Learning where to go for help and how to access public support services can seem overwhelming at times. Some people refer to this as “The System.” There are typically four primary sources for services and programs that support the health, development, employment, inclusion and safety of people with combined hearing and vision loss.

Local/Community Services

Services that are provided at the local level include education and early intervention services, public safety, local health programs, community recreational programs and library programs.

County Services

County caseworkers often coordinate social services that support people with combined hearing and vision loss. They determine and assess service needs, distribute waiver program funds and arrange access to county and state services.

State Programs and Resources

State agencies are responsible for developing social service policies and regulations, administering federal waiver programs and state funding programs, and providing oversight, advocacy and consulting services.

Federal Programs

Federal agencies are responsible for developing federal regulations, creating policies that comply with federal laws and allocating federal funding for waiver programs and social service grants.