Although research strongly suggests that individuals who are blind or visually impaired (BVI) experience alcohol and other drug abuse (AODA) disorders at rates higher than those expected within the general population (NAADD, 1999), less is known about specific barriers that influence AODA treatment for these consumers (Koch & Nelipovich, 1999). Accurately describing these barriers presents an extremely complex challenge due to the fact that problems may arise (a) directly as a result of the BVI (blind or visually impaired) disabilities; (b) directly as a result of the AODA disorders; or (c) only in circumstances where both disabilities co-occur or co-exist. Although some preliminary research on this problem exists (Koch, 2000; Moore, Greer, & Li, 1994; NAADD, 1999), few researchers have collected data describing these barriers from rehabilitation and AODA counselors who are actively working with the population of persons with visual impairment and blindness. The purpose of this study was to conduct a thorough needs assessment that would identify, clarify, and address these perceived problems across agencies within a specific service delivery system. The investigation involved a review of existing information and a series of focused interviews with stakeholders, including mental health, addiction, and blindness vocational rehabilitation professionals, consumers, and consumer advocates. The results of this study may be helpful to addiction science educators in developing pre-service and continuing education curricula designed to enhance AODA counselors' preparation so that they may effectively meet the needs of these consumers. (Contains 5 tables.)