[영문]Persons who are deaf face a number of challenges with regard tovulnerability for substance use disorders. Moreover, accessibletreatment for this condition can be difficult to establish and maintain.The Deaf community may be one of the most disenfranchisedgroups in America in regard to appropriate access to substance usedisorder (SUD) prevention and treatment services. This article reviewsfindings related to substance use disorder and treatment forthis condition among persons who are deaf. It also reviews a promisingapproach for addressing treatment needs via e-therapy, and ithighlights the challenges and concerns regarding e-therapy for thispopulation. E-therapy services demonstrate promise in reachinga larger and therefore more economically viable treatment populationof deaf individuals while providing culturally appropriateand comprehensible recovery support options. Demographic andintermediate treatment outcome data are presented on a state-wideprogram established to serve persons who are deaf in the mid-west