Alcoholics in Iowa 1965. Iowa City, Iowa State Mental Health Authority, 1965.
Zax M, Gardner EA, Hart WT: A survey of the prevalence of alcoholism in Monroe County, NY, 1961. Q J Stud Alcohol 28:316–327, 1967.
Dorsch G, Talley R, Bynder H: Response to alcoholics by the helping professions and community agencies in Denver. Q J Stud Alcohol 30:905–919, 1969.
Cook I, Holder HD: Alcoholism in Wake County: A Base Line Study with Initial Planning. Raleigh, NC, Institute of Human Ecology, 1973.
Cutler R, Storm T: Drinking Practices in Three British Columbia Cities. Vancouver, Alcoholism Foundation of British Columbia, 1972.
Beigel A, Hunter EJ, Tamerin J, et al: Planning for the development of comprehensive community alcoholism services: I. The prevalence survey. Am J Psychol 131:1112–1115, 1974.
Ferrence RG, Rush BR, Murdock WL: Services for Alcoholics: A Study of Medical and Social Service Facilities in the Lake Erie Region. Toronto, Addiction Research Foundation, 1980.
Rush B, Timney C: The Identification and Assessment of Alcohol-Related Problems in Health and Social Service Agencies (ARF Substudy 1217). Toronto, Addiction Research Foundation, 1982.
Weisner C: Community Response to Alcohol-Related Problems: A Study of Treatment Providers’ Perceptions. Berkeley, Alcohol Research Group, 1982.
Shimkin DB, Thompson RW, Rodin MB: Community Dynamics, Social Competence and Alcoholism in Illinois (Project No. 839). Urbana, IL, Department of Anthropology, University of Illinois and School of Public Health, University of Illinois Medical Center, 1979.
Calderon G, Campillo-Serrano C, Suarez C, et al: Community Response to Alcohol-Related Problems: Report on Mexico, Phase I of the Community Response to Alcohol-Related Problems. Mexico City, Mexican Institute of Psychiatry, 1981.
Ritson EB, deRoumanie M, Kendrick S: Community Response to Alcohol-Related Problems. Report on Scotland. Edinburgh, Department of Psychiatry, University of Edinburgh, 1980.
Haworth A, Mwanalushi M, Todd D: Community Response to Alcohol-Related Problems in Zambia. Lusaka, Institute for African Studies, 1981.
Rootman I, Mosher J: Community Response to Alcohol-Related Problems, WHO Project Monograph, Washington, NIAAA, DHHS (ADM) 85–1371, 1984.
Paredes A (ed): The American Services Delivery System. San Francisco, Jossey-Bass, 1968.
Bogue DJ: Skid Row in American Cities. Chicago, Community and Family Study Center, University of Chicago, 1963.
Wiseman J: Stations of the Lost. Englewood Cliffs, NJ, Prentice Hall, 1970.
BLumberg L, Shipley T, Shandler I: Skid Row and Its Alternatives: Research and Recommendations from Philadelphia. Philadelphia, Temple University Press, 1973.
Newman J, et al: Alcoholism Treatment Networks and Ideologies. Final Report. Pittsburgh, University of Pittsburgh, 1974.
Wynne RD: The’ state of the Art’ in Community Planning for Alcoholism Services. Washington, Wynne Associates, 1975.
Glaser FB, Greenberg SW, Barrett M: A Systems Approach to Alcohol Treatment. Toronto, Addiction Research Foundation, 1978.
Hunter G: A comparative study of problem drinkers in selected social agencies, in: Proceedings of the 28th International Congress on Alcohol and Alcoholism (vol 1). Washington, DC, ICAA, 1968, abstr. T13, p 85.
Jones KR, Vischi T: Impact of alcohol drug abuse and mental health treatment on medical care utilization: A review of the research literature. Med Care 17(Suppl), 1979.
Mökelä K, Room R, Single E, et al: Alcohol, Society and the State: I. A Comparative Study of Alcohol Control. Toronto, Addiction Research Foundation, 1981.
Giesbrecht N, Cahannes M, Moskalewicz J, et al (eds): Consequences of Drinking: Trends in Alcohol Problems Statistics in Seven Countries. Toronto, Addiction Research Foundation, 1983.
Freed EX: Alcoholism and schizophrenia: The search for perspectives. J Stud Alcohol 36:853–381, 1975.
Bahn AK, Chandler CA: Alcoholism in psychiatric clinic patients. Q J Stud Alcohol 22:411–417, 1961.
McCourt WF, Williams AF, Schneider L: Incidence of alcoholism in a state mental hospital population. Q J Stud Alcohol 32:1085–1088, 1971.
Bachrach L: Characteristics of Diagnosed and Missed Alcoholic Male Admissions to State and County Mental Hospitals 1972. Washington, NIMH (Mental Health Statistical Note No. 124), 1976.
Mayfield DG, Fowler DR: Diagnosed and undiagnosed alcoholism: Excessive drinking in patients referred to psychiatrists. Proceedings of the 28th International Congress of Alcohol and Alcoholism (vol 1). Washington, ICAA, 1968, abstr R15, pp 68-69.
Alterman A, Erdlen F, Murphy E: Alcohol abuse in the psychiatric hospital population. Addict Behav 6:69–73, 1981.
O’Farrell TJ, Connors GJ, Upper D: Addictive behaviors among hospitalized psychiatric patients. Addict Behav 8:329–333, 1983.
Zung BJ: Screening alcohol problems in psychiatric inpatients. Psychiatr Forum 11:32–37, 1982.
Rodgerson MJ, Wiseman BL, Ford WE: Rate of alcoholism diagnoses in community mental health centers: The effect of the presence of an alcoholism treatment program, in Galanter M (ed): Currents in Alcoholism (vol 7). New York, Grune & Stratton, 1980, pp 149–159.
Harwood H, Napolitano DM, Kristiansen PL, et al: Economic Costs to Society of Alcohol and Drug Abuse and Mental Illness: 1980. Research Triangle Park, NC, Research Triangle Institute, 1984.
Roizen J: Estimating alcohol involvement in serious events, in: Alcohol Consumption and Related Problems. Washington, US Government Printing Office, Alcohol and Health Monograph I. DHHS Publication No. (ADM) 82-1190, 1982, pp 179–219.
Wechsler H, Kasey EH, Thum D, et al: Alcohol level and home accidents. Public Health Rep 84:1043–1050, 1969.
Stephens C: Alcohol consumption and emergency room admissions: The role of alcohol in serious events. Presented at the annual meeting of the American Public Health Association, Washington, DC, 1985.
McIntosh ID: Alcohol-related disabilities in general hospital patients: A critical assessment of the evidence. Int J Addict 17:609–639, 1982.
Taugher DF: Trial of routine admission blood alcohol in a community hospital, in Seixas F (ed): Currents in Alcoholism (vol 1). New York, Grune & Stratton, 1977, pp 462–466.
Wilkins RH: The Hidden Alcoholic in General Practice: A Method of Detection Using a Questionnaire. London, Elek Science, 1974.
Leckman AL, Umland BE, Blay M: Alcoholism in the families of family practice outpatients. J Family Pract 19:205–207, 1984.
Leckman AI, Umland BE, Blay M: Prevalence of alcoholism in a family practice center. J Family Pract 18:867–870, 1984.
Klatsky AL, Friedman GD, Siegelaub AB, et al: Alcohol consumption among white, black or oriental men and women: Kaiser-Permanente Multiphasic Health Examination data. Am J Epidemiol 105:311–323, 1977.
Boyajy TG, Adams KM: Alcoholism Treatment Programs within Prepaid Group Practice HMOs: An Update. Washington, Group Health Association of America, 1980.
Carroll JFX, Malloy TE, Kenrick FM: Alcohol abuse by drug-dependent persons: A literature review and evaluation. Am J Drug Alcohol Abuse 4:293–315, 1977.
Kaufman E: The relationship of alcoholism and alcohol abuse to the abuse of other drugs. Am J Alcohol Abuse 9:1–17, 1982.
Croughan JL, Miller JP, Whitman BY, et al: Alcoholism and drug dependence in narcotic addicts: A prospective study with a five-year follow-up. Am J Drug Alcohol Abuse 8:85–94, 1981.
Ginzburg HM: Substance substitution: Do methadone maintenance patients become alcoholics? in Seixas F (ed): Currents in Alcoholism (vol 2). New York, Grune & Stratton, 1977, pp 253–267.
Simpson D, Lloyd D, Lloyd MR: Alcohol use following treatment for drug addiction. J Stud Alcohol 42:323–335, 1981.
Room R: Alcohol and crime: Behavioral aspects, in Kadish S (ed): Encyclopedia of Crime and Justice (vol 1). New York, The Free Press, 1983, pp 35–44.
Greenberg SW: Alcohol and crime. A methodological critique of the literature, in Collins JJ (ed): Drinking and Crime. New York, London, Guildford Press, 1981, pp 70–109.
Ehline D, Tighe PO: Alcoholism: Early identification and intervention in the social service agency. Child Welfare 56:584–592, 1977.
Cook D, Fewell C, Riolo J (eds): Social Work Treatment of Alcohol Problems. New Brunswick, NJ, Rutgers Center of Alcohol Studies, 1983.
Hunter G: Alcoholism and the family agency: With particular reference to early phase and hidden types. Q J Stud Alcohol 24:61–79, 1963.
Plaut TF: The Communities’ Alcoholism Caretaking Structures: Programs, Agencies and Policies. Treatment Methods and Milieus in Social Work with Alcoholics. Conference Proceedings, December 3–5, 1965. Berkeley, University of California, Social Work Extension, 1966, pp 15–29.
Brown HH: What about ‘general relief? Tax Dig 29:82–84, 95-99, 1951.
California State Department of Social Welfare: Minutes of the ATD Advisory Committee, July 24, 1962. Sacramento, California State Archives, Office of the Secretary of State, 1962.
California State Welfare Study Commission: Final Report. Sacramento, Department of Social Welfare, 1963.
California State Department of Social Welfare: Memorandum from Leon Lefson to Arthur C. Hollister, Jr, October 2, 1967 (privately held).
California State Department of Social Welfare: Minutes of the ATD Advisory Committee, March 13, 1964. Sacramento, California State Archives, Office of the Secretary of State, 1964.
Main TH: The homeless of New York. Public Interest 72:3–28, 1983.
Mökelä K: What can medicine properly take on? in Grant M (ed): Alcohol Treatment in Transition. London, Croom Helm, 1980.
Mökelä K, Room R: Rights of the drunkard. Alcoholism Clin Exp Res 9(1):2–5, 1985.
Weisner C: Social policy and institutional stability: Factors affecting access to care. J Public Health Policy 7(1):78–92, 1986.
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Weisner, C. (1987). The Social Ecology of Alcohol Treatment in the United States. In: Galanter, M. (eds) Recent Developments in Alcoholism. Recent Developments in Alcoholism, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1684-6_8
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