The Deaf population consists of individuals who are profoundly Deaf and rely on visual communication such as sign language. In the United States, American Sign Language (ASL) tends to be the primary language used by Deaf people, with English being their second language. ASL and visual communication is the binding factor of the Deaf community and Deaf culture. This population is diverse and consists of many subcultures such as Black Deaf, Deaf Hispanic, Deaf Native Americans, Deaf Asians, and Deaf Plus, which are those who are Deaf with Intellectual/ Developmental Disabilities and those with language delays. Each of these communities presents unique communication and cultural needs.