The Minnesota Chemical Dependency Program for Hearing Impaired Youth, a joint venture of St. Mary's and Fairview Riverside Hospitals, is part of Riverside Medical Center and housed at Saint Mary's Hospital in Minneapolis. It is an 18-bed inpatient program serving hearing-impaired individuals aged 16 years and up. All staff (including such personnel as a psychiatrist, psychologist, and chaplain) are fluent in American Sign Language and respectful of deaf culture. The program also has a certified teacher of the hearing impaired, a communication specialist, and several recovering deaf role models. This paper describes the program's objectives and processes for evaluating clients, treatment objectives and processes, types of therapy, and aftercare procedures. (JDD)