Between despair and hope: health services research on treatment of alcohol abuse.

Conference papers have highlighted the difficulty of conducting valid analyses of alcohol and drug abuse treatment services. Because of these difficulties, investigators, providers and policy makers could feel overwhelmed and be reluctant to initiate studies. The papers, however, also offer guidance and encourage researchers to apply these methods and improve their investigations. Common features of the papers are noted and the potential for making contributions to the state of the art is examined. Aspects of health services research that are not addressed in the papers are also discussed. Although alcohol services research is not easy and can be improved, the state of alcohol services research is where it belongs--in the middle of the personal, programmatic and policy level struggles to achieve stable recoveries from alcohol and drug dependence.