In the United States today, hearing loss in children is a low-incidence disability affecting approximately 4,000 (or 3 in every 1,000) newborns each year. With access to sound through cochlear implants—or highly powerful hearing aids and other assistive devices—children born with hearing loss today can access sound earlier than ever before. But because these devices do not fully replicate natural hearing, children who are deaf or hard of hearing are in urgent need of specialized early intervention services to rehabilitate the auditory and linguistic system in the brain, and thereby mitigate the considerable risk of listening, language and speech delays. Clarke’s role is to equip children with the tools and skills to access sound and language in their earliest years, when the brain is most malleable, and to also support children and their families from early childhood through their high school years, as needed, in mainstream settings.