Alcohol policies reflect conflicting ideological, social, health, and commercial agendas. Sober Reflections describes the development of alcohol policies at the national level and in Alberta, Quebec, and Ontario between 1980 and 2000. Using qualitative research methods, the essays examine the roles of key players, including governments, NGOs, public health advocates, and representatives of the alcohol industry. The contributors base their incisive papers on interviews with representatives from public health and the government, lobbyists, researchers, media, and those in the alcohol industries, as well as an analysis of government documents, newspaper accounts, and official statistics.

The authors show how and why alcohol and violence are so often linked today.

According to the United States Public Health Service, over 100,000 deaths a year are attributable to alcohol, including 20,000 highway fatalities. In response, legislatures have enacted various forms of regulation intended both to reduce alcohol consumption and to curb its harmful effects. This groundbreaking study focuses on one such form of regulation, the liability imposed on alcohol servers and social hosts by tort law. Basing their analysis on important new data from their extensive research and in-depth interviews with actors on all sides of the issue, the authors conclude that, despite their relative unpopularity, tort laws are very effective in reducing accidents—even more than criminal sanctions. Extraordinary in scope and exacting in detail, Drinkers, Drivers, and Bartenders: Balancing Private Choices and Public Accountability links alcohol problems, deterrence, and serving practices in a way no other work has been able to do and is certain to become a crucial reference point for researchers and policymakers alike.

It is generally acknowledged that the most cost-effective means of curtailing alcohol and drug abuse is prevention. Providing interventions to at-risk individuals before they develop serious problems with substance use is the most important component of the "war on drugs." Fortunately, the past decade has seen a dramatic increase in the quantity and quality of scientific research on those areas crucial to the advancement of prevention science. This book compiles a tremendous amount of information about prevention which has accumulated in recent years. Documenting these accomplishments and setting the stage for future efforts comprise the focus of this book. Prevention and Societal Impact of Drug and Alcohol Abuse is divided into four parts. Part I contains introductory chapters addressing current issues in prevention science and characteristics of abusable substances. Part II includes chapters on the historical contexts of substance abuse and the deleterious health consequences of alcohol and other drugs. Part III focuses on the impact of drug and alcohol abuse on society. Included are chapters on alcohol and drug abuse and driving, infectious illness, disability, managed care, the criminal justice system and adolescents and adults, sale and distribution, the media, and community responses. Part IV consists of chapters on prevention in specific settings and with certain populations.