In this study, the trends in alcohol consumption, alcohol-related problems, alcohol availability and treatment efforts were examined for the province of Alberta, for the period 1975-1993. Most of the trends previously observed in Ontario were also observed in Alberta. We found: (1) stabilization followed by important declines in per capita consumption of alcohol; (2) large decreases in most measures of problems such as cirrhosis mortality and traffic fatalities related to drinking; (3) increases in treatment and Alcoholics Anonymous membership rates; (4) increases in measures of physical availability of alcohol. One problem, impaired driving arrest rate, increased substantially during the years examined.