Family and community interactions provide important opportunities for facilitating the integration of children and youth with hearing loss, yet these environments have received little research attention. In this study, facilitators and barriers to integration associated with the social milieus of young people with hearing loss were identified. Facilitators and barriers associated with the family were related to parental roles and relationships between family members. Community facilitators and barriers were related to the inclusion of children in sports and social activities and to accommodations made by leaders and peers participating in these events. Challenges to the successful inclusion of children and youth with hearing loss into family and social environments were identified. Nevertheless, the participants retained positive attitudes toward the benefits of inclusion and the potential of individuals with hearing loss to become fully contributing members of their families, communities and society at large.