brought to bear on those families that are most deeply troubled and
also of highest risk. Such pressure could be applied if a public-health
model were used by the courts in working with this subset of alcoholic
families. Within this framework, a more clearly pressured approach
(e.g., by way of court order) would be required to bring the family into
the treatment net in a manner that would allow immediate and direct
attention to the substance abuse issues that are so central to the main-
tenance and embellishment of child risk. Our group is currently engag-
ing in pilot work that will evaluate the workability of such an
alternative approach ( Zucker & Bermann, 1992), with the hope that
such work will allow us to more carefully specify a menu of alternative
preventive interventions, that can be differentially applied to families
with different risk profiles and that may thereafter be evaluated in a
long-term way.

This work was primarily supported by grants to Robert A. Zucker,
Robert B. Noll, and Hiram E. Fitzgerald from the Michigan Department
of Mental Health, Prevention Services Unit, and from the Governor's
Initiative Against Alcohol and Drug Abuse Grant Program of the
Office of Substance Abuse Services, Michigan Department of Public
Health.

We are indebted to Robert B. Noll for his substantial involvement in
earlier phases of this project, including supervision of a part of the
intervention protocol. We also especially thank Susan K. Refior, Patri-
cia Wehner, and Susan Lotus, who served as field coordinators and
initial recruiters of the study families. Susan K. Refior, in particular,
deserves a special note of thanks for the substantial work that permit-
ted effective follow-up.

Robert A. Zucker is now at the Departments of Psychiatry and
University of Michigan Alcohol Research Center, University of Mich-
igan.

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