This paper discusses several models for treating chemical dependency in individuals who are deaf or hard of hearing. It begins by describing the 12-step model, a comprehensive, multi-disciplinary approach to the treatment of addiction which is abstinence oriented and based on the principles of Alcoholics Anonymous. This model includes group therapy, lectures, therapeutic work assignments, family counseling, and attendance at meetings. The next model profiled is the Cognitive Behavioral Treatment Model, a model based on cognitive therapy in which individuals learn how their thoughts, feelings, and behaviors are connected, and how to break those connections. The Bio-Psycho-Social Model is then described. This model is an experiential, peer oriented process that is based on the belief that alcohol problems stem from a lifetime socialization process in a particular social and cultural milieu that implicitly or explicitly encourages alcohol drinking. Using this model, the goal of treatment is improving the social functioning of substance abusers by either altering the social environment or altering the individual's coping responses to environmental stresses. Harm reduction is the final rehabilitation approach described. A case study is presented of a 29-year old deaf female with drinking problems. (CR)