The Prohibition and Addiction: Did It Help or Hinder?

The Prohibition era in the United States, which spanned from 1920 to 1933, was a social experiment aimed at reducing the social issues associated with alcohol consumption. It was driven by the temperance movement and ended in the ratification of the 18th Amendment, which banned the production, distribution, and sale of alcohol. The motivations behind Prohibition were well-intentioned, driven by the desire to alleviate alcohol-related social issues and improve public health.

However, the consequences of this government-led venture were far more complex and led to unforeseen outcomes.


The temperance movement, which gained momentum in the 19th century, advocated for the restriction or complete prohibition of alcohol due to its perceived negative impact on society. It was driven by concerns over alcohol-related social issues such as domestic violence, crime, and the deterioration of public health.

Motivated by these concerns, the 18th Amendment to the United States Constitution was ratified in 1920, effectively prohibiting the manufacture, sale, and transportation of intoxicating liquors. The aim was to reduce alcohol consumption, minimise its adverse effects, and create a healthier, more productive society.

The temperance movement was also deeply rooted in moral and religious beliefs. Many temperance advocates viewed alcohol consumption as morally wrong and believed it led to a decline in individual and societal moral values. They saw alcohol as a vice that contributed to issues like domestic violence and the breakdown of families. Proponents of temperance often believed that abstinence from alcohol was a path to moral righteousness.

Another motivation was the desire to promote family stability. The temperance movement argued that alcohol abuse led to family breakdowns, as individuals under the influence of alcohol were more likely to engage in abusive behaviour or neglect their family responsibilities. By reducing alcohol consumption, they hoped to strengthen families and create more stable and supportive households.

Consequences of Prohibition

Prohibition had significant consequences on alcohol production, distribution, and consumption. The legal ban on alcohol led to the closure of breweries, distilleries, and bars, which drove the industry underground. This resulted in the rise of illegal speakeasies and bootlegging operations as people sought ways to circumvent the law and access alcohol. These illegal enterprises provided fertile ground for organised crime to thrive, as gangsters like Al Capone became prominent figures in the black-market alcohol trade.
Prohibition also led to a significant erosion of respect for the law. Many citizens, who would not have considered breaking the law before, were now involved in illegal alcohol consumption. This widespread disregard for the law undermined the authority of the government.

The illegal alcohol trade led to violent clashes between rival criminal gangs competing for control of territories and distribution routes. The streets of cities like Chicago became battlegrounds for organised crime groups, resulting in numerous casualties.

Moonshining, the illegal production of homemade alcohol, became a widespread practice during Prohibition. Individuals and small-scale operations produced unregulated, often unsafe, and untaxed alcohol, contributing to the illegal alcohol trade.

The Impact on Public Health

Prohibition had both intended and unintended consequences on public health. On the one hand, it led to a reduction in alcohol consumption and some health improvements were noted, such as a decrease in cirrhosis-related deaths. However, the ban on legal alcohol sales did not eliminate alcohol use but instead shifted it to the unregulated and potentially dangerous black market.

The prevalence of alcohol addiction during the Prohibition era remained a significant issue. While the ban may have curtailed some aspects of alcohol abuse, it did not eradicate addiction. In fact, the illegal nature of alcohol production and distribution may have exacerbated addiction problems, as individuals resorted to homemade, poorly distilled, and often toxic concoctions.

The clandestine nature of alcohol consumption during Prohibition made it challenging for individuals struggling with alcohol addiction to access treatment and support. This limited access to resources for those in need of help for their addiction.

Addiction Treatment and Support

During Prohibition, the approach to addiction treatment and support evolved, albeit slowly. The emergence of groups like the Oxford Group, a precursor to Alcoholics Anonymous (AA), marked a significant step in addressing alcoholism. These organisations provided support and a sense of community to individuals struggling with addiction. However, the formalised and widespread adoption of the twelve-step recovery programme pioneered by AA would come later, in the mid-1930s.

The Oxford Group emphasised a Christian spiritual approach to personal transformation and moral improvement. Its core principles included honesty, purity, unselfishness, and love.
The movement advocated a form of surrender to God’s will and acknowledging one’s moral failings as the first step toward spiritual growth.

The principles and practices of the Oxford Group deeply influenced Bill Wilson and other early AA members. The Oxford Group’s emphasis on surrendering to a “Higher Power”, personal sharing and confession, and moral self-examination played a crucial role in shaping the foundation of AA.

Building on the principles he had learned from the Oxford Group, Bill Wilson developed the Twelve Steps of Alcoholics Anonymous. These steps are a set of spiritual and moral guidelines designed to help individuals overcome alcoholism. The Twelve Steps are central to AA’s recovery programme.

Effectiveness of Prohibition in Reducing Alcohol Addiction

The effectiveness of Prohibition in reducing alcohol addiction is a matter of debate. While it did decrease overall alcohol consumption, it did not eliminate addiction or alcohol-related problems. In some cases, it may have exacerbated addiction issues by driving people toward more dangerous and unregulated sources of alcohol. The illegal nature of the alcohol trade also made it difficult to implement addiction treatment and support effectively.

The ban on alcohol sales also gave rise to widespread corruption within law enforcement agencies. Many law enforcement officials, judges, and politicians were bribed to ignore or facilitate illegal alcohol operations. This corruption eroded the rule of law and undermined public trust in institutions.

The “Roaring Twenties” saw a surge in underground nightlife and speakeasies, which encouraged excessive drinking and risky behaviour. The societal perception of alcohol shifted, with some viewing it as an act of rebellion against the law.

The health risks associated with Prohibition, particularly the consumption of homemade and potentially harmful alcohol, highlight the complexity of assessing its effectiveness in reducing alcohol addiction. Ultimately, these factors contributed to the eventual repeal of Prohibition in 1933.

Repeal of Prohibition

Various factors, including the economic considerations during the Great Depression, drove the eventual repeal of Prohibition in 1933. The government realised the potential for generating revenue through taxation on alcohol sales and saw an opportunity to boost the economy.

Prohibition also faced considerable challenges in enforcement due to widespread non-compliance. A significant portion of the population continued to consume alcohol, and illegal speakeasies flourished. Organised crime, empowered by the illegal alcohol trade, contributed to the general disregard for the law. Law enforcement was often unable to curtail the black-market alcohol trade effectively.

But equally, advocacy for the repeal of Prohibition gained momentum. Groups and individuals from various backgrounds, including the Association Against the Prohibition Amendment (AAPA) and political leaders like Franklin D. Roosevelt, supported ending Prohibition. They argued that the policy was unenforceable, led to negative social consequences, and that it was time to restore personal freedoms.

The repeal movement culminated in the 21st Amendment, which was ratified in 1933. This amendment to the U.S. Constitution repealed the 18th Amendment, effectively ending Prohibition. The states had the authority to regulate or prohibit the sale of alcohol within their borders, and the federal government regained the ability to tax and regulate the alcohol industry.

Modern Approaches to Addiction Treatment and Regulation

The lessons learned from Prohibition continue to influence modern approaches to addiction treatment and regulation. Today, addiction is recognized as a medical condition rather than a moral failing, and treatment options have evolved significantly. Comprehensive detox and withdrawal management are available, and rehabilitation centres offer a range of evidence-based therapies to address addiction.

Furthermore, the regulation of alcohol and other substances is primarily focused on harm reduction rather than outright prohibition. Education and awareness campaigns are aimed at reducing addiction rates, and policies emphasise public health and safety.

The Prohibition era in the United States was a complex and multifaceted experiment. While it aimed to reduce alcohol-related social issues and improve public health, it had unforeseen consequences. Prohibition succeeded in reducing alcohol consumption to some extent, but it did not eliminate addiction. The rise of illegal operations and organised crime during this period created new challenges.

Today, addiction is approached with a better understanding of its medical and social aspects. Modern addiction treatment and regulation are shaped by the lessons learned during Prohibition, emphasising harm reduction and public health. While Prohibition did not achieve all of its goals, it remains a pivotal chapter in the history of addiction and alcohol regulation, providing valuable insights for current and future efforts to address these complex issues.

(Click here to see works cited)

  • Blocker, Jack S. “Did Prohibition Really Work? Alcohol Prohibition as a Public Health Innovation.”. PubMed Central, 2 Feb 2006.
  • Okrent, Daniel. Last Call: The Rise and Fall of Prohibition. Scribner, 2010.
  • Thornton, M., & Chaloupka, F. J. “Alcohol Control Policies and Youth Alcohol Consumption: Evidence from 28 Years of Monitoring the Future.” B.E. Journal of Economic Analysis & Policy 3, no. 1 (1997).