This updated TIP is designed to help providers and others better understand how to identify, manage, and prevent substance misuse in older adults. The TIP describes the unique ways in which the signs and symptoms of substance use disorder (SUD) manifest in older adults; drug and alcohol use disorder screening tools, assessments, and treatments specifically tailored for older clients' needs; the interaction between SUDs and cognitive impairment; and strategies to help providers improve their older clients' social functioning and overall wellness.

This manual guides disaster response workers in assisting survivors of mass violence and terrorism and their families. It discusses basic counseling skills, when to refer to mental health services, populations with special needs, and stress prevention and management for workers.