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Cahalan (emeritus, public health, U. Cal. Berkeley) reveals why punitive measures and law-and-order drives have failed to reduce addiction-related problems, and describes successful programs and strategies. Annotation(c) 2003 Book News, Inc., Portland, OR (booknews.com)

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CHOICE Review

With its emphasis on prevention and early intervention, this volume fills a large gap in the drug abuse literature. Cahalan begins with a useful discussion of the factors that mitigate against prevention efforts and concludes with guidance for initiation of prevention and intervention programs. If there is a weakness in the text, it is, perhaps, an overemphasis on the problem of illicit drug use; however, this emphasis highlights what is described as a serious lack of attention by government to alcohol and tobacco as major public health concerns. The book is well written and referenced; the author avoids the temptation to provide simplistic biochemical drug descriptions by appropriately referring readers to more physiologically oriented volumes. However, the novice reader, unfamiliar with the various bureaucracies that deal with drug abuse, may become lost in the alphabet soup of agencies and programs. A welcome addition to any collection serving students or professionals interested in drug abuse, public health policy, or health planning.-T. D. Delapp, University of Alaska, Anchorage