The proportion of the population that is over the age of 65 is growing globally. Those in the baby boomer cohort will soon all be age 50 or older. Along with the increasing numbers in this older age cohort, there is a parallel upward trend of alcohol use and other drug use in older adults. As we age alcohol and other drug use places us at greater health related harm. This course provides the learner with an overview of the growing prevalence of at-risk substance use in older adults and strategies for the prevention and reduction of substance use associated harm. These strategies include an evidenced based approach called screening brief intervention and referral to treatment (SBIRT). The course will provide information relevant to improving health and reducing substance use related harm for those who are older, their primary care givers and health care providers.