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Social and Behavioral Sciences Commons™
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Articles 1 - 30 of 36
Full-Text Articles in Social and Behavioral Sciences
Investigating The Effects Of Alcohol Consumption On Manual And Automated Driving: A Systematic Review, Miaomiao Dong, Yuni Lee, Jackie Cha, Gaojian Huang
Investigating The Effects Of Alcohol Consumption On Manual And Automated Driving: A Systematic Review, Miaomiao Dong, Yuni Lee, Jackie Cha, Gaojian Huang
Mineta Transportation Institute Publications
There are direct correlations between drunk driving and car-related injuries, disabilities, and death. Autonomous vehicles (AVs) may provide useful driver support systems to prevent or reduce road accidents. However, AVs are not yet fully automated and require human drivers to take over the vehicle at times. Therefore, understanding how alcohol affects driving performance in both manual and automated driving is important because manual drives may offer insights into the takeover process in AVs. A systematic review of 53 articles from eight databases was conducted. Findings were categorized based on the human information processing model, which can be extended to the …
Covid-19 Has Strengthened The Relationship Between Alcohol Consumption And Domestic Violence, Monica Deza, Aaron Chalfin, Shooshan Danagoulian
Covid-19 Has Strengthened The Relationship Between Alcohol Consumption And Domestic Violence, Monica Deza, Aaron Chalfin, Shooshan Danagoulian
Center for Policy Research
A large body of evidence documents a link between alcohol consumption and violence involving intimate partners and close family members. Recent scholarship suggests that since the onset of the COVID-19 pandemic and subsequent stay-at-home orders, there has been a marked increase in domestic violence. This research considers an important mechanism behind the increase in domestic violence during the COVID-19 pandemic: an increase in the riskiness of alcohol consumption. We combine 911 call data with newly available high-resolution microdata on visits to bars and liquor stores in Detroit, MI and find that the strength of the relationship between visits to alcohol …
Unemployment, Alcohol, And Tobacco Use: Separating State Dependence From Unobserved Heterogeneity, Monica Deza
Unemployment, Alcohol, And Tobacco Use: Separating State Dependence From Unobserved Heterogeneity, Monica Deza
Center for Policy Research
Previous literature presents mixed evidence on the effect of alcohol consumption on labor market outcomes. On one hand, heavy alcohol consumption has been shown to have detrimental effects on labor market outcomes. On the other hand, moderate consumption is positively associated with wages and employment. Despite substantial reduced form evidence, previous literature has not been able to separately identify the causal pathways linking moderate versus heavy alcohol use to labor market performance due to the lack of natural experiments that only target moderate versus heavy drinking, as well as limitations of available structural methods that model state dependence and unobserved …
Girls Just Want To Be Safe: An Analysis Of Drugged Drinking And Prevention Amongst Students At The University Of South Carolina, C. Gray Forsberg
Girls Just Want To Be Safe: An Analysis Of Drugged Drinking And Prevention Amongst Students At The University Of South Carolina, C. Gray Forsberg
Senior Theses
Drink-spiking has become a well-known phenomenon since the turn of the century, especially on college campuses in the United States. Drink-spiking or drugging can be defined as “adding alcohol or drugs into someone’s drink without their knowledge or permission” (Alcohol and Drug Foundation, 2006). Drink-spiking is not just relevant to the concern of an illicit substance being placed into an alcoholic drink, but adding additional alcohol to drinks or adding alcohol or drugs to non-alcoholic drinks is considered drugging as well. This study collected data through a survey sent to 250 current students at the University of South Carolina regarding …
Review Of Alcohol And Drug Treatment For Aboriginal And Torres Strait Islander Peoples, Marguerite Tracy, Bradley Freeburn, Kylie Lee, Julie Woods, Kate Conigrave
Review Of Alcohol And Drug Treatment For Aboriginal And Torres Strait Islander Peoples, Marguerite Tracy, Bradley Freeburn, Kylie Lee, Julie Woods, Kate Conigrave
Journal of the Australian Indigenous HealthInfoNet
This review provides an overview of treatments for problem alcohol and other drug (AOD) use for Aboriginal and Torres Strait Islander people. It includes information on the available research and discusses core principles for providing treatment. The review outlines how effective mainstream treatment approaches can be adapted to be more suitable for Aboriginal and Torres Strait Islander ways of being or worldview. It also highlights that services, such as those offered by Aboriginal community controlled health organisations are in a unique position to offer culturally secure treatment approaches. The barriers to accessing treatment are discussed as well as recommendations for …
Impact Of The Policy Environment On Substance Use Among Sexual Minority Women, Laurie A. Drabble, Cat Munroe, Amy A. Mericle, Sarah Zollweg, Karen F. Trocki, Katherine J. Karriker-Jaffe
Impact Of The Policy Environment On Substance Use Among Sexual Minority Women, Laurie A. Drabble, Cat Munroe, Amy A. Mericle, Sarah Zollweg, Karen F. Trocki, Katherine J. Karriker-Jaffe
Faculty Research, Scholarly, and Creative Activity
Background: Sexual minority women (SMW) are at greater risk for heavy episodic drinking, frequent marijuana use, and tobacco use than heterosexual women. Because past research has suggested the political and social environment may influence disparities in substance use by sexual orientation, this study examined associations of the U.S. state-level policy environment on substance use by SMW.
Methods: A total of 732 SMW participants were recruited from two national online panels: a general population panel (n = 333) and a sexual minority-specific panel (n = 399). Past year substance use was defined by number of days of heavy episodic drinking (HED; …
Why Can't Homeless Addicts Get Help Too, Rachael D. Causland
Why Can't Homeless Addicts Get Help Too, Rachael D. Causland
English Department: Research for Change - Wicked Problems in Our World
Homeless people today struggle more with addiction than people who have stability in their life. Whether it’s due to financial issues, or not having a support system, homeless people struggle to get the help they need for both their addiction and their homelessness. A high number of homeless people report to have started an addiction since being homeless, and they do so to stay alive, in turn people are continuing to stay homeless and many of these people are dying of overdoses or just staying stuck in the situation they are forced to deal with alone. There are some states …
Dress Code, Joe Maslanka
Dress Code, Joe Maslanka
Mighty Pen Project Anthology & Archive
A former Marine struggles to find his place in the civilian world.
Articles, stories, and other compositions in this archive were written by participants in the Mighty Pen Project. The program, developed by author David L. Robbins, and in partnership with Virginia Commonwealth University and the Virginia War Memorial in Richmond, Virginia, offers veterans and their family members a customized twelve-week writing class, free of charge. The program encourages, supports, and assists participants in sharing their stories and experiences of military experience so both writer and audience may benefit.
Influences On University Staff Members Responsible For Implementation Of Alcohol-Control Policies, Glenn A. Cochran
Influences On University Staff Members Responsible For Implementation Of Alcohol-Control Policies, Glenn A. Cochran
Graduate Doctoral Dissertations
Excessive college student drinking is a complex problem associated with a range of consequences including deaths, injuries, damage, health risks, legal difficulties, and academic problems. State governing boards, trustees and executives have enacted policies aimed at reducing the negative effects of excessive drinking. This study examined influences on university staff members responsible for implementation of alcohol-control policies. Deeper understanding of factors influencing alcohol-control policy implementation may help leaders improve policy making, implementation and attainment of policy objectives.
This mixed methods study utilized a sequential transformative mixed methods strategy with a quantitative survey, sequenced first, informing the prioritized qualitative multiple case …
Alcohol Consumption And Breast Tumor Gene Expression, Jun Wang, Yujing J. Heng, A. Heather Eliassen, Rull M. Tamimi, Aditi Hazra, Vincent J. Carey, Christine B. Ambrosone, Victor P. De Andrade, Adam Brufsky, Fergus J. Couch, Tari A. King, Francesmary Modugno, Celine M. Vachon, David J. Hunter, Andrew H. Beck, Susan E. Hankinson
Alcohol Consumption And Breast Tumor Gene Expression, Jun Wang, Yujing J. Heng, A. Heather Eliassen, Rull M. Tamimi, Aditi Hazra, Vincent J. Carey, Christine B. Ambrosone, Victor P. De Andrade, Adam Brufsky, Fergus J. Couch, Tari A. King, Francesmary Modugno, Celine M. Vachon, David J. Hunter, Andrew H. Beck, Susan E. Hankinson
Biostatistics and Epidemiology Faculty Publications Series
Background
Alcohol consumption is an established risk factor for breast cancer and the association generally appears stronger among estrogen receptor (ER)-positive tumors. However, the biological mechanisms underlying this association are not completely understood.
Methods
We analyzed messenger RNA (mRNA) microarray data from both invasive breast tumors (N = 602) and tumor-adjacent normal tissues (N = 508) from participants diagnosed with breast cancer in the Nurses’ Health Study (NHS) and NHSII. Multivariable linear regression, controlling for other known breast cancer risk factors, was used to identify differentially expressed genes by pre-diagnostic alcohol intake. For pathway analysis, we performed gene …
Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton
Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton
Walden Dissertations and Doctoral Studies
In order to perform their duties, airline pilots must have no clinical diagnosis of mental illness or any substance use disorder. However, provisions have been in place since the 1970s that provide for a return to work for airline pilots with alcohol problems. To date, over 5,000 airline pilots have undergone rehabilitation for Alcohol Use Disorder (AUD) and successfully returned to work. An important gap in the literature remains with regard to what extent improvements in cognitive performance may be experienced by airline pilots who complete treatment and to what extent age influences the amount of change. This study examined …
Research Brief: "Alcohol Use And Craving Among Veterans With Mental Health Disorders And Mild Traumatic Brain Injury", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Alcohol Use And Craving Among Veterans With Mental Health Disorders And Mild Traumatic Brain Injury", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This brief is about the relation between alcohol craving and mental health disorders among veterans, and how mental health disorders impact alcohol cravings. For policy and practices, the research shows that alcohol cravings and mental health disorders among veterans could be a sign for risk of alcohol use disorder. It also shows that the VA should assess veterans for alcohol use disorder, and also research more ties between mental health disorders and alcohol use. Suggestions for future research include conducting the study in a larger, more representative population, as well as involving families in measuring alcohol use/cravings to ensure less …
Victims' Perspectives Of Their Roles In Unwanted Sexual Experiences When Alcohol Is Consumed, Lindsey C. Grove
Victims' Perspectives Of Their Roles In Unwanted Sexual Experiences When Alcohol Is Consumed, Lindsey C. Grove
Graduate Student Theses, Dissertations, & Professional Papers
Sexual violence among college students is recognized as a serious public health concern in the United States. Among college students, sexual violence is associated with high levels of PTSD symptoms and psychological consequences (Frazier et al., 2009). For ages 18 to 25 sexual violence is the only crime that is found to occur more frequently among college students than the same age group not attending college and is at its highest rate during the first year of attendance(Baum & Klaus, 2005) Research has already uncovered increased risk of victimization for young college students including heavy alcohol consumption (Messman-Moore, Coates, Gaffey, …
Research Brief: "Mental Health Diagnosis And Occupational Functioning In National Guard/Reserve Veterans Returning From Iraq", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Mental Health Diagnosis And Occupational Functioning In National Guard/Reserve Veterans Returning From Iraq", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This brief is about the employment or enrollment in school of recently returned National Guard and Reserve OIF/OEF veterans who have a mental health diagnosis compared to those veterans without a mental health diagnosis. In policy and practice, the US military should implement pre- to post-deployment programs to help adjustment into work/school role functioning, and policymakers should partner with universities to help veterans cope with academic stress. Suggestions for future research include using a larger and more comprehensive sample of National Guard/Reserve OIF veterans and studying the effectiveness of programs and support for veterans.
Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino
Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino
Alberto Coustasse, DrPH, MD, MBA, MPH
Significant gaps exist in health care regarding gender in the United States. Health status, social roles, culturally patterned behavior and access to health care can be influenced by gender. Women have been the primary users of health care and minority women usually have received poorer quality care than Non-Hispanic White (NHW) females. The objectives of this study were to identify gender, racial and ethnic disparities in access to substance abuse treatment in a Texas hospital. Secondary data collected on 1,309 subjects who underwent detoxification were studied. Gender, race/ethnicity, drug of abuse, relapse and financial classification were included in the analysis. …
Revenue First, Temperance Second : Jean Sheppard, Repeal And The Creation Of The New York State Liquor Authority, 1930-1934, Martin George Springfield
Revenue First, Temperance Second : Jean Sheppard, Repeal And The Creation Of The New York State Liquor Authority, 1930-1934, Martin George Springfield
Legacy Theses & Dissertations (2009 - 2024)
The amending of the Volstead Act and repeal of national prohibition did not answer the "liquor question" but passed the issue to the states. This thesis examines New York's reaction to the change in national alcohol policy and the states decision to legalize and regulate the beverage with the establishment of the New York State Liquor Authority. It traces the activities of Jean Sheppard who led the state division of the Women's Organization for National Prohibition Reform (WONPR) and became one of the key architects of New York's modern alcohol control system. As an expert in alcohol control policies Sheppard …
Research Brief: "Do Normative Perceptions Of Drinking Relate To Alcohol Use In U.S. Military Veterans Presenting To Primary Care?", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Do Normative Perceptions Of Drinking Relate To Alcohol Use In U.S. Military Veterans Presenting To Primary Care?", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This brief is about the relation between perceptions of veterans' use of alcohol and their actual consumption and dependence upon alcohol. In policy and practice, health professionals should offer resources to veterans for alcohol misuse, such as interventions, and the VHA should continue its alcohol misuse screening. Policymakers should work with healthcare providers to create alcohol misuse screenings for veterans. Suggestions for future research include studying the sample over time, studying a broader and more representative sample, and studying the effectiveness of brief alcohol interventions across different groups within the population.
Reducing Recidivism In Returning Offenders With Alcohol And Drug Related Offenses: Contracts For The Delivery Of Authentic Peer Based Recovery Support Services, Sarah Scarbrough
Reducing Recidivism In Returning Offenders With Alcohol And Drug Related Offenses: Contracts For The Delivery Of Authentic Peer Based Recovery Support Services, Sarah Scarbrough
Theses and Dissertations
In collaboration with Sheriff C. T. Woody, the Deputies and other jail personnel, Kingdom Life Ministries (KLM) operates in the City of Richmond Jail. Aimed at serving individuals who suffer from alcoholism and other drug addictions, KLM’s programs offer peer-to-peer recovery support services; meaning people who are successful in their recovery deliver the recovery message. On any given day, rehabilitation and recovery services are provided to 120 men in what used to be the worst tier of the Richmond City Jail. A large portion of these men battle substance abuse disorders and have exhibited habitual criminal behavior over an extended …
From Bootleggers To An Obey The Law Campus: An Analysis Of The Alcohol Policies At The University Of Mississippi, Scott Thomas Wallace
From Bootleggers To An Obey The Law Campus: An Analysis Of The Alcohol Policies At The University Of Mississippi, Scott Thomas Wallace
Electronic Theses and Dissertations
College drinking is one of the most prevailing problems on college campuses today. To navigate the issues surrounding college drinking, institutions of higher learning spend countless hours and monetary resources putting together educational pieces, developing governing policies, and implementing stringent sanctioning practices. At the University of Mississippi, a Two-Strike policy was implemented in 2006. The policy is rooted in educational motives and interventional philosophies, but since its implementation the question posed by many is, "Does it work?" Additionally, the University of Mississippi, in an effort to gain clarity and better educate students about the dangers of illegal and abusive drinking, …
Risky Behaviour And Hiv Prevalence Among Zambian Men, Nisha Malhotra, Jonathan Young
Risky Behaviour And Hiv Prevalence Among Zambian Men, Nisha Malhotra, Jonathan Young
Nisha Malhotra
The objective of this paper is to identify demographic, social and behavioural risk factors for HIV infection among men in Zambia. In particular, the role of alcohol, condom use, and number of sex partners is highlighted as being significant in the prevalence of HIV. Multivariate Logistic Regressions were used to analyse the latest cross-sectional population-based demographic health survey for Zambia (2007). The survey included socio-economic variables and HIV serostatus for consenting men (N = 4,434). Risk for HIV was positively related to the wealth status. Men who considered themselves to be at high risk for HIV-positive were most likely to …
What Are The Options? Pricing And Taxation Policy Reforms To Redress Excessive Alcohol Consumption And Related Harms In Australia, Natacha Carragher, Jenny Chalmers
What Are The Options? Pricing And Taxation Policy Reforms To Redress Excessive Alcohol Consumption And Related Harms In Australia, Natacha Carragher, Jenny Chalmers
Aboriginal Policy Research Consortium International (APRCi)
Increasing community and political concern about excessive alcohol consumption and related harms in Australia has prompted calls for the introduction of tighter regulatory controls. From an evidence-based, research perspective, measures which increase alcohol prices and taxes, in particular, are considered most effective for reducing alcohol consumption and related harms. Accordingly, this report presents a review of pricing and taxation policy levers that have been considered and/or implemented nationally
and internationally. These policies include: alcohol taxation and differential price by beverage; special/additional taxation on alcopops; minimum pricing; and bans on price discounts and promotions. Industry response to these policy initiatives is …
Drug And Alcohol Policy Under New Labour: Pandering To Populism?, Julian Buchanan
Drug And Alcohol Policy Under New Labour: Pandering To Populism?, Julian Buchanan
Julian Buchanan
Coming to power with an overwhelming majority in 1997, New Labour had the opportunity to lead the world by adopting a much needed progressive, pragmatic and scientifically informed approach to the management of substance use and misuse in the twenty-first century: by some distance, they failed to deliver on the election promise of change. Instead, they mistakenly continued the pursuit of eradicating drugs through prohibition, perpetuated the misleading distinction between legal and illegal drugs, and failed to overhaul the much criticised and outdated Misuse of Drugs Act 1971, which continues to inform (or some would argue misinform) the public about …
Workplace Screening & Brief Intervention: The Big (Brief Intervention Group) Initiative, Eric Goplerud, Tracy Mcpherson
Workplace Screening & Brief Intervention: The Big (Brief Intervention Group) Initiative, Eric Goplerud, Tracy Mcpherson
Health Policy and Management Faculty Publications
To realize the full value of their investment in Employee Assistance Program (EAP), employers should attend to the opportunities to drive down health and productivity costs by encouraging their EAPs to engage and treat workers who drink in unhealthy ways. Nationwide, EAPs engage only about one worker in twenty who has a serious alcohol problem. The lost productivity, absenteeism, excess emergency department and hospital use by the other 19 out of 20 workers with alcohol problems who are not treated add $61 billion (or approximately $200 for every man, woman and child in the United States) to the nation's health …
Implementation Of Eaps, Mark Attridge, Patricia Herlihy, Dave Sharar, Tom Amaral, Tracy Mcpherson, Diane Stephenson, Tom Bjornson, Rich Paul, Lisa Teems, Eric Goplerud, Sandra Routledge
Implementation Of Eaps, Mark Attridge, Patricia Herlihy, Dave Sharar, Tom Amaral, Tracy Mcpherson, Diane Stephenson, Tom Bjornson, Rich Paul, Lisa Teems, Eric Goplerud, Sandra Routledge
Health Policy and Management Faculty Publications
This Research Note describes how to effectively implement employee assistance program services in an organization.
Prevalence, Nature, Context And Impact Of Alcohol Use In India: Recommendations For Practice And Research, S. Prabhu, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Catherine N. Dulmus Phd, K. S. Ratheeshkumar
Prevalence, Nature, Context And Impact Of Alcohol Use In India: Recommendations For Practice And Research, S. Prabhu, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Catherine N. Dulmus Phd, K. S. Ratheeshkumar
Brown School Faculty Publications
Presently alcohol policy in India takes a moral stand rather than a scientific approach towards understanding and dealing with the problem of alcoholism. To effectively address this social problem in India, public policy must take into account the nature, extent of the problem and the context in which it occurs. This literature review examines the nature, prevalence and impact of alcohol use and misuse in India, within its historical and cultural contexts, as a beginning step to inform policy. Recommendations for practice and future research directions are suggested.
Rethinking Substance Misuse Policy And Practice: An Ideas Wales Discussion Paper, Julian Buchanan
Rethinking Substance Misuse Policy And Practice: An Ideas Wales Discussion Paper, Julian Buchanan
Julian Buchanan
This accessible and easy to read paper designed to promote thinking and discussion seeks to develop principles upon which future drug policy and practice could be developed. It examines evidence and makes clear recommendations towards a fit for purpose drug policy.
Alcohol Consumption, Alcohol Outlets, And The Risk Of Being Assaulted With A Gun, Dennis P. Culhane, Charles C. Branas, Therese S. Richmond, Michael R. Elliott, Douglas J. Wiebe
Alcohol Consumption, Alcohol Outlets, And The Risk Of Being Assaulted With A Gun, Dennis P. Culhane, Charles C. Branas, Therese S. Richmond, Michael R. Elliott, Douglas J. Wiebe
Dennis P. Culhane
Background: We conducted a population-based case-control study to better delineate the relationship between individual alcohol consumption, alcohol outlets in the surrounding environment, and being assaulted with a gun.
Methods: An incidence density sampled case–control study was conducted in the entire city of Philadelphia from 2003 to 2006. We enrolled 677 cases that had been shot in an assault and 684 population-based controls. The relationships between 2 independent variables of interest, alcohol consumption and alcohol outlet availability, and the outcome of being assaulted with a gun were analyzed. Conditional logistic regression was used to adjust for numerous confounding variables.
Results: After …
Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino
Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino
Management Faculty Research
Significant gaps exist in health care regarding gender in the United States. Health status, social roles, culturally patterned behavior and access to health care can be influenced by gender. Women have been the primary users of health care and minority women usually have received poorer quality care than Non-Hispanic White (NHW) females. The objectives of this study were to identify gender, racial and ethnic disparities in access to substance abuse treatment in a Texas hospital. Secondary data collected on 1,309 subjects who underwent detoxification were studied. Gender, race/ethnicity, drug of abuse, relapse and financial classification were included in the analysis. …
Analysis Of State Laws Permitting Intoxication Exclusions In Insurance Contracts And Their Judicial Enforcement, Sara J. Rosenbaum, Henry Van Dyck, Mandy Bartoshesky, Joel B. Teitelbaum
Analysis Of State Laws Permitting Intoxication Exclusions In Insurance Contracts And Their Judicial Enforcement, Sara J. Rosenbaum, Henry Van Dyck, Mandy Bartoshesky, Joel B. Teitelbaum
Health Policy and Management Issue Briefs
This Policy Brief reviews judicial decisions construing state laws that permit insurers to include intoxication exclusionary clauses in their insurance policies. The cases and state laws examined in this analysis span health, life, disability, accidental death and dismemberment (AD&D), workers compensation, and unemployment insurance. Some variant of the intoxication exclusionary clause appears across all of these products, depending on the state. The widespread nature of such laws has its roots in the 1947 Uniform Accident and Sickness Policy Provision Law (UPPL), a model statute whose broader public policy purpose was to avoid the use of insurance to protect against the …
A Sound Investment: Identifying And Treating Alcohol Problems, Jeffrey Hon
A Sound Investment: Identifying And Treating Alcohol Problems, Jeffrey Hon
Health Policy and Management Faculty Publications
The direct cost of alcohol problems is nowhere more evident than in the nation's hospitals and emergency rooms. One-fourth of all people admitted to general hospitals have alcoholism and as many as 30 percent of emergency room patients are problem drinkers, people who may not be dependent on alcohol, but drink in ways that endanger health and well-being. But these individuals are seeking medical attention for alcohol related illness and injury, not for their drinking. As a result, untreated alcoholism is driving up healthcare costs for both the public and private sector.