This report investigates the implications of hearing impairment among the Indigenous prisoners in Northern Territory Correctional Services. It was conducted in response to the Hear us: enquiry into hearing health in Australia report by the Australian Government. Findings show that more than 90% of Indigenous inmates have a significant hearing loss. Comments by inmates indicate that hearing impairment is often a significant disability in a custodial environment that contributes to the breakdown in communication with prison officers. This project identifies that some experienced corrections officers have developed skills that help them communicate more effectively with inmates with hearing loss and that the use of amplification devices can lessen communication problems experienced by inmates with hearing loss. These results suggest there are potential benefits in addressing widespread hearing loss among NT Indigenous inmates. These benefits include improved inmate management practices and enhanced wellbeing among inmates, as well as better rehabilitation outcomes and lower levels of recidivism.