This paper presents the findings and lessons from a community preventi
on trial involving three experimental communities in the United States
to reduce alcohol-involved trauma. The paper provides recommendations
for other community prevention efforts. Effectiveness was demonstrate
d by: (a) 78 fewer alcohol-involved traffic crashes as a result of the
Drinking and Driving Component alone (approximately a 10% reduction);
(b) a significant reduction in underage sales of alcohol, ie. off-pre
mise outlets sold to miners about one-half as often as in comparison c
ommunities; (c) increased implementation of responsible beverage servi
ce policies by bars and restaurants; and (d) increased adaption of loc
al ordinances and regulations to reduce concentrations of alcohol outl
ets.