People may become addicted to drugs or alcohol despite a handicap or personal physical issue. This sometimes makes persons particularly more vulnerable to getting involved in substance abuse, due to the varying issues that this can bring in the individual's life. This is the case for persons in the deaf and hearing impaired community as well, and treatment for alcohol and drug abuse issues is often required. Deaf or hearing impaired persons often require ASL or other help as part of their treatment program, and there are drug treatment facilities available throughout the Mad River area which cater to these special needs. Expert drug rehab counselors who understand the need for ASL and can offer other crucial help to deaf or hearing impaired substance abusers are readily accessible in several drug and alcohol treatment programs around Mad River and in the United States.