Establishing enduring prevention programs: advancing the legacy of Swampscott.

The recent anniversary of the 1965 Swampscott Conference provided an opportunity to reconsider the implications of that meeting for prevention research. An unfulfilled aspect of the Swampscott legacy is the relative paucity of demonstration programs that become enduring parts of their host settings. A macrolevel, systems-oriented reformulation of Albee's (1982) prevention formula is presented to help conceptualize the linkage of prevention programs to their host settings. Finally, structural considerations necessary for weaving efforts at prevention and health promotion into adaptive, enduring organizational niches are reviewed.