There exists little debate within the United States that the non-medical use of psychoactive drugs, including alcohol and nicotine, is a major cause of problems. This is not a book about these problems, nor is it one that claims to teach recovery or prevention. Instead, it focuses on a narrow field of interest - the response of South Carolina at the state and county government level to the problems resulting from use of alcohol and other drugs, and who or what shaped this response.A synoptic history involves examining change and reasons for change over a fixed period of time. This work attempts to do that by first developing a timeline from 1954 through 2004 of events such as legislation or programs related to alcohol and other drug abuse that occurred in South Carolina. However, a listing of these events in and of itself fails to provide insight into important questions about the impact of these events.To create a system where none had been before requires both building blocks and builders. This part of the history is intended to give the reader a window onto some of these builders such as Jerry McCord and Ceth Mason and their "building blocks" (the Public Health Model, ADSAP, training, the "301" system) that had a transformative impact during this period.The third section is a brief look at the next fifty years from both a state and community perspective. We know where we have been. What will be some of the challenges that may shape programs in the future?
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