Programs that provide instruction in visual/manual communication systems that use hand shapes, facial expressions, and other body movements as alternatives to oral and written communication, particularly within the deaf community. Included are programs that teach preverbal infants and toddlers to use sign language as a way of communicating their needs.

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Programs that teach individuals who have hearing impairments to understand what is being said by observing the speakers' lips as well as other behavioural clues such as gestures and facial expressions.

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