This essay begins with a summary of South Dakota's novel approach to enforcing alcohol abstinence: 24/7 Sobriety Program. It highlights research by the first author, Beau Kilmer, and colleagues documenting the success of the program in South Dakota, and then discusses how the program spread beyond South Dakota and then outside the United States. The second author, Keith Humphreys, has been involved in disseminating 24/7 Sobriety Program to the United Kingdom, and describes his observations and experiences with these efforts. The final section discusses opportunities and challenges associated with exporting this program to other places.
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