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Public
Service Announcements (PSAs) are improving as we become increasingly
adept at drawing on the tools of Madison Avenue for a burgeoning
social marketing campaign. Additionally, a number of efforts are
moving beyond trying to place PSAs for free and are purchasing air
time to ensure their spots run in the best time slots. The American
Legacy Foundation, which was funded out of the tobacco settlement,
is boosting this effort. Public attitudes are changing. Thirteen
years ago we had a smoke-filled board room at The Robert Wood Johnson
Foundation, and no one thought much about it. Today we expect smoke-free
workplaces and public spaces. The longtime public image of the tobacco
industry as invincible has collapsed in the wake of successful lawsuits.
Also, the FDA initiative has put the industry on the defensive like
never before. And the focus on smoking as a pediatric disease has
given the issue greater resonance and urgency for many people.
The dangers of youth drinking have sparked
successful citizen activist groups like Mothers Against Drunk Driving®
and Students Against Drunk Driving. They are changing public perceptions
as they are changing local laws. And, as I mentioned, drunken driving
arrests and motor vehicle fatalities are declining.
Cutting edge research, particularly in the
neurosciences, is another plus. New findings about common pathways
in the brainand brain changes induced by addictive substanceshave
treatment and policy implications that could significantly change
how we approach addicts and addiction. As Alan Leshner, PhD, director
of the National Institute on Drug Abuse, has said, we are recognizing
that addiction is also a brain disease, not simply a failure of
will. Already this work has underscored the need to overcome the
fragmentation in the field of substance abuse and focus more on
commonalities among addictive substances.
Epidemiological work, too, is leading us
in new, more promising directionsthe identification of gender
differences in addiction, for example.

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