School-based drug abuse prevention programs have been a standard approach in American Indian communities for three decades, but the evidence for their effectiveness is meager. However, it is unreasonable to expect that schools alone could have a major impact on a behavior that has multiple and interactive social causes. It would be folly to…

This paper discusses the complex issues faced by clinicians providing counseling to chemically dependent individuals who are deaf or hard of hearing and who are from ethnic, racial, or cultural minority groups. It shares specific examples from the Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals, as well as…