The magnitude of the present-day problem of alcohol and substance misuse by American Indians is described in mortality rates and proportionate use reports. Use of inhalants, amphetamines, sedatives, and hallucinogens is examined. The historical and complex relationships between American Indians and alcohol are sketched, and prevention approaches…

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…