Finney and Monahan (1996), reanalyzed the cost-effectiveness literature originally evaluated by Holder and colleagues (1991). The newer study added 3 treatment modalities, bringing the total to 36, and used a procedure for assessing outcomes that rated the strength of each study’s findings on the basis of the research methods used. The reanalysis confirmed some of the findings of the original review, such as the effectiveness of some treatment modalities (e.g., social skills training, the community reinforcement approach, behavioral marital therapy, and stress management training) and the ineffectiveness of other modalities (e.g., residential milieu treatment and general counseling). Several treatment modalities, including brief motivational counseling, self-control training, and use of Antabuse (a drug that creates an aversive reaction to alcohol), were found less effective using the revised methods.
