Utilizing the Armor, Polich, and Stambul 1976 criteria, the clinical course of patients from 26 treatment programs was studied, with relapse analyses differing from the data reported by Armor et al. The overall rate of remission at 6 mo follow-up was considerably lower (54%) in this study. The data suggest that those alcoholics who chose to reduce their drinking, as an option, experienced a substantial risk of relapse.

Benefit‐cost analysis is an economic evaluation methodology which can readily be applied to the analysis of small individual alcoholism programs as well as to large alcoholism service delivery systems. Computational examples are given using information routinely collected at intake and follow‐up by the Oklahoma management information system. Only minor modifications are required for programs using NIAAA's National Alcoholism Program Information System (NAPIS). Suggestions are made for improving the validity of the benefit estimates. The potential information gain through the use of benefit‐cost analysis is demonstrated in worked examples.

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