This report examines trends in illicit substance use from 2010 to 2011 and from 2002 to 2011 among Americans 12 and older, comparing differences by age group and gender. It also discusses disparities in the need for specialized treatment versus those who actually receive it.

This manual guides counselors in the use of medications to help clients achieve abstinence from alcohol. It describes how the medications work and whom may benefit. It also presents the side effects of three FDA-approved medications: acamprosate, disulfiram, and naltrexone.