Supporting People with Hearing Loss
in Group Settings

Senior centers, churches and congregant settings play a vital role in fostering accessible and inclusive environments for older adults. For patrons with hearing loss, assistive technologies can bridge communication gaps and improve their overall quality of life. This guide provides an overview of the tools available, funding options to acquire them, and best practices for implementing these solutions effectively.


Hearing Assistance Devices

These devices amplify sound or make communication more accessible for individuals with hearing loss.

DeviceDescriptionExamplesApprox. Cost
Personal AmplifiersPortable devices that amplify sound directly into headphones or earbuds.Pocketalker Ultra 2.0 ($150–$250), Bellman Audio Maxi ($180–$250)$150–$250
Hearing Loop SystemsTransmit sound via a magnetic field to hearing aids with telecoils (T-coils).Contacta HLD3 ($2,000–$5,000), Listen Technologies ($3,000–$10,000)$2,000–$10,000
FM and Infrared SystemsWireless systems that transmit sound from a microphone to a receiver.Phonak Roger Pen ($1,200–$1,500), Williams Sound IR T2 ($1,000–$2,000)$1,000–$2,000

Communication Support Technologies

These tools bridge communication gaps in real-time.

TechnologyDescriptionExamplesApprox. Cost
Captioning DevicesReal-time caption displays for conversations or events.Ava App ($15–$30/month), UbiDuo 3 ($2,000–$3,000)$15–$3,000
Speech-to-Text AppsConverts spoken words to text.Otter.ai (Free or $8–$16/month), Google Live Transcribe (Free)Free–$16/month
Amplified TelephonePhones with adjustable amplification and tone settings.Clarity XLC3.4+ ($150–$200), CapTel 2400i ($75–$150)
$75–$200
Video Relay ServicesVideo interpreters for sign language communication.Sorenson VRS, ZVRS (FCC-funded, free to eligible users)Free
CART (Communication Access Realtime Translation)CART involves a stenographer, or steno typist, who translates speech in real-time to written words on a screen, either in person or remotely.  Remote CART: $120–$200 per hour.
On-Site CART: $150–$250 per hour (plus travel expenses for the provider).
$120–$250 an hour/plus expenses

Alerting and Notification Systems

Alerting systems help individuals with hearing loss stay aware of environmental cues.

SystemDescriptionExamplesApprox. Cost
Visual Alert SystemsUse flashing lights or visual signals for alerts.Sonic Alert HomeAware System ($250–$400), Bellman Visit System ($300–$600)$250–$600
Vibrating Alert DevicesWearable or standalone devices that vibrate for notifications.ShakeAwake Clock ($40–$60), Smartwatches ($250–$500)$40–$500

Accessibility Enhancements for Group Activities

These technologies make group activities more inclusive.

DeviceDescriptionExamplesApprox. Cost
TV Listening SystemsStream TV audio to hearing aids or headphones.Sennheiser RS 195 ($300–$400), TV Ears ($120–$200)$120–$400
Group Microphone SystemsMicrophones that amplify speech in group settings.Catchbox Throwable Mic ($500–$800), Shure Microflex ($3,000–$5,000)$500–$5,000

Federal and State Programs

  • Assistive Technology Act Programs: Provide loans, demonstrations, and funding for assistive devices.
  • Medicaid: Covers devices deemed medically necessary (varies by state).
    • Contact: Your state Medicaid office.
  • Veterans Affairs (VA): Offers free assistive devices for eligible veterans.
  • FCC Programs: Free devices like captioned telephones through Telecommunications Equipment Distribution Programs (TEDP).
  • iCanConnect: Free devices and training for people with significant loss of both vision and hearing.

Non-Profit and Private Organizations

  • Hearing Loss Association of America (HLAA): Resources and connections to grants.
  • Lions Clubs International: Funding for hearing aids and assistive technologies.
    • Contact: Your local Lions Club chapter.
  • Assist2Hear: Specializes in hearing loop installations and funding support.

Grants and Community Funding

  • Community Development Block Grants (CDBG): Federal funding for accessibility projects.
  • Foundation Grants: Examples include AARP Foundation, Walmart Foundation, and Hearing Health Foundation.

Device-Specific Subsidy Programs

  • CapTel Telephones: Free or low-cost captioned phones through state TEDPs.

Fundraising and Community Contributions

  • Crowdfunding Platforms: Use GoFundMe or FundRazr for community fundraising.
  • Partnerships: Approach local businesses and service clubs like Rotary Clubs for sponsorships.

Tax Benefits and Discounts


Staff Training

  • Train staff to operate and maintain devices.
  • Educate on communication strategies for patrons with hearing loss.
  • Cost: free–$300 per session (varies by provider).

Budgeting and Prioritization

  • Assess patron needs and prioritize devices that will be most impactful.
  • Explore bulk pricing or nonprofit discounts from vendors like Williams Sound or Listen Technologies.

Accessibility Standards

  • Ensure compliance with ADA requirements for assistive listening systems.
  • Consult resources like Assist2Hear for ADA-compliant hearing loop installations.

State Assistive Technology (AT) Act Programs are valuable resources that senior centers can use for guidance, training, and support when implementing assistive technologies. These programs help increase access to assistive devices for individuals with disabilities and older adults.

Services Provided

  • Device demonstrations and short-term loans.
  • Training for staff on using devices.
  • Help identifying funding sources or low-interest device loans.

How to Access

  • Locate your state’s program via the AT3 Center Directory.
  • Borrow devices to test their effectiveness.

Sources and Additional Resources

  1. Hearing Loss Association of America (HLAA)
  2. National Institute on Deafness and Other Communication Disorders (NIDCD)
  3. FCC Accessibility Programs
  4. Assist2Hear
  5. AT3 Center
  6. CapTel Captioned Telephones
  7. Grants.gov

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