This manual for professional care providers and administrators describes the influence of culture on the delivery of substance use and mental health services. It discusses racial, ethnic, and cultural considerations, and presents the core elements of cultural competence.

This manual informs clinicians and administrators about substance use disorder treatment approaches that are sensitive to patients among the lesbian, gay, bisexual, and transgender (LGBT) population. It covers cultural, clinical, health, administrative, and legal issues as well as alliance building.

This manual offers treatment and service providers guidelines on caring for people living with substance use disorder conditions who also have physical disabilities or cognitive disabilities. It discusses screening, treatment planning, and counseling, and linkages with other treatment and service providers.

This manual gives background information, guiding principles, recommendations, and resources for developing culturally competent disaster mental health services. It includes suggestions for working with refugees and guidelines for using interpreters.