The effectiveness of alcohol abuse programs, whether to treat or to prevent
, is of major importance to health services research. Demonstrating effecti
veness has been appropriate to establish a sound scientific basis for these
programs and to increase public acceptance. Analysis of the costs of preve
ntion efforts in terms of their demonstrated effectiveness in reducing heal
th services demand also is essential. In the end, health services policy de
liberations are optimally based on what effect is delivered for the cost of
the service, not simply on a determination of which service is the most ef
fective. However, in a time scarce resources prevention should be studied w
ith the same rigor as treatment in order to determine the best return on in
vestment.