The authors performed a retrospective analysis of medical records and
death certificates for 99 consecutive patients who had an alcohol-rela
ted medical problem that prompted a petition for court-ordered alcohol
treatment. Ninety percent voluntarily participated in initial evaluat
ion. Two appeared to be alcohol-free 6 months after treatment. The num
ber of alcohol-related hospital visits was not different before and af
ter intervention. Death certificates revealed that at least 12% of the
patients had died within 2 years of the petition. Court-ordered alcoh
ol treatment for patients for serious medical sequelae of alcoholism d
oes not appear to be successful.