This participant manual is designed to provide an overview of federal laws and regulations pertaining to the confidentiality of alcohol and drug abuse patient records. The relationship of federal laws to state laws and regulations is also discussed. The materials, useful for persons involved in the fields of substance abuse treatment or prevention, list course objectives and limitations, and explain academic credit for course participation. The 13 course sessions are outlined in the manual, beginning with a pretest of major points in the federal confidentiality regulations and followed by presentations of specific aspects of the regulations. Participant exercises and samples are included, along with discussion of various confidentiality topics such as disclosures with and without patient consent and court orders. The appendix contains the test of the "Confidentiality of Alcohol and Drug Abuse Patient Records, Federal Law Title 42-Public Health." (NRB)