Deaf and Hard of Hearing Clients in Mixed-Ability Psychotherapy Groups: Therapist Perspectives and Practical Insights.

Deaf and hard of hearing (D/HOH) individuals experience higher rates of mental health disorders and face significant barriers when accessing services, particularly in group therapy settings. This study investigates group therapists' perspectives on incorporating D/HOH clients into mixed-ability therapy groups predominantly composed of hearing individuals. Using a mixed-methods design, this study compares the experiences of therapists who have facilitated such groups with the perceptions of those who have not. Qualitative results highlight perceived barriers for therapists without experience working with D/HOH members, including concerns about group cohesion, communication challenges, and interpreter integration. Therapists with experience working with D/HOH members identified the benefits of mixed-ability groups, such as increased empathy, cultural learning, and strengthened group connections. These findings emphasize the need for expanded training, practical accommodations, and cultural competency development to ensure inclusive and effective group therapy for all.