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Abstract
An historical viewpoint discloses two potential impediments to effective primary prevention of alcoholism with a communitywide focus: (1) weak evaluation instruments measuring the outcome of primary prevention programs, and (2) the difficulty of creating and maintaining a sufficiently high degree of interorganizational coordination. The origin of the National Council on Alcoholism during the 1940s is used as a focal point for the study. The article details the importance, today as well as four decades ago, of designing prevention programs that are well conceived, implemented, and evaluated.