This toolkit is designed to help providers and communities to improve linkages to care and increase care integration for people who use drugs. Although the toolkit was developed for the State of Maryland, it may be useful to other states and localities working to improve care for people who use drugs.

This web page discusses the risk factors for distress after a mass violence event. The page also discusses what to do in lockdown situations, signs of distress, how to get help when needed, and additional resources.

This web page provides an overview of the prevalence of posttraumatic stress disorder (PTSD) in children and the risk factors that may make it more likely for children to develop PTSD. It also describes the signs of PTSD in children and adolescents and different techniques to treat PTSD.

This guide discusses culture in general and American Indian and Alaska Native (AI/AN) cultures specifically, highlights risk and protective factors associated with AI/AN cultures, and offers guidance to AI/AN communities in preventing suicide. Tools for community suicide prevention and assessment of risk and protective factors are included in the guide.

This web page provides information on the factors that may lead to suicide. It lists warning signs that someone may be suicidal based on their behavior, mood, and what they talk about. It also describes the health factors, environmental factors, and historical factors that put a person more at risk for becoming suicidal.

This article reviews research on the relationship between mass trauma, such as incidents of mass violence and terrorism, and suicide. The article covers research on the mental health effects of mass shootings, risk factors for suicidality and self-harm, and suicide clusters, as well as pointing out the need for more evidence on how to support survivors at highest risk of adverse mental health effects and suicidal behavior.

Designed for parents, teachers, and other school personnel, this web page highlights the role adults can play in intervening with children and youth at risk of suicide. It identifies risk factors and warning signs and offers tips on how adults can respond if they notice these factors in children or youth. Also discussed is the role of the school in suicide prevention.

This issue of the SAMHSA Disaster Technical Assistance Center’s research newsletter discusses reactions children and youth may have to a natural disaster. It also describes a variety of mental health issues and mental disorders that may occur, as well as substance use and misuse issues among adolescents, and risk and protective factors.

Provided by the SAMHSA Disaster Distress Helpline, this web page offers information on the warning signs of emotional distress after an individual has experienced a natural or human-caused disaster. Warning signs are broken down by age category for children, teens, and adults. Also identified are risk factors, including chronic psychological disorders, some of which are serious mental illness or serious emotional disturbance.

This blog post explains why children are more vulnerable to mental health issues and conditions during a disaster or emergency. It also discusses the Centers for Disease Control and Prevention’s At-Risk Task Force, which ensures the identification and prioritization of the mental and physical health needs of at-risk populations.

This pamphlet provides information on what may define a substance use problem and its relation to trauma. It also discusses the effects of substance misuse on traumatic stress, and how to approach treatment for people with both traumatic stress and substance use issues or conditions.

This web page includes resources and information on suicide prevention can be used by researchers, healthcare professionals, and consumers. This page presents sources of help for someone in immediate crisis, signs and symptoms of suicidality, risk factors, and information about research on suicide, as well as links to related resources.

This literature review explores the effect of quarantine and isolation during disease outbreaks, epidemics, and pandemics on the risk of suicide. It includes studies on the impacts of outbreaks and epidemics including the Spanish influenza outbreaks, H1N1 influenza, severe acute respiratory syndrome (SARS), Ebola virus disease, and Middle East respiratory syndrome (MERS).

The At-Risk Individuals, Behavioral Health & Community Resilience Division aims to ensure that all affected by disaster have access to physical and mental health services. Their mission is to help those implementing emergency preparedness, response, and recovery activities to integrate and involve people with access and functional needs and people with behavioral health conditions, and support community capacity to recover from disasters.

This document addresses the needs of school-aged youth in Indigenous communities by providing tools for educators, administrators, and mental health and substance use disorder treatment professionals to support resilience building and well-being. It includes a historical review, case scenarios, and best practices based on cultural awareness practices.

This pamphlet provides information on what may define a substance use problem and its relation to trauma. It also discusses the effects of substance misuse on traumatic stress, and how to approach treatment for people with both traumatic stress and substance use issues or conditions.

This edition of the SAMHSA Disaster Technical Assistance Center’s research newsletter describes research on reactions children and youth may have to human-caused disasters such as incidents of mass violence, terrorist attacks, and technological disasters. The edition identifies mental health and substance use issues and conditions that may affect young people after human-caused disasters, as well as approaches and interventions to support them.

This website outlines the warning signs of problems with substance use and the various protective factors that help people avoid substance use and misuse. The page also links to health services for people affected by substance use.

This web page provides information about traumatic events and child traumatic stress. It explores possible traumatic experiences, including disaster events; childhood traumatic stress; and risk and protective factors.

This web page summarizes the effect traumatic events can have on individuals and provides strategies for relieving and addressing traumatic stress. It links to resources that explore different forms and reactions to traumatic events such as mass violence, resources to support children and families, and tips for individuals seeking further support.

This fact sheet explains how youth with intellectual and developmental disabilities (IDD) are at an increased risk for a variety of traumatic experiences. It covers the difficulty youth with IDD can have in communicating their needs and behaviors providers should look out for to better understand what is being communicated. The fact sheet also covers screening and assessment, as well as diagnostic considerations and treatment.

Written for mental health and substance use disorder treatment professionals, this online article identifies stressors that affect disaster response workers, including physical hazards and risk of loss of coworkers and friends, and highlights mental health risks of work in rescue and response. The article also highlights protective factors and approaches to stress management that have gained traction and proven effective among responders.