Deaf and hard of hearing individuals with additional disabilities are referred to as "Deaf Plus." Deaf children with one or more co-occurring disabilities could also be referred to as hearing loss plus additional disabilities or Deafness and Diversity (D.A.D.). About 40-50% of deaf children experience one or more additional disabilities, with learning disabilities, intellectual disabilities, Autism Spectrum Disorder (ASD), and Deafblind being the four most concomitant disabilities. Approximately 7-8% of deaf children have a learning disability. Deaf plus individuals utilize various language modalities to best fit their communication needs.