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Abstract

When alcohol and drug problems are identified within the mental health setting, the clinician may experience tremendous barriers referring for alcohol and/or drug intervention. In the San Francisco Bay Area (the Bay Area encompasses between 5 to7 counties dose to and including San Francisco), we have been addressing these barriers and advocating for effective alcohol and drug recovery services for the past two years. Breaking the barriers to alcohol and drug services for the deaf and hard-of-hearing involves changes within the "system." This paper describes how to be a catalyst for change using a "systems approach": the process for obtaining accessible services and providing training to local service agendas, and the process of advocacy at local, regional, and state levels.

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