This paper describes Riverside Medical Center's Minnesota Chemical Dependency Program for Hearing Impaired Youth, which began in Minneapolis in 1989 to serve chemically dependent hearing-impaired adolescents and young adults, primarily aged 16 to 25 but sometimes serving clients as young as 12. The paper offers a rationale for development of a special program to serve the communication needs of youth and young adults with hearing impairments and describes the program's origins, program staff, therapeutic techniques, mainstreaming with hearing groups for therapy, dealing with patients' confrontations and defenses, relation to chemical dependency to self-esteem, disciplinary methods, family involvement, involvement with Alcoholics Anonymous/Narcotics Anonymous, commitment toward education and prevention, and aftercare placement. (JDD)