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.

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This latest installment in the renowned series explores the organizational issues around the access and delivery of substance abuse treatment and the role of managed care. In 20 chapters by recognized experts important issues are addressed, such as: economics, cost-benefits, financing of services, and treatment outcome studies. br/ This volume will be of great value to both researchers and clinicians.

Inhalt
The Organization of Service Delivery.- Overview.- Organizational and Financial Issues in the Delivery of Substance Abuse Treatment Services.- The Organization of Substance Abuse Managed Care.- Effects of Managed Care on Programs and Practices for the Treatment of Alcohol and Drug Dependence.- Linking Clients to Clinical and Social Services.- Access to Alcohol Treatment in the 21st Century Old Worries and New Optimism.- Overview.- Rethinking Access to Alcohol Treatment.- Access to Services in the Substance Abuse Treatment System.- Patient Placement Criteria and Their Relation to Access to Appropriate Level of Care and Engagement in Alcoholism Treatment.- Access to Substance Abuse Services in Rural Areas.- The Role of Health Economics in Substance Abuse Research Recent Advances and Future Opportunities.- Overview.- Economic Evaluation of Alcohol Treatment Services.- Financing of Substance Abuse Treatment Services.- Using Cost and Financing Instruments for Economic Evaluation of Substance Abuse Treatment Services.- Alcoholism Treatment in Managed Private Sector Plans.- Problem Drinking, Health Services Utilization, and the Cost of Medical Care.- The Outcome of Treatment.- Overview.- Outcomes of Alcohol Treatment for Adolescents.- Family-Involved Alcoholism Treatment An Update.- The Role of Continuing Care in Outpatient Alcohol Treatment Programs.- A Comparative, Process-Effectiveness Evaluation of VA Substance Abuse Treatment.- Screening and Brief Interventions for Alcohol Use Disorders in Managed Care Settings.- Report of the American Society of Addiction Medicine.- The Impact of Managed Care on Substance Abuse Treatment: A Problem in Need of Solution.