Abstract
There has been much discussion in the last few years about the needs of people who have some degree of both a hearing and a visual impairment. This article outlines in brief the work of the Leeds Incorporated Institution for Blind and Deaf People and its attempt during the last twelve years to meet such needs and to grapple with some practical methods of restoring the 'state of confidence'. The 'state of confidence' is the description used for the rehabilitation process which addresses the social implications of dual sensory loss in elderly people.
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