Abstract
The population of individuals who are deaf or hard of hearing (DHH) and have additional disabilities is a large and diverse one. The additional disabilities may be relatively mild (e.g., learning disability), but others are more severe. The emphasis of this chapter is on the latter group. Individuals who are deaf or hard-of-hearing may also have intellectual disabilities (ID), autism, or they may be deafblind. Their disabilities can be due to many factors including genetic syndromes; problems that occur before, during, or slightly after birth; or infections such as meningitis or injuries such as traumatic brain injury that are acquired later in life. The purposes of this chapter are to (a) delineate and describe several of the major causative factors, and (b) present important evidence-based practices that have the potential to enhance the communication, education, and quality of life of individuals who are deaf or hard of hearing and have additional severe disabilities.
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