This handbook is designed to assist instructors in training human service workers who come into contact with older adults. The 250 case studies are actual cases collected by research staff in the field. Suggestions are offered for a variety of methods the instructors may use in presenting the cases. Recommendations are made for forming working groups. Questions are also suggested to stimulate discussion of the cases or to bring it back to a more productive direction of inquiry. The questions are rather general in nature and may be applied to most of the case studies whatever method is used for their presentation. The cases are organized into four groupings with similar principles involved in each group. Groupings are adjustment to physical disability, adjustment to living environment, death and dying, and inappropriate social/sexual behavior. A grouping of miscellaneous cases is also included. (YLB)