Spirituality is increasingly being used in both assessment and intervention strategies. Available peer-reviewed literature and recent published dissertations are reviewed related to spirituality and religion among deaf and hard of hearing people. Knowledge is integrated in the context of mental health practitioners who work with deaf and hard of hearing people. Several themes including disability meanings, communication, family dynamics, and macro accessibility and representation are identified as topics to be applied to current mental health practice and future mental health research related to spirituality among deaf and hard of hearing people