There is little and conflicting evidence on the prevalence of alcohol misuse and treatment available for people with Intellectual Disabilities (also referred as Learning Disabilities). As is similar to other vulnerable populations, adults with ID have increasingly lived more independently in the community following the closure of long-stay hospitals. This has increased their exposure to environmental stressors and substance and alcohol misuse, negatively impacting on their functioning, relationships, physical and mental health, and safety. Traumatic Brain Injury (TBI) is the most common cause of disability in younger adults. Yet the community care for patients with TBI varies hugely in the UK. There is a well-established link between TBI and alcohol misuse, with both TBI leading to increased levels of alcohol misuse and alcohol misuse contributing to risk of TBIs. The effects of neuronal damage have been shown to increase after TBI accompanied by alcohol intoxication. This presentation is based on the experience gained from the first in the UK feasibility study on this topic, and draws from the experience of setting up and running the first ever pilot of a combined TBI and alcohol brief interventionÂ service in London.