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Book Review: World Dialogue on Alcohol and Drug Dependence

The commission's definition of mental health, therefore, gives full recognition to the need to provide a nurturing environment-physical, psychological, and cultural-for all of our children. In the illuminating chapter, "Contemporary American Society: Its Impact on the Mental Health of Children and Youth," there is a brief critique of the tendency to cost program benefits in the context of a problem-specific measurement approach. This emphasis has promoted a proliferation of social programs as a consequence of separate pieces of legislation. Lack of an integrated, systematic development of social programs that adequately deal with social problems is reflected by this fragmented, single-factor, relatively simple approach that applies inexpensive remedies as solutions to human problems. A more rational and effective allocation of resources would pay tribute to the complex, developmental approach to human growth and the promotion of mental health. This idea is a major theme of the report. It is one that merits serious consideration in mental health circles and in professional schools as well as among policy makers, funding bodies, and operating agencies. To what extent should an affirmative "social goals" approach rather than a "problem focus" approach be used in planning, problem solving, and prevention? In answering this question, ideologies, philosophies, and personal and professional motivation come into play; they should be discussed and debated in many forums. There is abundant substance in this book that gives it vitality and contemporary significance. The report addresses major mental health issues of our time and includes excellent chapters on "Poverty and Mental Health" and "Children of Minority Groups: A Special Mental Health Risk." Racism is proclaimed to be "the number one public health problem facing America today." Other important chapters are "Education and the Mental Health of Children and Youth," "Research," and "Human Resources for Human Services," which confronts the manpower problem and examines new and traditional manpower roles. The title of the book is validated by its contents. In the first chapter, "Introduction and Recommendations," 136 pages are devoted to the considerations and rationales that emerge in the eleven subsequent chapters. Recommendations of the commission include "enactment of a system of national health insurance, national health