NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

This study was supported under Contract No. 270-96-0008 from the Substance Abuse and Mental Health Service Administration's Center for Substance Abuse Treatment and the National Institute on Drug Abuse.

Library of Congress Cataloging-in-Publication Data

Bridging the gap between practice and research : forging partnerships with community-based drug and alcohol treatment / Sara Lamb, Merwyn R. Greenlick and Dennis McCarty, editors.

Includes bibliographical references and index.

1. Drug abuse—Treatment—Research—United States. 2. Alcoholism—Treatment—Research—United States. 3. Drug abuse—Research—United States. 4. Alcoholism—Research—United States. I. Lamb, Sara. II. Greenlick, Merwyn R. III. McCarty, Dennis, Ph. D.

RC564.65 .B75 1998

362.29'.0973—ddc21

98-25418

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.