This paper discusses issues and offers recommendations related to drug/alcohol counseling and drug/alcohol abuse prevention for postsecondary school personnel who work with deaf or hard-of-hearing students. The paper discusses characteristics of the target population, the lack of appropriate treatment services, communication modes of the target population, cultural aspects of deafness, prevention approaches of colleges and universities, the need for support groups, and types of substances being used. A comprehensive chemical health model is recommended that includes program development, intervention, education, and training. (JDD)