Introduction/Background
OTs supporting Deaf and Hard of Hearing (DHH) participants often encounter a key barrier — the absence of incidental learning in everyday conversation. While technology and formal education are prioritised, many DHH individuals miss informal learning that builds independence, skills and health literacy. This gap is rarely addressed in current education pathways, limiting knowledge and skills essential for participation and autonomy in daily life.

Objective
To develop programs that build skills, knowledge and understanding to empower DHH clients and improve independence and health outcomes.

Method/Implementation
A suite of visually based, culturally Deaf-aware therapy programs was developed by a team of OTs. Training is provided to AHAs to ensure consistent delivery. Covering eight domains of daily living, each focused on everyday participation and functional routines, the programs were co-designed and reviewed by DHH staff for linguistic and cultural alignment. Each program is delivered in Auslan and integrates graded visual education, tailored discussion and comprehension checks. New programs are added as needs are identified. Over 45 programs have been developed to date.

Discussion/Outcomes
Outcomes are measured through subjective feedback, observations, standardised tools and follow-up reviews. Participants provided highly positive feedback, demonstrating increased ability to apply knowledge in daily routines, engage meaningfully with their environment, and manage health conditions with improved independence, and functional and clinical improvements were also evident.

Conclusion
Demonstrating OT values of empowerment and individualised care, these programs bridge the learning gap for DHH participants, providing accessible, language-appropriate education and highlighting the valuable role of AHAs in therapy delivery.